ITEM DESCRIPTION_START DESCRIPTION_END LATEST Description 00001 01FEB1984 31OCT1996 N Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)-at a time other than a time covered by Item 2-- each attendance 00001 01NOV1996 31OCT1997 N EMERGENCY ATTENDANCE AFTER HOURS (on not more than 1 patient on 1 occasion) Professional attendance being an attendance at other than consulting rooms, by a general practitioner on not more than 1 patient on 1 occasion. Professional attendance after hours AT A PLACE OTHER THAN CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment each attendance 00001 01NOV1997 28FEB2007 N EMERGENCY ATTENDANCE AFTER HOURS (on not more than 1 patient on 1 occasion) Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment - each attendance other than an attendance between 11pm and 7am, on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or at any time other than between 8am and 8pm on a day not being a Saturday, Sunday or public holiday 00001 01MAR2007 31DEC9999 Y URGENT ATTENDANCE AFTER HOURS (on not more than 1 patient on 1 occasion) Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS, by a general practitioner on not more than 1 patient on the 1 occasion - each attendance (other than an attendance between 11pm and 7am) in an after-hours period, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment 00002 01FEB1984 31OCT1996 N Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00002 01NOV1996 31OCT1997 N Professional attendance being an attendance at consulting rooms, by a general practitioner on not more than 1 patient on 1 occasion Professional attendance after hours AT CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period, where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance each attendance 00002 01NOV1997 28FEB2007 N Professional attendance AT CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance - each attendance other than an attendance between 11pm and 7am, on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or at any time other than between 8am and 8pm on a day not being a Saturday, Sunday or public holiday 00002 01MAR2007 31DEC9999 Y Professional attendance AT CONSULTING ROOMS, by a general practitioner on not more than 1 patient on the 1 occasion - each attendance (other than an attendance between 11pm and 7am) in an after-hours period, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment; and it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance 00003 01DEC1989 30NOV1991 N Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management each attendance 00003 01DEC1991 31OCT1993 N NOTE: Professional attendances by general practitioners cover consultations during which the general practitioner evaluates the patient's problem (which may include certain health screening services - see paragraph 12.3 of the General Explanatory Notes) and formulates a management plan, in relation to one or more conditions present in the patient. The service also includes advice to the patient and/or relatives and the recording of appropriate detail of the particular services - (see paragraphs A.4.6 - A.4.7 of Explanatory Notes to this Category) LEVEL 'A' Professional attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management SURGERY CONSULTATION (Professional attendance at consulting rooms) 00003 01NOV1993 30APR2010 N LEVEL 'A' Professional attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management SURGERY CONSULTATION (Professional attendance at consulting rooms) 00003 01MAY2010 31DEC9999 Y Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance 00004 01DEC1989 31OCT1993 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00004 01NOV1993 31OCT1997 N HOME VISIT (Professional attendance at a place other than consulting rooms, hospital, nursing home or institution) 00004 01NOV1997 31OCT2000 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00004 01NOV2000 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution) 00004 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (INCLUDING A HOSPITAL) OTHER THAN A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00004 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00004 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients at one place on one occasion-each patient 00005 01FEB1984 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)-at a time other than a time covered by Item 6-- each attendance 00006 01FEB1984 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00007 01FEB1984 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)-at a time other than a time covered by Item 8-- each attendance 00008 01FEB1984 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00009 01FEB1984 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part)-at a time other than a time covered by Item 10-- each attendance 00010 01FEB1984 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00011 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)-at a time other than a time covered by Item 12-- each attendance 00012 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00013 01NOV1990 31OCT1993 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00013 01NOV1993 31OCT2000 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00013 01NOV2000 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00014 01DEC1989 31DEC9999 Y LEVEL A Professional attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management. CONSULTATION AT AN INSTITUTION - OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on two or more patients in the one INSTITUTION on the one occasion) - EACH PATIENT 00015 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 16-- each attendance 00016 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00017 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 18-- each attendance 00018 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00019 01NOV1990 31OCT1993 N CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00019 01NOV1993 31DEC9999 Y CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00020 01NOV1990 31OCT1993 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a selfcontained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00020 01NOV1993 31OCT2000 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a selfcontained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00020 01NOV2000 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient 00020 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion each patient. 00020 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self-contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00021 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 22-- each attendance 00022 01FEB1984 31DEC9999 Y Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 45 minutes duration (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday 00023 01DEC1989 31OCT1990 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by Item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 SURGERY CONSULTATION (Professional attendance at consulting rooms) 00023 01NOV1990 31OCT1993 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies SURGERY CONSULTATION (Professional attendance at consulting rooms) 00023 01NOV1993 30APR2010 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies SURGERY CONSULTATION (Professional attendance at consulting rooms) 00023 01MAY2010 31OCT2023 N Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance 00023 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation 00024 01DEC1989 31OCT1993 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00024 01NOV1993 31OCT1997 N HOME VISIT (Professional attendance at a place other than consulting rooms, hospital, nursing home or institution) 00024 01NOV1997 31OCT2000 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00024 01NOV2000 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution) 00024 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (INCLUDING A HOSPITAL) OTHER THAN A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00024 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00024 01JAN2013 31OCT2023 N Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient 00024 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient 00025 01NOV1990 31OCT1993 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00025 01NOV1993 31OCT2000 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00025 01NOV2000 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00026 01DEC1989 31DEC9999 Y LEVEL B Professional attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by Items 36, 37, 39, 44, 47 or 49. CONSULTATION AT AN INSTITUTION - OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on two or more patients in the one INSTITUTION on the one occasion) - EACH PATIENT 00027 01FEB1984 31DEC9999 Y Professional attendance at a hospital (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 28-- each attendance where only one in-patient is seen 00028 01FEB1984 31DEC9999 Y Professional attendance at a hospital (not being an attendance covered by any other item in this Part)-- each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, where only one in-patient is seen 00029 01FEB1984 31DEC9999 Y Professional attendance at a hospital (not being an attendance covered by any other item in this Part)-- an attendance on each of two in-patients in the one hospital on the one occasion at a time other than a time covered by Item 30-- each patient who is not a nursing-home type patient 00030 01FEB1984 31DEC9999 Y Professional attendance at a hospital (not being an attendance covered by any other item in this Part)-an attendance on each of two in-patients in the one hospital on the one occasion-each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday-each patient who is not a nursing-home type patient 00031 01FEB1984 31DEC9999 Y Professional attendance at a hospital (not being an attendance covered by any other item in this Part)-an attendance on each of three or more in-patients in the one hospital on the one occasion-each patient who is not a nursing-home type patient 00032 01FEB1984 31DEC9999 Y Professional attendance at a hospital (not being an attendance covered by any other item in this Part)-an attendance on each of two in-patients in the one hospital on the one occasion where at least one of those in-patients is a nursing-home type patient-each nursing-home type patient 00033 01NOV1990 31OCT1993 N CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00033 01NOV1993 31DEC9999 Y CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00034 01FEB1984 31DEC9999 Y Professional attendance at a hospital (not being an attendance covered by any other item in this Part)-an attendance on each of three or more in-patients in the one hospital on the one occasion where at least one of those in-patients is a nursing-home type patient-each nursing-home type patient 00035 01NOV1990 31OCT1993 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00035 01NOV1993 31OCT2000 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00035 01NOV2000 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient 00035 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion each patient. 00035 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00036 01DEC1989 31OCT1990 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by Items 44, 47, 48, 50 or 51 SURGERY CONSULTATION (Professional attendance at consulting rooms) 00036 01NOV1990 31OCT1993 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies SURGERY CONSULTATION (Professional attendance at consulting rooms) 00036 01NOV1993 30APR2010 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies SURGERY CONSULTATION (Professional attendance at consulting rooms) 00036 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance 00037 01DEC1989 31OCT1993 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00037 01NOV1993 31OCT1997 N HOME VISIT (Professional attendance at a place other than consulting rooms, hospital, nursing home or institution) 00037 01NOV1997 31OCT2000 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00037 01NOV2000 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution) 00037 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (INCLUDING A HOSPITAL) OTHER THAN A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00037 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00037 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient 00038 01NOV1990 31OCT1993 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00038 01NOV1993 31OCT2000 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00038 01NOV2000 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00039 01DEC1989 31DEC9999 Y LEVEL C Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by Items 44, 47 or 49 . CONSULTATION AT AN INSTITUTION - OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on two or more patients in the one INSTITUTION on the one occasion) - EACH PATIENT 00040 01NOV1990 31OCT1993 N CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00040 01NOV1993 31DEC9999 Y CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00041 01FEB1984 29FEB1984 N Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a nursing home complex (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 42-each attendance where only one patient is seen 00041 01MAR1984 31DEC9999 Y Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a selfcontained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) - each in hours attendance where only one patient is seen 00042 01FEB1984 29FEB1984 N Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a nursing home complex (not being an attendance covered by any other item in this Part)-each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, where only one patient is seen 00042 01MAR1984 31DEC9999 Y Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a selfcontained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) - each after hours attendance where only one patient is seen 00043 01NOV1990 31OCT1993 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00043 01NOV1993 31OCT2000 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00043 01NOV2000 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient 00043 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion each patient. 00043 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00044 01DEC1989 31OCT1993 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan SURGERY CONSULTATION (Professional attendance at consulting rooms) 00044 01NOV1993 30APR2010 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan SURGERY CONSULTATION (Professional attendance at consulting rooms) 00044 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance 00045 01FEB1984 29FEB1984 N Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a nursing home complex (not being an attendance covered by any other item in this Part)-an attendance on two patients in the one nursing home or aged persons' accommodation on the one occasion-each patient 00045 01MAR1984 31DEC9999 Y Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a selfcontained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) - an attendance on two patients in the one nursing home or aged persons' accommodation on the one occasion - each patient 00046 01FEB1984 29FEB1984 N Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a nursing home complex (not being an attendance covered by any other item in this Part)-an attendance on three or more patients in the one nursing home or aged persons' accommodation on the one occasion-each patient 00046 01MAR1984 31DEC9999 Y Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a selfcontained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) - an attendance on three or more patients in the one nursing home or aged persons' accommodation on the one occasion - each patient 00047 01DEC1989 31OCT1993 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00047 01NOV1993 31OCT1997 N HOME VISIT (Professional attendance at a place other than consulting rooms, hospital, nursing home or institution) 00047 01NOV1997 31OCT2000 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) 00047 01NOV2000 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution) 00047 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (INCLUDING A HOSPITAL) OTHER THAN A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00047 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility. 00047 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient 00048 01NOV1990 31OCT1993 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00048 01NOV1993 31OCT2000 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00048 01NOV2000 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient 00049 01DEC1989 31DEC9999 Y LEVEL D Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems, and lasting at ast 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan. CONSULTATION AT AN INSTITUTION - OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on two or more patients in the one INSTITUTION on the one occasion) - EACH PATIENT 00050 01NOV1990 31OCT1993 N CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00050 01NOV1993 31DEC9999 Y CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient 00051 01NOV1990 31OCT1993 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00051 01NOV1993 31OCT2000 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) each patient 00051 01NOV2000 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient 00051 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion each patient. 00051 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00052 01DEC1989 31OCT1993 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) BRIEF CONSULTATION of not more than 5 minutes duration 00052 01NOV1993 31OCT2019 N Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00052 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00053 01DEC1989 31OCT1993 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00053 01NOV1993 31OCT2019 N Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00053 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00054 01DEC1989 31OCT1993 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00054 01NOV1993 31OCT2019 N Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00054 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00055 01FEB1984 31DEC9999 Y Professional attendance at an institution of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 56-an attendance on each of two or more patients at the one institution on the one occasion-each patient 00056 01FEB1984 31DEC9999 Y Professional attendance at an institution of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)-an attendance on each of two or more patients at the one institution on the one occasion on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday-each patient 00057 01DEC1989 31OCT1993 N PROLONGED CONSULTATION of more than 45 minutes duration 00057 01NOV1993 31OCT2019 N Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00057 01NOV2019 31OCT2023 N Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00057 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 45 minutes, but not more than 60 minutes (other than a service to which any other item applies) by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner 00058 01DEC1989 31OCT1993 N HOME VISITS (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) BRIEF HOME VISIT of not more than 5 minutes duration 00058 01NOV1993 31OCT1997 N HOME VISITS (Professional attendance at a place other than consulting rooms, hospital, nursing home or institution) BRIEF HOME VISIT of not more than 5 minutes duration 00058 01NOV1997 31OCT2000 N HOME VISITS (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, nursing home or institution) BRIEF HOME VISIT of not more than 5 minutes duration 00058 01NOV2000 30APR2010 N HOME VISITS Professional attendance by a medical practitioner (other than a general practitioner) on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility BRIEF HOME VISIT of not more than 5 minutes duration 00058 01MAY2010 31DEC2012 N BRIEF CONSULTATION of not more than 5 minutes duration 00058 01JAN2013 31OCT2019 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00058 01NOV2019 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00059 01DEC1989 31OCT1993 N STANDARD HOME VISIT of more than 5 minutes duration but not more than 25 minutes duration 00059 01NOV1993 31OCT1997 N STANDARD HOME VISIT of more than 5 minutes duration but not more than 25 minutes duration 00059 01NOV1997 30APR2010 N STANDARD HOME VISIT of more than 5 minutes duration but not more than 25 minutes duration 00059 01MAY2010 31DEC2012 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00059 01JAN2013 31OCT2019 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00059 01NOV2019 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00060 01DEC1989 31OCT1993 N LONG HOME VISIT of more than 25 minutes duration but not more than 45 minutes duration 00060 01NOV1993 31OCT1997 N LONG HOME VISIT of more than 25 minutes duration but not more than 45 minutes duration 00060 01NOV1997 30APR2010 N LONG HOME VISIT of more than 25 minutes duration but not more than 45 minutes duration 00060 01MAY2010 31DEC2012 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00060 01JAN2013 31OCT2019 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00060 01NOV2019 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00061 01FEB1984 31DEC9999 Y Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 62-- an attendance on each of two or more patients at the one institution on the one occasion-- each patient 00062 01FEB1984 29FEB1984 N Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)-- an attendance on each of two or more patients at at the one institution on the one occasion on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday-- each patient 00062 01MAR1984 31DEC9999 Y Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) - an attendance on each of two or more patients at the one institution on the one occasion on a public holiday, on a Sunday, before 8 a.m. or after1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday - each patient 00063 01FEB1984 31DEC9999 Y Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 64-- an attendance on each of two or more patients at the one institution on the one occasion-- each patient 00064 01FEB1984 31DEC9999 Y Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)-- an attendance on each of two or more patients at the one institution on the one occasion on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday-- each patient 00065 01DEC1989 31OCT1993 N PROLONGED HOME VISIT of more than 45 minutes duration 00065 01NOV1993 31OCT1997 N PROLONGED HOME VISIT of more than 45 minutes duration 00065 01NOV1997 30APR2010 N PROLONGED HOME VISIT of more than 45 minutes duration 00065 01MAY2010 31DEC2012 N PROLONGED CONSULTATION of more than 45 minutes duration 00065 01JAN2013 31OCT2019 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00065 01NOV2019 31OCT2023 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST). 00065 01NOV2023 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 45 minutes but not more than 60 minutes -an attendance on one or more patients at one place on one occasion-each patient, by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner 00066 01DEC1989 31DEC9999 Y CONSULTATION AT AN INSTITUTION - Professional attendance on two or more patients in the one INSTITUTION on the one occasion - BRIEF CONSULTATION of not more than 5 minutes duration - EACH PATIENT 00067 01FEB1984 31DEC9999 Y Professional attendance at an institution of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 68-- an attendance on each of two or more patients at the one institution on the one occasion-- each patient 00068 01FEB1984 31DEC9999 Y Professional attendance at an institution of more than 45 minutes duration (not being an attendance covered by any other item in this Part)-- an attendance on each of two or more patients at the one institution on the one occasion on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday-- each patient 00069 01DEC1989 31DEC9999 Y CONSULTATION AT AN INSTITUTION - Professional attendance on two or more patients in the one INSTITUTION on the one occasion - STANDARD CONSULTATION, of more than 5 minutes duration but not more than 25 minutes duration - EACH PATIENT 00070 01AUG1987 31AUG1989 N GENERAL PRACTITIONER-EMERGENCY ATTENDANCE-AFTER HOURS (on not more than one patient on the one occasion). Professional attendance after hours AT A PLACE OTHER THAN SURGERY on not more than one patient on the one occasion where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment-each attendance 00070 01SEP1989 31DEC9999 Y Professional attendance, being an attendance at other than consulting rooms, on not more than one patient on the one occasion-each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment 00071 01DEC1989 31DEC9999 Y CONSULTATION AT AN INSTITUTION -Professional attendance on two or more patients in the one INSTITUTION on the one occasion - LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration - EACH PATIENT 00072 01DEC1989 31DEC9999 Y CONSULTATION AT AN INSTITUTION - Professional attendance on two or more patients in the one INSTITUTION on the one occasion - PROLONGED CONSULTATION of more than 45 minutes duration - EACH PATIENT 00073 01DEC1989 31DEC9999 Y CONSULTATION AT HOSPITAL (one in-patient) - Professional attendance at a HOSPITAL where only one in-patient is seen - EACH ATTENDANCE 00074 01DEC1989 31DEC9999 Y CONSULTATION AT HOSPITAL (two or more in-patients) - Professional attendance on two or more in-patients in the one HOSPITAL on the one occasion - EACH PATIENT who is not a nursing-home type patient 00075 01DEC1989 31DEC9999 Y CONSULTATION AT HOSPITAL (two in-patients where at least one is a nursing-home type patient) - Professional attendance on two in-patients in the one HOSPITAL on the one occasion where at least one of those in-patients IS a nursing-home type patient - EACH NURSING-HOME TYPE PATIENT 00076 01DEC1989 31DEC9999 Y CONSULTATION AT HOSPITAL (three or more in-patients where at least one is a nursing-home type patient) - Professional attendance on three or more in-patients in the one HOSPITAL on the one occasion where at least one of those in-patients is a nursing-home type patient - EACH NURSING-HOME TYPE PATIENT 00077 01DEC1989 31DEC9999 Y CONSULTATION AT NURSING HOME (one patient) - Professional attendance at a NURSING HOME, including AGED PERSONS' ACCOMMODATION attached to a nursing home or aged persons' accommodation SITUATED WITHIN A COMPLEX THAT INCLUDES A NURSING HOME (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a self-contained unit) where only ONE PATIENT is seen - EACH ATTENDANCE 00078 01DEC1989 31DEC9999 Y CONSULTATION AT NURSING HOME (two patients) - Professional attendance at a NURSING HOME, including AGED PERSONS' ACCOMMODATION attached to a nursing home or aged persons' accommodation SITUATED WITHIN A COMPLEX THAT INCLUDES A NURSING HOME (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a self-contained unit) - an attendance on TWO PATIENTS in the one nursing home or aged persons' accommodation ON THE ONE OCCASION - EACH PATIENT 00079 01DEC1989 31DEC9999 Y CONSULTATION AT NURSING HOME (three or more patients) - Professional attendance at a NURSING HOME, including AGED PERSONS' ACCOMMODATION attached to a nursing home or aged persons' accommodation SITUATED WITHIN A COMPLEX THAT INCLUDES A NURSING HOME (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a self-contained unit) - an attendance on THREE OR MORE PATIENTS in the one nursing home or aged persons' accommodation ON THE ONE OCCASION - EACH PATIENT 00080 01DEC1989 31DEC9999 Y EMERGENCY ATTENDANCE - AFTER HOURS (on not more than one patient on the one occasion) Professional attendance after hours AT A PLACE OTHER THAN SURGERY on not more than one patient on the one occasion where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment - EACH ATTENDANCE 00081 01NOV1990 31OCT1993 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient BRIEF CONSULTATION of not more than 5 minutes duration 00081 01NOV1993 31OCT2000 N CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR NURSING HOME (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient BRIEF CONSULTATION of not more than 5 minutes duration 00081 01NOV2000 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient BRIEF CONSULTATION of not more than 5 minutes duration 00082 01FEB1984 31OCT1986 N Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G) 00082 01NOV1986 31AUG1989 N PRE-OPERATIVE EXAMINATION OF A PATIENT IN PREPARATION FOR THE ADMINISTRATION OF AN ANAESTHETIC, being an examination carried out at an attendance other than at which the anaesthetic is administered (G) 00082 01SEP1989 31DEC9999 Y Examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G) 00083 01NOV1990 31OCT1993 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00083 01NOV1993 31DEC9999 Y STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00084 01NOV1990 31OCT1993 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00084 01NOV1993 31DEC9999 Y LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00085 01FEB1984 31OCT1986 N Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S) 00085 01NOV1986 31AUG1989 N PRE-OPERATIVE EXAMINATION OF A PATIENT IN PREPARATION FOR THE ADMINISTRATION OF AN ANAESTHETIC, being an examination carried out at an attendance other than at which the anaesthetic is administered (S) 00085 01SEP1989 31DEC9999 Y Examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S) 00086 01NOV1990 31OCT1993 N PROLONGED CONSULTATION of more than 45 minutes duration 00086 01NOV1993 31DEC9999 Y PROLONGED CONSULTATION of more than 45 minutes duration 00087 01NOV1990 31OCT1993 N CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient BRIEF CONSULTATION of not more than 5 minutes duration 00087 01NOV1993 31DEC9999 Y CONSULTATION AT A HOSPITAL (Professional attendance on 1 or more patients in 1 hospital on 1 occasion) each patient BRIEF CONSULTATION of not more than 5 minutes duration 00088 01FEB1984 31DEC9999 Y Professional attendance by a specialist in the practice of his specialty where the patient is referred to him-- an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home 00089 01NOV1990 31OCT1993 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00089 01NOV1993 31DEC9999 Y STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00090 01NOV1990 31OCT1993 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00090 01NOV1993 31DEC9999 Y LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00091 01NOV1990 31OCT1993 N PROLONGED CONSULTATION of more than 45 minutes duration 00091 01NOV1993 31DEC9999 Y PROLONGED CONSULTATION of more than 45 minutes duration 00092 01NOV1990 31OCT1993 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) - each patient BRIEF CONSULTATION of not more than 5 minutes duration 00092 01NOV1993 31OCT2000 N CONSULTATION AT A NURSING HOME (Professional attendance on 1 or more patients in 1 nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (but excluding a professional attendance at a self contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (excluding accommodation in a selfcontained unit) on 1 occasion) - each patient BRIEF CONSULTATION of not more than 5 minutes duration 00092 01NOV2000 31DEC2012 N BRIEF CONSULTATION of not more than 5 minutes duration 00092 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of not more than 5 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00093 01NOV1990 31OCT1993 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00093 01NOV1993 31DEC2012 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration 00093 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00094 01FEB1984 31DEC9999 Y Professional attendance by a specialist in the practice of his specialty where the patient is referred to him-- each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home 00095 01NOV1990 31OCT1993 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00095 01NOV1993 31DEC2012 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration 00095 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00096 01NOV1990 31OCT1993 N PROLONGED CONSULTATION of more than 45 minutes duration 00096 01NOV1993 31DEC2012 N PROLONGED CONSULTATION of more than 45 minutes duration 00096 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 45 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies 00097 01NOV1990 31OCT1996 N EMERGENCY ATTENDANCE AFTER HOURS (on not more than 1 patient on 1 occasion) Professional attendance after hours AT A PLACE OTHER THAN CONSULTING ROOMS on not more than 1 patient on 1 occasion where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment each attendance 00097 01NOV1996 31OCT1997 N EMERGENCY ATTENDANCE AFTER HOURS (on not more than 1 patient on 1 occasion) Professional attendance being an attendance at other than consulting rooms, by a medical practitioner (other than general practitioner) on not more than 1 patient on 1 occasion. Professional attendance after hours AT A PLACE OTHER THAN CONSULTING ROOMS on not more than 1 patient on 1 occasion where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment each attendance 00097 01NOV1997 28FEB2007 N (on not more than 1 patient on 1 occasion) Professional attendance after hours AT A PLACE OTHER THAN CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment each attendance other than an attendance between 11pm and 7am, on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or at any time other than between 8am and 8pm on a day not being a Saturday, Sunday or public holiday 00097 01MAR2007 31DEC9999 Y Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS by a medical practitioner (other than a general practitioner) on not more than 1 patient on the 1 occasion - each attendance (other than an attendance between 11pm and 7am) in an after-hours period if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment 00098 01NOV1990 31OCT1996 N Professional attendance after hours AT CONSULTING ROOMS on not more than 1 patient on 1 occasion where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period, where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance each attendance 00098 01NOV1996 31OCT1997 N Professional attendance being an attendance at consulting rooms, by a medical practitioner (other than a general practitioner) on not more than 1 patient on 1 occasion Professional attendance after hours AT CONSULTING ROOMS on not more than 1 patient on 1 occasion where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period, where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance each attendance 00098 01NOV1997 28FEB2007 N Professional attendance AT CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance - each attendance other than an attendance between 11pm and 7am, on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or at any time other than between 8am and 8pm on a day not being a Saturday, Sunday or public holiday 00098 01MAR2007 31DEC9999 Y Professional attendance AT CONSULTING ROOMS, by a medical practitioner (other than a general practitioner) on not more than 1 patient on the 1 occasion - each attendance (other than an attendance between 11pm and 7am) in an after-hours period, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment; and it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance 00099 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference by a specialist in the practice of his or her specialty, rendered to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or c) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 104 or 105. 00099 01NOV2012 31DEC2012 N Professional attendance on a patient by a specialist practising in his or her specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 104 lasting more than 10 minutes; or (ii) provided with item 105; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 00099 01JAN2013 31OCT2019 N Professional attendance on a patient by a specialist practising in his or her specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 104 lasting more than 10 minutes; or (ii) provided with item 105; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00099 01NOV2019 31DEC9999 Y Professional attendance on a patient by a specialist practising in the specialist's specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 104 lasting more than 10 minutes; or (ii) provided with item 105; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00100 01FEB1984 31DEC9999 Y Professional attendance by a specialist in the practice of his specialty where the patient is referred to him-- an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home 00101 01NOV1990 31DEC9999 Y Examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G) 00102 01NOV1990 31DEC9999 Y Examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S) 00103 01FEB1984 31DEC9999 Y Professional attendance by a specialist in the practice of his specialty where the patient is referred to him-- each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home 00104 01NOV1990 30NOV1991 N SPECIALIST, REFERRED CONSULTATION SURGERY, HOSPITAL OR NURSING HOME (Professional attendance at consulting rooms, hospital or nursing home by a specialist in the practice of his or her specialty where the patient is referred to him or her) INITIAL attendance in a single course of treatment 00104 01DEC1991 31OCT2000 N SPECIALIST, REFERRED CONSULTATION SURGERY, HOSPITAL OR NURSING HOME (Professional attendance at consulting rooms, hospital or nursing home by a specialist in the practice of his or her specialty where the patient is referred to him or her) - INITIAL attendance in a single course of treatment, not being a service to which item 106 applies 00104 01NOV2000 30APR2006 N SPECIALIST, REFERRED CONSULTATION - SURGERY OR HOSPITAL (Professional attendance at consulting rooms or hospital by a specialist in the practice of his or her specialty where the patient is referred to him or her) - INITIAL attendance in a single course of treatment, not being a service to which item 106 applies 00104 01MAY2006 31DEC2009 N SPECIALIST, REFERRED CONSULTATION - SURGERY OR HOSPITAL (Professional attendance at consulting rooms or hospital by a specialist in the practice of his or her specialty where the patient is referred to him or her) - INITIAL attendance in a single course of treatment, not being a service to which item 106 or 109 apply 00104 01JAN2010 31OCT2019 N Professional attendance at consulting rooms or hospital by a specialist in the practice of his or her specialty after referral of the patient to him or her-each attendance, other than a second or subsequent attendance, in a single course of treatment, other than a service to which item 106, 109 or 16401 applies 00104 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a specialist in the practice of the specialist's specialty after referral of the patient to the specialist-each attendance, other than a second or subsequent attendance, in a single course of treatment, other than a service to which item 106, 109 or 16401 applies 00105 01NOV1990 31OCT2017 N Professional attendance by a specialist in the practice of his or her specialty following referral of the patient to him or her-an attendance after the first in a single course of treatment, if that attendance is at consulting rooms or hospital 00105 01NOV2017 31OCT2019 N Professional attendance by a specialist in the practice of his or her specialty following referral of the patient to him or her-an attendance after the first in a single course of treatment, if that attendance is at consulting rooms or hospital, other than a service to which item 16404 applies 00105 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist-an attendance after the first in a single course of treatment, if that attendance is at consulting rooms or hospital, other than a service to which item 16404 applies 00106 01DEC1991 31OCT2005 N - INITIAL ATTENDANCE in a single course of treatment, being an attendance at which refraction is performed by a specialist ophthalmologist, and the attendance results in the issuing of a prescription for spectacles or contact lenses, including any consultation on the same occasion and any other attendance on the same day (other than a service to which items 10801 to 10816 apply) 00106 01NOV2005 30APR2006 N - INITIAL SPECIALIST OPHTHALMOLOGIST ATTENDANCE in a single course of treatment, being an attendance at which the sole service provided is refraction testing for the issue of a prescription for spectacles or contact lenses not being a service to which items 104 or 10801 to 10816 apply 00106 01MAY2006 30APR2009 N - INITIAL SPECIALIST OPHTHALMOLOGIST ATTENDANCE in a single course of treatment, being an attendance at which the sole service provided is refraction testing for the issue of a prescription for spectacles or contact lenses not being a service to which items 104, 109 or 10801 to 10816 apply 00106 01MAY2009 31OCT2019 N Professional attendance by a specialist in the practice of his or her specialty of ophthalmology and following referral of the patient to him or her-an attendance (other than a second or subsequent attendance in a single course of treatment) at which the only service provided is refraction testing for the issue of a prescription for spectacles or contact lenses, if that attendance is at consulting rooms or hospital (other than a service to which any of items 104, 109 and 10801 to 10816 applies) 00106 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of the specialist's specialty of ophthalmology and following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at which the only service provided is refraction testing for the issue of a prescription for spectacles or contact lenses, if that attendance is at consulting rooms or hospital (other than a service to which any of items 104, 109 and 10801 to 10816 applies) 00107 01NOV1990 31OCT2000 N SPECIALIST, REFERRED CONSULTATION HOME VISITS (Professional attendance at a place other than consulting rooms, hospital or nursing home by a specialist in the practice of his or her specialty where the patient is referred to him or her) - INITIAL attendance in a single course of treatment 00107 01NOV2000 31OCT2019 N Professional attendance by a specialist in the practice of his or her specialty following referral of the patient to him or her-an attendance (other than a second or subsequent attendance in a single course of treatment), if that attendance is at a place other than consulting rooms or hospital 00107 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment), if that attendance is at a place other than consulting rooms or hospital 00108 01NOV1990 31OCT2019 N Professional attendance by a specialist in the practice of his or her specialty following referral of the patient to him or her-each attendance after the first in a single course of treatment, if that attendance is at a place other than consulting rooms or hospital 00108 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist-each attendance after the first in a single course of treatment, if that attendance is at a place other than consulting rooms or hospital 00109 01MAY2006 30APR2009 N INITIAL SPECIALIST OPHTHALMOLOGIST PAEDIATRIC ATTENDANCE in a single course of treatment, being an attendance at which a comprehensive eye examination is performed on a child aged 8 years or under, or on a child aged 14 years or under with developmental delay, not being a service to which item 104, 106 or any of items 10801 to 10816 applies 00109 01MAY2009 29FEB2012 N INITIAL SPECIALIST OPHTHALMOLOGIST PAEDIATRIC ATTENDANCE, REFERRED CONSULTATION in a single course of treatment, being an attendance at which a comprehensive eye examination is performed on a child aged 8 years or under, or on a child aged 14 years or under with developmental delay, not being a service to which item 104, 106 or any of items 10801 to 10816 applies 00109 01MAR2012 31OCT2019 N Professional attendance by a specialist in the practice of his or her specialty of ophthalmology following referral of the patient to him or her-an attendance (other than a second or subsequent attendance in a single course of treatment) at which a comprehensive eye examination, including pupil dilation, is performed on: (a) a patient aged 9 years or younger; or (b) a patient aged 14 years or younger with developmental delay; (other than a service to which any of items 104, 106 and 10801 to 10816 applies) 00109 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of the specialist's specialty of ophthalmology following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at which a comprehensive eye examination, including pupil dilation, is performed on: (a) a patient aged 9 years or younger; or (b) a patient aged 14 years or younger with developmental delay; (other than a service to which any of items 104, 106 and 10801 to 10816 applies) 00110 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner-- an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home 00110 01MAR1987 31AUG1989 N CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY), REFERRED CONSULTATION SURGERY, HOSPITAL OR NURSING HOME (Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner) - INITIAL attendance in a single course of treatment 00110 01SEP1989 31OCT2000 N Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him by a medical practitioner-initial attendance in a single course of treatment. 00110 01NOV2000 31OCT2011 N CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY), REFERRED CONSULTATION - SURGERY OR HOSPITAL (Professional attendance at consulting rooms or hospital by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner) - INITIAL attendance in a single course of treatment 00110 01NOV2011 31OCT2019 N Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 00110 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-initial attendance in a single course of treatment 00111 01NOV2017 30JUN2019 N Professional attendance at consulting rooms or in hospital by a specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $300 or more For any particular patient, once only on the same day 00111 01JUL2019 31OCT2019 N Professional attendance at consulting rooms or in hospital by a specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $304.80 or more For any particular patient, once only on the same day 00111 01NOV2019 30JUN2020 N Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $304.80 or more For any particular patient, once only on the same day 00111 01JUL2020 30JUN2021 N Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $309.35 or more For any particular patient, once only on the same day 00111 01JUL2021 30JUN2022 N Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more For any particular patient, once only on the same day 00111 01JUL2022 30JUN2023 N Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $317.15 or more For any particular patient, once only on the same day 00111 01JUL2023 31OCT2023 N Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $328.55 or more For any particular patient, once only on the same day 00111 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $330.20 or more For any particular patient, once only on the same day 00112 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference by a consultant physician in the practice of his or her specialty, rendered to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or c) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 110, 116, 119, 132 or 133. 00112 01NOV2012 31DEC2012 N Professional attendance on a patient by a consultant physician practising in his or her specialty if: (a) the attendance is by video conference; and (b) item 110, 116, 119, 132 or 133 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance - at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 00112 01JAN2013 31OCT2019 N Professional attendance on a patient by a consultant physician practising in his or her specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 110 lasting more than 10 minutes; or (ii) provided with item 116, 119, 132 or 133; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00112 01NOV2019 31DEC9999 Y Professional attendance on a patient by a consultant physician practising in the consultant physician's specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 110 lasting more than 10 minutes; or (ii) provided with item 116, 119, 132 or 133; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00113 01JAN2013 31OCT2019 N Initial professional attendance of 10 minutes or less in duration on a patient by a specialist in the practice of his or her speciality if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 00113 01NOV2019 31DEC9999 Y Initial professional attendance of 10 minutes or less in duration on a patient by a specialist in the practice of the specialist's speciality if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 00114 01JAN2013 31OCT2019 N Initial professional attendance of 10 minutes or less in duration on a patient by a consultant physician practising in his or her specialty if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 00114 01NOV2019 31DEC9999 Y Initial professional attendance of 10 minutes or less in duration on a patient by a consultant physician practising in the consultant physician's specialty if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 00115 01APR2019 30JUN2019 N Professional attendance at consulting rooms or in hospital by a specialist or consultant physician in the practice of the medical practitioner's specialty after referral of the patient to the specialist or consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the specialist or consultant physician performs a scheduled operation on that patient on the same day; and (b) the operation is one to which an item in Group T8 of the general medical service table applies; and (c) the amount as the fee for service is the amount specified in subclause 1.2.3(2)(c) of the general medical services table; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later date. For any particular patient, once only on the same day. 00115 01JUL2019 30JUN2020 N Professional attendance at consulting rooms or in hospital by a specialist or consultant physician in the practice of the medical practitioner's specialty after referral of the patient to the specialist or consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the specialist or consultant physician performs a scheduled operation on that patient on the same day; and (b) the operation is one to which an item in Group T8 applies; and (c) the amount specified in the item in Group T8 as the fee for a service to which the item applies is $304.80 or more; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later date. For any particular patient, once only on the same day. 00115 01JUL2020 30JUN2021 N Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the attending practitioner) who is a specialist or consultant physician in the practice of the attending practitioner's specialty after referral of the patient to the attending practitioner by a referring practitioner-an attendance after the initial attendance in a single course of treatment, if: (a) the attending practitioner performs a scheduled operation on the patient on the same day; and (b) the operation is a service to which an item in Group T8 applies; and (c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $309.35 or more; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later day For any particular patient, once only on the same day 00115 01JUL2021 30JUN2022 N Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the attending practitioner) who is a specialist or consultant physician in the practice of the attending practitioner's specialty after referral of the patient to the attending practitioner by a referring practitioner-an attendance after the initial attendance in a single course of treatment, if: (a) the attending practitioner performs a scheduled operation on the patient on the same day; and (b) the operation is a service to which an item in Group T8 applies; and (c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later day For any particular patient, once only on the same day 00115 01JUL2022 30JUN2023 N Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the attending practitioner) who is a specialist or consultant physician in the practice of the attending practitioner's specialty after referral of the patient to the attending practitioner by a referring practitioner-an attendance after the initial attendance in a single course of treatment, if: (a) the attending practitioner performs a scheduled operation on the patient on the same day; and (b) the operation is a service to which an item in Group T8 applies; and (c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $317.15 or more; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later day For any particular patient, once only on the same day 00115 01JUL2023 31OCT2023 N Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the attending practitioner) who is a specialist or consultant physician in the practice of the attending practitioner's specialty after referral of the patient to the attending practitioner by a referring practitioner-an attendance after the initial attendance in a single course of treatment, if: (a) the attending practitioner performs a scheduled operation on the patient on the same day; and (b) the operation is a service to which an item in Group T8 applies; and (c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $328.55 or more; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later day For any particular patient, once only on the same day 00115 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the attending practitioner) who is a specialist or consultant physician in the practice of the attending practitioner's specialty after referral of the patient to the attending practitioner by a referring practitioner-an attendance after the initial attendance in a single course of treatment, if: (a) the attending practitioner performs a scheduled operation on the patient on the same day; and (b) the operation is a service to which an item in Group T8 applies; and (c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $330.20 or more; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later day For any particular patient, once only on the same day 00116 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner-- each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home 00116 01MAR1987 21DEC1987 N Each attendance (other than an attendance covered by Item 119) SUBSEQUENT to the first in a single course of treatment 00116 22DEC1987 31AUG1989 N Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 119 applies) after the first in a single course of treatment 00116 01SEP1989 31OCT2019 N Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him by a medical practitioner-each attendance (other than an attendance covered by item 119) subsequent to the first in a single course of treatment. 00116 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each attendance (other than a service to which item 119 applies) after the first in a single course of treatment 00117 01NOV2017 30JUN2019 N Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $300 or more For any particular patient, once only on the same day 00117 01JUL2019 31OCT2019 N Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $304.80 or more For any particular patient, once only on the same day 00117 01NOV2019 30JUN2020 N Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $304.80 or more For any particular patient, once only on the same day 00117 01JUL2020 30JUN2021 N Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $309.35 or more For any particular patient, once only on the same day 00117 01JUL2021 30JUN2022 N Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more For any particular patient, once only on the same day 00117 01JUL2022 30JUN2023 N Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $317.15 or more For any particular patient, once only on the same day 00117 01JUL2023 31OCT2023 N Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $328.55 or more For any particular patient, once only on the same day 00117 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $330.20 or more For any particular patient, once only on the same day 00118 01AUG1987 31DEC9999 Y CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY), REFERRED CONSULTATION-SURGERY, HOSPITAL OR NURSING HOME Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his speciality (other than in psychiatry) where the patient is referred to him by a medical practitioner - FOURTH OR SUBSEQUENT attendance in a single course of treatment - EACH ATTENDANCE 00119 22DEC1987 31AUG1989 N Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-each minor attendance after the first in a single course of treatment 00119 01SEP1989 31OCT2019 N Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him by a medical practitioner-each minor attendance subsequent to the first in a single course of treatment. 00119 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each minor attendance after the first in a single course of treatment 00120 01NOV2017 30JUN2019 N Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $300 or more For any particular patient, once only on the same day 00120 01JUL2019 31OCT2019 N Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $304.80 or more For any particular patient, once only on the same day 00120 01NOV2019 30JUN2020 N Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $304.80 or more For any particular patient, once only on the same day 00120 01JUL2020 30JUN2021 N Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $309.35 or more For any particular patient, once only on the same day 00120 01JUL2021 30JUN2022 N Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more For any particular patient, once only on the same day 00120 01JUL2022 30JUN2023 N Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $317.15 or more For any particular patient, once only on the same day 00120 01JUL2023 31OCT2023 N Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $328.55 or more For any particular patient, once only on the same day 00120 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-minor attendance, if: (a) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the consultant physician subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $330.20 or more For any particular patient, once only on the same day 00122 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner-- an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home 00122 01MAR1987 31AUG1989 N CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY, REFERRED CONSULTATION HOME VISITS (Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner) - INITIAL attendance in a single course of treatment 00122 01SEP1989 31OCT2000 N Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his specialty (other than in psychiatry) where the patient is referred to him by a medical practitioner-initial attendance in a single course of treatment. 00122 01NOV2000 31OCT2011 N CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY), REFERRED CONSULTATION - HOME VISITS (Professional attendance at a place other than consulting rooms or hospital by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner) - INITIAL attendance in a single course of treatment 00122 01NOV2011 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 00122 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-initial attendance in a single course of treatment 00123 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation 00124 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient 00128 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner-- each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home 00128 01MAR1987 21DEC1987 N Each attendance (other than an attendance covered by Item 131) SUBSEQUENT to the first in a single course of treatment 00128 22DEC1987 31AUG1989 N Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 131 applies) after the first in a single course of treatment 00128 01SEP1989 31OCT2019 N Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his specialty (other than in psychiatry) where the patient is referred to him by a medical practitioner-each attendance (other than an attendance covered by item 131) subsequent to the first in a single course of treatment. 00128 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each attendance (other than a service to which item 131 applies) after the first in a single course of treatment 00130 01AUG1987 31DEC9999 Y "CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY), REFERRED CONSULTATION - ""HOME VISITS "" Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his specialty (other than in psychiatry) where the patient is referred to him by a medical practitioner - FOURTH OR SUBSEQUENT attendance in a single course of treatment - EACH ATTENDANCE" 00131 22DEC1987 31AUG1989 N Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner-each minor attendance after the first in a single course of treatment 00131 01SEP1989 31OCT2019 N Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his specialty (other than in psychiatry) where the patient is referred to him by a medical practitioner-each minor attendance subsequent to the * first in a single course of treatment. 00131 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each minor attendance after the first in a single course of treatment 00132 01NOV2007 31OCT2011 N CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY) REFERRED PATIENT TREATMENT AND MANAGEMENT PLAN - SURGERY OR HOSPITAL Professional attendance of at least 45 minutes duration for an initial assessment of a patient with at least two morbidities (this can include complex congenital, developmental and behavioural disorders), where the patient is referred by a medical practitioner, and where a) assessment is undertaken that covers: a comprehensive history, including psychosocial history and medication review; comprehensive multi or detailed single organ system assessment; the formulation of differential diagnoses; and b) a consultant physician treatment and management plan of significant complexity is developed and provided to the referring practitioner that involves: an opinion on diagnosis and risk assessment treatment options and decisions medication recommendations Not being an attendance on a patient in respect of whom, an attendance under items 110, 116 and 119 has been received on the same day by the same consultant physician. Not being an attendance on the patient in respect of whom, in the preceding 12 months, payment has been made under this item for attendance by the same consultant physician. 00132 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to him or her by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and (d) this item has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician Not being an attendance on the patient in respect of whom, in the preceding 12 months, payment has been made under this item for attendance by the same consultant physician. 00132 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and (d) this item has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician 00133 01NOV2007 28FEB2013 N CONSULTANT PHYSICIAN (OTHER THAN IN PSYCHIATRY) REVIEW OF REFERRED PATIENT TREATMENT AND MANAGEMENT PLAN - SURGERY OR HOSPITAL Professional attendance of at least 20 minutes duration subsequent to the first attendance in a single course of treatment for a review of a patient with at least two morbidities (this can include complex congenital, developmental and behavioural disorders), where a) a review is undertaken that covers: - review of initial presenting problem/s and results of diagnostic investigations - review of responses to treatment and medication plans initiated at time of initial consultation comprehensive multi or detailed single organ system assessment, - review of original and differential diagnoses; and b) a modified consultant physician treatment and management plan is provided to the referring practitioner that involves, where appropriate: - a revised opinion on the diagnosis and risk assessment - treatment options and decisions - revised medication recommendations Not being an attendance on a patient in respect of whom, an attendance under item 110, 116 and 119 has been received on the same day by the same consultant physician. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under item 132 by the same consultant physician, payable no more than twice in any 12 month period. 00133 01MAR2013 31OCT2019 N Professional attendance of at least 20 minutes duration subsequent to the first attendance in a single course of treatment for a review of a patient with at least two morbidities (this can include complex congenital, developmental and behavioural disorders), wherea) a review is undertaken that covers: - review of initial presenting problem/s and results of diagnostic investigations - review of responses to treatment and medication plans initiated at time of initial consultation - comprehensive multi or detailed single organ system assessment, - review of original and differential diagnoses; and b) a modified consultant physician treatment and management plan is provided to the referring practitioner that involves, where appropriate: - a revised opinion on the diagnosis and risk assessment - treatment options and decisions - revised medication recommendations Not being an attendance on a patient in respect of whom, an attendance under item 110, 116 and 119 has been received on the same day by the same consultant physician or locum tenens. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under item 132. Item 133 can be provided by either the same consultant physician or a locum tenens. Payable no more than twice in any 12 month period. 00133 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and (d) item 132 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item 132 or a locum tenens; and (f) this item has not applied more than twice in any 12 month period 00134 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-- an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home 00134 01MAR1987 31DEC9999 Y CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION SURGERY, HOSPITAL OR NURSING HOME (Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) An attendance of not more than 15 minutes duration 00135 01JUL2008 30JUN2011 N CONSULTANT PAEDIATRICIAN, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND DEVELOPMENT OF A TREATMENT AND MANAGEMENT PLAN FOR AUTISM OR ANY OTHER PERVASIVE DEVELOPMENTAL DISORDER - SURGERY OR HOSPITAL Professional attendance of at least 45 minutes duration by a consultant physician in his or her specialty of paediatrics, for assessment, diagnosis and the preparation of a treatment and management plan for a patient aged under 13 years, with autism or any other pervasive developmental disorder, who has been referred to the consultant paediatrician by a medical practitioner, where the consultant paediatrician: (a) undertakes a comprehensive assessment of the patient and forms a diagnosis (using the assistance of one or more allied health providers where appropriate) (b) develops a treatment and management plan that contains: (i) the outcomes of the assessment; (ii) the diagnosis or diagnoses; (iii) opinion on risk assessment; (iv) treatment options and decisions; (v) appropriate care pathways; and (vi) appropriate medication recommendations, where necessary. (c) provides a copy of the treatment and management plan to the: (i) referring practitioner; and (ii) relevant allied health providers (where appropriate). Not being an attendance on a patient in respect of whom payment has previously been made under this item or item 289. 00135 01JUL2011 31OCT2011 N CONSULTANT PAEDIATRICIAN, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND DEVELOPMENT OF A TREATMENT AND MANAGEMENT PLAN FOR AUTISM OR ANY OTHER PERVASIVE DEVELOPMENTAL DISORDER - SURGERY OR HOSPITAL Professional attendance of at least 45 minutes duration at consulting rooms or hospital, by a consultant physician in his or her specialty of paediatrics, for assessment, diagnosis and the preparation of a treatment and management plan for a child aged under 13 years, with autism or any other pervasive developmental disorder, who has been referred to the consultant paediatrician by a medical practitioner, if the consultant paediatrician does the following: (a) undertakes a comprehensive assessment of the child and forms a diagnosis (using the assistance of one or more allied health providers where appropriate) (b) develops a treatment and management plan which must include the following: (i) the outcomes of the assessment; (ii) the diagnosis or diagnoses; (iii) opinion on risk assessment; (iv) treatment options and decisions; (v) appropriate medication recommendations, where necessary. (c) provides a copy of the treatment and management plan to the: (i) referring practitioner; and (ii) relevant allied health providers (where appropriate). Not being an attendance on a child in respect of whom payment has previously been made under this item or items 137, 139 or 289. 00135 01NOV2011 31OCT2019 N Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 137, 139 or 289) 00135 01NOV2019 28FEB2023 N Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 137, 139 or 289) 00135 01MAR2023 31DEC9999 Y Professional attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant paediatrician by a referring practitioner, for a patient aged under 25, if the consultant paediatrician: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 137, 139, 289, 92140, 92141, 92142 or 92434) Applicable only once per lifetime 00136 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-- an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home 00136 01MAR1987 31DEC9999 Y An attendance of more than 15 minutes duration but not more than 30 minutes duration 00137 01JUL2011 31OCT2011 N SPECIALIST OR CONSULTANT PHYSICIAN, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND DEVELOPMENT OF A TREATMENT AND MANAGEMENT PLAN FOR A CHILD WITH AN ELIGIBLE DISABILITY - SURGERY OR HOSPITAL Professional attendance of at least 45 minutes duration, at consulting rooms or hospital, by a specialist or consultant physician, for assessment, diagnosis and the preparation of a treatment and management plan for a child aged under 13 years, with an eligible disability, who has been referred to the specialist or consultant physician by a medical practitioner, if the specialist or consultant physician does the following: (a) undertakes a comprehensive assessment of the child and forms a diagnosis (using the assistance of one or more allied health providers where appropriate) (b) develops a treatment and management plan which must include the following: (i) the outcomes of the assessment; (ii) the diagnosis or diagnoses; (iii) opinion on risk assessment; (iv) treatment options and decisions; (v) appropriate medication recommendations, where necessary. (c) provides a copy of the treatment and management plan to the: (i) referring practitioner; and (ii) relevant allied health providers (where appropriate). Not being an attendance on a child in respect of whom payment has previously been made under this item or items 135, 139 or 289. 00137 01NOV2011 28FEB2023 N Professional attendance of at least 45 minutes duration, at consulting rooms or hospital, by a specialist or consultant physician, for assessment, diagnosis and the preparation of a treatment and management plan for a child aged under 13 years, with an eligible disability, who has been referred to the specialist or consultant physician by a referring practitioner, if the specialist or consultant physician does the following: (a) undertakes a comprehensive assessment of the child and forms a diagnosis (using the assistance of one or more allied health providers where appropriate) (b) develops a treatment and management plan which must include the following: (i) the outcomes of the assessment; (ii) the diagnosis or diagnoses; (iii) opinion on risk assessment; (iv) treatment options and decisions; (v) appropriate medication recommendations, where necessary. (c) provides a copy of the treatment and management plan to the: (i) referring practitioner; and (ii) relevant allied health providers (where appropriate). Not being an attendance on a child in respect of whom payment has previously been made under this item or items 135, 139 or 289. 00137 01MAR2023 31DEC9999 Y Professional attendance lasting at least 45 minutes by a specialist or consultant physician (not including a general practitioner), following referral of the patient to the specialist or consultant physician by a referring practitioner, for a patient aged under 25, if the specialist or consultant physician: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of an eligible disability is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 139, 289, 92140, 92141, 92142 or 92434) Applicable only once per lifetime 00138 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-- an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home 00138 01MAR1987 31DEC9999 Y An attendance of more than 30 minutes duration but not more than 45 minutes duration 00139 01JUL2011 28FEB2023 N Professional attendance of at least 45 minutes in duration at consulting rooms only, by a general practitioner (not including a specialist or consultant physician) for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 289) 00139 01MAR2023 31DEC9999 Y Professional attendance lasting at least 45 minutes, at a place other than a hospital, by a general practitioner (not including a specialist or consultant physician), for a patient aged under 25, if the general practitioner: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of an eligible disability is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 289, 92140, 92141, 92142 or 92434) Applicable only once per lifetime 00140 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-- an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home 00140 01MAR1987 31DEC9999 Y An attendance of more than 45 minutes duration but not more than 75 minutes duration 00141 01NOV2007 31OCT2011 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - SURGERY OR HOSPITAL Professional attendance at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, where the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician), where the attendance is initiated by the medical practitioner for the provision of a comprehensive assessment and management plan. An attendance of more than 60 minutes at consulting rooms or hospital during which: the medical, physical, psychological and social aspects of the patient's health are evaluated in detail, utilising appropriately validated assessment tools where indicated ('assessment'), the patient's various health problems and care needs are identified and prioritised ('formulation'), a detailed management plan is developed ('management plan'), the management plan is explained and discussed with the patient and/or their family and carer(s) where appropriate, and the management plan is communicated in writing to the referring medical practitioner. The management plan should include: the prioritised list of health problems and care needs, short and longer term management goals, recommended actions or intervention strategies to be undertaken by the patient's general practitioner or other relevant health care providers that are: likely to improve or maintain health status, readily available, and acceptable to the patient, their family and carer(s). Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item or item 145 by the same practitioner. 00141 01NOV2011 30JUN2013 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - SURGERY OR HOSPITAL Professional attendance at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, where the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner, where the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan. An attendance of more than 60 minutes at consulting rooms or hospital during which: the medical, physical, psychological and social aspects of the patient's health are evaluated in detail, utilising appropriately validated assessment tools where indicated ('assessment'), the patient's various health problems and care needs are identified and prioritised ('formulation'), a detailed management plan is developed ('management plan'), the management plan is explained and discussed with the patient and/or their family and carer(s) where appropriate, and the management plan is communicated in writing to the referring practitioner. The management plan should include: the prioritised list of health problems and care needs, short and longer term management goals, recommended actions or intervention strategies to be undertaken by the patient's general practitioner or other relevant health care providers that are: likely to improve or maintain health status, readily available, and acceptable to the patient, their family and carer(s). Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item or item 145 by the same practitioner. 00141 01JUL2013 31OCT2019 N Professional attendance of more than 60 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months 00141 01NOV2019 31DEC9999 Y Professional attendance of more than 60 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months 00142 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-- an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home 00142 01MAR1987 31DEC9999 Y An attendance of more than 75 minutes duration 00143 01NOV2007 31OCT2011 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REVIEW OF REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - SURGERY OR HOSPITAL Professional attendance at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist in geriatric medicine and claimed under item 141 or 145, where the review is initiated by the referring medical practitioner practising in general practice. An attendance of more than 30 minutes duration at consulting rooms or hospital where that attendance follows item 141 or 145 and during which: the patient's health status is reassessed, a management plan provided under items 141 or 145 is reviewed and revised, the revised management plan is explained to the patient and/or their family and carer(s) and communicated in writing to the referring medical practitioner. Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under items 141 or 145 by the same practitioner, payable no more than once in any 12 month period, except for where there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. 00143 01NOV2011 30JUN2013 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REVIEW OF REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - SURGERY OR HOSPITAL Professional attendance at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist in geriatric medicine and claimed under item 141 or 145, where the review is initiated by the referring medical practitioner practising in general practice or participating practice nurse. An attendance of more than 30 minutes duration at consulting rooms or hospital where that attendance follows item 141 or 145 and during which: the patient's health status is reassessed, a management plan provided under items 141 or 145 is reviewed and revised, the revised management plan is explained to the patient and/or their family and carer(s) and communicated in writing to the referring practitioner. Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under items 141 or 145 by the same practitioner, payable no more than once in any 12 month period, except for where there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. 00143 01JUL2013 31OCT2019 N Professional attendance of more than 30 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review 00143 01NOV2019 31DEC9999 Y Professional attendance of more than 30 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review 00144 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home 00144 01MAR1987 31DEC9999 Y CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION HOME VISITS (Professional attendance by a consultant physician in the practice of his or her specialty of PSYCHIATRY where the patient is referred to him or her by a medical practitioner where that attendance is at a place other than consulting rooms, hospital or nursing home) An attendance of not more than 15 minutes duration 00145 01NOV2007 31OCT2011 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - HOME VISITS Professional attendance at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, where the patient is at least 65 years old and has been referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician), where the attendance is initiated by the medical practitioner for the provision of a comprehensive assessment and management plan. An attendance of more than 60 minutes at a place other than consulting rooms or hospital during which: the medical, physical, psychological and social aspects of the patient's health are evaluated in detail, utilising appropriately validated assessment tools where indicated ('assessment'), the patient's various health problems and care needs are identified and prioritised ('formulation'), a detailed management plan is developed ('management plan'), the management plan is explained and discussed with the patient and/or their family and carer(s) where appropriate, the management plan is communicated in writing to the referring medical practitioner. The management plan should include: the prioritised list of health problems and care needs, short and longer term management goals, recommended actions or intervention strategies to be undertaken by the patient's general practitioner or other relevant health care providers that are: likely to improve or maintain health status readily available acceptable to the patient, their family and carer(s) Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item or 141 by the same practitioner. 00145 01NOV2011 30JUN2013 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - HOME VISITS Professional attendance at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, where the patient is at least 65 years old and has been referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or participating nurse practitioner, where the attendance is initiated by the practitioner for the provision of a comprehensive assessment and management plan. An attendance of more than 60 minutes at a place other than consulting rooms or hospital during which: the medical, physical, psychological and social aspects of the patient's health are evaluated in detail, utilising appropriately validated assessment tools where indicated ('assessment'), the patient's various health problems and care needs are identified and prioritised ('formulation'), a detailed management plan is developed ('management plan'), the management plan is explained and discussed with the patient and/or their family and carer(s) where appropriate, the management plan is communicated in writing to the referring practitioner. The management plan should include: the prioritised list of health problems and care needs, short and longer term management goals, recommended actions or intervention strategies to be undertaken by the patient's general practitioner or other relevant health care providers that are: likely to improve or maintain health status readily available acceptable to the patient, their family and carer(s) Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item or 141 by the same practitioner. 00145 01JUL2013 31OCT2019 N Professional attendance of more than 60 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail utilising appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies, to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient's family and any carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 141 applies has not been provided to the patient by the same practitioner in the preceding 12 months 00145 01NOV2019 31DEC9999 Y Professional attendance of more than 60 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail utilising appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies, to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient's family and any carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 141 applies has not been provided to the patient by the same practitioner in the preceding 12 months 00146 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home 00146 01MAR1987 31DEC9999 Y An attendance of more than 15 minutes duration but not more than 30 minutes duration 00147 01NOV2007 31OCT2011 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REVIEW OF REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - HOME VISITS Professional attendance at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist in geriatric medicine and claimed under items 141 or 145, where the review is initiated by the referring medical practitioner practising in general practice. An attendance of more than 30 minutes duration at a place other than consulting rooms or hospital where that attendance follows items 141 or 145 and during which: the patient's health status is reassessed, a management plan provided under items 141 or 145 is reviewed and revised, the revised management plan is explained to the patient and/or their family and carer(s) and communicated in writing to the medical practitioner. Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under items 141 or 145 by the same practitioner, payable no more than once in any 12 month period, except for where there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. 00147 01NOV2011 30JUN2013 N CONSULTANT PHYSICIAN OR SPECIALIST IN GERIATRIC MEDICINE, REVIEW OF REFERRED PATIENT, INITIAL COMPREHENSIVE ASSESSMENT AND MANAGEMENT - HOME VISITS Professional attendance at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist in geriatric medicine and claimed under items 141 or 145, where the review is initiated by the referring medical practitioner practising in general practice or participating practice nurse. An attendance of more than 30 minutes duration at a place other than consulting rooms or hospital where that attendance follows items 141 or 145 and during which: the patient's health status is reassessed, a management plan provided under items 141 or 145 is reviewed and revised, the revised management plan is explained to the patient and/or their family and carer(s) and communicated in writing to the referring practitioner. Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under items 141 or 145 by the same practitioner, payable no more than once in any 12 month period, except for where there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. 00147 01JUL2013 31OCT2019 N Professional attendance of more than 30 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan that was prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or 143 applies has not been provided by the same practitioner in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review 00147 01NOV2019 31DEC9999 Y Professional attendance of more than 30 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan that was prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or 143 applies has not been provided by the same practitioner in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review 00148 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home 00148 01MAR1987 31DEC9999 Y An attendance of more than 30 minutes duration but not more than 45 minutes duration 00149 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference rendered by a consultant physician or specialist practising in the specialty of geriatric medicine to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or c) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 141 or 143. 00149 01NOV2012 31DEC2012 N Professional attendance on a patient by a consultant physician or specialist practising in his or her specialty of geriatric medicine if: (a) the attendance is by video conference; and (b) item 141 or 143 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the physician or specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 00149 01JAN2013 31OCT2019 N Professional attendance on a patient by a consultant physician or specialist practising in his or her specialty of geriatric medicine if: (a) the attendance is by video conference; and (b) item 141 or 143 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician or specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection 19(2) of the Act applies 00149 01NOV2019 31DEC9999 Y Professional attendance on a patient by a consultant physician or specialist practising in the consultant physician's or specialist's specialty of geriatric medicine if: (a) the attendance is by video conference; and (b) item 141 or 143 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician or specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection 19(2) of the Act applies 00150 01FEB1984 28FEB1987 N Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home 00150 01MAR1987 31DEC9999 Y An attendance of more than 45 minutes duration but not more than 75 minutes duration 00151 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item applies) by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner 00152 01FEB1984 31DEC9999 Y Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home 00153 01DEC1991 31DEC9999 Y ELECTROCONVULSIVE THERAPY, including associated consultation (AU 3 - 17903) 00154 01DEC1991 31DEC9999 Y CONSULTANT PSYCHIATRIST - GROUP PSYCHOTHERAPY Group psychotherapy (including associated consultation) of not less than ONE hours duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry where the patients are referred to him or her by a medical practitioner. -GROUP PSYCHOTHERAPY on a group of 2-9 patients OR FAMILY GROUP psychotherapy on a group of more than THREE patients, EACH PATIENT 00155 01DEC1991 31DEC9999 Y CONSULTANT PSYCHIATRIST - GROUP PSYCHOTHERAPY Group psychotherapy (including associated consultation) of not less than ONE hours duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry where the patients are referred to him or her by a medical practitioner. - FAMILY GROUP PSYCHOTHERAPY on a group of three patients, EACH PATIENT 00156 01DEC1991 31DEC9999 Y CONSULTANT PSYCHIATRIST - GROUP PSYCHOTHERAPY Group psychotherapy (including associated consultation) of not less than ONE hours duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry where the patients are referred to him or her by a medical practitioner. - FAMILY GROUP PSYCHOTHERAPY on a group of two patients, EACH PATIENT 00157 01DEC1991 31DEC9999 Y CONSULTANT PSYCHIATRIST - INTERVIEW OF A PERSON OTHER THAN A PATIENT - SURGERY, HOSPITAL OR NURSING HOME Professional attendance by a consultant psychiatrist in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner involving an interview of a person other than the patient of not less than 20 minutes duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient, where that interview is at consulting rooms, hospital or nursing home 00158 01DEC1991 31DEC9999 Y CONSULTANT PSYCHIATRIST - INTERVIEW OF A PERSON OTHER THAN A PATIENT - SURGERY, HOSPITAL OR NURSING HOME Professional attendance by a consultant psychiatrist in the practice of his or her recognised specialty of psychiatry where the patient is referred to him or her by a medical practitioner involving an interview of a person other than the patient of not less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient, where that interview is at consulting rooms, hospital or nursing home 00159 01NOV1992 31DEC9999 Y CONSULTANT PSYCHIATRIST - INTERVIEW OF A PERSON OTHER THAN A PATIENT. Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration, in the course of continuing management of a patient - payable not more than twice in any twelve month period. 00160 01FEB1984 28FEB1987 N Professional attendance for a period of not less than 1 hour but less than 2 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients 00160 01MAR1987 31AUG1989 N PROLONGED PROFESSIONAL ATTENDANCES (Professional attendance (not being a service to which another item in this Category applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients) For a period of not less than 1 hour but less than 2 hours 00160 01SEP1989 30APR1997 N Professional attendance for a period of not less than 1 hour but less than 2 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients 00160 01MAY1997 30JUN2018 N Professional attendance for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death 00160 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death 00161 01FEB1984 28FEB1987 N Professional attendance for a period of not less than 2 hours but less than 3 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients 00161 01MAR1987 31AUG1989 N For a period of not less than 2 hours but less than 3 hours 00161 01SEP1989 30APR1997 N Professional attendance for a period of not less than 2 hours but less than 3 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients 00161 01MAY1997 30JUN2018 N Professional attendance for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death 00161 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death 00162 01FEB1984 28FEB1987 N Professional attendance for a period of not less than 3 hours but less than 4 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients 00162 01MAR1987 31AUG1989 N For a period of not less than 3 hours but less than 4 hours 00162 01SEP1989 30APR1997 N Professional attendance for a period of not less than 3 hours but less than 4 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients 00162 01MAY1997 30JUN2018 N Professional attendance for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death 00162 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death 00163 01FEB1984 28FEB1987 N Professional attendance for a period of not less than 4 hours but less than 5 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients 00163 01MAR1987 31AUG1989 N For a period of not less than 4 hours but less than 5 hours 00163 01SEP1989 30APR1997 N Professional attendance for a period of not less than 4 hours but less than 5 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients 00163 01MAY1997 30JUN2018 N Professional attendance for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death 00163 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death 00164 01FEB1984 28FEB1987 N Professional attendance for a period of 5 hours or more on a patient in a critical condition that requires constant attention to the exclusion of all other patients 00164 01MAR1987 31AUG1989 N For a period of 5 hours or more 00164 01SEP1989 30APR1997 N Professional attendance for a period of 5 hours or more (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients 00164 01MAY1997 30JUN2018 N Professional attendance for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death 00164 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner, specialist or consultant physician for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death 00165 01NOV2023 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 60 minutes-an attendance on one or more patients at one place on one occasion-each patient, by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner 00170 01AUG1987 31AUG1989 N Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner (other than a consultant physician in the practice of his or her specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each Group of 2 patients 00170 01SEP1989 30JUN2018 N Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family-each group of two patients 00170 01JUL2018 31OCT2019 N Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of his or her speciality of psychiatry) involving members of a family and persons with close personal relationships with that family-each Group of 2 patients 00170 01NOV2019 31DEC9999 Y Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 2 patients 00171 01AUG1987 31AUG1989 N Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner (other than a consultant physician in the practice of his or her specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each Group of 3 patients 00171 01SEP1989 30JUN2018 N Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family-each group of three patients 00171 01JUL2018 31OCT2019 N Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of his or her specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each Group of 3 patients 00171 01NOV2019 31DEC9999 Y Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 3 patients 00172 01AUG1987 31AUG1989 N Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner (other than a consultant physician in the practice of his or her specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each Group of 4 or more patients 00172 01SEP1989 30JUN2018 N Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family-each group of four or more patients 00172 01JUL2018 31OCT2019 N Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of his or her specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each Group of 4 or more patients 00172 01NOV2019 31DEC9999 Y Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 4 or more patients 00173 01DEC1991 30APR2010 N ATTENDANCE at which ACUPUNCTURE is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00173 01MAY2010 31DEC9999 Y Professional attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture was performed 00177 01APR2019 31OCT2019 N Professional attendance for a heart health assessment by a medical practitioner (other than a specialist or consultant physician) at consulting rooms lasting at least 20 minutes and must include:(a) collection of relevant information, including taking a patient history that is aimed at identifying cardiovascular disease risk factors, including diabetes status, alcohol intake, smoking status, cholesterol status (if not performed within the last 12 months) and blood glucose;(b) a physical examination, which must include recording of blood pressure;(c) initiating interventions and referrals to address the identified risk factors;(d) implementing a management plan for appropriate treatment of identified risk factors;(e) providing the patient with preventative health care advice and information, including modifiable lifestyle factors;with appropriate documentation. 00177 01NOV2019 30JUN2021 N Professional attendance for a heart health assessment by a medical practitioner (other than a specialist or consultant physician) at consulting rooms lasting at least 20 minutes and must include:(a) collection of relevant information, including taking a patient history that is aimed at identifying cardiovascular disease risk factors, including diabetes status, alcohol intake, smoking status and blood glucose;(b) a physical examination, which must include recording of blood pressure and cholesterol status;(c) initiating interventions and referrals to address the identified risk factors;(d) implementing a management plan for appropriate treatment of identified risk factors;(e) providing the patient with preventative health care advice and information, including modifiable lifestyle factors; with appropriate documentation. Claimable once only in a 12 month period. The heart health assessment item cannot be claimed if a patient has had a health assessment service (items 224, 225, 226, 227, 228) in the previous 12 months. 00177 01JUL2021 31OCT2023 N Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a medical practitioner at consulting rooms (other than a specialist or consultant physician) lasting at least 20 minutes and including: collection of relevant information, including taking a patient history; and a basic physical examination, which must include recording blood pressure and cholesterol; and initiating interventions and referrals as indicated; and implementing a management plan; and providing the patient with preventative health care advice and information. 00177 01NOV2023 31DEC9999 Y Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a medical practitioner at consulting rooms (other than a specialist or consultant physician) lasting at least 20 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination, which must include recording blood pressure and cholesterol; and (c) initiating interventions and referrals as indicated; and (d) implementing a management plan; and (e) providing the patient with preventative health care advice and information. 00179 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)-each attendance, by a medical practitioner in an eligible area. 00179 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area-each attendance 00180 01FEB1984 29FEB1984 N Professional attendance by a participating optometrist-an attendance that is the sole or first attendance in a single course of attention that commenced on or after the proclaimed date, being-(a) the first or only course of attention of the patient by a participating optometrist since the proclaimed date; or (b) the second or a subsequent course of attention of the patient by a participating optometrist since the proclaimed date, being a course of attention commencing not earlier than 12 months after the commencement of the preceding course of attention 00180 01MAR1984 31AUG1989 N Professional attendance by a participating optometrist - an attendance that is the sole or first attendance in a single course of attention that commenced on or after 1 July 1975, being - (a) the first or only course of attention of the patient by a participating optometrist since 1 July 1975; or (b) the second or a subsequent course of attention of the patient by a participating optometrist since 1 July 1975, being the sole course of attention in any calender year 00180 01SEP1989 31DEC9999 Y Professional attendance by a participating optometrist that is the sole or first attendance in a single course of attention of a patient. The Medicare benefit is payable in respect of attendances by a participating optometrist at, or operating from, the same practice location, only once in a period of twenty four consecutive months unless the examining optometrist has certified that, in his professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within twenty four months of the previous initial consultation 00181 01JUL2018 31OCT2023 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by a medical practitioner in an eligible area 00181 01NOV2023 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting not more than 5 minutes-an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area-each patient 00182 01FEB1984 31AUG1989 N Professional attendance by a participating optometrist-- an attendance (not being an attendance covered by Item 186) that is the second attendance in a single course of attention in respect of which the first attendance is covered by Item 180 00182 01SEP1989 31DEC9999 Y Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is covered by item 180 00183 01JUL2018 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self contained unit) of not more than 5 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by medical practitioner in an eligible area 00184 01FEB1984 31AUG1989 N Professional attendance by a participating optometrist-- an attendance (not being an attendance covered by Item 186) that is the third or a subsequent attendance in a single course of attention of a patient, who, in the professional opinion of the attending optometrist, has a need for that attendance, being a course of attention in respect of which the first attendance is covered by Item 180 00184 01SEP1989 31DEC9999 Y Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or a subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified on the patient's account that, in his professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is covered by item 180 00185 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)-each attendance, by a medical practitioner in an eligible area 00185 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 5 minutes but not more than 25 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area-each attendance 00186 01FEB1984 31AUG1989 N Professional attendance by a participating optometrist-- all attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is covered by Item 180 00186 01SEP1989 31DEC9999 Y Professional attendances by a participating optometrist after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is covered by Item 180. The Medicare benefit is payable only once in a period of thirty six consecutive months unless the examining optometrist has certified on the patient's account that, in his professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within thirty six months of the previous initial consultation 00187 01JUL2018 31OCT2023 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one place on one occasion-each patient, by a medical practitioner in an eligible area 00187 01NOV2023 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 5 minutes but not more than 25 minutes-an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area-each patient 00188 01JUL2018 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self contained unit) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner in an eligible area 00189 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)-each attendance, by a medical practitioner in an eligible area 00189 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 25 minutes but not more than 45 minutes (other than a service to which any other applies) by a prescribed medical practitioner in an eligible area-each attendance 00190 01FEB1984 29FEB1984 N Antenatal care (not including any service or services covered by Item 200 or 207 or by any item in Division 2) where the attendances do not exceed ten-- each attendance 00190 01MAR1984 28FEB1987 N Antenatal care (not including any service or services covered by Item 200 or 207 or by any item in Division 2 of this Part) where the attendances do not exceed ten - each attendance 00190 01MAR1987 31DEC9999 Y ANTENATAL CARE (not including any service or services covered by Item 204 or 205) where the attendances do not exceed ten each attendance 00191 01JUL2018 31OCT2023 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one place on one occasion-each patient, by a medical practitioner in an eligible area 00191 01NOV2023 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 25 minutes but not more than 45 minutes-an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area-each patient 00192 01FEB1984 29FEB1984 N Antenatal care (not including any service or services covered by Item 200 or 207 or by any item in Division 2) where the attendances exceed ten 00192 01MAR1984 28FEB1987 N Antenatal care (not including any service or services covered by Item 200 or 207 or by any item in Division 2 of this Part) where the attendances exceed ten 00192 01MAR1987 31DEC9999 Y ANTENATAL CARE (not including any service or services covered by Item 204 or 205) where attendances exceed ten 00193 01NOV1998 31OCT2003 N Professional attendance by a general practitioner at a place other than a hospital, involving either: (i) taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; OR (ii) a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies AND at which ACUPUNCTURE is performed by the medical practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00193 01NOV2003 30APR2010 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, involving either: (i) taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; OR (ii) a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies AND at which ACUPUNCTURE is performed by the general practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00193 01MAY2010 31OCT2022 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00193 01NOV2022 31DEC9999 Y Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00194 01FEB1984 29FEB1984 N Confinement and postnatal care for nine days (not including any service or services covered by Item 200 or 207 or by any item in Division 2) where the medical practitioner has not given the antenatal care (G) 00194 01MAR1984 31OCT1986 N Confinement and postnatal care for nine days (not including any service or services covered by Item 200 or 207 or by any item in Division 2 of this Part) where the medical practitioner has not given the antenatal care (G) 00194 01NOV1986 31AUG1989 N CONFINEMENT AND POSTNATAL CARE for nine days (not including any service or services covered by Item 204 or 205 or by any item in Division 2 of this Part) where the medical practitioner has not given the antenatal care (G) 00194 01SEP1989 31DEC9999 Y Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (G) 00195 01NOV1998 31OCT2003 N Professional attendance by a general practitioner on 1 or more patients at a hospital, on one occasion, involving either: (i) taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; OR (ii) a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies AND at which ACUPUNCTURE is performed by the medical practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00195 01NOV2003 30APR2010 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, on 1 or more patients at a hospital, on one occasion, involving either: (i) taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; OR (ii) a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies AND at which ACUPUNCTURE is performed by the general practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00195 01MAY2010 31DEC2012 N CONSULTATION AT A HOSPITAL Consultation by a general practitioner, who is a qualified medical acupuncturist at a hospital on one or more patients on one occasion at which ACUPUNCTURE is performed by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed. 00195 01JAN2013 31OCT2022 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, on one or more patients at a hospital, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00195 01NOV2022 31DEC9999 Y Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, on one or more patients at a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00196 01FEB1984 29FEB1984 N Confinement and postnatal care for nine days (not including any service or services covered by Item 200 or 207 or by any item in Division 2) where the medical practitioner has not given the antenatal care (S) 00196 01MAR1984 31AUG1989 N Confinement and postnatal care for nine days (not including any service or services covered by Item 200 or 207 or by any item in Division 2 of this Part) where the medical practitioner has not given the antenatal care (S) 00196 01SEP1989 31DEC9999 Y Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (S) 00197 01MAY2003 31OCT2003 N Professional attendance by a general practitioner at a place other than a hospital, involving either: (i) taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes; OR (ii) a professional attendance of at least 20 minutes but less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies AND at which ACUPUNCTURE is performed by the medical practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00197 01NOV2003 30APR2010 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, involving either: (i) taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes; OR (ii) a professional attendance of at least 20 minutes but less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies AND at which ACUPUNCTURE is performed by the general practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00197 01MAY2010 31OCT2022 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00197 01NOV2022 31DEC9999 Y Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00198 01FEB1984 31DEC9999 Y Confinement as an independent procedure, including all related attendances (S) 00199 01MAY2003 31OCT2003 N Professional attendance by a general practitioner at a place other than a hospital, involving either: (i) taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems and lasting a least 40 minutes; OR (ii) a professional attendance of at least 40 minutes duration for implementation of a management plan AND at which ACUPUNCTURE is performed by the medical practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00199 01NOV2003 30APR2010 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, involving either: (i) taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems and lasting a least 40 minutes; OR (ii) a professional attendance of at least 40 minutes duration for implementation of a management plan AND at which ACUPUNCTURE is performed by the general practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00199 01MAY2010 31OCT2022 N Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00199 01NOV2022 31DEC9999 Y Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed 00200 01FEB1984 29FEB1984 N Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (G) 00200 01MAR1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days(not including services covered by Division 2 of this Part) (G) 00201 01AUG1987 31AUG1989 N CONFINEMENT, incomplete, with or without postnatal care for nine-days where the patient is referred to a specialist for completion of the confinement 00201 01SEP1989 31DEC9999 Y Confinement, incomplete, with or without postnatal care for nine days where the patient is referred to a specialist in the practice of his or her specialty or the patient's care is transferred to another medical practitioner for completion of the delivery 00202 01JUL2018 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self contained unit) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner in an eligible area 00203 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)-each attendance, by a medical practitioner in an eligible area 00203 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 45 minutes but not more than 60 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area-each attendance 00204 01AUG1987 31AUG1989 N ANTENATAL CARE, CONFINEMENT AND POSTNATAL CARE for nine days (G) 00204 01SEP1989 31DEC9999 Y Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (G) 00205 01AUG1987 31AUG1989 N ANTENATAL CARE, CONFINEMENT AND POSTNATAL CARE for nine days (S) 00205 01SEP1989 31DEC9999 Y Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S) 00206 01JUL2018 31OCT2023 N Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by a medical practitioner in an eligible area 00206 01NOV2023 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 45 minutes but not more than 60 minutes-an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area-each patient 00207 01FEB1984 29FEB1984 N Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (S) 00207 01MAR1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days(not including services covered by Division 2 of this Part) (S) 00208 01FEB1984 29FEB1984 N Antenatal care, confinement and postnatal care for nine days with mid-cavity forceps or vacuum extraction, breech delivery or management of multiple delivery (including any service or services covered by Item 295, 298 or 360 where performed at the time of delivery but not including any other service or services covered by Division 2) (G) 00208 01MAR1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days with mid-cavity forceps or vacuum extraction, breech delivery or management of multiple delivery (including any service or services covered by Item 295, 298 or 360 where performed at the time of delivery but not including any other service or services covered by Division 2 of this Part) (G) 00209 01FEB1984 29FEB1984 N Antenatal care, confinement and postnatal care for nine days with mid-cavity forceps or vacuum extraction, breech delivery or management of multiple delivery (including any service or services covered by Item 295, 298 or 360 where performed at the time of delivery but not including any other service or services covered by Division 2) (S) 00209 01MAR1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days with mid-cavity forceps or vacuum extraction, breech delivery or management of multiple delivery (including any service or services covered by Item 295, 298 or 360 where performed at the time of delivery but not including any other service or services covered by Division 2 of this Part) (S) 00210 01AUG1987 31AUG1989 N CAESAREAN SECTION and postnatal care for nine days where the patient has been referred for management of the confinement and the practitioner does not provide the antenatal care 00210 01SEP1989 31DEC9999 Y Caesarean section and postnatal care for nine days where the patient has been referred to a specialist in the practice of his or her specialty or the patient's care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care 00211 01FEB1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (G) 00212 01JUL2018 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self contained unit) of more than 45 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner in an eligible area 00213 01FEB1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (S) 00214 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death 00214 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner for a period of not less than one hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death 00215 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death 00215 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death 00216 01FEB1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; including major regional or field block (G) 00217 01FEB1984 31DEC9999 Y Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; including major regional or field block (S) 00218 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death 00218 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death 00219 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death 00219 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death 00220 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death 00220 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death 00221 01JUL2018 31OCT2023 N Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family-each Group of 2 patients 00221 01NOV2023 31DEC9999 Y Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family-each Group of 2 patients 00222 01JUL2018 31OCT2023 N Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family-each Group of 3 patients 00222 01NOV2023 31DEC9999 Y Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family-each Group of 3 patients 00223 01JUL2018 31OCT2023 N Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family-each Group of 4 or more patients 00223 01NOV2023 31DEC9999 Y Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family-each Group of 4 or more patients 00224 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing the patient with preventive health care advice and information 00224 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:(a) collection of relevant information, including taking a patient history; and(b) a basic physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing the patient with preventive health care advice and information 00225 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including: (a) detailed information collection, including taking a patient history; and (b) an extensive physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing a preventive health care strategy for the patient 00225 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:(a) detailed information collection, including taking a patient history; and(b) an extensive physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing a preventive health care strategy for the patient 00226 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition and physical function; and (c) initiating interventions and referrals as indicated; and (d) providing a basic preventive health care management plan for the patient 00226 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient's medical condition and physical function; and(c) initiating interventions and referrals as indicated; and(d) providing a basic preventive health care management plan for the patient 00227 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner to perform a prolonged health assessment (lasting at least 60 minutes) including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition, and physical, psychological and social function; and (c) initiating interventions or referrals as indicated; and (d) providing a comprehensive preventive health care management plan for the patient 00227 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner to perform a prolonged health assessment, lasting at least 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient's medical condition, and physical, psychological and social function; and(c) initiating interventions and referrals as indicated; and(d) providing a comprehensive preventive health care management plan for the patient 00228 01JUL2018 09DEC2020 N Professional attendance by a medical practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-this item or item 715 not more than once in a 9 month period 00228 10DEC2020 31OCT2023 N Professional attendance by a medical practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-this item or items 715, 93470 or 93479 not more than once in a 9 month period. 00228 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-applicable not more than once in a 9 month period and only if the following items are not applicable within the same 9 month period:(a) item 715;(b) item 92004 or 92011 of the Telehealth and Telephone Determination 00229 01JUL2018 31OCT2023 N Attendance by a medical practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply) 00229 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply) 00230 01JUL2018 31OCT2023 N Attendance by a medical practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply) 00230 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply) 00231 01JUL2018 31OCT2023 N Contribution by a medical practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply) 00231 01NOV2023 31DEC9999 Y Either:(a) contribution to a multidisciplinary care plan, for a patient, prepared by another provider; or(b) contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply 00232 01JUL2018 31OCT2023 N Contribution by a medical practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 and items 235 to 240 apply) 00232 01NOV2023 31DEC9999 Y Either:(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply 00233 01JUL2018 31OCT2023 N Attendance by a medical practitioner to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721 or item 229 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 723 or item 230 applies 00233 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner:(a) to review a GP management plan prepared by a medical practitioner (or an associated medical practitioner); or(b) to coordinate a review of team care arrangements which have been coordinated by the medical practitioner (or the associated medical practitioner) 00234 01FEB1984 31DEC9999 Y Caesarean section and postnatal care for nine days (G) (AU 10) 00235 01JUL2018 09DEC2020 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply) 00235 10DEC2020 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732, items 229 to 233 or items 93469 or 93475 apply). 00235 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply 00236 01JUL2018 09DEC2020 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply) 00236 10DEC2020 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732, items 229 to 233 or items 93469 or 93475 apply). 00236 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply 00237 01JUL2018 09DEC2020 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply) 00237 10DEC2020 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732, items 229 to 233 or items 93469 or 93475 apply) 00237 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts at least 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply 00238 01JUL2018 09DEC2020 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply) 00238 10DEC2020 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732, items 229 to 233 or items 93469 or 93475 apply). 00238 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply 00239 01JUL2018 09DEC2020 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply) 00239 10DEC2020 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732, items 229 to 233 or items 93469 or 93475 apply). 00239 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to any of items 229 to 233 and 721 to 732 apply 00240 01JUL2018 09DEC2020 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply) 00240 10DEC2020 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732, items 229 to 233 or items 93469 or 93475 apply) 00240 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply 00241 01FEB1984 31DEC9999 Y Caesarean section and postnatal care for nine days (S) (AU 10) 00242 01FEB1984 31DEC9999 Y Treatment of habitual miscarriage by injection of hormones-- each injection up to a maximum of twelve injections, where the injection is not administered during a routine antenatal attendance 00243 01JUL2018 31OCT2023 N Attendance by a medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00243 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00244 01JUL2018 31OCT2023 N Attendance by a medical practitioner, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00244 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00245 01JUL2018 31OCT2023 N Participation by a medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the medical practitioner, with the patient's consent: (a) assesses the patient as: (i) having a chronic medical condition or a complex medication regimen; and (ii) not having their therapeutic goals met; and (b) following that assessment: (i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and (ii) provides relevant clinical information required for the DMMR; and (c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and (d) develops a written medication management plan following discussion with the patient; and (e) provides the written medication management plan to a community pharmacy chosen by the patient For any particular patient-this item or item 900 is applicable not more than once in each 12 month period, except if there has been a significant change in the patient's condition or medication regimen requiring a new DMMR 00245 01NOV2023 31DEC9999 Y Participation by a prescribed medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the prescribed medical practitioner, with the patient's consent:(a) assesses the patient as:(i) having a chronic medical condition or a complex medication regimen; and(ii) not having the patient's therapeutic goals met; and(b) following that assessment:(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and(ii) provides relevant clinical information required for the DMMR; and(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and(d) develops a written medication management plan following discussion with the patient; and(e) provides the written medication management plan to a community pharmacy chosen by the patientFor any particular patient-applicable not more than once in each 12 month period, and only if item 900 does not apply in the same 12 month period, except if there has been a significant change in the patient's condition or medication regimen requiring a new DMMR 00246 01FEB1984 31DEC9999 Y Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of-- each attendance that is not a routine antenatal attendance 00247 01AUG1987 31AUG1989 N Intra-uterine growth retardation, polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital - each attendance that is not a routine antenatal attendance, to a maximum of two attendances in any seven day period 00247 01SEP1989 31DEC9999 Y Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital-each attendance that is not a routine antenatal attendance, to a maximum of two attendances in any seven day period 00248 01AUG1987 31AUG1989 N Pregnancy complicated by acute intercurrent infection, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital - each attendance that is not a routine antenatal attendance, to a maximum of one visit per day 00248 01SEP1989 31DEC9999 Y Pregnancy complicated by acute intercurrent infection, intrauterine growth retardation, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital-each attendance that is not a routine antenatal attendance, to a maximum of one visit per day 00249 01JUL2018 31OCT2023 N Participation by a medical practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility-other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 has applied, unless there has been a significant change in the resident's medical condition or medication management plan requiring a new RMMR 00249 01NOV2023 31DEC9999 Y Participation by a prescribed medical practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility-other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 has applied, unless there has been a significant change in the resident's medical condition or medication management plan requiring a new RMMR 00250 01FEB1984 31DEC9999 Y Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6) 00251 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of less than 5 minutes in duration by a medical practitioner in an eligible area at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 00252 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 00253 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 00254 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 00255 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 00256 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 00257 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 00258 01FEB1984 31DEC9999 Y Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6) 00259 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 00260 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 00261 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the requirements for a cycle of care of a patient with established diabetes mellitus 00262 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes, in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 00263 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 00264 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 00265 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care 00266 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care 00267 01FEB1984 31DEC9999 Y Cervix, removal of purse string ligature of, under general anaesthesia (AU 5) 00268 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care 00269 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care 00270 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care 00271 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care 00272 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 00272 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (who has not undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient 00273 01FEB1984 31DEC9999 Y Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of-- each attendance that is not a routine antenatal attendance 00274 01FEB1984 31AUG1989 N Induction and management of second trimester labour (G) 00274 01SEP1989 31DEC9999 Y Management of second trimester labour, with or without induction (G) 00275 01FEB1984 31AUG1989 N Induction and management of second trimester labour (S) 00275 01SEP1989 31DEC9999 Y Management of second trimester labour, with or without induction (S) 00276 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 00276 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (who has not undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient 00277 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan 00277 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner to:(a) review a GP mental health treatment plan which a medical practitioner, or an associated medical practitioner, has prepared; or(b) to review a Psychiatrist Assessment and Management Plan 00278 01FEB1984 31DEC9999 Y Amnioscopy or amniocentesis 00279 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation 00279 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner, in relation to a mental disorder, lasting at least 20 minutes and involving:(a) taking relevant history and identifying the presenting problem (to the extent not previously recorded); and(b) providing treatment and advice; and(c) if appropriate, referral for other services or treatments; and(d) documenting the outcomes of the consultation 00280 01AUG1988 31DEC9999 Y Chorionic villus sampling including any associated imaging 00281 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 00281 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient 00282 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 00282 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient 00283 01JUL2018 31OCT2023 N Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes 00283 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and(b) lasting at least 30 minutes but less than 40 minutes 00284 01FEB1984 31DEC9999 Y Amnioscopy with surgical induction of labour (AU 6) 00285 01JUL2018 31OCT2023 N Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes 00285 01NOV2023 31DEC9999 Y Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and(b) lasting at least 30 minutes but less than 40 minutes 00286 01JUL2018 31OCT2023 N Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes 00286 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and(b) lasting at least 40 minutes 00287 01JUL2018 31OCT2023 N Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes 00287 01NOV2023 31DEC9999 Y Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and(b) lasting at least 40 minutes 00288 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference rendered by a consultant physician practising in the specialty of psychiatry to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or c) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352. 00288 01NOV2012 31DEC2012 N Professional attendance on a patient by a consultant physician practising in his or her specialty of psychiatry if: (a) the attendance is by video conference; and (b) item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance - at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 00288 01JAN2013 31OCT2019 N Professional attendance on a patient by a consultant physician practising in his or her specialty of psychiatry if: (a) the attendance is by video conference; and (b) item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00288 01NOV2019 31DEC9999 Y Professional attendance on a patient by a consultant physician practising in the consultant physician's specialty of psychiatry if: (a) the attendance is by video conference; and (b) item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00289 01JUL2008 30JUN2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND DEVELOPMENT OF A TREATMENT AND MANAGEMENT PLAN FOR AUTISM OR ANY OTHER PERVASIVE DEVELOPMENTAL DISORDER - SURGERY OR HOSPITAL Professional attendance of at least 45 minutes duration by a consultant physician in his or her specialty of psychiatry, for assessment, diagnosis and the preparation of a treatment and management plan for a patient aged under 13 years, with autism or any other pervasive developmental disorder, who has been referred to the consultant psychiatrist by a medical practitioner, where the consultant psychiatrist: (a) undertakes a comprehensive assessment of the patient and forms a diagnosis (using the assistance of one or more allied health providers where appropriate) (b) develops a treatment and management plan that contains: (i) the outcomes of the assessment; (ii) the diagnosis or diagnoses; (iii) opinion on risk assessment; (iv) treatment options and decisions; (v) appropriate care pathways; and (vi) appropriate medication recommendations, where necessary. (c) provides a copy of the treatment and management plan to the: (i) referring practitioner; and (ii) relevant allied health providers (where appropriate). Not being an attendance on a patient in respect of whom payment has previously been made under this item or item 135. 00289 01JUL2011 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND DEVELOPMENT OF A TREATMENT AND MANAGEMENT PLAN FOR AUTISM OR ANY OTHER PERVASIVE DEVELOPMENTAL DISORDER - SURGERY OR HOSPITAL Professional attendance of at least 45 minutes duration, at consulting rooms or hospital, by a consultant physician in his or her specialty of psychiatry, for assessment, diagnosis and the preparation of a treatment and management plan for a child aged under 13 years, with autism or any other pervasive developmental disorder, who has been referred to the consultant psychiatrist by a medical practitioner, if the consultant psychiatrist does the following: (a) undertakes a comprehensive assessment of the child and forms a diagnosis (using the assistance of one or more allied health providers where appropriate) (b) develops a treatment and management plan which must include the following: (i) the outcomes of the assessment; (ii) the diagnosis or diagnoses; (iii) opinion on risk assessment; (iv) treatment options and decisions; (v) appropriate medication recommendations, where necessary. (c) provides a copy of the treatment and management plan to the: (i) referring practitioner; and (ii) relevant allied health providers (where appropriate). Not being an attendance on a child in respect of whom payment has previously been made under this item or items 135, 137 or 139. 00289 01NOV2011 31OCT2019 N Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty of psychiatry, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant psychiatrist does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 139) 00289 01NOV2019 28FEB2023 N Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant psychiatrist does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 139) 00289 01MAR2023 31DEC9999 Y Professional attendance lasting at least 45 minutes, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant psychiatrist by a referring practitioner, for a patient aged under 25, if the consultant psychiatrist: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 92140, 92141, 92142 or 92434) Applicable only once per lifetime 00290 01AUG1986 31DEC9999 Y ANTENATAL CARDIOTOCOGRAPHY in the management of high risk pregnancy (not during the course of the confinement) 00291 01MAY2005 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED PATIENT ASSESSMENT AND MANAGEMENT Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred for the provision of an assessment and management plan by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) where the attendance is initiated by that medical practitioner and where the consultant psychiatrist provides the referring medical practitioner with an assessment and management plan to be undertaken by that medical practitioner in general practice for the patient, where clinically appropriate. An attendance of more than 45 minutes duration at consulting rooms during which: An outcome tool is used where clinically appropriate A mental state examination is conducted A psychiatric diagnosis is made The consultant psychiatrist decides that the patient can be appropriately managed by the referring medical practitioner without the need for ongoing treatment by the psychiatrist A 12 month management plan, appropriate to the diagnosis, is provided to the referring medical practitioner which must: a) comprehensively evaluate biological, psychological and social issues; b) address diagnostic psychiatric issues; c) make management recommendations addressing biological, psychological and social issues; and d) be provided to the medical practitioner within two weeks of completing the assessment of the patient. The diagnosis and management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) The diagnosis and management plan is communicated in writing to the referring medical practitioner Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item 00291 01NOV2011 31OCT2015 N CONSULTANT PSYCHIATRIST, REFERRED PATIENT ASSESSMENT AND MANAGEMENT Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred for the provision of an assessment and management plan by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or participating nurse practitioner, where the attendance is initiated by the referring practitioner and where the consultant psychiatrist provides the referring practitioner with an assessment and management plan to be undertaken by that practitioner for the patient, where clinically appropriate. An attendance of more than 45 minutes duration at consulting rooms during which: An outcome tool is used where clinically appropriate A mental state examination is conducted A psychiatric diagnosis is made The consultant psychiatrist decides that the patient can be appropriately managed by the referring practitioner without the need for ongoing treatment by the psychiatrist A 12 month management plan, appropriate to the diagnosis, is provided to the referring practitioner which must: a) comprehensively evaluate biological, psychological and social issues; b) address diagnostic psychiatric issues; c) make management recommendations addressing biological, psychological and social issues; and d) be provided to the referring practitioner within two weeks of completing the assessment of the patient. The diagnosis and management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) The diagnosis and management plan is communicated in writing to the referring practitioner Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item 00291 01NOV2015 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred for the provision of an assessment and management plan by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or participating nurse practitioner, where the attendance is initiated by the referring practitioner and where the consultant psychiatrist provides the referring practitioner with an assessment and management plan to be undertaken by that practitioner for the patient, where clinically appropriate. An attendance of more than 45 minutes duration at consulting rooms during which: An outcome tool is used where clinically appropriate A mental state examination is conducted A psychiatric diagnosis is made The consultant psychiatrist decides that the patient can be appropriately managed by the referring practitioner without the need for ongoing treatment by the psychiatrist A 12 month management plan, appropriate to the diagnosis, is provided to the referring practitioner which must: a) comprehensively evaluate biological, psychological and social issues; b) address diagnostic psychiatric issues; c) make management recommendations addressing biological, psychological and social issues; and d) be provided to the referring practitioner within two weeks of completing the assessment of the patient. The diagnosis and management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) The diagnosis and management plan is communicated in writing to the referring practitioner Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item 00291 01NOV2019 29FEB2024 N Professional attendance of more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees 00291 01MAR2024 31DEC9999 Y Professional attendance lasting more than 45 minutes at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant, by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician) or a participating nurse practitioner, for an assessment or management; and (b) during the attendance, the consultant: (i) if it is clinically appropriate to do so-uses an appropriate outcome tool; and (ii) carries out a mental state examination; and (iii) undertakes a comprehensive diagnostic assessment; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing management by the consultant; and (d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes: (i) the comprehensive diagnostic assessment of the patient; and (ii) a management plan for the patient for the next 12 months that comprehensively evaluates the patient's biopsychosocial factors and makes recommendations to the referring practitioner to manage the patient's ongoing care in a biopsychosocial model; and (e) if clinically appropriate, the consultant explains the diagnostic assessment and management plan, and gives a copy, to: (i) the patient; and (ii) the patient's carer (if any), if the patient agrees; and (f) in the preceding 12 months, a service to which this item or item 92435 applies has not been provided to the patient 00293 01MAY2005 31OCT2007 N CONSULTANT PSYCHIATRIST, REVIEW OF REFERRED PATIENT ASSESSMENT AND MANAGEMENT Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY to review a management plan previously prepared by that consultant psychiatrist for a patient and claimed under item 291, where the review is initiated by the referring medical practitioner practising in general practice. An attendance of more than 30 minutes but not more than 45 minutes duration at consulting rooms where that attendance follows item 291 and during which: An outcome tool is used where clinically appropriate A mental state examination is conducted A psychiatric diagnosis is made A management plan provided under Item 291 is reviewed and revised The reviewed management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) The reviewed management plan is communicated in writing to the referring medical practitioner Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under item 291, payable no more than once in any 12 month period 00293 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, REVIEW OF REFERRED PATIENT ASSESSMENT AND MANAGEMENT Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY to review a management plan previously prepared by that consultant psychiatrist for a patient and claimed under item 291, where the review is initiated by the referring medical practitioner practising in general practice. An attendance of more than 30 minutes but not more than 45 minutes duration at consulting rooms where that attendance follows item 291 and during which: An outcome tool is used where clinically appropriate A mental state examination is conducted A psychiatric diagnosis is made A management plan provided under Item 291 is reviewed and revised The reviewed management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) The reviewed management plan is communicated in writing to the referring medical practitioner Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under item 291, and no payment has been made under item 359, payable no more than once in any 12 month period. 00293 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY to review a management plan previously prepared by that consultant psychiatrist for a patient and claimed under item 291, where the review is initiated by the referring medical practitioner practising in general practice or participating nurse practitioner. An attendance of more than 30 minutes but not more than 45 minutes duration at consulting rooms where that attendance follows item 291 and during which: An outcome tool is used where clinically appropriate A mental state examination is conducted A psychiatric diagnosis is made A management plan provided under Item 291 is reviewed and revised The reviewed management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) The reviewed management plan is communicated in writing to the referring medical practitioner or participating nurse practitioner Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under item 291, and no payment has been made under item 359, payable no more than once in any 12 month period. 00293 01NOV2019 31OCT2020 N Professional attendance of more than 30 minutes but not more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item 293 applies has not been provided 00293 01NOV2020 31DEC2021 N Professional attendance of more than 30 minutes but not more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item 359 applies has not been provided 00293 01JAN2022 29FEB2024 N Professional attendance of more than 30 minutes but not more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291 applies has been provided; and (f) in the preceding 12 months, a service to which this item applies has not been provided 00293 01MAR2024 31DEC9999 Y Professional attendance lasting more than 30 minutes, but not more than 45 minutes, at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291 or item 92435; and (b) the attendance follows referral of the patient to the consultant, by the medical practitioner or participating nurse practitioner managing the patient, for review of the management plan and the associated comprehensive diagnostic assessment; and (c) during the attendance, the consultant: (i) if it is clinically appropriate to do so-uses an appropriate outcome tool; and (ii) carries out a mental state examination; and (iii) reviews the comprehensive diagnostic assessment and undertakes additional assessment as required; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes: (i) the revised comprehensive diagnostic assessment of the patient; and (ii) a revised management plan including updated recommendations to the referring practitioner to manage the patient's ongoing care in a biopsychosocial model; and (e) if clinically appropriate, the consultant explains the diagnostic assessment and management plan, and gives a copy, to: (i) the patient; and (ii) the patient's carer (if any), if the patient agrees; and (f) in the preceding 12 months, a service to which item 291 or item 92435 applies has been provided to the patient; and (g) in the preceding 12 months, a service to which this item or item 92436 applies has not been provided to the patient 00294 01NOV2022 30JUN2023 N Professional attendance on a patient by a consultant physician practising in the consultant physician's specialty of psychiatry if: (a) the attendance is by video conference; and (b) item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient is bulk billed; and (e) the patient: (i) is located both: (A) within a Modified Monash 2, 3, 4, 5, 6 or 7 area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential aged care facility; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00294 01JUL2023 29FEB2024 N Professional attendance on a patient by a consultant physician practising in the consultant physician's specialty of psychiatry if: (a) the attendance is by video conference; and (b) except for the requirement for the attendance to be at consulting rooms-item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 would otherwise apply to the attendance; and (c) the patient is not an admitted patient; and (d) the patient is bulk-billed; and (e) the patient: (i) is located: (A) within a Modified Monash 2, 3, 4, 5, 6 or 7 area; and (B) at the time of the attendance-at least 15 km by road from the physician; or (ii) is a care recipient in a residential aged care facility; or (iii) is a patient of: (A) an Aboriginal medical service; or (B) an Aboriginal community controlled health service; for which a direction made under subsection 19(2) of the Act applies 00294 01MAR2024 31DEC9999 Y Professional attendance on a patient by a consultant physician practising in the consultant physician's specialty of psychiatry if: (a) the attendance is by video conference; and (b) except for the requirement for the attendance to be at consulting rooms-item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318 or 319 would otherwise apply to the attendance; and (c) the patient is not an admitted patient; and (d) the patient is bulk-billed; and (e) the patient: (i) is located: (A) within a Modified Monash 2, 3, 4, 5, 6 or 7 area; and (B) at the time of the attendance-at least 15 km by road from the physician; or (ii) is a care recipient in a residential aged care facility; or (iii) is a patient of: (A) an Aboriginal medical service; or (B) an Aboriginal community controlled health service; for which a direction made under subsection 19(2) of the Act applies 00295 01FEB1984 31DEC9999 Y Version, external, under general anaesthesia (AU 6) 00296 01NOV2006 31OCT2007 N CONSULTANT PSYCHIATRIST, INITIAL CONSULTATION ON A NEW PATIENT, CONSULTING ROOMS Professional attendance of more than 45 minutes by a consultant physician in the practice of his or her speciality of PSYCHIATRY where a patient is referred to him or her by a medical practitioner, and where the patient: is a new patient for this consultant psychiatrist; or is a patient who has not received a professional attendance from this consultant psychiatrist in the preceding 24 months. Not being an attendance on a patient in respect of whom payment has been made under this item, items 297 or 299, or any of items 300 to 346 or 353 to 370 in the preceding 24 month period 00296 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, INITIAL CONSULTATION ON A NEW PATIENT, CONSULTING ROOMS Professional attendance of more than 45 minutes by a consultant physician in the practice of his or her speciality of PSYCHIATRY where a patient is referred to him or her by a medical practitioner, and where the patient: is a new patient for this consultant psychiatrist; or is a patient who has not received a professional attendance from this consultant psychiatrist in the preceding 24 months. Not being an attendance on a patient in respect of whom payment has been made under this item, items 297 or 299, or any of items 300 to 346 or 353 to 358 or 361 to 370 in the preceding 24 month period 00296 01NOV2011 31OCT2019 N Professional attendance of more than 45 minutes in duration by a consultant physician in the practice of his or her speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at consulting rooms if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 297 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months 00296 01NOV2019 31DEC2021 N Professional attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at consulting rooms if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 297 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months 00296 01JAN2022 29FEB2024 N Professional attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at consulting rooms if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, or item 297 or 299 or any of items 300 to 308, has applied in the preceding 24 months 00296 01MAR2024 31DEC9999 Y Professional attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at consulting rooms if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, or any of items 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 has applied in the preceding 24 months 00297 01NOV2006 31OCT2007 N CONSULTANT PSYCHIATRIST, INITIAL CONSULTATION ON A NEW PATIENT, HOSPITAL Professional attendance of more than 45 minutes at hospital by a consultant physician in the practice of his or her speciality of PSYCHIATRY where a patient is referred to him or her by a medical practitioner, and where the patient: is a new patient for this consultant psychiatrist; or is a patient who has not received a professional attendance from this consultant psychiatrist in the preceding 24 months. Not being an attendance on a patient in respect of whom payment has been made under this item, items 296 or 299 or any of items 300 to 346 or 353 to 370 in the preceding 24 month period 00297 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, INITIAL CONSULTATION ON A NEW PATIENT, HOSPITAL Professional attendance of more than 45 minutes at hospital by a consultant physician in the practice of his or her speciality of PSYCHIATRY where a patient is referred to him or her by a referring practitioner, and where the patient: is a new patient for this consultant psychiatrist; or is a patient who has not received a professional attendance from this consultant psychiatrist in the preceding 24 months. Not being an attendance on a patient in respect of whom payment has been made under this item, items 296 or 299 or any of items 300 to 346 or 353 to 358 or 361 to 370 in the preceding 24 month period 00297 01NOV2011 31OCT2019 N Professional attendance of more than 45 minutes by a consultant physician in the practice of his or her speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 296 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months (H) 00297 01NOV2019 31DEC2021 N Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 296 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months (H) 00297 01JAN2022 29FEB2024 N Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, or item 296 or 299 or any of items 300 to 308, has applied in the preceding 24 months (H) 00297 01MAR2024 31DEC9999 Y Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, or any of items 296, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 has applied in the preceding 24 months (H) 00298 01FEB1984 31DEC9999 Y Version, internal, under general anaesthesia (AU 6) 00299 01NOV2006 31OCT2007 N CONSULTANT PSYCHIATRIST, INITIAL CONSULTATION ON A NEW PATIENT, HOME VISITS Professional attendance of more than 45 minutes at a place other than consulting rooms or hospital by a consultant physician in the practice of his or her speciality of PSYCHIATRY where a patient is referred to him or her by a medical practitioner, and where the patient: is a new patient for this consultant psychiatrist; or is a patient who has not received a professional attendance from this consultant psychiatrist in the preceding 24 months. Not being an attendance on a patient in respect of whom payment has been made under this item, items 296 or 297, or any of items 300 to 346 or 353 to 370 in the preceding 24 month period 00299 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, INITIAL CONSULTATION ON A NEW PATIENT, HOME VISITS Professional attendance of more than 45 minutes at a place other than consulting rooms or hospital by a consultant physician in the practice of his or her speciality of PSYCHIATRY where a patient is referred to him or her by a medical practitioner, and where the patient: is a new patient for this consultant psychiatrist; or is a patient who has not received a professional attendance from this consultant psychiatrist in the preceding 24 months. Not being an attendance on a patient in respect of whom payment has been made under this item, items 296 or 297, or any of items 300 to 346 or 353 to 358 or 361 to 370 in the preceding 24 month period 00299 01NOV2011 31OCT2019 N Professional attendance of more than 45 minutes by a consultant physician in the practice of his or her speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at a place other than consulting rooms or a hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 296 or 297, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months 00299 01NOV2019 31DEC2021 N Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at a place other than consulting rooms or a hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 296 or 297, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months 00299 01JAN2022 29FEB2024 N Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at a place other than consulting rooms or a hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, or item 296 or 297 or any of items 300 to 308, has applied in the preceding 24 months 00299 01MAR2024 31DEC9999 Y Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at a place other than consulting rooms or a hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, or any of items 296, 297, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 has applied in the preceding 24 months 00300 01NOV1996 30JUN1998 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, CONSULTING ROOMS (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) An attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a 12 month period. 00300 01JUL1998 31OCT2006 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, CONSULTING ROOMS (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) - An attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00300 01NOV2006 31OCT2007 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, CONSULTING ROOMS (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) - An attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00300 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, CONSULTING ROOMS (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) - An attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 308 and items 353 to 358 or 361 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00300 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00300 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00300 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient 00300 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year for the patient 00301 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item in this Schedule applies) by a prescribed medical practitioner in an eligible area-each attendance 00302 01NOV1996 30JUN1998 N An attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a 12 month period. 00302 01JUL1998 31OCT2006 N - An attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00302 01NOV2006 31OCT2007 N - An attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00302 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00302 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00302 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient 00302 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year for the patient 00303 01NOV2023 31DEC9999 Y Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 60 minutes-an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area-each patient 00304 01NOV1996 30JUN1998 N An attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 306 or 308 apply have not exceeded the sum of 50 attendances in a 12 month period. 00304 01JUL1998 31OCT2006 N - An attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00304 01NOV2006 31OCT2007 N - An attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00304 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00304 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00304 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms), if that attendance and another attendance to which item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient 00304 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year for the patient 00306 01NOV1996 30JUN1998 N An attendance of more than 45 minutes duration but not more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304 or 308 apply have not exceeded the sum of 50 attendances in a 12 month period. 00306 01JUL1998 31OCT2007 N - An attendance of more than 45 minutes duration but not more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00306 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00306 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00306 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient 00306 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year for the patient 00308 01NOV1996 30JUN1998 N An attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304 or 306 apply have not exceeded the sum of 50 attendances in a 12 month period. 00308 01JUL1998 31OCT2006 N - An attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00308 01NOV2006 31OCT2007 N - An attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 308 and items 353 to 370 apply have not exceeded the sum of 50 attendances in a calendar year. 00308 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00308 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00308 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms), if that attendance and another attendance to which item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient 00308 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year for the patient 00309 01MAR2023 31OCT2023 N Professional attendance at consulting rooms by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes but less than 40 minutes 00309 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and(b) lasting at least 30 minutes but less than 40 minutes 00310 01NOV1996 30JUN1998 N An attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 302, 304, 306, 308, 312, 314, 316 or 318 apply exceed 50 attendances in a 12 month period. 00310 01JUL1998 31OCT2006 N - An attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00310 01NOV2006 31OCT2007 N - An attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00310 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00310 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00310 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies exceed 50 attendances in a calendar year for the patient 00310 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies exceed 50 attendances in a calendar year for the patient 00311 01MAR2023 31OCT2023 N Professional attendance at a place other than consulting rooms by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes but less than 40 minutes 00311 01NOV2023 31DEC9999 Y Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and(b) lasting at least 30 minutes but less than 40 minutes 00312 01NOV1996 30JUN1998 N An attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 302, 304, 306, 308, 310, 314, 316 or 318 apply exceed 50 attendances in a 12 month period. 00312 01JUL1998 31OCT2006 N - An attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00312 01NOV2006 31OCT2007 N - An attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00312 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00312 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00312 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies exceed 50 attendances in a calendar year for the patient 00312 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies exceed 50 attendances in a calendar year for the patient 00313 01MAR2023 31OCT2023 N Professional attendance at consulting rooms by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 00313 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and(b) lasting at least 40 minutes 00314 01NOV1996 30JUN1998 N An attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 302, 304, 306, 308, 310, 312, 316 or 318 apply exceed 50 attendances in a 12 month period. 00314 01JUL1998 31OCT2006 N - An attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00314 01NOV2006 31OCT2007 N - An attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00314 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00314 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00314 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies exceed 50 attendances in a calendar year for the patient 00314 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies exceed 50 attendances in a calendar year for the patient 00315 01MAR2023 31OCT2023 N Professional attendance at a place other than consulting rooms by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 00315 01NOV2023 31DEC9999 Y Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and(b) lasting at least 40 minutes 00316 01NOV1996 30JUN1998 N An attendance of more than 45 minutes duration but not more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 302, 304, 306, 308, 310, 312, 314 or 318 apply exceed 50 attendances in a 12 month period. 00316 01JUL1998 31OCT2006 N - An attendance of more than 45 minutes duration but not more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00316 01NOV2006 31OCT2007 N - An attendance of more than 45 minutes duration but not more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00316 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00316 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00316 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies exceed 50 attendances in a calendar year for the patient 00316 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies exceed 50 attendances in a calendar year for the patient 00318 01NOV1996 30JUN1998 N An attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 302, 304, 306, 308, 310, 312, 314 or 316 apply exceed 50 attendances in a 12 month period. 00318 01JUL1998 31OCT2006 N - An attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00318 01NOV2006 31OCT2007 N - An attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 296, 300 to 318 and items 353 to 370 apply exceed 50 attendances in a calendar year. 00318 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00318 01NOV2019 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient 00318 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms, if that attendance and another attendance to which item 296 or any of items 300 to 308 applies exceed 50 attendances in a calendar year for the patient 00318 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies exceed 50 attendances in a calendar year for the patient 00319 01JAN1997 30APR1997 N - An attendance of more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 308 or 319 apply exceed 50 but not more than 160 attendances in a 12 month period and where the patient has: (i) a history of severe sexual or physical abuse which has led to psychiatric illness, or has been diagnosed as suffering from borderline personality disorder or anorexia nervosa or bulimia nervosa; and (ii) been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; and (iii) a history of failed related psychiatric treatment. 00319 01MAY1997 31OCT1997 N - An attendance of more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300 to 308 or 319 apply exceed 50 but not more than 160 attendances in a 12 month period and where the patient has: (i) a history of severe sexual or physical abuse which has led to psychiatric illness, or has been diagnosed as suffering from borderline personality disorder or anorexia nervosa or bulimia nervosa; and (ii) been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; and (iii) a history of failed related psychiatric treatment. 00319 01NOV1997 30JUN1998 N - An attendance of more than 45 minutes duration at consulting rooms, where the patient has: (i) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (ii) for persons 18 years and over, been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale where that attendance and any other attendance to which items 300 to 308 apply do not exceed 160 attendances in a 12 month period. 00319 01JUL1998 31OCT2006 N - An attendance of more than 45 minutes duration at consulting rooms, where the patient has: (i) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (ii) for persons 18 years and over, been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale where that attendance and any other attendance to which items 300 to 308 and items 353 to 370 apply do not exceed 160 attendances in a calendar year. 00319 01NOV2006 31OCT2007 N - An attendance of more than 45 minutes duration at consulting rooms, where the patient has: (i) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (ii) for persons 18 years and over, been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale where that attendance and any other attendance to which items 296, 300 to 308 and items 353 to 370 apply do not exceed 160 attendances in a calendar year. 00319 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes in duration at consulting rooms, if the patient has: (a) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (b) for persons 18 years and over-been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; if that attendance and another attendance to which any of items 296, 300 to 319, 353 to 358 and 361 to 370 applies have not exceeded 160 attendances in a calendar year for the patient 00319 01NOV2019 30JUN2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes in duration at consulting rooms, if the patient has: (a) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (b) for persons 18 years and over-been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; if that attendance and another attendance to which any of items 296, 300 to 319, 353 to 358 and 361 to 370 applies have not exceeded 160 attendances in a calendar year for the patient 00319 01JUL2021 31DEC2021 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes in duration at consulting rooms, if the patient has: (a) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (b) for patients 18 years and over-been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; if that attendance and another attendance to which any of items 296, 300 to 319, 353 to 358 and 361 to 370 applies have not exceeded 160 attendances in a calendar year for the patient 00319 01JAN2022 29FEB2024 N Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes in duration at consulting rooms, if the patient has: (a) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (b) for patients 18 years and over-been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; if that attendance and another attendance to which item 296 or any of items 300 to 308 applies have not exceeded 160 attendances in a calendar year for the patient 00319 01MAR2024 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance lasting more than 45 minutes at consulting rooms, if: (a) the formulation of the patient's clinical presentation indicates intensive psychotherapy is a clinically appropriate and indicated treatment; and (b) that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91873 and 92437 applies have not exceeded 160 attendances in a calendar year for the patient 00320 01NOV1996 31OCT2000 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, HOSPITAL OR NURSING HOME (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) - An attendance of not more than 15 minutes duration at hospital or nursing home. 00320 01NOV2000 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, HOSPITAL (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) - An attendance of not more than 15 minutes duration at hospital. 00320 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at hospital 00320 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration at hospital 00322 01NOV1996 31OCT2000 N - An attendance of more than 15 minutes duration but not more than 30 minutes duration at hospital or nursing home. 00322 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at hospital 00322 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at hospital 00324 01NOV1996 31OCT2000 N - An attendance of more than 30 minutes duration but not more than 45 minutes duration at hospital or nursing home. 00324 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at hospital 00324 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at hospital 00326 01NOV1996 31OCT2000 N - An attendance of more than 45 minutes duration but not more than 75 minutes duration at hospital or nursing home. 00326 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at hospital 00326 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at hospital 00328 01NOV1996 31OCT2000 N - An attendance of more than 75 minutes duration at hospital or nursing home. 00328 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at hospital 00328 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration at hospital 00330 01NOV1996 31OCT2000 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, HOME VISITS (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) - An attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. 00330 01NOV2000 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION, HOME VISITS (Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred to him or her by a medical practitioner) - An attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms or hospital 00330 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration if that attendance is at a place other than consulting rooms or hospital 00330 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration if that attendance is at a place other than consulting rooms or hospital 00332 01NOV1996 31OCT2000 N - An attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. 00332 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration if that attendance is at a place other than consulting rooms or hospital 00332 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration if that attendance is at a place other than consulting rooms or hospital 00334 01NOV1996 31OCT2000 N - An attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home 00334 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration if that attendance is at a place other than consulting rooms or hospital 00334 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration if that attendance is at a place other than consulting rooms or hospital 00336 01NOV1996 31OCT2000 N - An attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. 00336 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration if that attendance is at a place other than consulting rooms or hospital 00336 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration if that attendance is at a place other than consulting rooms or hospital 00338 01NOV1996 31OCT2000 N - An attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. 00338 01NOV2000 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration if that attendance is at a place other than consulting rooms or hospital 00338 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration if that attendance is at a place other than consulting rooms or hospital 00340 01NOV1996 31DEC9999 Y ELECTROCONVULSIVE THERAPY ATTENDANCE FOR ELECTROCONVULSIVE THERAPY, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation 00341 01MAR2024 31DEC9999 Y An interview, lasting not more than 15 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that service and another service to which this item or any of items 343, 345, 347, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient 00342 01NOV1996 31OCT2011 N CONSULTANT PSYCHIATRIST - GROUP PSYCHOTHERAPY Group psychotherapy (including any associated consultation with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hours duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry where the patients are referred to him or her by a medical practitioner. - GROUP PSYCHOTHERAPY on a group of 2 to 9 unrelated patients OR FAMILY GROUP psychotherapy on a group of more than 3 patients, EACH PATIENT 00342 01NOV2011 31OCT2019 N Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which Group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a Group of 2 to 9 unrelated patients or a family Group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient 00342 01NOV2019 31DEC9999 Y Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient 00343 01MAR2024 31DEC9999 Y An interview, lasting more than 15 minutes but not more than 30 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that service and another service to which this item or any of items 341, 345, 347, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient 00344 01NOV1996 31OCT2019 N Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which Group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family Group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient 00344 01NOV2019 31DEC9999 Y Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient 00345 01MAR2024 31DEC9999 Y An interview, lasting more than 30 minutes but not more than 45 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that service and another service to which this item or any of items 341, 343, 347, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient 00346 01NOV1996 31OCT2019 N Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which Group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family Group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient 00346 01NOV2019 31DEC9999 Y Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient 00347 01MAR2024 31DEC9999 Y An interview, lasting more than 45 minutes but not more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that service and another service to which this item or any of items 341, 343, 345, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient 00348 01NOV1996 31OCT2000 N CONSULTANT PSYCHIATRIST INTERVIEW OF A PERSON OTHER THAN A PATIENT SURGERY, HOSPITAL OR NURSING HOME Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner involving an interview of a person other than the patient of not less than 20 minutes duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient, where that interview is at consulting rooms, hospital or nursing home 00348 01NOV2000 31OCT2010 N CONSULTANT PSYCHIATRIST - INTERVIEW OF A PERSON OTHER THAN A PATIENT - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner involving an interview of a person other than the patient of not less than 20 minutes duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient, where that interview is at consulting rooms, hospital or residential aged care facility 00348 01NOV2010 31OCT2011 N CONSULTANT PSYCHIATRIST - INTERVIEW OF A PERSON OTHER THAN A PATIENT - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a referring practitioner involving an interview of a person other than the patient of not less than 20 minutes duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient, where that interview is at consulting rooms, hospital or residential aged care facility 00348 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a referring practitioner involving an interview of a person other than the patient of not less than 20 minutes duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient, where that interview is at consulting rooms, hospital or residential aged care facility 00348 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient 00349 01MAR2024 31DEC9999 Y An interview, lasting more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that service and another service to which this item or any of items 341, 343, 345, 347, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient 00350 01NOV1996 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a referring practitioner involving an interview of a person other than the patient of not less 45 minutes duration, in the course of initial diagnostic evaluation of a patient, where that interview is at consulting rooms, hospital or residential aged care facility 00350 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient 00352 01NOV1996 31OCT2011 N CONSULTANT PSYCHIATRIST - INTERVIEW OF A PERSON OTHER THAN A PATIENT - IN THE COURSE OF CONTINUING MANAGEMENT OF A PATIENT Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration, in the course of continuing management of a patient - payable not more than 4 times in any 12 month period 00352 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, where the patient is referred to him or her by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration, in the course of continuing management of a patient - payable not more than 4 times in any 12 month period 00352 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item applies have not exceeded 4 in a calendar year for the patient 00353 01NOV2002 30APR2007 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION VIA TELEPSYCHIATRY FOR ASSESSMENT, DIAGNOSIS AND TREATMENT A telepsychiatry consultation by a consultant physician in the practice of his or her specialty of PSYCHIATRY (not being an attendance to which items 300 to 319 apply), where: -the patient is referred to him or her by a medical practitioner for assessment, diagnosis and/or treatment, -that consultation and any other consultation to which items 353 to 358 apply, have not exceeded 12 consultations in a calendar year, -a minimum of one face-to-face consultation (items 364 to 370) is conducted with the patient after every fourth telepsychiatry consultation, and -any other attendance to which items 300 to 308 and 353 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. A telepsychiatry consultation of not more than 15 minutes duration. 00353 01MAY2007 31OCT2007 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION VIA TELEPSYCHIATRY FOR ASSESSMENT, DIAGNOSIS AND TREATMENT A telepsychiatry consultation by a consultant physician in the practice of his or her specialty of PSYCHIATRY (not being an attendance to which items 291 to 319 apply), where: -the patient is referred to him or her by a medical practitioner for assessment, diagnosis and/or treatment and is located in a regional, rural or remote area (RRMA3-7), -that consultation and any other consultation to which items 353 to 358 apply, have not exceeded 12 consultations in a calendar year, -any other attendance to which items 300 to 308 and 353 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. A telepsychiatry consultation of not more than 15 minutes duration. 00353 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION VIA TELEPSYCHIATRY FOR ASSESSMENT, DIAGNOSIS AND TREATMENT A telepsychiatry consultation by a consultant physician in the practice of his or her specialty of PSYCHIATRY (not being an attendance to which items 291 to 319 apply), where: -the patient is referred to him or her by a medical practitioner for assessment, diagnosis and/or treatment and is located in a regional, rural or remote area (RRMA3-7), -that consultation and any other consultation to which items 353 to 361 apply, have not exceeded 12 consultations in a calendar year, -any other attendance to which items 300 to 308 and 353 to 358 or 361 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. A telepsychiatry consultation of not more than 15 minutes duration. 00353 01NOV2011 31OCT2019 N A telepsychiatry consultation by a consultant physician in the practice of his or her specialty of PSYCHIATRY (not being an attendance to which items 291 to 319 apply), where: -the patient is referred to him or her by a referring practitioner for assessment, diagnosis and/or treatment and is located in a regional, rural or remote area (RRMA3-7), -that consultation and any other consultation to which items 353 to 361 apply, have not exceeded 12 consultations in a calendar year, -any other attendance to which items 300 to 308 and 353 to 358 or 361 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. A telepsychiatry consultation of not more than 15 minutes duration. 00353 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of not more than 15 minutes in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00354 01FEB1984 31DEC9999 Y Surgical induction of labour (AU 5) 00355 01NOV2002 31OCT2019 N A telepsychiatry consultation of more than 15 minutes duration but not more than 30 minutes duration. 00355 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 15 minutes, but not more than 30 minutes, in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00356 01NOV2002 31OCT2019 N A telepsychiatry consultation of more than 30 minutes duration but not more than 45 minutes duration. 00356 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 30 minutes, but not more than 45 minutes, in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00357 01NOV2002 31OCT2019 N A telepsychiatry consultation of more than 45 minutes duration but not more than 75 minutes duration 00357 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 45 minutes, but not more than 75 minutes, in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00358 01NOV2002 31OCT2019 N A telepsychiatry consultation of more than 75 minutes duration 00358 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 75 minutes in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00359 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION VIA TELEPSYCHIATRY FOR REVIEW OF REFERRED PATIENT ASSESSMENT AND MANAGEMENT A telepsychiatry consultation of more than 30 minutes but not more than 45 minutes duration by a consultant physician in the practice of his or her specialty of PSYCHIATRY where: the patient is located in a regional, rural or remote area (RRMA 3-7) in the preceding 12 months, payment has been made under item 291 an outcome tool is used where clinically appropriate a mental state examination is conducted a psychiatric diagnosis is made a management plan provided under Item 291 is reviewed and revised the reviewed management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) the reviewed management plan is communicated in writing to the referring medical practitioner Not being an attendance on a patient in respect of whom payment has been made under this item or item 293 in the preceding 12 month period. 00359 01NOV2011 31OCT2019 N A telepsychiatry consultation of more than 30 minutes but not more than 45 minutes duration by a consultant physician in the practice of his or her specialty of PSYCHIATRY where: the patient is located in a regional, rural or remote area (RRMA 3-7) in the preceding 12 months, payment has been made under item 291 an outcome tool is used where clinically appropriate a mental state examination is conducted a psychiatric diagnosis is made a management plan provided under Item 291 is reviewed and revised the reviewed management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement) the reviewed management plan is communicated in writing to the referring practitioner Not being an attendance on a patient in respect of whom payment has been made under this item or item 293 in the preceding 12 month period. 00359 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry-a telepsychiatry consultation of more than 30 minutes but not more than 45 minutes in duration, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant physician in accordance with item 291; and (b) the attendance follows referral of the patient to the consultant physician for review of the management plan by the referring practitioner managing the patient; and (c) during the attendance, the consultant physician: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant physician: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) the patient is located in a regional, rural or remote area; and (f) in the preceding 12 months, a service to which item 291 applies has been performed; and (g) in the preceding 12 months, a service to which this item or item 293 applies has not been performed 00360 01FEB1984 31DEC9999 Y Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services (AU 8) 00361 01NOV2007 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a referring practitioner-a telepsychiatry consultation of more than 45 minutes in duration, if the patient: (a) either: (i) is a new patient for this consultant psychiatrist; or (ii) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; and (b) is located in a regional, rural or remote area; other than attendance on a patient in relation to whom this item, item 296, 297 or 299, or any of items 300 to 346 and 353 to 370, has applied in the preceding 24 month period 00361 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 45 minutes in duration, if the patient: (a) either: (i) is a new patient for this consultant physician; or (ii) has not received a professional attendance from this consultant physician in the preceding 24 months; and (b) is located in a regional, rural or remote area; other than attendance on a patient in relation to whom this item, item 296, 297 or 299, or any of items 300 to 346 and 353 to 370, has applied in the preceding 24 month period 00362 01FEB1984 31AUG1989 N Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal or treatment of postpartum haemorrhage by special procedures such as packing of uterus (AU 7) 00362 01SEP1989 31DEC9999 Y Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances 00363 01AUG1987 31AUG1989 N Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the patient has been referred by another medical practitioner for this procedure 00363 01SEP1989 31DEC9999 Y Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances 00364 01NOV2002 30APR2007 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND TREATMENT FOLLOWING TELEPSYCHIATRY Professional attendance by a consultant physician in the practice of his or her specialty of PSYCHIATRY, where: -the patient is referred to him or her by a medical practitioner, -that attendance occurs following four telepsychiatry consultations (items 353 to 358), - where that attendance and any other attendance to which items 364 to 370 apply does not exceed three consultations per patient in a calendar year. -any other attendance to which items 300 to 308 and 353 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. These items may only be used after every fourth telepsychiatry consultation conducted in accordance with items 353 to 358. A face-to-face attendance of not more than 15 minutes duration. 00364 01MAY2007 31OCT2007 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND TREATMENT FOLLOWING TELEPSYCHIATRY Professional attendance by a consultant physician in the practice of his or her specialty of PSYCHIATRY, where: - the patient is referred to him or her by a medical practitioner, - that attendance occurs following a telepsychiatry consultation (items 353 to 358), - that attendance and any other attendance to which items 300 to 308 and 353 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. These items may only be used after telepsychiatry consultation(s) have been conducted in accordance with items 353 to 358. A face-to-face attendance of not more than 15 minutes duration. 00364 01NOV2007 31OCT2011 N CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION FOR ASSESSMENT, DIAGNOSIS AND TREATMENT FOLLOWING TELEPSYCHIATRY Professional attendance by a consultant physician in the practice of his or her specialty of PSYCHIATRY, where: - the patient is referred to him or her by a medical practitioner, - that attendance occurs following a telepsychiatry consultation (items 353 to 361), - that attendance and any other attendance to which items 300 to 308 and 353 to 358 or 361 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. These items may only be used after telepsychiatry consultation(s) have been conducted in accordance with items 353 to 361. A face-to-face attendance of not more than 15 minutes duration. 00364 01NOV2011 31OCT2019 N Professional attendance by a consultant physician in the practice of his or her specialty of PSYCHIATRY, where: - the patient is referred to him or her by a referring practitioner, - that attendance occurs following a telepsychiatry consultation (items 353 to 361), - that attendance and any other attendance to which items 300 to 308 and 353 to 358 or 361 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year. These items may only be used after telepsychiatry consultation(s) have been conducted in accordance with items 353 to 361. A face-to-face attendance of not more than 15 minutes duration. 00364 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of not more than 15 minutes in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00365 01FEB1984 31AUG1989 N Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix (AU 8) 00365 01SEP1989 31DEC9999 Y Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances 00366 01NOV2002 31OCT2019 N A face-to-face attendance of more than 15 minutes duration but not more than 30 minutes duration 00366 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 15 minutes, but not more than 30 minutes, in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00367 01NOV2002 31OCT2019 N A face-to-face attendance of more than 30 minutes duration but not more than 45 minutes duration. 00367 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 30 minutes, but not more than 45 minutes, in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00368 01FEB1984 31DEC9999 Y Manipulative correction of acute inversion of uterus, by abdominal approach, with or without incision of cervix (AU 9) 00369 01NOV2002 31OCT2019 N A face-to-face attendance of more than 45 minutes duration but not more than 75 minutes duration 00369 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 45 minutes, but not more than 75 minutes, in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00370 01NOV2002 31OCT2019 N A face-to-face attendance of more than 75 minutes duration. 00370 01NOV2019 31DEC9999 Y Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 75 minutes in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient 00371 01NOV2018 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner. 00372 01NOV2018 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner. 00383 01FEB1984 31AUG1989 N Third degree tear, repair of, involving anal sphincter muscles (AU 7) 00383 01SEP1989 31DEC9999 Y Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances 00384 01JAN2013 31OCT2019 N Initial professional attendance of 10 minutes or less in duration on a patient by a consultant occupational physician practising in his or her specialty of occupational medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 00384 01NOV2019 31DEC9999 Y Initial professional attendance of 10 minutes or less in duration on a patient by a consultant occupational physician practising in the consultant occupational physician's specialty of occupational medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 00385 01JUL1998 31OCT2011 N CONSULTANT OCCUPATIONAL PHYSICIAN, REFERRED CONSULTATION - SURGERY OR HOSPITAL (Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner) -INITIAL attendance in a single course of treatment 00385 01NOV2011 31OCT2019 N Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 00385 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-initial attendance in a single course of treatment 00386 01JUL1998 31OCT2019 N Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine following referral of the patient to him or her by a referring practitioner-each attendance after the first in a single course of treatment 00386 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-each attendance after the first in a single course of treatment 00387 01JUL1998 31OCT2011 N CONSULTANT OCCUPATIONAL PHYSICIAN, REFERRED CONSULTATION - HOME VISITS (Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner) - INITIAL attendance in a single course of treatment 00387 01NOV2011 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 00387 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-initial attendance in a single course of treatment 00388 01JUL1998 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine following referral of the patient to him or her by a referring practitioner-each attendance after the first in a single course of treatment 00388 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-each attendance after the first in a single course of treatment 00389 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference rendered by a consultant occupational physician practising in the specialty of occupational medicine, to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or c) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 385 or 386. 00389 01NOV2012 31DEC2012 N Professional attendance on a patient by a consultant occupational physician practising in his or her specialty of occupational medicine if: (a) the attendance is by video conference; and (b) item 385 or 386 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance - at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 00389 01JAN2013 31OCT2019 N Professional attendance on a patient by a consultant occupational physician practising in his or her specialty of occupational medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 385 lasting more than 10 minutes; or (ii) provided with item 386; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00389 01NOV2019 31DEC9999 Y Professional attendance on a patient by a consultant occupational physician practising in the consultant occupational physician's specialty of occupational medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 385 lasting more than 10 minutes; or (ii) provided with item 386; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00401 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1) 00403 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2) 00404 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3) 00405 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4) 00406 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5) 00407 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6) 00408 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7) 00409 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8) 00410 01NOV1999 30APR2010 N PUBLIC HEALTH PHYSICIAN ATTENDANCES - SURGERY (Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine) - Attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management 00410 01MAY2010 31DEC9999 Y LEVEL AProfessional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management. 00411 01NOV1999 30APR2010 N - Attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, OR an attendance of less than 20 minutes duration involving components of a service to which item 412 applies 00411 01MAY2010 31DEC9999 Y LEVEL BProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting less than 20 minutes, including any of the following that are clinically relevant: a) taking a patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00412 01NOV1999 30APR2010 N - Attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, OR an attendance of less than 40 minutes duration involving components of a service to which item 413 applies 00412 01MAY2010 31DEC9999 Y LEVEL CProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting at least 20 minutes, including any of the following that are clinically relevant: a) taking a detailed patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00413 01NOV1999 30APR2010 N - Attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, OR an attendance of at least 40 minutes duration for implementation of a management plan 00413 01MAY2010 31DEC9999 Y LEVEL DProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting at least 40 minutes, including any of the following that are clinically relevant: a) taking an extensive patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00414 01NOV1999 30APR2010 N PUBLIC HEALTH PHYSICIAN ATTENDANCES - OTHER THAN AT CONSULTING ROOMS (Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine) - Attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management 00414 01MAY2010 31DEC2012 N LEVEL A Attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management. 00414 01JAN2013 31DEC9999 Y LEVEL AProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management 00415 01NOV1999 30APR2010 N - Attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, OR an attendance of less than 20 minutes duration involving components of a service to which item 416 applies 00415 01MAY2010 31DEC2012 N LEVEL B Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, including any of the following that are clinically relevant: a) taking a patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00415 01JAN2013 31DEC9999 Y LEVEL BProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms, lasting less than 20 minutes, including any of the following that are clinically relevant: a) taking a patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00416 01NOV1999 30APR2010 N - Attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, OR an attendance of less than 40 minutes duration involving components of a service to which item 417 applies 00416 01MAY2010 31DEC2012 N LEVEL C Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, including any of the following that are clinically relevant: a) taking a detailed patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00416 01JAN2013 31DEC9999 Y LEVEL CProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms lasting at least 20 minutes, including any of the following that are clinically relevant: a) taking a detailed patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00417 01NOV1999 30APR2010 N - Attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, OR an attendance of at least 40 minutes duration for implementation of a management plan 00417 01MAY2010 31DEC2012 N LEVEL D Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 40 minutes, including any of the following that are clinically relevant: a) taking an extensive patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00417 01JAN2013 31OCT2023 N LEVEL DProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms lasting at least 40 minutes, including any of the following that are clinically relevant: a) taking an extensive patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation. 00417 01NOV2023 31DEC9999 Y LEVEL D Professional attendance by a public health physician in the practice of the public health physician's specialty of public health medicine at other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: a) taking an extensive patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 00443 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9) 00444 01MAY2001 31DEC9999 Y MEDICAL PRACTITIONER (SPORTS PHYSICIAN) ATTENDANCES - SURGERY LEVEL 1 Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine - Attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management 00445 01MAY2001 31DEC9999 Y LEVEL 2 Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine - Attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or an attendance of less than 20 minutes duration involving components of a service to which item 446 applies 00446 01MAY2001 31DEC9999 Y LEVEL 3 Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine - Attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or an attendance of less than 40 minutes duration involving components of a service to which item 447 applies 00447 01MAY2001 31DEC9999 Y LEVEL 4 Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine - Attendance involving taking an exhaustive history, an comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or an attendance of at least 40 minutes duration for implementation of a management plan 00448 01MAY2001 28FEB2007 N MEDICAL PRACTITIONER (SPORTS PHYSICIAN) ATTENDANCES - EMERGENCY AFTER HOURS Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine Professional attendance AT CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance - each attendance other than an attendance between 11pm and 7am, on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or at any time other than between 8am and 8pm on a day not being a Saturday, Sunday or public holiday 00448 01MAR2007 31DEC9999 Y MEDICAL PRACTITIONER (SPORTS PHYSICIAN) ATTENDANCES - URGENT AFTER-HOURS (on not more than 1 patient on the 1 occasion) Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine Professional attendance AT CONSULTING ROOMS - each attendance (other than an attendance between 11pm and 7am) in an after-hours period, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment; and it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance 00449 01MAY2001 28FEB2007 N Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine Professional attendance, AT CONSULTING ROOMS, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance - each attendance on any day of the week between 11pm and 7am 00449 01MAR2007 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner who is a sports physician in the practice of sports medicine Professional attendance AT CONSULTING ROOMS - each attendance between 11pm and 7am if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment; and it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance 00450 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10) 00453 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11) 00454 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12) 00457 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13) 00458 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14) 00459 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15) 00460 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16) 00461 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17) 00462 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18) 00463 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19) 00464 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20) 00465 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21) 00466 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22) 00467 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23) 00468 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24) 00469 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25) 00470 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26) 00471 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27) 00472 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28) 00473 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29) 00474 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30) 00475 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32) 00476 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36) 00477 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38) 00478 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39) 00479 01FEB1984 31AUG1989 N Administration of an anaesthetic in connection with electroconvulsive therapy 00479 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40) 00480 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with radio-therapy 00481 01FEB1984 31AUG1989 N Administration of an anaesthetic in connection with a forceps delivery of a foetus 00481 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery-where an epidural needle or catheter has not been inserted earlier in labour 00482 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in Items 7397 to 7472 00483 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in Items 7505 to 7798 00484 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in Items 7505 to 7798 00485 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in Items 7505 to 7798 00486 01NOV1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units 00487 01FEB1984 31DEC9999 Y Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure 00488 01NOV1986 31DEC9999 Y Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057 00489 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with computerised axial tomography-brain scan, plain study with or without contrast medium study 00490 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with computerised axial tomography-body scan, plain study with or without contrast medium study 00492 01APR1985 31AUG1989 N Administration of an anaesthetic in connection with a medical service which has been assigned an anaesthetic unit value of - THIRTY-FOUR UNITS 00492 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34) 00493 01JUL1985 31AUG1989 N Administration of an anaesthetic in connection with a medical service which has been assigned an anaesthetic unit value of - THIRTY-FOUR UNITS 00493 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35) 00497 01JUN1985 31AUG1989 N Administration of an anaesthetic in connection with a medical service which has been assigned an anaesthetic unit value of - FORTY-SEVEN UNITS 00497 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47) 00500 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1) 00501 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving straightforward medical decision making that requires: (a) taking a problem focussed history; and (b) limited examination; and (c) diagnosis; and (d) initiation of appropriate treatment interventions 00501 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving straightforward medical decision making that requires: (a) taking a problem focussed history; and (b) limited examination; and (c) diagnosis; and (d) initiation of appropriate treatment interventions 00503 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of low complexity that requires: (a) taking an expanded problem focussed history; and (b) expanded examination of one or more systems; and (c) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (d) initiation of appropriate treatment interventions 00503 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of low complexity that requires: (a) taking an expanded problem focussed history; and (b) expanded examination of one or more systems; and (c) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (d) initiation of appropriate treatment interventions 00505 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2) 00506 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3) 00507 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires: (a) taking an expanded problem focussed history; and (b) expanded examination of one or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (e) initiation of appropriate treatment interventions 00507 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires: (a) taking an expanded problem focussed history; and (b) expanded examination of one or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (e) initiation of appropriate treatment interventions 00509 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4) 00510 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5) 00511 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires: (a) taking a detailed history; and (b) detailed examination of one or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (e) initiation of appropriate treatment interventions; and (f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent 00511 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires: (a) taking a detailed history; and (b) detailed examination of one or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (e) initiation of appropriate treatment interventions; and (f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent 00513 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6) 00514 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7) 00515 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of high complexity that requires: (a) taking a comprehensive history; and (b) comprehensive examination of one or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (e) initiation of appropriate treatment interventions; and (f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent 00515 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for the unscheduled evaluation and management of a patient, involving medical decision making of high complexity that requires: (a) taking a comprehensive history; and (b) comprehensive examination of one or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to one or more problems; and (e) initiation of appropriate treatment interventions; and (f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent 00517 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8) 00518 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9) 00519 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 30 minutes but less than 1 hour (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00519 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 30 minutes but less than 1 hour (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00520 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 1 hour but less than 2 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00520 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 1 hour but less than 2 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00521 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10) 00522 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11) 00523 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12) 00524 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13) 00525 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14) 00526 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15) 00527 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16) 00528 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17) 00529 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18) 00530 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 2 hours but less than 3 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00530 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 2 hours but less than 3 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00531 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19) 00532 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 3 hours but less than 4 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00532 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 3 hours but less than 4 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00533 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20) 00534 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 4 hours but less than 5 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00534 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 4 hours but less than 5 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00535 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21) 00536 01NOV2002 31OCT2019 N Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 5 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00536 01NOV2019 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 5 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem 00537 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22) 00538 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23) 00539 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24) 00540 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25) 00541 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26) 00542 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27) 00543 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28) 00544 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29) 00545 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30) 00546 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32) 00547 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36) 00548 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38) 00549 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39) 00550 01FEB1984 31AUG1989 N Administration of an anaesthetic in connection with electroconvulsive therapy 00550 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40) 00551 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with radio-therapy 00552 01FEB1984 31AUG1989 N Administration of an anaesthetic in connection with a forceps delivery of a foetus 00552 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery- where an epidural needle or catheter has not been inserted earlier in labour 00553 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in Items 7397 to 7472 00554 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in Items 7505 to 7798 00556 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in Items 7505 to 7798 00557 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in Items 7505 to 7798 00558 01NOV1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units 00559 01FEB1984 31DEC9999 Y Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure 00560 01OCT1986 31AUG1989 N - In connection with reamputation of amputation stump referred to in item 5057 DERIVED FEE - 85% of the fee specified for the anaesthetic for the amputation 00560 01SEP1989 31DEC9999 Y Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057 00561 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with computerised axial tomography-brain scan, plain study with or without contrast medium study 00562 01FEB1984 31DEC9999 Y Administration of an anaesthetic in connection with computerised axial tomography-body scan, plain study with or without contrast medium study 00563 01NOV1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34) 00564 01NOV1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35) 00565 01DEC1984 31DEC9999 Y Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47) 00566 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (G) 00567 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (S) 00568 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by Item 570 (G) 00569 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by Item 571 (S) 00570 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (G) 00571 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (S) 00572 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (G) 00573 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (S) 00574 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (G) 00575 01FEB1984 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (S) 00576 01JUL1985 31AUG1989 N ADMINISTRATION BY A MEDICAL PRACTITIONER OF AN ENDOTRACHEAL ANAESTHETIC in connection with a dental operation, not covered by any other item in this Part. Anaesthetic 7 units (G) 00576 01SEP1989 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation, not covered by any other item in this Part (G) 00577 01JUL1985 31AUG1989 N ADMINISTRATION BY A MEDICAL PRACTITIONER OF AN ENDOTRACHEAL ANAESTHETIC in connection with a dental operation, not covered by any other item in this Part. Anaesthetic 7 units (S) 00577 01SEP1989 31DEC9999 Y Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation, not covered by any other item in this Part (S) 00585 01MAR2018 31DEC9999 Y Professional attendance by a general practitioner on one patient on one occasion-each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms-it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance 00588 01MAR2018 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion-each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment; and (c) the attendance is in an after-hours rural area; and (d) if the attendance is at consulting rooms-it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance 00591 01MAR2018 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion-each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment; and (c) the attendance is not in an after-hours rural area; and (d) if the attendance is at consulting rooms-it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance 00594 01MAR2018 31DEC9999 Y Professional attendance by a medical practitioner-each additional patient at an attendance that qualifies for item 585, 588 or 591 in relation to the first patient 00597 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner on not more than 1 patient on the 1 occasion - each attendance (other than an attendance between 11pm and 7am) in an after-hours period if: a) the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken urgent after-hours period; b) the patient's condition requires urgent medical treatment; and c) if the attendance is undertaken at consulting rooms, it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance 00598 01MAY2010 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) on not more than 1 patient on the 1 occasion - each attendance (other than an attendance between 11pm and 7am) in an after-hours period if: a) the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken urgent after-hours period; b) the patient's condition requires urgent medical treatment; and c) if the attendance is undertaken at consulting rooms, it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance 00599 01MAY2010 28FEB2018 N Professional attendance, by a general practitioner on not more than 1 patient on the 1 occasion - each attendance between 11pm and 7am, if: a) the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and b) the patient's condition requires urgent medical treatment; and c) if the attendance is undertaken at consulting rooms, it is necessary for the practitioner to return to and specially open, the consulting rooms for the attendance. 00599 01MAR2018 31DEC9999 Y Professional attendance by a general practitioner on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms-it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance 00600 01MAY2010 28FEB2018 N Professional attendance, by a medical practitioner, (other than a general practitioner) on not more than 1 patient on the 1 occasion - each attendance between 11pm and 7am, if: a) the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and b) the patient's condition requires urgent medical treatment; and c) if the attendance is undertaken at consulting rooms, it is necessary for the practitioner to return to and specially open, the consulting rooms for the attendance 00600 01MAR2018 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms-it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance 00601 01NOV1997 28FEB2007 N Professional attendance, at a place OTHER THAN CONSULTING ROOMS, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment - each attendance on any day of the week between 11pm and 7am 00601 01MAR2007 31DEC9999 Y Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS, by a general practitioner on not more than 1 patient on the 1 occasion - each attendance between 11pm and 7am, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment 00602 01NOV1997 28FEB2007 N Professional attendance, AT CONSULTING ROOMS, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance - each attendance on any day of the week between 11pm and 7am 00602 01MAR2007 31DEC9999 Y Professional attendance AT CONSULTING ROOMS, by a general practitioner on not more than 1 patient on the 1 occasion - each attendance between 11pm and 7am, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment; and it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance 00603 01NOV2008 31DEC9999 Y GENERAL PRACTITIONER URGENT ATTENDANCES - TRANSITIONAL HOURS (on not more than 1 patient on 1 occasion) Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS, by a general practitioner on not more than 1 patient on the 1 occasion - each attendance (between 6pm and 8pm weekdays excluding public holidays and 12pm and 1pm on a Saturday) in a transitional hours, if: a) the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and b) the patient's medical condition requires urgent treatment 00696 01NOV2008 31DEC9999 Y OTHER NON-REFERRED URGENT ATTENDANCES - TRANSITIONAL HOURS (on not more than 1 patient on 1 occasion) Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS, by a medical practitioner, other than a general practitioner on not more than 1 patient on the 1 occasion - each attendance (between 6pm and 8pm weekdays excluding public holidays and 12pm and 1pm on a Saturday) in a transitional hours, if: a) the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and b) the patient's medical condition requires urgent treatment 00697 01NOV1997 28FEB2007 N Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment - each attendance on any day of the week between 11pm and 7am 00697 01MAR2007 31DEC9999 Y Professional attendance AT A PLACE OTHER THAN CONSULTING ROOMS, by a medical practitioner (other than a general practitioner) on not more than 1 patient on the 1 occasion - each attendance between 11pm and 7am, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment 00698 01NOV1997 28FEB2007 N Professional attendance AT CONSULTING ROOMS where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance - each attendance on any day of the week between 11pm and 7am 00698 01MAR2007 31DEC9999 Y Professional attendance AT CONSULTING ROOMS, by a medical practitioner (other than a general practitioner) on not more than 1 patient on the 1 occasion - each attendance between 11pm and 7am, if: the attendance is requested by the patient or a responsible person in, or not more than 2 hours before the start of, the same unbroken after-hours period; and the patient's medical condition requires urgent treatment; and it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance 00699 01APR2019 31OCT2019 N Professional attendance for a heart health assessment by a general practitioner at consulting rooms lasting at least 20 minutes and must include:(a) collection of relevant information, including taking a patient history that is aimed at identifying cardiovascular disease risk factors, including diabetes status, alcohol intake, smoking status, cholesterol status (if not performed within the last 12 months) and blood glucose;(b) a physical examination, which must include recording of blood pressure;(c) initiating interventions and referrals to address the identified risk factors;(d) implementing a management plan for appropriate treatment of identified risk factors;(e) providing the patient with preventative health care advice and information, including modifiable lifestyle factors; with appropriate documentation. 00699 01NOV2019 30JUN2021 N Professional attendance for a heart health assessment by a general practitioner at consulting rooms lasting at least 20 minutes and must include: (a) collection of relevant information, including taking a patient history that is aimed at identifying cardiovascular disease risk factors, including diabetes status, alcohol intake, smoking status and blood glucose;(b) a physical examination, which must include recording of blood pressure and cholesterol status;(c) initiating interventions and referrals to address the identified risk factors;(d) implementing a management plan for appropriate treatment of identified risk factors;(e) providing the patient with preventative health care advice and information, including modifiable lifestyle factors; with appropriate documentation. Claimable once only in a 12 month period. The heart health assessment item cannot be claimed if a patient has had a health assessment service (items 701, 703, 705, 707, 715) in the previous 12 months. 00699 01JUL2021 31DEC9999 Y Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a general practitioner at consulting rooms lasting at least 20 minutes and including: collection of relevant information, including taking a patient history; and a basic physical examination, which must include recording blood pressure and cholesterol; and initiating interventions and referrals as indicated; and implementing a management plan; and providing the patient with preventative health care advice and information. 00700 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) AT CONSULTING ROOMS for a health assessment - of a patient who is at least 75 years old - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 702, 704 or 706 00700 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) AT CONSULTING ROOMS for a health assessment - of a patient who is at least 75 years old - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 702, 704 or 706 00701 01MAY2010 30JUN2018 N Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing the patient with preventive health care advice and information 00701 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner to perform a brief health assessment, lasting not more than 30 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing the patient with preventive health care advice and information 00702 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) NOT BEING AN ATTENDANCE AT CONSULTING ROOMS, A HOSPITAL OR A NURSING HOME, for a health assessment - of a patient who is at least 75 years old - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 704 or 706 00702 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) NOT BEING AN ATTENDANCE AT CONSULTING ROOMS, A HOSPITAL OR A RESIDENTIAL AGED CARE FACILITY for a health assessment - of a patient who is at least 75 years old - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 704 or 706 00703 01MAY2010 30JUN2018 N Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including: (a) detailed information collection, including taking a patient history; and (b) an extensive physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing a preventive health care strategy for the patient 00703 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including: (a) detailed information collection, including taking a patient history; and (b) an extensive physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing a preventive health care strategy for the patient 00704 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) AT CONSULTING ROOMS for a health assessment - of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 706 00704 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) AT CONSULTING ROOMS for a health assessment - of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 706 00705 01MAY2010 30JUN2018 N Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition and physical function; and (c) initiating interventions and referrals as indicated; and (d) providing a basic preventive health care management plan for the patient 00705 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition and physical function; and (c) initiating interventions and referrals as indicated; and (d) providing a basic preventive health care management plan for the patient 00706 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) NOT BEING AN ATTENDANCE AT CONSULTING ROOMS, A HOSPITAL OR A NURSING HOME, for a health assessment - of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 704 00706 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) NOT BEING AN ATTENDANCE AT CONSULTING ROOMS, A HOSPITAL OR A RESIDENTIAL AGED CARE FACILITY, for a health assessment - of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 704 00707 01MAY2010 30JUN2018 N Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment (lasting at least 60 minutes) including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition, and physical, psychological and social function; and (c) initiating interventions or referrals as indicated; and (d) providing a comprehensive preventive health care management plan for the patient 00707 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner to perform a prolonged health assessment (lasting at least 60 minutes) including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition, and physical, psychological and social function; and (c) initiating interventions or referrals as indicated; and (d) providing a comprehensive preventive health care management plan for the patient 00708 01MAY2006 31DEC9999 Y ABORIGINAL AND TORRES STRAIT ISLANDER CHILD HEALTH CHECK Attendance by a medical practitioner, other than a specialist or a consultant physician, at consulting rooms or in another place other than a hospital or Residential Aged Care Facility, for a child health check of a patient who is of Aboriginal or Torres Strait Islander descent and aged 0 to 14 years inclusive - not being a child health check of a patient in respect of whom, in the preceding 9 months, a payment has been made under this item 00709 01JUL2008 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) AT CONSULTING ROOMS to undertake a health check for a patient who is receiving or has received their four year old immunisation. Not being an attendance on a patient in respect of whom a payment has already been made under this item or item 711. Benefits are payable on one occasion only for each eligible patient. 00710 01MAY2004 31DEC9999 Y ABORIGINAL AND TORRES STRAIT ISLANDER ADULT HEALTH CHECK Attendance by a medical practitioner, other than a specialist or a consultant physician, at consulting rooms or in another place other than a hospital or Residential Aged Care Facility, for an adult health check of a patient who is of Aboriginal or Torres Strait Islander descent and aged at least 15 years old and less than 55 years old - not being an adult health check of a patient in respect of whom, in the preceding 18 months, a payment has been made under this item 00711 01JUL2008 31OCT2008 N Service provided by a practice nurse being the provision of a health check for a patient who is receiving or has received their four year old immunisation, if : (a) the service is provided on behalf of, and under the supervision of, a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), and (b) the person is not an admitted patient of a hospital. Not being an attendance on a patient in respect of whom a payment has already been made under this item or item 709. Benefits are payable on one occasion only for each eligible patient. 00711 01NOV2008 31DEC9999 Y Service provided by a practice nurse or registered Aboriginal Health Worker being the provision of a health check for a patient who is receiving or has received their four year old immunisation, if : (a) the service is provided on behalf of, and under the supervision of, a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), and (b) the person is not an admitted patient of a hospital. Not being an attendance on a patient in respect of whom a payment has already been made under this item or item 709. Benefits are payable on one occasion only for each eligible patient. 00712 01JUL2004 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) AT A RESIDENTIAL AGED CARE FACILITY OR AT CONSULTING ROOMS for a Comprehensive Medical Assessment (CMA) of a permanent resident of a residential aged care facility - not being a CMA of a resident in respect of whom, in the preceding 12 months, a payment has been made under this item. Benefits under this item are payable in respect of one CMA for new residents on admission to a Residential Aged Care Facility and for continuing residents on an as required basis, with a maximum of one CMA for a resident in any twelve month period. 00713 01JUL2008 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) AT A PLACE OTHER THAN A HOSPITAL to undertake a type 2 diabetes risk evaluation for a patient who is 40 to 49 years of age (inclusive) with a high risk of developing type 2 diabetes as determined by the Australian Type 2 Diabetes Risk Assessment Tool - not being a type 2 diabetes risk evaluation of a patient in respect of whom, in the preceding 3 years, a payment has been made under this item or item 717. 00714 01MAY2006 31DEC9999 Y HEALTH ASSESSMENT FOR REFUGEES AND OTHER HUMANITARIAN ENTRANTS Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) AT CONSULTING ROOMS for a health assessment of a patient that has been granted residency in Australia under the Humanitarian Program, not being a health assessment of a patient in respect of whom, a payment has been made under this item or item 700, 702, 712 or 716. Benefits are payable for a service provided to a patient within 12 months of them arriving in Australia or receiving residency (whichever is the later) Note: Benefits are payable on one occasion only for a service included in this item or item716 00715 01MAY2010 30JUN2018 N Professional attendance by a medical practitioner (other than a specialist or consultant physician) at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-not more than once in a 9 month period 00715 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-not more than once in a 9 month period 00716 01MAY2006 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) NOT BEING AN ATTENDANCE AT CONSULTING ROOMS, A HOSPITAL OR A RESIDENTIAL AGED CARE FACILITY for a health assessment of a patient that has been granted residency in Australia under the Humanitarian Program, not being a health assessment of a patient in respect of whom, a payment has been made under this item or item 700, 702, 712 or 714. Benefits are payable for a service provided to a patient within 12 months of them arriving in Australia or receiving residency (whichever is the later) Note: Benefits are payable on one occasion only for a service included in this item or item 714 00717 01NOV2006 31DEC9999 Y 45 YEAR OLD HEALTH CHECK Attendance by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) AT A PLACE OTHER THAN A HOSPITAL to undertake a health check for a patient between the age of 45 and 49 (inclusive) at risk of developing a chronic disease. Benefits are payable on one occasion only for each eligible patient. 00718 01JUL2007 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) AT CONSULTING ROOMS for a health assessment - of a patient with an intellectual disability - not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 719. 00719 01JUL2007 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) not being an attendance at consulting rooms, a hospital or residential aged care facility for a health assessment - of a patient with an intellectual disability - not being a health assessment for a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 718. 00720 01NOV1999 30APR2000 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary CARE PLAN for a patient (not being a service associated with a service to which items 740 to 773 apply) - payable not more than once in any 6 month period 00720 01MAY2000 31OCT2000 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary COMMUNITY CARE PLAN for a patient (not being a service associated with a service to which items 740 to 773 apply) - payable not more than once in any 6 month period 00720 01NOV2000 31DEC9999 Y PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary COMMUNITY CARE PLAN for a patient (not being a service associated with a service to which items 734 to 779 apply) - payable not more than once in any 6 month period 00721 01JUL2005 31OCT2006 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP MANAGEMENT PLAN for a patient (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item or former item 720, or within three months of a claim for items 725, 727, 729 or 731, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Management Plan. 00721 01NOV2006 30APR2010 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP MANAGEMENT PLAN for a patient (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item, or within three months of a claim for items 725, 727, 729 or 731, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Management Plan. 00721 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 apply) 00721 01JUL2018 31DEC9999 Y Attendance by a general practitioner for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 apply) 00722 01NOV1999 31OCT2000 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary CARE PLAN for a patient (not being a service associated with a service to which items 740 to 773 apply) - payable not more than once for each HOSPITAL ADMISSION 00722 01NOV2000 31DEC9999 Y PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary DISCHARGE CARE PLAN for a patient (not being a service associated with a service to which items 734 to 779 apply) - payable not more than once for each HOSPITAL ADMISSION 00723 01JUL2005 31OCT2006 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to COORDINATE the development of TEAM CARE ARRANGEMENTS for a patient (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item or former item 720, or within three months of a claim for item 727, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the coordination of new Team Care Arrangements. 00723 01NOV2006 30APR2010 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to COORDINATE the development of TEAM CARE ARRANGEMENTS for a patient (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item, or within three months of a claim for item 727, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the coordination of new Team Care Arrangements. 00723 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 apply) 00723 01JUL2018 31DEC9999 Y Attendance by a general practitioner to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 apply) 00724 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to REVIEW a multidisciplinary CARE PLAN prepared by that medical practitioner for a patient (not being a payment in respect of a service to which items 740 to 773 apply) - payable not more than once in any 3 month period, and not being an attendance in relation to a patient: (a) in respect of whom, in the preceding 3 months, a payment has been made under item 720; or (b) in respect of whom, in the preceding month, a payment has been made under item 722 00724 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to REVIEW a multidisciplinary COMMUNITY CARE PLAN or a DISCHARGE CARE PLAN prepared by that medical practitioner for a patient and claimed for under item 720 or 722 (not being a payment for a service to which items 740 to 773 apply) - payable not more than once in any 3 month period, and not being an attendance in relation to a patient: (a) for whom, in the preceding 3 months, a payment has been made under item 720; or (b) for whom, in the preceding month, a payment has been made under item 722 00724 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to REVIEW a multidisciplinary COMMUNITY CARE PLAN or a DISCHARGE CARE PLAN prepared by that medical practitioner for a patient and claimed for under item 720 or 722 (not being a payment for a service to which items 734 to 779 apply) - payable not more than once in any 3 month period, and not being an attendance in relation to a patient: (a) for whom, in the preceding 3 months, a payment has been made under item 720; or (b) for whom, in the preceding month, a payment has been made under item 722 00725 01JUL2005 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW: (a) a GP MANAGEMENT PLAN prepared by that medical practitioner (or an associated medical practitioner) to which item 721 applies; or (b) a multidisciplinary community care plan to which former item 720 applied, or a multidisciplinary discharge care plan to which former item 722 applied, prepared by that medical practitioner (or an associated medical practitioner); (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within three months of a claim for item 721, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Management Plan. 00726 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to make a CONTRIBUTION to a multidisciplinary CARE PLAN (not being a payment in respect of a service to which items 740 to 773 apply) - not being an attendance in relation to a patient in respect of whom, in the preceding 6 months, a payment has been made under item 720 00726 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to contribute to a multidisciplinary COMMUNITY CARE PLAN or to a REVIEW of a multidisciplinary COMMUNITY CARE PLAN prepared by another provider (not being a payment for a service to which items 740 to 773 apply) - not being an attendance in relation to a patient for whom, in the preceding 6 months, a payment has been made under item 720 00726 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to contribute to a multidisciplinary COMMUNITY CARE PLAN or to a REVIEW of a multidisciplinary COMMUNITY CARE PLAN prepared by another provider (not being a payment for a service to which items 734 to 779 apply) - not being an attendance in relation to a patient for whom, in the preceding 6 months, a payment has been made under item 720 00727 01JUL2005 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to COORDINATE a REVIEW of (a) TEAM CARE ARRANGEMENTS coordinated by that medical practitioner (or an associated medical practitioner) to which item 723 applies; or (b) a multidisciplinary community care plan to which former item 720 applied or a multidisciplinary discharge care plan to which former item 722 applied, prepared by that medical practitioner (or an associated medical practitioner); (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within three months of a claim for item 723, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the coordination of a new review of Team Care Arrangements. 00728 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to make a CONTRIBUTION to a multidisciplinary DISCHARGE CARE PLAN (not being a service associated with a service to which items 722, 740 to 773 apply) 00728 01MAY2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to CONTRIBUTE to a multidisciplinary DISCHARGE CARE PLAN or to a REVIEW of a multidisciplinary DISCHARGE CARE PLAN prepared by another provider (not being a service associated with a service to which items 722, 734 to 779 apply) 00729 01JUL2005 31OCT2006 N CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to a multidisciplinary care plan prepared by another provider or to a REVIEW of a multidisciplinary care plan prepared by another provider (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within twelve months of a claim by the same practitioner for item 721 or 723, within three months of a claim for the same item or within three months of a claim for item 725, former item 726, item 727, former item 728 or item 731, except where there has been a significant change in the patient's clinical condition or care circumstances that requires a new contribution to the multidisciplinary care plan. 00729 01NOV2006 30APR2010 N CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to a multidisciplinary care plan prepared by another provider or to a REVIEW of a multidisciplinary care plan prepared by another provider (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within twelve months of a claim by the same practitioner for item 721 or 723, within three months of a claim for the same item or within three months of a claim for item 725, item 727, or item 731, except where there has been a significant change in the patient's clinical condition or care circumstances that requires a new contribution to the multidisciplinary care plan. 00729 01MAY2010 30JUN2018 N Contribution by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 apply) 00729 01JUL2018 31DEC9999 Y Contribution by a general practitioner to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 apply) 00730 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to make a CONTRIBUTION to a multidisciplinary CARE PLAN IN A RESIDENTIAL AGED CARE FACILITY or to a REVIEW of a multidisciplinary CARE PLAN IN A RESIDENTIAL AGED CARE FACILITY prepared by the residential aged care facility (not being a payment in respect of a service to which items 734 to 779 apply) 00731 01JUL2005 31OCT2006 N CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to: (a) a multidisciplinary care plan for a patient in A RESIDENTIAL AGED CARE FACILITY, prepared by that facility, or to a REVIEW of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a resident by another provider before the resident is discharged from a hospital or an approved day-hospital facility, or to a review of such a plan prepared by another provider; (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within three months of a claim for item 721, 723, 725, 727, 729 or former item 730, except where there has been a significant change in the patient's clinical condition or care circumstances that requires a new contribution to the multidisciplinary care plan. 00731 01NOV2006 30APR2010 N CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to: (a) a multidisciplinary care plan for a patient in A RESIDENTIAL AGED CARE FACILITY, prepared by that facility, or to a REVIEW of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a resident by another provider before the resident is discharged from a hospital or an approved day-hospital facility, or to a review of such a plan prepared by another provider; (not being a service associated with a service to which items 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within three months of a claim for item 721, 723, 725, 727, 729, except where there has been a significant change in the patient's clinical condition or care circumstances that requires a new contribution to the multidisciplinary care plan. 00731 01MAY2010 30JUN2018 N Contribution by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 apply) 00731 01JUL2018 31DEC9999 Y Contribution by a general practitioner to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 apply) 00732 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 723 applies 00732 01JUL2018 31DEC9999 Y Attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 applies 00733 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner-each attendance 00733 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner-each attendance 00734 01NOV2000 31DEC9999 Y CASE CONFERENCE - MEDICAL PRACTITIONER (OTHER THAN A SPECIALIST OR CONSULTANT PHYSICIAN) Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A CASE CONFERENCE IN A RESIDENTIAL AGED CARE FACILITY, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which item 731 applies) 00735 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply) 00735 01JUL2018 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply) 00736 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A CASE CONFERENCE IN A RESIDENTIAL AGED CARE FACILITY, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which item 731 applies) 00737 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a medical practitioner-each attendance 00737 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner-each attendance 00738 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A CASE CONFERENCE IN A RESIDENTIAL AGED CARE FACILITY, where the conference time is at least 45 minutes, (not being a service associated with a service to which item 731 applies) 00739 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00739 01JUL2018 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00740 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A CASE CONFERENCE, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 720 to 728 apply) 00740 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A COMMUNITY CASE CONFERENCE, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 720 to 728 apply) 00740 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A COMMUNITY CASE CONFERENCE, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 721 to 731 apply) 00741 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner-each attendance 00741 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner-each attendance 00742 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A CASE CONFERENCE, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00742 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A COMMUNITY CASE CONFERENCE, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00742 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A COMMUNITY CASE CONFERENCE, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 721 to 731 apply) 00743 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00743 01JUL2018 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00744 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A CASE CONFERENCE, where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00744 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A COMMUNITY CASE CONFERENCE, where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00744 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A COMMUNITY CASE CONFERENCE, where the conference time is at least 45 minutes (not being a service associated with a service to which items 721 to 731 apply) 00745 01JUL2018 31OCT2023 N Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner-each attendance 00745 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes in duration but not more than 60 minutes (other than a service to which another item applies) by a prescribed medical practitioner-each attendance 00746 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A DISCHARGE CASE CONFERENCE, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 720 to 728 apply) - payable not more than once for each HOSPITAL ADMISSION 00746 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A DISCHARGE CASE CONFERENCE, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 721 to 731 apply) - payable not more than once for each HOSPITAL ADMISSION 00747 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply) 00747 01JUL2018 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply) 00748 01FEB1984 31OCT1986 N Initial major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus (not including the uterine cervix); epidural (peridural) ; paravertebral (thoracic or lumbar); pudendal; sacral; spinal 00748 01NOV1986 31AUG1989 N REGIONAL OR FIELD NERVE BLOCK, being one of the following nerve blocks — abdominal (in association with an intra-peritoneal operation), brachial plexus, caudal, cervical plexus (not including the uterine cervix), epidural (peridural), ilio inguinal-ilio hypogastric-genitofemoral, intercostal (involving any four or more nerves, one or both sides), paravertebral (thoracic or lumbar), pudendal; retrobulbar with facial nerve; sacral or spinal (intrathecal) 00748 01SEP1989 31DEC9999 Y Regional or field nerve block, being one of the following nerve blocks-abdominal (in association with an intraperitoneal operation); brachial plexus, cervical plexus (not including the uterine cervix); epidural (peridural); ilio-inguinal, ilio-hypogastric, genito-femoral, (involving all three nerves); intercostal (involving any four or more nerves, one or both sides); paravertebral (thoracic or lumbar); pudendal; retrobulbar with facial nerve; sacral or spinal (intrathecal) 00749 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A DISCHARGE CASE CONFERENCE, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 720 to 728 apply) - payable not more than once for each HOSPITAL ADMISSION 00749 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A DISCHARGE CASE CONFERENCE, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 721 to 731 apply) - payable not more than once for each HOSPITAL ADMISSION 00750 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00750 01JUL2018 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00751 01MAR1987 31DEC9999 Y MAINTENANCE OF A REGIONAL OR FIELD NERVE BLOCK referred to in Item 748 by the administration of local anaesthetic through an in situ needle or catheter when performed other than by the operating surgeon 00752 01FEB1984 31JUL1987 N Subsequent major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus (not including the uterine cervix); epidural (peridural) ; paravertebral (thoracic or lumbar); pudendal; sacral; spinal 00752 01AUG1987 31DEC9999 Y INTRODUCTION OF A NARCOTIC, for the control of post-operative pain, into the epidural or intrathecal space in association with an operation 00753 01FEB1984 29FEB1984 N Epidural injection in lumbar or thoracic region for the control of post-operative pain, in association with general anaesthesia 00753 01MAR1984 31OCT1986 N Introduction at the end of an operation of a narcotic or local anaesthetic into the lumbar or thoracic epidural space for the control of post-operative pain, in association with general anaesthesia 00753 01NOV1986 31AUG1989 N INTRODUCTION at the end of an operation OF A NARCOTIC OR LOCAL ANAESTHETIC into the caudal,lumbar or thoracic epidural space for the control of post-operative pain,in association with general anaesthesia 00753 01SEP1989 31DEC9999 Y Introduction at the end of an operation of a local anaesthetic into the caudal, lumbar or thoracic epidural space for the control of post-operative pain, in association with general anaesthesia 00754 01AUG1987 31DEC9999 Y MAINTENANCE of narcotic analgesia referred to in Item 752 by the administration of a narcotic through an in situ needle or catheter, when performed other than by the operating surgeon 00755 01FEB1984 31OCT1986 N Nerve block with local anaesthetic agent of the coeliac plexus, the lumbar sympathetic chain, the thoracic sympathetic chain, the glossopharyngeal nerve or the obturator nerve, with or without X-ray control 00755 01NOV1986 31AUG1989 N NERVE BLOCK with local anaesthetic agent of the coeliac plexus, lumbar sympathetic chain, thoracic sympathetic chain glossopharyngeal nerve or obturator nerve, with or without x-ray control 00755 01SEP1989 31DEC9999 Y Nerve block with local anaesthetic agent of the coeliac plexus, the lumbar sympathetic chain, the thoracic sympathetic chain, the glossopharyngeal nerve or the obturator nerve, with or without X-ray control (AU 8) 00756 01FEB1984 31OCT1986 N Nerve block with alcohol, phenol or other neurolytic agent of the coeliac plexus, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain or a cranial nerve (other than the trigeminal nerve) or an epidural or caudal block with or without X-ray control, localization by electrical stimulator or preliminary block with local anaesthetic 00756 01NOV1986 31AUG1989 N NERVE BLOCK with alcohol, phenol or other neurolytic agent of the coeliac plexus nerve, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain, or cranial nerve (other than the trigeminal nerve) or an epidural or caudal block With or without x-ray control, localisation by electrical stimulator or preliminary block with local anaesthetic 00756 01SEP1989 31DEC9999 Y Nerve block with alcohol, phenol or other neurolytic agent of the coeliac plexus, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain or a cranial nerve (other than the trigeminal nerve) or an epidural or caudal block with or without X-ray control, localization by electrical stimulator or preliminary block with local anaesthetic (AU 8) 00757 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND CO-ORDINATE A DISCHARGE CASE CONFERENCE, where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 728 apply) - payable not more than once for each HOSPITAL ADMISSION 00757 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to ORGANISE AND COORDINATE A DISCHARGE CASE CONFERENCE, where the conference time is at least 45 minutes (not being a service associated with a service to which items 721 to 731 apply) - payable not more than once for each HOSPITAL ADMISSION 00758 01MAY2010 30JUN2018 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00758 01JUL2018 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply) 00759 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A CASE CONFERENCE, (other than to organise and co-ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 720 to 728 apply) 00759 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE, (other than to organise and co-ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 720 to 728 apply) 00759 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE, (other than to organise and coordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 721 to 731 apply) 00760 01FEB1984 28FEB1987 N Intravenous regional anaesthesia of limb by retrograde perfusion (G) 00760 01MAR1987 31DEC9999 Y Intravenous regional anaesthesia of limb by retrograde perfusion (G) 00761 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes-an attendance on one or more patients on one occasion-each patient 00761 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes-an attendance on one or more patients on one occasion-each patient 00762 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE (other than to organise and co-ordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00762 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE (other than to organise and co-ordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00762 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE (other than to organise and coordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 721 to 731 apply) 00763 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes-an attendance on one or more patients on one occasion-each patient 00763 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes-an attendance on one or more patients on one occasion-each patient 00764 01FEB1984 28FEB1987 N Intravenous regional anaesthesia of limb by retrograde perfusion (S) 00764 01MAR1987 31DEC9999 Y Intravenous regional anaesthesia of limb by retrograde perfusion (S) 00765 01NOV1999 30APR2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A CASE CONFERENCE (other than to organise and co-ordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00765 01MAY2000 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE (other than to organise and co-ordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 728 apply) 00765 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE (other than to organise and coordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which items 721 to 731 apply) 00766 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes-an attendance on one or more patients on one occasion-each patient 00766 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes-an attendance on one or more patients on one occasion-each patient 00767 01FEB1984 31OCT1986 N Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service which contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 32), (AU 36), (AU 38) or (AU 39) 00767 01NOV1986 31AUG1989 N Assistance in the administration of an anaesthetic for which the anaesthetic unit value is not less than 21 units 00767 01SEP1989 31DEC9999 Y Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service which contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 32), (AU 34), (AU 35), (AU 36), (AU 38), (AU 39), (AU 40) or (AU 47) 00768 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE (other than to organise and co-ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 720 to 728 apply) - payable not more than once for each HOSPITAL ADMISSION 00768 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE (other than to organise and coordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 721 to 731 apply) - payable not more than once for each HOSPITAL ADMISSION 00769 01JUL2018 31OCT2023 N Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes-an attendance on one or more patients on one occasion-each patient 00769 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes, but not more than 60 minutes-an attendance on one or more patients on one occasion-each patient. 00770 01FEB1984 31OCT1986 N Blood pressure recording by intravascular cannula (AU 4) 00770 01NOV1986 28FEB1987 N BLOOD PRESSURE RECORDING by intravascular cannula 00770 01MAR1987 31DEC9999 Y BLOOD PRESSURE RECORDING by intravascular cannula 00771 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE (other than to organise and co-ordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 720 to 728 apply) - payable not more than once for each HOSPITAL ADMISSION 00771 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE (other than to organise and coordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which items 721 to 731 apply) - payable not more than once for each HOSPITAL ADMISSION 00772 01JUL2018 31OCT2023 N Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of not more than 5 minutes in duration by a medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00772 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of not more than 5 minutes in duration by a prescribed medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00773 01NOV1999 31OCT2000 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE (other than to organise and co-ordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 728 apply) - payable not more than once for each HOSPITAL ADMISSION 00773 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE (other than to organise and coordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which items 721 to 731 apply) - payable not more than once for each HOSPITAL ADMISSION 00774 01FEB1984 28FEB1987 N Hyperbaric oxygen therapy where the medical practitioner is not in the chamber 00774 01MAR1987 31DEC9999 Y Hyperbaric oxygen therapy where the medical practitioner is not in the chamber 00775 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A CASE CONFERENCE IN A RESIDENTIAL AGED CARE FACILITY, (other than to organise and coordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which item 731 applies) 00776 01JUL2018 31OCT2023 N Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00776 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a prescribed medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00777 01FEB1984 28FEB1987 N Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber 00777 01MAR1987 31DEC9999 Y Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber 00778 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A CASE CONFERENCE IN A RESIDENTIAL AGED CARE FACILITY, (other than to organise and coordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which item 731 applies) 00779 01NOV2000 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a case conference team, to PARTICIPATE IN A CASE CONFERENCE IN A RESIDENTIAL AGED CARE FACILITY, (other than to organise and coordinate the conference), where the conference time is at least 45 minutes, (not being a service associated with a service to which item 731 applies) 00780 01MAY1990 31DEC9999 Y URINE FLOW STUDY including peak urine flow measurement, not associated with Item 786 00781 01MAY1990 31DEC9999 Y CYSTOMETROGRAPHY, not associated with Items 784, 785, 786, 810817, 839, 5840 or any item in Part 8 00782 01MAY1990 31DEC9999 Y URETHRAL PRESSURE PROFILOMETRY, not associated with Items 783, 786, 810817, 839, 5840 or any item in Part 8 00783 01MAY1990 31DEC9999 Y URETHRAL PRESSURE PROFILOMETRY WITH simultaneous measurement of urethral sphincter electromyography, not associated with Items 782, 785, 786, 5840 or any item in Part 8 00784 01MAY1990 31DEC9999 Y CYSTOMETROGRAPHY with simultaneous measurement of rectal pressure, not associated with Items 781, 785, 786, 810817, 839, 5840 or any item in Part 8 00785 01MAY1990 31DEC9999 Y CYSTOMETROGRAPHY with simultaneous measurement of urethral sphincter electromyography, not associated with Items 781, 783, 784, 786, 810817, 839, 5840 or any item in Part 8 00786 01MAY1990 31DEC9999 Y CYSTOMETROGRAPHY with simultaneous measurement of any one or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not associated with Items 780785, 810817, 839 and 5840 00787 01FEB1984 31OCT1986 N Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber 00787 01NOV1986 28FEB1987 N ADMINISTRATION OF A GENERAL ANAESTHETIC (including the administration of oxygen) during HYPERBARIC THERAPY where the medical practioner is NOT confined in the chamber 00787 01MAR1987 31DEC9999 Y ADMINISTRATION OF A GENERAL ANAESTHETIC (including the administration of oxygen) during HYPERBARIC THERAPY where the medical practitioner is NOT confined in the chamber 00788 01JUL2018 31OCT2023 N Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00788 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes by a prescribed medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00789 01JUL2018 31OCT2023 N Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 45 minutes in duration by a medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00789 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 45 minutes but not more than 60 minutes in duration by a prescribed medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 00790 01FEB1984 31OCT1986 N Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber 00790 01NOV1986 28FEB1987 N ADMINISTRATION OF A GENERAL ANAESTHETIC (including the administration of oxygen) during HYPERBARIC THERAPY where the medical practioner is confined in the chamber 00790 01MAR1987 31DEC9999 Y ADMINISTRATION OF A GENERAL ANAESTHETIC (including the administration of oxygen) during HYPERBARIC THERAPY where the medical practitioner is confined in the chamber 00791 01FEB1984 28FEB1987 N Ultrasonic cross-sectional echography, not associated with Item 793, 794 or 913, where the patient is not referred by a medical practitioner for ultrasonic examination each ultrasonic examination not exceeding two examinations in any one pregnancy 00791 01MAR1987 31DEC9999 Y ULTRASONIC CROSSSECTIONAL ECHOGRAPHY, not associated with Item 793, 794 or 913 where the patient is not referred by a medical practitioner for ultrasonic examination each ultrasonic examination not exceeding two examinations in any one pregnancy 00792 01JUL2018 31OCT2023 N Professional attendance of at least 20 minutes in duration at consulting rooms by a medical practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or items 4001, 81000, 81005 or 81010 applies in relation to that pregnancy 00792 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, lasting at least 20 minutes, for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item, or item 4001, 81000, 81005, 81010, 92136, 92137, 92138, 92139, 93026 or 93029, applies in relation to that pregnancy 00793 01FEB1984 28FEB1987 N Ultrasonic cross-sectional echography performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not associated with Item 791, 794 or 913 and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member 00793 01MAR1987 31DEC9999 Y ULTRASONIC CROSSSECTIONAL ECHOGRAPHY performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not associated with Item 791, 794 or 913 and where the referring medical practitioner is not a member of a group of practitioners of which the firstmentioned practitioner is a member 00794 01FEB1984 29FEB1984 N Ultrasonic echography, unidimensional, not associated with Item 792, 797 or 913 00794 01MAR1984 28FEB1987 N Ultrasonic echography, unidimensional not associated with Item 791, 793 or 913 00794 01MAR1987 31DEC9999 Y ULTRASONIC ECHOGRAPHY, UNIDIMENSIONAL, not associated with Item 791, 793 or 913 00795 01AUG1988 31DEC9999 Y EXAMINATION OF PERIPHERAL VESSELS AT REST (unilateral or bilateral) with hard copy recordings of wave forms, involving one of the following techniques Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity with or without pulse volume recordings; Doppler recordings involving real time fast fourier transform analysis; venous occlusion plethysmography; air plethysmography; straingauge plethysmography; impedance plethysmography; or photo plethysmography; (not associated with Items 798 or 799) one examination and report 00796 01AUG1988 31DEC9999 Y - two examinations of the kind referred to in Item 795 and report (not associated with Item 798 or 799) 00797 01FEB1984 31JUL1988 N Ultrasonic cross-sectional echography, bidimensional (excluding real-time scanning covered by Item 792), not associated with Item 792, 794 or 913 00797 01AUG1988 31DEC9999 Y - three or more examinations of the kind referred to in Item 795 and report (not associated with Item 798 or 799) 00798 01AUG1988 31DEC9999 Y EXAMINATION OF PERIPHERAL VESSELS and report, involving any of the techniques referred to in Item 795, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral) 00799 01AUG1988 31DEC9999 Y Measurement of digital temperature, one or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing 00800 01AUG1988 31DEC9999 Y Examination of carotid vessels (unilateral or bilateral) with hard copy recordings of wave forms, involving one of the following techniques-Doppler real time fast fourier transform analysis; oculoplethysmography, phonoangiography or both; or periorbital Doppler examination (not associated with item 990, 991, 992 or 993)-one examination and report 00801 01AUG1988 31OCT2000 N -two examinations of the kind referred to in item 800, and report (not associated with item 990, 991, 992 or 993) 00801 01NOV2000 31DEC9999 Y CASE CONFERENCE - CONSULTANT PHYSICIAN Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to ORGANISE AND COORDINATE A COMMUNITY CASE CONFERENCE of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00802 01AUG1988 31AUG1989 N - three or more examinations of the kind referred to in Item 795 and report (not associated with Item 990, 991 or 993) 00802 01SEP1989 31DEC9999 Y -three examinations of the kind referred to in item 800, and report (not associated with item 990, 991, 992 or 993) 00803 01FEB1984 29FEB1984 N Electroencephalography, not covered by Item 794, 797, 806 or 809 (AU 6) 00803 01MAR1984 31AUG1989 N Electroencephalography, not associated with Item 793, 794,806 or 809 (AU 6) 00803 01SEP1989 31OCT2000 N Electroencephalography, not associated with item 804, 806 or 809 (AU 6) 00803 01NOV2000 31DEC9999 Y Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to ORGANISE AND COORDINATE A COMMUNITY CASE CONFERENCE of more than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00804 01AUG1988 31DEC9999 Y Electroencephalography, prolonged recording of at least three hours duration, not associated with item 803, 806 or 809 00805 01NOV2000 31DEC9999 Y Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE (other than to organise and to coordinate the conference) of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00806 01FEB1984 31DEC9999 Y Electroencephalography, temporosphenoidal 00807 01NOV2000 31DEC9999 Y Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to PARTICIPATE IN A COMMUNITY CASE CONFERENCE (other than to organise and to coordinate the conference) of more than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00809 01FEB1984 31OCT2000 N Electrocorticography 00809 01NOV2000 31DEC9999 Y Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to ORGANISE AND COORDINATE A DISCHARGE CASE CONFERENCE of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00810 01FEB1984 31DEC9999 Y Neuromuscular electrodiagnosis-- conduction studies on one nerve or electromyography of one or more muscles using concentric needle electrodes or both these examinations (not associated with Item 811 or 813) 00811 01FEB1984 31OCT2000 N Neuromuscular electrodiagnosis-- conduction studies on two or three nerves with or without electromyography (not associated with Item 810 or 813) 00811 01NOV2000 31DEC9999 Y Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to ORGANISE AND COORDINATE A DISCHARGE CASE CONFERENCE of more than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00812 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection 19(2) of the Act applies 00813 01FEB1984 31OCT2000 N Neuromuscular electrodiagnosis-- conduction studies on four or more nerves with or without electromyography or recordings from single fibres of nerves and muscles or both of these examinations (not associated with Item 810 or 811) 00813 01NOV2000 31DEC9999 Y Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00814 01FEB1984 31DEC9999 Y Neuromuscular electrodiagnosis-- repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations 00815 01NOV2000 31DEC9999 Y Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to PARTICIPATE IN A DISCHARGE CASE CONFERENCE of more than 60 minutes, with a multidisciplinary team of at least three other formal care providers of different disciplines (see note A24.6 on permissible combinations) 00816 01FEB1984 31AUG1989 N Investigation of cortical evoked responses-- 1 or 2 studies 00816 01SEP1989 31DEC9999 Y Investigation of central nervous system evoked responses by computerised averaging techniques-one or two studies 00817 01FEB1984 31AUG1989 N Investigation of cortical evoked responses-- 3 or more studies 00817 01SEP1989 31DEC9999 Y Investigation of central nervous system evoked responses by computerised averaging techniques-three or more studies 00818 01JAN1986 31AUG1989 N BRAIN stem evoked response audiometry ANAESTHETIC 6 UNITS-ITEM NOS 407G/513S 00818 01SEP1989 31DEC9999 Y Brain stem evoked response audiometry (AU 6) 00819 01AUG1987 31DEC9999 Y INSERTION OF ELECTRODES FOR THE PURPOSE OF ELECTROCOCHLEOGRAPHY 00820 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00820 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00821 01FEB1984 31AUG1989 N Haemodialysis in hospital, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in the one day 00821 01SEP1989 31DEC9999 Y Supervision in hospital by a medical specialist of-haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in the one day 00822 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00822 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00823 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00823 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00824 01FEB1984 31AUG1989 N Haemodialysis in hospital, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in the one day 00824 01SEP1989 31DEC9999 Y Supervision in hospital by a medical specialist of-haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in the one day 00825 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 00825 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 00826 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 00826 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 00827 01JUL2018 31DEC9999 Y Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 00828 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team 00828 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team 00829 01JUL2018 31DEC9999 Y Professional attendance of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 00830 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00830 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00831 01FEB1984 31DEC9999 Y Declotting of an arteriovenous shunt 00832 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00832 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00833 01FEB1984 31AUG1989 N Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis-- insertion and fixation of 00833 01SEP1989 31DEC9999 Y Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis-insertion and fixation of (AU 8) 00834 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00834 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines 00835 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00835 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00836 01FEB1984 31DEC9999 Y Peritoneal dialysis, establishment of by abdominal puncture and insertion of temporary catheter (including associated consultation) 00837 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00837 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00838 01MAY2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00838 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00839 01FEB1984 31DEC9999 Y Bladder washout test for localization of urinary infection not including bacterial counts for organisms in specimens 00840 01NOV1990 31DEC9999 Y Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures) involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services - but excluding services for treatment involving surrogacy arrangements, transfer of frozen embryos or donated embryos or ova - all such services rendered during the one treatment cycle, where the duration of the treatment cycle is at least nine days from commencement - a maximum of six claims per patient (not associated with item 104, 105, 791, 793, 794, 841, 842, 847, 960, 963, 2021, 2024-2034 or 4194). 00841 01FEB1984 31DEC9999 Y Urinary flow study 00842 01NOV1990 31DEC9999 Y Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures), using natural (unstimulated) ovulation or ovulation stimulated only by clomiphene citrate, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services - but excluding services for treatment involving surrogacy arrangements, frozen embryo transfer or donated embryos or ova or involving the use of drugs to induce superovulation - all such services rendered during the one treatment cycle - only where rendered in conjunction with item 845 (not associated with item 791, 793, 794, 840, 841, 847, 960, 963, 2021 or 2024-2034) 00843 01FEB1984 31DEC9999 Y Cystometrography 00844 01FEB1984 29FEB1984 N Tonography-- in the investigation or management of glaucoma 00844 01MAR1984 31DEC9999 Y Tonography - in the investigation or management of glaucoma, of one or both eyes - using an electrical tonography machine producing a directly recorded tracing 00845 01NOV1990 31DEC9999 Y Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer and similar procedures, excluding services related to surrogacy arrangements - where rendered in conjunction with item 840 or 842 (not associated with item 104, 105, 841 or 4194) (AU 9) 00846 01NOV1990 31DEC9999 Y Transfer of embryos or both ova and sperm to the female reproductive system, by any means (including laparoscopy and gamete intra-fallopian transfer) excluding services related to: the transfer of frozen or donated embryos; artificial insemination; or surrogacy arrangements - where rendered in conjunction with item 840 or 842 - all such services rendered in the one treatment cycle (not associated with item 104, 105, 841, 960, 963 or 4194 ). (AU 9) 00847 01NOV1990 31DEC9999 Y Preparation and transfer of frozen or donated embryos or both ova and sperm, to the female reproductive system, by any means (including laparoscopy) and including quantitative estimation of hormones and all treatment counselling but excluding services provided for the purposes of artificial insemination or surrogacy arrangements - all such services rendered in the one treatment cycle (not associated with item 104, 105, 840, 841, 842, 845, 846, 960, 963, 2021, 2024-2034 or 4194). (AU 9) 00848 01NOV1990 31DEC9999 Y Preparation of semen for the purposes of assisted reproductive technologies including in vitro fertilisation and gamete intra-fallopian transfer or for artificial insemination using donated or husband's sperm, but excluding services related to surrogacy arrangements (not associated with item 2370-2373, 2377 or 2378). 00849 01FEB1984 31DEC9999 Y Provocative test or tests for glaucoma, including water drinking 00850 01NOV1990 31DEC9999 Y Tonography - in the investigation or management of glaucoma, one or both eyes - using an electrical tonography machine producing a directly recorded tracing 00851 01FEB1984 31AUG1989 N Attendance by a medical practitioner for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-- one attendance in any period of thirtysix consecutive months 00851 01SEP1989 31DEC9999 Y Investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of thirty six consecutive months 00852 01AUG1987 31DEC9999 Y REFITTING OF CONTACT LENSES with keratometry and testing with trial lenses and the issue of a prescription being a subsequent fitting of CONTACT LENSES WITHIN A PERIOD OF THIRTY-SIX MONTHS OF THE INITIAL FITTING WHICH IS COVERED BY ITEM 851 00853 01FEB1984 29FEB1984 N Electroretinography 00853 01MAR1984 31DEC9999 Y Electroretinography of one or both eyes or electro-oculography of one or both eyes 00854 01FEB1984 31DEC9999 Y Electroretinography of one or both eyes and electro-oculography of one or both eyes 00855 01NOV2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 00855 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 00856 01FEB1984 31DEC9999 Y Optic fundi, examination of following intravenous dye injection 00857 01NOV2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 00857 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 00858 01NOV2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team 00858 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team 00859 01FEB1984 31DEC9999 Y Retinal photography, multiple exposures, of one eye with intravenous dye injection 00860 01FEB1984 31DEC9999 Y Retinal photography, multiple exposures of both eyes with intravenous dye injection 00861 01NOV2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00861 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00862 01AUG1986 31DEC9999 Y Non-determinate AUDIOMETRY 00863 01FEB1984 31DEC9999 Y Audiogram, air conduction 00864 01NOV2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00864 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00865 01FEB1984 31AUG1989 N Audiogram, air and bone conduction 00865 01SEP1989 31DEC9999 Y Audiogram, air and bone conduction or air conduction and speech discrimination 00866 01NOV2002 31OCT2019 N Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00866 01NOV2019 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 00867 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00868 01JUL2018 31DEC9999 Y Professional attendance not in consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 00869 01JUL2018 31DEC9999 Y Professional attendance of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 00870 01FEB1984 31DEC9999 Y Audiogram, air and bone conduction and speech 00871 01NOV2006 30JUN2018 N Attendance by a medical practitioner (including a specialist or consultant physician in the practice of his or her specialty or a general practitioner), as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00871 01JUL2018 31DEC9999 Y Attendance by a general practitioner, specialist or consultant physician as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00872 01NOV2006 30JUN2018 N Attendance by a medical practitioner (including a specialist or consultant physician in the practice of his or her specialty or a general practitioner), as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00872 01JUL2018 31DEC9999 Y Attendance by a general practitioner, specialist or consultant physician as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers 00873 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner who provides clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection 19(2) of the Act applies 00874 01FEB1984 31DEC9999 Y Audiogram, air and bone conduction and speech, with other cochlear tests 00875 01AUG1986 31AUG1989 N GLYCEROL INDUCED COCHLEAR FUNCTION CHANGES assessed by a minimum of four air conduction and speech discrimination tests (Klockoff's tests) 00875 01SEP1989 31DEC9999 Y Glycerol induced cochlear function changes assessed by a minimum of four air conduction and speech discrimination tests (Klockoff's test) 00876 01JUL2018 31DEC9999 Y Professional attendance not in consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 00877 01FEB1984 31DEC9999 Y Impedance audiogram not associated with a service covered by Item 863, 865, 870 or 874 00878 01FEB1984 31DEC9999 Y Impedance audiogram in association with a service covered by Item 863, 865, 870 or 874 00879 01NOV1990 31DEC9999 Y Impedance audiogram where the patient is not referred by a medical practitioner - one examination in any four week period 00880 01MAY2006 31AUG2015 N CASE CONFERENCE - CONSULTANT PHYSICIAN IN GERIATRIC OR REHABILITATION MEDICINE Attendance by a consultant physician in the practice of his or her specialty of GERIATRIC OR REHABILITATION MEDICINE, as a member of a case conference team, to COORDINATE A CASE CONFERENCE ON AN ADMITTED HOSPITAL PATIENT of at least 10 minutes but less than 30 minutes, with a multidisciplinary team of at least two other formal care providers of different disciplines 00880 01SEP2015 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of geriatric or rehabilitation medicine, as a member of a case conference team, to coordinate a case conference of at least 10 minutes but less than 30 minutes-for any particular patient, one attendance only in a 7 day period (other than attendance on the same day as an attendance for which item 832, 834, 835, 837 or 838 was applicable in relation to the patient) (H) 00880 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of geriatric or rehabilitation medicine, as a member of a case conference team, to coordinate a case conference of at least 10 minutes but less than 30 minutes-for any particular patient, one attendance only in a 7 day period (other than attendance on the same day as an attendance for which item 832, 834, 835, 837 or 838 was applicable in relation to the patient) (H) 00881 01JUL2018 31DEC9999 Y Professional attendance of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 00882 01FEB1984 31DEC9999 Y Caloric test of labyrinth or labyrinths 00883 01AUG1986 31DEC9999 Y SIMULTANEOUS BITHERMAL CALORIC TEST OF LABYRINTHS 00884 01FEB1984 31DEC9999 Y Electronystagmography 00885 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 00886 01FEB1984 31AUG1989 N Electroconvulsive therapy, including associated consultation 00886 01SEP1989 31DEC9999 Y Electroconvulsive therapy, including associated consultation (AU 3) 00887 01FEB1984 31DEC9999 Y Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his specialty of psychiatry, involving a group of 2-9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a medical practitioner-- each patient 00888 01FEB1984 31DEC9999 Y Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner-- each patient 00889 01FEB1984 31DEC9999 Y Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a medical practitioner-- each patient 00890 01FEB1984 31DEC9999 Y Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration in the course of initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home 00891 01JUL2018 31DEC9999 Y Professional attendance not in consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 00892 01JUL2018 31DEC9999 Y Professional attendance of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 00893 01FEB1984 31DEC9999 Y Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minutes duration in the course of initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home 00894 01NOV2018 09JAN2020 N Professional attendance at consulting rooms by a medical practitioner, lasting more than 5 minutes but not more than 25 minutes, for providing mental health services to a patient with mental health issues, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient and the medical practitioner are located within a drought affected eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner; and (e) the patient has an existing relationship with the medical practitioner. 00894 10JAN2020 30JUN2020 N Professional attendance by video conference by a medical practitioner, lasting more than 5 minutes but not more than 25 minutes, for providing mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; or (b) the patient and the medical practitioner are located within a drought affected eligible area, and: (i) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner; and (ii) the patient has an existing relationship with the medical practitioner 00894 01JUL2020 31DEC9999 Y Professional attendance by video conference by a medical practitioner, lasting more than 5 minutes but not more than 25 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire. 00895 01FEB1984 31AUG1989 N Umbilical or scalp vein catheterisation with or without infusion 00895 01SEP1989 31DEC9999 Y Umbilical or scalp vein catheterisation with or without infusion; or cannulation of a vein in a neonate 00896 01NOV2018 09JAN2020 N Professional attendance at consulting rooms by a medical practitioner, lasting more than 25 minutes but not more than 45 minutes, for providing mental health services to a patient with mental health issues, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient and the medical practitioner are located within a drought affected eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner; and (e) the patient has an existing relationship with the medical practitioner. 00896 10JAN2020 30JUN2020 N Professional attendance by video conference by a medical practitioner, lasting more than 25 minutes but not more than 45 minutes, for providing mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; or (b) the patient and the medical practitioner are located within a drought affected eligible area, and: (i) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner; and (ii) the patient has an existing relationship with the medical practitioner. 00896 01JUL2020 31DEC9999 Y Professional attendance by video conference by a medical practitioner, lasting more than 25 minutes but not more than 45 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire. 00897 01FEB1984 31DEC9999 Y Umbilical artery catheterisation with or without infusion 00898 01NOV2018 09JAN2020 N Professional attendance at consulting rooms by a medical practitioner, lasting more than 45 minutes, for providing mental health services to a patient with mental health issues, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient and the medical practitioner are located within a drought affected eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner; and (e) the patient has an existing relationship with the medical practitioner. 00898 10JAN2020 30JUN2020 N Professional attendance by video conference by a medical practitioner, lasting more than 45 minutes, for providing mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; or (b) the patient and the medical practitioner are located within a drought affected eligible area, and: (i) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner; and (ii) the patient has an existing relationship with the medical practitioner 00898 01JUL2020 31DEC9999 Y Professional attendance by video conference by a medical practitioner, lasting more than 45 minutes, for providing mental health services to a patient with mental health issues if the patient is affected by bushfire. 00899 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, lasting not more than 5 minutes in duration, if: the attendance is by video conference; and the patient is located within a flood affected eligible area. 00900 01OCT2001 31OCT2002 N Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for patients living in the community setting, where the medical practitioner: assesses a patient's medication management needs, and following that assessment, refers the patient to a community pharmacy for a DMMR, and provides relevant clinical information required for the review, with the patient's consent; and discusses with the reviewing pharmacist the results of that review including suggested medication management strategies; and develops a written medication management plan following discussion with the patient. Benefits under this item are payable not more than once in each 12 month period, except where there has been a significant change in the patient's condition or medication regimen requiring a new DMMR. 00900 01NOV2002 30SEP2011 N Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for patients living in the community setting, where the medical practitioner: assesses a patient's medication management needs, and following that assessment, refers the patient to a community pharmacy for a DMMR, and provides relevant clinical information required for the review, with the patient's consent; and discusses with the reviewing pharmacist the results of that review including suggested medication management strategies; and develops a written medication management plan following discussion with the patient. Benefits under this item are payable not more than once in each 12 month period, except where there has been a significant change in the patient's condition or medication regimen requiring a new DMMR. 00900 01OCT2011 31JAN2018 N Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for patients living in a community setting, in which the medical practitioner: (a) assesses a patient's medication management needs and, following that assessment, refers the patient to a community pharmacy or an accredited pharmacist for a DMMR and, with the patient's consent, provides relevant clinical information required for the review; and (b) discusses with the reviewing pharmacist the results of that review including suggested medication management strategies; and (c) develops a written medication management plan following discussion with the patient For any particular patient-applicable not more than once in each 12 month period, except if there has been a significant change in the patient's condition or medication regimen requiring a new DMMR 00900 01FEB2018 30JUN2018 N Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the medical practitioner, with the patient's consent: (a) assesses the patient as: (i) having a chronic medical condition or a complex medication regimen; and (ii) not having their therapeutic goals met; and (b) following that assessment: (i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and (ii) provides relevant clinical information required for the DMMR; and (c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and (d) develops a written medication management plan following discussion with the patient; and (e) provides the written medication management plan to a community pharmacy chosen by the patient For any particular patient-applicable not more than once in each 12 month period, except if there has been a significant change in the patient's condition or medication regimen requiring a new DMMR 00900 01JUL2018 31OCT2023 N Participation by a general practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the general practitioner, with the patient's consent: (a) assesses the patient as: (i) having a chronic medical condition or a complex medication regimen; and (ii) not having their therapeutic goals met; and (b) following that assessment: (i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and (ii) provides relevant clinical information required for the DMMR; and (c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and (d) develops a written medication management plan following discussion with the patient; and (e) provides the written medication management plan to a community pharmacy chosen by the patient For any particular patient-applicable not more than once in each 12 month period, except if there has been a significant change in the patient's condition or medication regimen requiring a new DMMR 00900 01NOV2023 31DEC9999 Y Participation by a general practitioner (not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the general practitioner, with the patient's consent:(a) assesses the patient as:(i) having a chronic medical condition or a complex medication regimen; and(ii) not having their therapeutic goals met; and(b) following that assessment:(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and(ii) provides relevant clinical information required for the DMMR; and(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and(d) develops a written medication management plan following discussion with the patient; and(e) provides the written medication management plan to a community pharmacy chosen by the patientFor any particular patient-applicable not more than once in each 12 month period, and only if item 245 does not apply in the same 12 month period, except if there has been a significant change in the patient's condition or medication regimen requiring a new DMMR 00901 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, lasting more than 5 minutes but not more than 25 minutes, if: the attendance is by video conference; and the patient is located within a flood affected eligible area. 00902 01FEB1984 29FEB1984 N Blood transfusion with venesection and complete replacement of blood, including collection from donor 00902 01MAR1984 31DEC9999 Y Blood transfusion with venesection and complete replacement of blood, including collection from donor 904 00903 01NOV2004 31OCT2005 N Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a collaborative Residential Medication Management Review (RMMR) for a permanent resident of a residential aged care facility, where the medical practitioner: discusses and seeks consent for an RMMR from the new or existing resident; initiates the RMMR and collaborates with the reviewing pharmacist regarding the pharmacy component of the review; provides input from the resident's Comprehensive Medical Assessment (CMA), or if a CMA has not been undertaken, provides relevant clinical information for the resident's RMMR; discusses findings of the pharmacist review and proposed medication management strategies with the reviewing pharmacist (unless exceptions apply); develops and/or revises a written medication plan for the resident; and consults with the resident to discuss the medication mangement plan and its implementation. Benefits under this item are payable for one RMMR service for new residents on admission to a Residential Aged Care Facility and for continuing residents on an as required basis, with a maximum of one RMMR for a resident in any 12 month period, except where there has been a significant change in medical condition or medication regimen requiring a new RMMR. 00903 01NOV2005 30JUN2018 N Participation by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility-other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item has applied, unless there has been a significant change in the resident's medical condition or medication management plan requiring a new RMMR 00903 01JUL2018 31OCT2023 N Participation by a general practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility-other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item has applied, unless there has been a significant change in the resident's medical condition or medication management plan requiring a new RMMR 00903 01NOV2023 31DEC9999 Y Participation by a general practitioner (not including a specialist or consultant physician) in a residential medication management review (RMMR) for a patient who is a care recipient in a residential aged care facility-other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 249 has applied, unless there has been a significant change in the resident's medical condition or medication management plan requiring a new RMMR. 00904 01FEB1984 31DEC9999 Y Blood transfusion with venesection and complete replacement of blood, using blood already collected 00905 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, lasting more than 25 minutes but not more than 45 minutes, if: the attendance is by video conference; and the patient is located within a flood affected eligible area. 00906 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, lasting more than 45 minutes, if: the attendance is by video conference; and the patient is located within a flood affected eligible area. 00907 01FEB1984 31DEC9999 Y Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants 00908 01FEB1984 29FEB1984 N Electrocardiography, tracing and report, with or without implanted pacemaker testing 00908 01MAR1984 31DEC9999 Y Twelve-lead electrocardiography, tracing and report 00909 01FEB1984 29FEB1984 N Electrocardiography, tracing or report only 00909 01MAR1984 31AUG1989 N Twelve-lead electrocardiography, tracing only, or twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in Part 00909 01SEP1989 31DEC9999 Y Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in Part 1, or twelve-lead electrocardiography, tracing only 00910 01NOV1990 31DEC9999 Y Two Dimensional real time transoesophageal echocardiographic examination of the heart, not associated with any other echocardiographic examination 00911 01NOV1990 31DEC9999 Y Two Dimensional real time transoesophageal echocardiographic examination of the heart, associated with another echocardiographic examination 00912 01FEB1984 31AUG1989 N Phonocardiography 00912 01SEP1989 31DEC9999 Y Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram-interpretation and report 00913 01FEB1984 29FEB1984 N Echocardiography, not covered by Item 792 00913 01MAR1984 31DEC9999 Y Echocardiography, not covered by Item 791 or 793 00915 01FEB1984 29FEB1984 N Electrocardiographic monitoring (continuous) of ambulatory patient including resting electrocardiography and the recording of other parameters 00915 01MAR1984 31DEC9999 Y Continuous ECG monitoring(Holter) of an ambulatory patient for twelve or more hours involving recording, scanning analysis, interpretation and report, including resting ECG and the recording of other parameters 00916 01FEB1984 31AUG1989 N Electrocardiographic monitoring during exercise with apparatus such as bicycle ergometer or treadmill including resting electrocardiography and the recording of other parameters 00916 01SEP1989 31DEC9999 Y Electrocardiographic monitoring during exercise, with apparatus such as bicycle ergometer or treadmill, involving the continuous attendance of a medical practitioner for not less than 20 minutes, including resting electrocardiography and with or without recording of other parameters, on premises equipped with mechanical respirator and defibrillator 00917 01FEB1984 31DEC9999 Y Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU4) 00918 01FEB1984 31DEC9999 Y Bronchospirometry, including gas analysis 00920 01FEB1984 31DEC9999 Y Estimation of respiratory function requiring complicated techniques-- each attendance at which one or more tests are performed 00921 01FEB1984 31DEC9999 Y Estimation of respiratory function involving a directly recorded tracing, performed before and after inhalation of a bronchodilator, a cholinergic substance or a sensitising agent, or before and after exercise-- one or more such tests performed on the one occasion 00922 01FEB1984 31DEC9999 Y Perfusion of limb or organ using heart-lung machine or equivalent 00923 01FEB1984 31DEC9999 Y Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent 00924 01SEP1989 31DEC9999 Y Hyperthermic isolated limb perfusion including vascular cannulation by open operation and subsequent removal of catheters (AU 30) 00925 01FEB1984 31DEC9999 Y Induced controlled hypothermia-- total body 00926 01MAY1990 31DEC9999 Y MEASUREMENT OF RESPIRATORY FUNCTION involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex respiratory function tests; the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital - each occasion at which one or more such tests are performed 00927 01FEB1984 29FEB1984 N Fluids, intravenous infusion of-- percutaneous 00927 01MAR1984 31DEC9999 Y Fluids, intravenous drip infusion of - percutaneous 00928 01MAY1990 31DEC9999 Y CONTINUOUS MEASUREMENT OF THE RELATIONSHIP BETWEEN FLOW AND VOLUME DURING EXPIRATION OR INSPIRATION involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex lung function tests; the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital - each occasion at which one or more such tests are performed 00929 01FEB1984 29FEB1984 N Fluids, intravenous infusion of-- by open exposure 00929 01MAR1984 31DEC9999 Y Fluids, intravenous drip infusion of - by open exposure 00930 01JUL2023 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference, if the conference lasts for at least 15 minutes, but for less than 20 minutes 00931 01JAN1986 31DEC9999 Y INTRA-ARTERIAL INFUSION or retrograde intra-venous perfusion of a sympatholytic agent 00932 01FEB1984 31AUG1989 N Intravenous infusion or injection of a substance incorporating a cytotoxic agent 00932 01SEP1989 31DEC9999 Y Administration of a cytotoxic agent by intravenous drip infusion or by introduction into the bladder 00933 01JUL2023 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference, if the conference lasts for at least 20 minutes, but for less than 40 minutes 00934 01FEB1984 29FEB1984 N Intra-arterial infusion or injection of a substance incorporating a cytotoxic agent, preparation for 00934 01MAR1984 31AUG1989 N Intra-arterial infusion or injection of a substance incorporating a cytotoxic agent, preparation for 936 00934 01SEP1989 31DEC9999 Y Intra-arterial infusion or intra-arterial injection of a substance incorporating a cytotoxic agent, preparation for 00935 01JUL2023 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference, if the conference lasts for at least 40 minutes 00936 01FEB1984 31AUG1989 N Intralymphatic infusion or injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium 00936 01SEP1989 31DEC9999 Y Intralymphatic infusion or intralymphatic injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium 00937 01JUL2023 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference, if the conference lasts for at least 15 minutes, but for less than 20 minutes 00938 01FEB1984 31DEC9999 Y Intralymphatic insertion of needle or cannula for the introduction of radio-active material 00939 01FEB1986 31AUG1989 N HARVESTING OF HOMOLOGOUS (including allogeneic) bone marrow for the purpose of transplantation ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 00939 01SEP1989 31DEC9999 Y Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (AU 10) 00940 01FEB1984 29FEB1984 N Administration of blood including collection from donor 00940 01MAR1984 31DEC9999 Y Administration of blood including collection from donor 944 00941 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 30 minutes, but less than 40 minutes 00942 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes 00943 01JUL2023 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference, if the conference lasts for at least 20 minutes, but for less than 40 minutes 00944 01FEB1984 31AUG1989 N Administration of blood already collected 00944 01SEP1989 31DEC9999 Y Administration of blood or bone marrow already collected 00945 01JUL2023 31DEC9999 Y Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference, if the conference lasts for at least 40 minutes 00946 01JUL2023 31OCT2023 N Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry or paediatrics, as a member of multidisciplinary case conference team, to organise and coordinate a mental health case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 00946 01NOV2023 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 00947 01FEB1984 31DEC9999 Y Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis 00948 01JUL2023 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 00949 01FEB1984 31AUG1989 N Collection of blood for purposes of transfusion 00949 01SEP1989 31DEC9999 Y Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation 00950 01FEB1984 31AUG1989 N Central vein catheterisation (via jugular or subclavian vein) by open exposure for parenteral alimentation in a person under twelve years of age (AU 12) 00950 01SEP1989 31DEC9999 Y Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under twelve years of age (AU 12) 00951 01FEB1984 31AUG1989 N Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure for parenteral alimentation not covered by Item 950 (AU 6) 00951 01SEP1989 31DEC9999 Y Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure, not covered by Item 950 (AU 6) 00952 01FEB1984 31DEC9999 Y Blood dye-- dilution indicator test 00953 01JAN1986 31DEC9999 Y RIGHT HEART BALLOON FLOTATION (Swann-Ganz) catheterisation, insertion of catheter and monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry - management on the first day 00954 01JAN1986 31AUG1989 N RIGHT HEART BALLOON FLOTATION (Swann-Ganz) catheterisation, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry - management on each day subsequent to the first 00954 01SEP1989 31DEC9999 Y Right heart balloon flotation (Swann-Ganz) catheterisation, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry-management on each day subsequent to the first 00955 01NOV1979 29FEB1984 N Venepuncture and the collection of blood for the performance by an approved pathology practitioner of a pathology service-- one or more such procedures during the one attendance 00955 01MAR1984 31DEC9999 Y Venepuncture and the collection of blood for forwarding to an approved pathology practitioner for the performance of a pathology service, where the referring medical practitioner is not a member of a group of practitioners of which the approved pathology practitioner is a member - one or more such procedures during the one attendance 00956 01FEB1984 31DEC9999 Y Arterial puncture and collection of blood for diagnostic purposes 00957 01FEB1984 31DEC9999 Y Intra-arterial cannulisation for purpose of taking multiple arterial blood samples for blood gas analysis 00958 01FEB1984 31DEC9999 Y Collection of specimen of sweat by iontophoresis 00959 01JUL2023 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference of at least 45 minutes, with the multidisciplinary case conference team 00960 01FEB1984 31DEC9999 Y Hormone or living tissue implantation-- by incision 00961 01JUL2023 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to participate in a mental health case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 00962 01JUL2023 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to participate in a mental health case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 00963 01FEB1984 31DEC9999 Y Hormone or living tissue implantation-- by cannula 00964 01JUL2023 31DEC9999 Y Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to participate in a mental health case conference of at least 45 minutes, with the multidisciplinary case conference team 00966 01FEB1984 31DEC9999 Y Oesophageal motility test, manometric 00968 01FEB1984 31DEC9999 Y Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage 00969 01JUL2023 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes 00969 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes 00970 01FEB1984 31DEC9999 Y Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage 00971 01JUL2023 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes 00971 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes 00972 01JUL2023 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 40 minutes 00972 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 40 minutes 00973 01JUL2023 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes 00973 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes 00974 01FEB1984 31DEC9999 Y Gastric lavage in the treatment of ingested poison 00975 01JUL2023 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes 00975 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes 00976 01FEB1984 31AUG1989 N Counterpulsation by intra-aortic balloon-- management on the first day, including initial and subsequent consultations and monitoring of parameters 00976 01SEP1989 31DEC9999 Y Counterpulsation by intra-aortic balloon-management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters 00977 01FEB1984 31DEC9999 Y Counterpulsation by intra-aortic balloon-- management on each day subsequent to the first, including associated consultations and monitoring of parameters 00978 01AUG1987 31DEC9999 Y PUVA THERAPY or UVB THERAPY administered in whole body cabinet, not associated with Item 979 including associated consultations other than an initial consultation 00979 01AUG1987 31DEC9999 Y PUVA THERAPY or UVB THERAPY administered to localised body areas in a hand and foot cabinet not associated with item 978 including associated consultations other than an initial consultation 00980 01FEB1984 29FEB1984 N Attendance by a medical practitioner at which acupuncture is performed by application of stimuli on or through the surface of the skin by any means, including any associated consultation on the same day 00980 01MAR1984 31DEC9999 Y Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed 00981 01JUL1985 31AUG1989 N URINARY FLOW STUDY 00981 01SEP1989 31DEC9999 Y Urine flow study 00982 01JUL1985 31DEC9999 Y CYSTOMETROGRAPHY 00983 01JUL1985 31AUG1989 N URETHRAL PRESSURE PROFILE MEASUREMENT 00983 01SEP1989 31DEC9999 Y Urethral pressure profile 00984 01JUL1985 31AUG1989 N CYSTOMETROGRAPHY with rectal pressure measurement or bladder sphincter electromyography ANAESTHETIC 6 UNITS-ITEM NOS 407G/513S 00984 01SEP1989 31DEC9999 Y Cystometrography with rectal pressure measurement or bladder sphincter electromyography (AU 6) 00985 01JAN1986 31AUG1989 N CYSTOMETROGRAPHY, rectal pressure measurement or sphincter electromyography, urinary flow and retrograde micturating cystourethrography including all associated radiological services 00985 01SEP1989 31DEC9999 Y Cystometrography, rectal pressure measurement or sphincter electromyography and urine flow study including all associated imaging procedures 00986 01JUL2023 31OCT2023 N Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 40 minutes 00986 01NOV2023 31DEC9999 Y Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 40 minutes 00987 01FEB1984 31DEC9999 Y Skin sensitivity testing for allergens, using one to twenty allergens 00989 01FEB1984 31DEC9999 Y Skin sensitivity testing for allergens, using more than twenty allergens 00990 01AUG1988 31DEC9999 Y Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries), peripheral vessels, or intra-thoracic or intra-abdominal vascular vessels (excluding cardiac and pregnancy related studies) (not associated with item 793)-one examination and report-two or more examinations of the kind referred to in item 990 and report (not associated with item 793) 00991 01AUG1988 31DEC9999 Y - two or more examinations of the kind referred to in item 990 and report (not associated with Item 793) 00992 01AUG1988 31DEC9999 Y Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography (not associated with item 793)-examination and report 00993 01AUG1988 31DEC9999 Y Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels and carotid vessels, with oculoplethysmography (not associated with item 793)-examination and report 00994 01FEB1984 31DEC9999 Y Multiphasic health screening service involving the performance of ten or more medical services specified in items in Parts 6, 7 and 8 (including any associated consultation) 00995 01AUG1988 31DEC9999 Y Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including any of the investigations covered by item 795, 796 or 797 (not associated with item 793)-examination and report 00996 01FEB1984 31DEC9999 Y Family group therapy (including associated consultation) of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family, where the group consists of two patients-- each patient 00997 01FEB1984 31DEC9999 Y Family group therapy (including associated consultation) of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family, where the group consists of three patients-- each patient 00998 01FEB1984 31DEC9999 Y Family group therapy (including associated consultation) of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family, where the group consists of four to six patients-- each patient 00999 01AUG1988 31DEC9999 Y Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels, including any of the investigations covered by item 798 (not associated with item 793-examination and report 01001 01NOV1988 31DEC9999 Y Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haemoglobin, platelet count, leucocyte count - one or two procedures when requested by another medical practitioner. (SP) 01002 01NOV1988 31DEC9999 Y Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haemoglobin, platelet count, leucocyte count - one or two procedures when requested by another medical practitioner. (PP) 01003 01NOV1988 31DEC9999 Y Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haemoglobin, platelet count, leucocyte count - one or two procedures when requested by another medical practitioner. (OP) 01004 01NOV1988 31DEC9999 Y Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haemoglobin, platelet count, leucocyte count - one or two procedures when requested by another medical practitioner. (RP) 01005 01NOV1988 31DEC9999 Y Three or more procedures to which item 1001 applies, including any calculation or measurement of erythrocyte or other indices (SP) 01006 01JUL1982 31DEC9999 Y Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haematocrit estimation, haemoglobin estimation, platelet count or leucocyte count-- one procedure (SP) 01007 01JUL1982 31DEC9999 Y Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haematocrit estimation, haemoglobin estimation, platelet count or leucocyte count-- one procedure (excluding blood count consisting of haemoglobin estimation or erthrocyte sedimentation rate when not referred by another medical practitioner) (OP) 01008 01FEB1984 31DEC9999 Y Two procedures to which Item 1006 applies (SP) 01009 01FEB1984 31DEC9999 Y Two procedures to which Item 1007 applies (OP) 01010 01JUL1982 31DEC9999 Y Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haematocrit estimation, haemoglobin estimation, platelet count or leucocyte count-- 2 procedures (excluding blood count consisting of haemoglobin estimation or erythrocyte sedimentation rate when not referred by another medical practitioner) (HP) 01011 01FEB1984 31DEC9999 Y Three or more procedures to which Item 1006 applies including calculation of erythrocyte indices where done (SP) 01012 01FEB1984 31DEC9999 Y Three or more procedures to which Item 1007 applies including calculation of erythrocyte indices where done (OP) 01013 01JUL1982 31DEC9999 Y Three or more procedures to which Item 1010 applies including calculation of erythrocyte indices where done (HP) 01014 01FEB1984 31DEC9999 Y Blood film, examination of-- including erythrocyte morphology, differential count by one or more methods and the qualitative estimation of platelets (SP) 01015 01FEB1984 31DEC9999 Y Blood film, examination of-- including erythrocyte morphology, differential count by one or more methods and the qualitative estimation of platelets (OP) 01016 01JUL1982 31DEC9999 Y Blood film, examination of-- including erythrocyte morphology, differential count by one or more methods and the qualitative estimation of platelets (HP) 01017 01NOV1988 31DEC9999 Y Three or more procedures to which item 1002 applies, including any calculation or measurement of erythrocyte or other indices (PP) 01018 01NOV1988 31DEC9999 Y Three or more procedures to which item 1003 applies, including any calculation or measurement of erythrocyte or other indices (OP) 01019 01JUL1982 31DEC9999 Y Blood film, examination by special stains to demonstrate the presence of basophilic stippling, eosinophils (where wet preparation or film is used), haemoglobin H, reticulocytes, or similar conditions, cells or substances-- one procedure (SP) 01020 01JUL1982 31DEC9999 Y Blood film, examination by special stains to demonstrate the presence of basophilic stippling, eosinophils (where wet preparation or film is used), haemoglobin H, reticulocytes, or similar conditions, cells or substances-- one procedure (OP) 01021 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1019 applies (SP) 01022 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1020 applies (OP) 01023 01NOV1988 31DEC9999 Y Three or more procedures to which item 1004 applies, including any calculation or measurement of erythrocyte or other indices (RP) 01024 01NOV1988 31DEC9999 Y Examination of blood film by a person, with or without differential cell count, or differential cell count by a counting instrument with or without examination of blood film by a person, including any services specified in items 1041 or 1091 (SP) 01025 01NOV1988 31DEC9999 Y Examination of blood film by a person, with or without differential cell count, or differential cell count by a counting instrument with or without examination of blood film by a person, including any services specified in items 1042 or 1092 (PP) 01026 01NOV1988 31DEC9999 Y Examination of blood film by a person, with or without differential cell count, or differential cell count by a counting instrument with or without examination of blood film by a person, including any services specified in items 1043 or 1093 (OP) 01027 01NOV1988 31DEC9999 Y Examination of blood film by a person, with or without differential cell count, or differential cell count by a counting instrument with or without examination of blood film by a person, including any services specified in items 1046 or 1094 (RP) 01028 01JUL1982 31DEC9999 Y Blood film, examination by special stains to demonstrate the presence of foetal haemoglobin, Heinz bodies, iron, malarial or other parasites, neutrophil alkaline phosphatase, PAS, Sudan black positive granules, sickle cells, or any similar cells, substances or parasites-- one procedure (SP) 01029 01JUL1982 31DEC9999 Y Blood film, examination by special stains to demonstrate the presence of foetal haemoglobin, Heinz bodies, iron, malarial or other parasites, neutrophil alkaline phosphatase, PAS, Sudan black positive granules, sickle cells, or any similar cells, substances or parasites-- one procedure (OP) 01030 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1028 applies (SP) 01032 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1029 applies (OP) 01033 01NOV1988 31DEC9999 Y Full blood examination, consisting of items 1005 and 1024. (SP) 01034 01NOV1988 31DEC9999 Y Full blood examination, consisting of items 1017 and 1025. (PP) 01035 01NOV1988 31DEC9999 Y Full blood examination, consisting of items 1018 and 1026. (OP) 01036 01JUL1982 31DEC9999 Y Erythrocytes, qualitative assessment of metabolism or haemolysis by-- erythrocyte autohaemolysis test, erythrocyte fragility test (mechanical) , glucose-6-phosphate dehydrogenase estimation, glutathione deficiencies test, pyruvate kinase estimation or sugar water test (or similar) for paroxysmal nocturnal haemoglobinuria-- one procedure (SP) 01037 01JUL1982 31DEC9999 Y Erythrocytes, qualitative assessment of metabolism or haemolysis by-- erythrocyte autohaemolysis test, erythrocyte fragility test (mechanical) , glucose-6-phosphate dehydrogenase estimation, glutathione deficiencies test, pyruvate kinase estimation or sugar water test (or similar) for paroxysmal nocturnal haemoglobinuria-- one procedure (OP) 01038 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1036 applies (SP) 01039 01NOV1988 31DEC9999 Y Full blood examination, consisting of items 1023 and 1027. (RP) 01040 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1037 applies (OP) 01041 01NOV1988 31DEC9999 Y Blood film, examination by special stains to demonstrate reticulocytes, haemoglobin H, fetal haemoglobin, Heinz bodies, iron, parasites, sickle cells or examination by the following techniques - alpha-naphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphatase, nitro blue tetrazolium, periodic acid Schiff or Sudan black - one or more of these procedures. (SP) 01042 01NOV1988 31DEC9999 Y Blood film, examination by special stains to demonstrate reticulocytes, haemoglobin H, fetal haemoglobin, Heinz bodies, iron, parasites, sickle cells or examination by the following techniques - alpha-naphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphatase, nitro blue tetrazolium, periodic acid Schiff or Sudan black - one or more of these procedures. (PP) 01043 01NOV1988 31DEC9999 Y Blood film, examination by special stains to demonstrate reticulocytes, haemoglobin H, fetal haemoglobin, Heinz bodies, iron, parasites, sickle cells or examination by the following techniques - alpha-naphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphatase, nitro blue tetrazolium, periodic acid Schiff or Sudan black - one or more of these procedures. (OP) 01044 01JUL1982 31DEC9999 Y Erythrocytes, quantitative assessment of metabolism or haemolysis by-- acid haemolysis test (or similar) for paroxysmal nocturnal haemoglobinuria, erythrocyte fragility to hypotonic saline test without incubation, erythrocyte fragility to hypotonic saline test after incubation, glutathione stability test, glucose-6-phosphate dehydrogenase estimation, or pyruvate kinase estimation-- one procedure (SP) 01045 01JUL1982 31DEC9999 Y Erythrocytes, quantitative assessment of metabolism or haemolysis by-- acid haemolysis test (or similar) for paroxysmal nocturnal haemoglobinuria, erythrocyte fragility to hypotonic saline test without incubation, erythrocyte fragility to hypotonic saline test after incubation, glutathione stability test, glucose-6-phosphate dehydrogenase estimation, or pyruvate kinase estimation-- one procedure (OP) 01046 01NOV1988 31DEC9999 Y Blood film, examination by special stains to demonstrate reticulocytes, haemoglobin H, fetal haemoglobin, Heinz bodies, iron, parasites, sickle cells or examination by the following techniques - alpha-naphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphatase, nitro blue tetrazolium, periodic acid Schiff or Sudan black - one or more of these procedures. (RP) 01047 01NOV1988 31DEC9999 Y Erythrocytes, qualitative assessment of haemolysis or metabolic enzymes by - erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test - one or more of these procedures. (SP) 01048 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1044 applies (SP) 01049 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1045 applies (OP) 01050 01NOV1988 31DEC9999 Y Erythrocytes, qualitative assessment of haemolysis or metabolic enzymes by - erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test - one or more of these procedures. (PP) 01051 01NOV1988 31DEC9999 Y Erythrocytes, qualitative assessment of haemolysis or metabolic enzymes by - erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test - one or more of these procedures. (OP) 01052 01JUL1985 31DEC9999 Y Viscosity of plasma or whole blood, estimation of - each procedure. (SP) 01053 01JUL1985 31DEC9999 Y Viscosity of plasma or whole blood, estimation of - each procedure. (OP) 01054 01NOV1988 31DEC9999 Y Erythrocytes, qualitative assessment of haemolysis or metabolic enzymes by - erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test - one or more of these procedures. (RP) 01055 01NOV1988 31DEC9999 Y Haemoglobin electrophoresis for diagnosis of haemoglobinopathy including qualitative and quantative tests and direct or indirect measurement of any haemoglobin fraction by any method and any services specified in items 1001, 1005, 1024 and 1033 . (SP) 01056 01NOV1988 31DEC9999 Y Haemoglobin electrophoresis for diagnosis of haemoglobinopathy including qualitative and quantative tests and direct or indirect measurement of any haemoglobin fraction by any method and any services specified in items 1002, 1017, 1025 and 1034 . (PP) 01057 01NOV1988 31DEC9999 Y Haemoglobin electrophoresis for diagnosis of haemoglobinopathy including qualitative and quantative tests and direct or indirect measurement of any haemoglobin fraction by any method and any services specified in items 1003, 1018, 1026 and 1035 . (OP) 01058 01NOV1988 31DEC9999 Y Haemoglobin electrophoresis for diagnosis of haemoglobinopathy including qualitative and quantative tests and direct or indirect measurement of any haemoglobin fraction by any method and any services specified in items 1004, 1023, 1027 and 1039 . (RP) 01059 01NOV1988 31DEC9999 Y Bone marrow examination, including histopathology examination of sections or examination of smears using any special stains and immuno-chemical techniques which may be necessary, and including any services specified in items 1001, 1005, 1024 and 1033, performed on the same day as the biopsy. (SP) 01060 01NOV1988 31DEC9999 Y Bone marrow examination, including histopathology examination of sections or examination of smears using any special stains and immuno-chemical techniques which may be necessary, and including any services specified in items 1002, 1017, 1025 and 1034, performed on the same day as the biopsy. (PP) 01061 01NOV1988 31DEC9999 Y Bone marrow examination, including histopathology examination of sections or examination of smears using any special stains and immuno-chemical techniques which may be necessary, and including any services specified in items 1003, 1018, 1026 and 1035, performed on the same day as the biopsy. (OP) 01062 01JUL1982 31DEC9999 Y Bone marrow examination (including use of special stains where indicated) of bone marrow aspirate, clot section or trephine section-- one procedure (SP) 01063 01JUL1982 31DEC9999 Y Bone marrow examination (including use of special stains where indicated) of bone marrow aspirate, clot section or trephine section-- one procedure (OP) 01064 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1062 applies (SP) 01065 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1063 applies (OP) 01066 01NOV1988 31DEC9999 Y Bone marrow examination, including histopathology examination of sections or examination of smears using any special stains and immuno-chemical techniques which may be necessary, and including any services specified in items 1004, 1023, 1027 and 1039, performed on the same day as the biopsy. (RP) 01067 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed - ABO and Rh (D antigen). (SP) 01068 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed - ABO and Rh (D antigen). (PP) 01069 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed - ABO and Rh (D antigen). (OP) 01070 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed - ABO and Rh (D antigen). (RP) 01071 01NOV1988 31DEC9999 Y Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - one or more systems, including any services specified in item 1067. (SP) 01072 01NOV1988 31DEC9999 Y Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - one or more systems, including any services specified in item 1068. (PP) 01073 01NOV1988 31DEC9999 Y Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - one or more systems, including any services specified in item 1069. (OP) 01074 01NOV1988 31DEC9999 Y Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - one or more systems, including any services specified in item 1070. (RP) 01075 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any services specified in items 1001, 1005, 1024 and 1033. (SP) 01076 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any services specified in items 1002, 1017, 1025 and 1034. (PP) 01077 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any services specified in items 1003, 1018, 1026 and 1035. (OP) 01078 01NOV1988 31DEC9999 Y Blood grouping, including back-grouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any services specified in items 1004, 1023, 1027 and 1039. (RP) 01079 01NOV1988 31DEC9999 Y Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and quantitative estimation of any antibodies detected and any services specified in items 1001, 1005, 1024, 1033, 1067 and 1075 including all testing performed on any one day. (SP) 01080 01JUL1982 31DEC9999 Y Blood grouping (including back grouping when performed)-- ABO and Rh (D antigen) (not covered by Item 1089) (SP) 01081 01JUL1982 31DEC9999 Y Blood grouping (including back grouping when performed)-- ABO and Rh (D antigen) (not covered by Item 1090) (OP) 01082 01NOV1988 31DEC9999 Y Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and quantitative estimation of any antibodies detected and any services specified in items 1002, 1017, 1025, 1034, 1068, and 1076 including all testing performed on any one day. (PP) 01083 01NOV1988 31DEC9999 Y Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and quantitative estimation of any antibodies detected and any services specified in items 1003, 1018, 1026, 1035, 1069 and 1077 including all testing performed on any one day. (OP) 01084 01NOV1988 31DEC9999 Y Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and quantitative estimation of any antibodies detected and any services specified in items 1004, 1023, 1027, 1039, 1070 and 1078 including all testing performed on any one day. (RP) 01085 01NOV1988 31DEC9999 Y Examination of serum for blood group antibodies - initial test or tests, including identification and quantitative estimation of any antibodies detected. (SP) 01086 01NOV1988 31DEC9999 Y Examination of serum for blood group antibodies - initial test or tests, including identification and quantitative estimation of any antibodies detected. (PP) 01087 01NOV1988 31DEC9999 Y Examination of serum for blood group antibodies - initial test or tests, including identification and quantitative estimation of any antibodies detected. (OP) 01088 01NOV1988 31DEC9999 Y Examination of serum for blood group antibodies - initial test or tests, including identification and quantitative estimation of any antibodies detected. (RP) 01089 01JUL1982 31DEC9999 Y Blood grouping (including back grouping when performed)-- ABO and Rh (D antigen) when performed in association with the compatibility testing covered by Item 1112 or 1114 (SP) 01090 01JUL1982 31DEC9999 Y Blood grouping (including back grouping when performed)-- ABO and Rh (D antigen) when performed in association with the compatibility testing covered by Item 1113 or 1116 (OP) 01091 01NOV1988 31DEC9999 Y Direct Coombs test, test for cold agglutinins, tests for heterophile antibodies or EB virus antibodies - one or more tests when performed other than as specified in items 1024 or 1033. (SP) 01092 01NOV1988 31DEC9999 Y Direct Coombs test, test for cold agglutinins, tests for heterophile antibodies or EB virus antibodies - one or more tests when performed other than as specified in items 1025 or 1034. (PP) 01093 01NOV1988 31DEC9999 Y Direct Coombs test, test for cold agglutinins, tests for heterophile antibodies or EB virus antibodies - one or more tests when performed other than as specified in items 1026 or 1035. (OP) 01094 01NOV1988 31DEC9999 Y Direct Coombs test, test for cold agglutinins, tests for heterophile antibodies or EB virus antibodies - one or more tests when performed other than as specified in items 1027 or 1039. (RP) 01095 01NOV1988 31DEC9999 Y Spectroscopic examination of blood for abnormal haemoglobins, qualitative test for red cell porphyrins - one or more examinations or tests. (SP) 01096 01NOV1988 31DEC9999 Y Spectroscopic examination of blood for abnormal haemoglobins, qualitative test for red cell porphyrins - one or more examinations or tests. (PP) 01097 01NOV1988 31DEC9999 Y Spectroscopic examination of blood for abnormal haemoglobins, qualitative test for red cell porphyrins - one or more examinations or tests. (OP) 01098 01NOV1988 31DEC9999 Y Spectroscopic examination of blood for abnormal haemoglobins, qualitative test for red cell porphyrins - one or more examinations or tests. (RP) 01099 01NOV1988 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), heparin, heparin cofactor II, lupus anticoagulant, antithrombin III, protein C, protein S - one estimation. (SP) 01100 01NOV1988 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), heparin, heparin cofactor II, lupus anticoagulant, antithrombin III, protein C, protein S - one estimation. (PP) 01101 01JUL1982 31DEC9999 Y Blood grouping-- Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system-- one system (SP) 01102 01JUL1982 31DEC9999 Y Blood grouping-- Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system-- one system (OP) 01103 01NOV1988 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), heparin, heparin cofactor II, lupus anticoagulant, antithrombin III, protein C, protein S - one estimation. (OP) 01104 01JUL1982 31DEC9999 Y Two procedures to which Item 1101 applies (SP) 01105 01JUL1982 31DEC9999 Y Two procedures to which Item 1102 applies (OP) 01106 01JUL1982 29FEB1984 N Each procedure to which Item 01106 01MAR1984 31DEC9999 Y Each procedure to which Item 1101 applies in excess of two (SP) 01107 01NOV1988 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), heparin, heparin cofactor II, lupus anticoagulant, antithrombin III, protein C, protein S - one estimation. (RP) 01108 01JUL1982 29FEB1984 N Each procedure to which Item 01108 01MAR1984 31DEC9999 Y Each procedure to which Item 1102 applies in excess of two (OP) 01109 01NOV1988 31DEC9999 Y Two estimations specified in item 1099. (SP) 01110 01NOV1988 31DEC9999 Y Two estimations specified in item 1100. (PP) 01111 01FEB1984 31DEC9999 Y Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed-- testing involving one or two units of blood (SP) 01112 01FEB1984 31DEC9999 Y Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed-- testing involving one or two units of blood (OP) 01113 01JUL1982 31DEC9999 Y Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed-- testing involving one or two units of blood (HP) 01114 01FEB1984 31DEC9999 Y Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed-- each unit of blood tested in excess of two (SP) 01115 01NOV1988 31DEC9999 Y Two estimations specified in item 1103. (OP) 01116 01FEB1984 31DEC9999 Y Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed-- each unit of blood tested in excess of two (OP) 01117 01JUL1982 31DEC9999 Y Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed-- each unit of blood tested in excess of two (HP) 01118 01NOV1988 31DEC9999 Y Two estimations specified in item 1107. (RP) 01119 01NOV1988 31DEC9999 Y Three estimations specified in item 1099. (SP) 01120 01NOV1988 31DEC9999 Y Three estimations specified in item 1100. (PP) 01121 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- screening test (by one or more of those techniques) (SP) 01122 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- screening test (by one or more of those techniques) (OP) 01123 01NOV1988 31DEC9999 Y Three estimations specified in item 1103. (OP) 01124 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- screening test (by one or more of those techniques) and quantitative estimation of one antibody (SP) 01125 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- screening test (by one or more of those techniques) and quantitative estimation of one antibody (OP) 01126 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- quantitative estimation of one antibody (SP) 01127 01NOV1988 31DEC9999 Y Three estimations specified in item 1107. (RP) 01128 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- quantitative estimation of one antibody (OP) 01129 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- quantitative estimation of each antibody in excess of one (SP) 01130 01JUL1982 31DEC9999 Y Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies-- quantitative estimation of each antibody in excess of one (OP) 01131 01NOV1988 31DEC9999 Y Four estimations specified in item 1099. (SP) 01132 01NOV1988 31DEC9999 Y Four estimations specified in item 1100. (PP) 01133 01NOV1988 31DEC9999 Y Four estimations specified in item 1103. (OP) 01134 01NOV1988 31DEC9999 Y Four estimations specified in item 1107. (RP) 01135 01NOV1988 31DEC9999 Y Fibrinogen, fibrinogen degradation products, fibrin monomer, D-dimer - one or more estimations. (SP) 01136 01JUL1982 31DEC9999 Y Coombs test, direct (SP) 01137 01JUL1982 31DEC9999 Y Coombs test, direct (OP) 01138 01NOV1988 31DEC9999 Y Fibrinogen, fibrinogen degradation products, fibrin monomer, D-dimer - one or more estimations. (PP) 01139 01NOV1988 31DEC9999 Y Fibrinogen, fibrinogen degradation products, fibrin monomer, D-dimer - one or more estimations. (OP) 01140 01NOV1988 31DEC9999 Y Fibrinogen, fibrinogen degradation products, fibrin monomer, D-dimer - one or more estimations. (RP) 01141 01NOV1988 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance - one or more estimations. (SP) 01142 01NOV1988 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance - one or more estimations. (PP) 01143 01NOV1988 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance - one or more estimations. (OP) 01144 01JUL1982 31DEC9999 Y Coombs test, indirect (not associated with Item 1112, 1114, 1121, 1124, 1126 or 1129, except where part of neo-natal screening or in investigation of haemolytic anaemia) (SP) 01145 01JUL1982 31DEC9999 Y Coombs test, indirect (not associated with Item 1113, 1116, 1122, 1125, 1128 or 1130, except where part of neo-natal screening or in investigation of haemolytic anaemia) (OP) 01146 01NOV1988 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance - one or more estimations. (RP) 01147 01NOV1988 31DEC9999 Y Platelet antibodies - one or more estimations. (SP) 01148 01NOV1988 31DEC9999 Y Platelet antibodies - one or more estimations. (PP) 01149 01NOV1988 31DEC9999 Y Platelet antibodies - one or more estimations. (OP) 01150 01NOV1988 31DEC9999 Y Platelet antibodies - one or more estimations. (RP) 01151 01NOV1988 31DEC9999 Y Von Willebrand 's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, facto r VII, factor VIII, factor IX, factor X, factor X I, factor XII, factor X III, plasminogen, Fletcher factor, Fitzgerald factor, Passovy factor - one or more estimations. (SP) 01152 01JUL1982 31DEC9999 Y Examination of serum for blood group haemolysins (SP) 01153 01JUL1982 31DEC9999 Y Examination of serum for blood group haemolysins (OP) 01154 01NOV1988 31DEC9999 Y Von Willebrand 's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, facto r VII, factor VIII, factor IX, factor X, factor X I, factor XII, factor X III, plasminogen, Fletcher factor, Fitzgerald factor, Passovy factor - one or more estimations. (PP) 01155 01NOV1988 31DEC9999 Y Von Willebrand 's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, facto r VII, factor VIII, factor IX, factor X, factor X I, factor XII, factor X III, plasminogen, Fletcher factor, Fitzgerald factor, Passovy factor - one or more estimations. (OP) 01156 01NOV1988 31DEC9999 Y Von Willebrand 's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, facto r VII, factor VIII, factor IX, factor X, factor X I, factor XII, factor X III, plasminogen, Fletcher factor, Fitzgerald factor, Passovy factor - one or more estimations. (RP) 01157 01NOV1988 31DEC9999 Y Coagulation studies involving platelet count, two or more services specified in item 1099 and any medically indicated additional services specified in items 1001, 1005, 1024, 1033, 1099, 1135, 1141, 1147 and 1151. (SP) 01158 01NOV1988 31DEC9999 Y Coagulation studies involving platelet count, two or more services specified in item 1099 and any medically indicated additional services specified in items 1002, 1017, 1025, 1034, 1100, 1138, 1142, 1148 and 1154. (PP) 01159 01JUL1982 31DEC9999 Y Leucocyte agglutinins, detection of (SP) 01160 01JUL1982 31DEC9999 Y Leucocyte agglutinins, detection of (OP) 01161 01NOV1988 31DEC9999 Y Coagulation studies involving platelet count, two or more services specified in item 1099 and any medically indicated additional services specified in items 1003, 1018, 1026, 1035, 1103, 1139, 1143, 1149 and 1155 (OP) 01162 01NOV1988 31DEC9999 Y Coagulation studies involving platelet count, two or more services specified in item 1099 and any medically indicated additional services specified in items 1004, 1023, 1027, 1039, 1107, 1140, 1146, 1150 and 1156. (RP) 01163 01AUG1989 31DEC9999 Y Blood count consisting of erythrocyte count, C-reactive protein, erythrocyte sedimentation rate, blood viscosity, haematocrit, haemoglobin, platelet count, leucocyte count, reticulocyte count - 1 or 2 procedures (SP) 01164 01AUG1989 31DEC9999 Y Blood count consisting of erythrocyte count, C-reactive protein, erythrocyte sedimentation rate, blood viscosity, haematocrit, haemoglobin, platelet count, leucocyte count, reticulocyte count - 1 or 2 procedures (OP) 01166 01JUL1982 31DEC9999 Y Platelet agglutinins, detection of (SP) 01167 01JUL1982 31DEC9999 Y Platelet agglutinins, detection of (OP) 01168 01AUG1989 31DEC9999 Y 3 or more procedures to which item 1163 applies, including any calculation or measurement of erythrocyte or other indices(SP) 01169 01AUG1989 31DEC9999 Y 3 or more procedures to which item 1164 applies, including any calculation or measurement of erythrocyte or other indices(OP) 01170 01AUG1989 31DEC9999 Y Examination of blood film, with or without differential cell count, or differential cell count with or without examination of blood film, and if performed, any of these additional services - Direct Coombs test, tests for heterophile antibodies, cold agglutinins, examination of blood film by special stains to demonstrate Heinz bodies, parasites or iron, or examination of a blood film with alpha-naphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphotase, nitro blue tetrazolium, periodic acid Schiff, Sudan Black stains, or Kleihauer test for HbF on blood film, including any services specified in item 1419 (SP) 01171 01AUG1989 31DEC9999 Y Examination of blood film, with or without differential cell count, or differential cell count with or without examination of blood film, and if performed, any of these additional services - Direct Coombs test, tests for heterophile antibodies, cold agglutinins, examination of blood film by special stains to demonstrate Heinz bodies, parasites or iron, or examination of a blood film with alpha-naphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphotase, nitro blue tetrazolium, periodic acid Schiff, Sudan Black stains, or Kleihauer test for HbF on blood film, inlcuding any services specified in item 1420 (OP) 01172 01AUG1989 31DEC9999 Y Full blood examination consisting of items 1168 and 1170 (SP) 01173 01AUG1989 31DEC9999 Y Full blood examination consisting of items 1169 and 1171 (OP) 01176 01AUG1989 31DEC9999 Y Erythrocytes, qualitative or quantitative assessment of haemolysis or metabolic enzymes by - erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test, and quantitation of muramidase in serum or urine - 1 or more procedures (SP) 01177 01AUG1989 31DEC9999 Y Erythrocytes, qualitative or quantitative assessment of haemolysis or metabolic enzymes by - erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test, and quantitation of muramidase in serum or urine - 1 or more procedures (OP) 01179 01AUG1989 31DEC9999 Y Tests for the diagnosis of haemoglobinopathy consisting of haemoglobin electrophoresis and 2 of the following - examination for HbH, quantitation of HbA2 or HbF, including any service specified in item 1163, 1168, 1170 or 1172 (SP) 01180 01AUG1989 31DEC9999 Y Tests for the diagnosis of haemoglobinopathy consisting of haemoglobin electrophoresis and 2 of the following - examination for HbH, quantitation of HbA2 or HbF, including any service specified in item 1164, 1169, 1171 or 1173 (OP) 01181 01AUG1989 31DEC9999 Y Histopathological examination of sections of bone marrow trephine biopsy including where indicated, examination of marrow smears and any special stains and immuno-chemical techniques, including any service specified in item 1163, 1168, 1170, 1172 or 1183 (SP) 01182 01AUG1989 31DEC9999 Y Histopathological examination of sections of bone marrow trephine biopsy including where indicated, examination of marrow smears and any special stains and immuno-chemical techniques, including any service specified in item 1164, 1169, 1171, 1173 or 1184 (OP) 01183 01AUG1989 31DEC9999 Y Bone marrow examination of aspirated material including any special stains, immuno-chemical techniques and clot sections where necessary, including any service specified in, item 1163, 1168, 1170 or 1172 (SP) 01184 01AUG1989 31DEC9999 Y Bone marrow examination of aspirated material including any special stains, immuno-chemical techniques and clot sections where necessary, including any service specified in item 1164, 1169, 1171 or 1173 (OP) 01187 01AUG1989 31DEC9999 Y Blood grouping, including back-grouping when performed - ABO and Rh (D antigen) (SP) 01188 01AUG1989 31DEC9999 Y Blood grouping, including back-grouping when performed - ABO and Rh (D antigen) (OP) 01190 01JUL1982 31DEC9999 Y Heterophile antibodies-- qualitative estimation of (test for infectious mononucleosis) (SP) 01191 01JUL1982 31DEC9999 Y Heterophile antibodies-- qualitative estimation of (test for infectious mononucleosis) (OP) 01192 01AUG1989 31DEC9999 Y Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - one or more systems, including any service specified in item 1187 (SP) 01193 01AUG1989 31DEC9999 Y Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - one or more systems, including any service specified in item 1188 (OP) 01194 01JUL1982 31DEC9999 Y Heterophile antibodies-- quantitative estimation of by serial dilutions with specific absorption (including qualitative estimation covered by Item 1190 where performed) (SP) 01195 01JUL1982 31DEC9999 Y Heterophile antibodies-- quantitative estimation of by serial dilutions with specific absorption (including qualitative estimation covered by Item 1191 where performed) (OP) 01196 01AUG1989 31DEC9999 Y Blood grouping, including back-grouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any service specified in item 1163, 1168, 1170 or 1172 (SP) 01197 01AUG1989 31DEC9999 Y Blood grouping, including back-grouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any service specified in item 1164, 1169, 1171 or 1173 (OP) 01198 01AUG1989 31DEC9999 Y Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and, if necessary, quantitative estimation of any antibodies detected and any service specified in item 1163, 1168, 1170, 1172, 1187 or 1196 including all testing performed on any 1 day (SP) 01199 01AUG1989 31DEC9999 Y Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and, if necessary, quantitative estimation of any antibodies detected and any service specified in item 1164, 1169, 1171, 1173, 1188 or 1197 including all testing performed on any 1 day (OP) 01201 01NOV1988 31DEC9999 Y Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter of, - acid phosphatase (one or more fractions) alanine amino-transferase, albumin, alkaline phosphatase, alkaline phosphatase isoenzymes, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, C-reactive protein, creatine kinase, creatine kinase isoenzymes, creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, glycosylated haemoglobin, HDL cholesterol, iron, lactate dehydrogenase, lactate dehydrogenase isoenzymes, lipase, magnesium, phosphate, potassium, total protein, sodium, total thyroxine, triglycerides, urate, urea - one estimation. (SP) 01202 01JUL1982 31DEC9999 Y Cold agglutinins, qualitative estimation of (SP) 01203 01JUL1982 31DEC9999 Y Cold agglutinins, qualitative estimation of (OP) 01204 01NOV1988 31DEC9999 Y Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter of, - acid phosphatase (one or more fractions) alanine amino-transferase, albumin, alkaline phosphatase, alkaline phosphatase isoenzymes, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, C-reactive protein, creatine kinase, creatine kinase isoenzymes, creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, glycosylated haemoglobin, HDL cholesterol, iron, lactate dehydrogenase, lactate dehydrogenase isoenzymes, lipase, magnesium, phosphate, potassium, total protein, sodium, total thyroxine, triglycerides, urate, urea - one estimation. (PP) 01205 01NOV1988 31DEC9999 Y Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter of, - acid phosphatase (one or more fractions) alanine amino-transferase, albumin, alkaline phosphatase, alkaline phosphatase isoenzymes, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, C-reactive protein, creatine kinase, creatine kinase isoenzymes, creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, glycosylated haemoglobin, HDL cholesterol, iron, lactate dehydrogenase, lactate dehydrogenase isoenzymes, lipase, magnesium, phosphate, potassium, total protein, sodium, total thyroxine, triglycerides, urate, urea - one estimation. (OP) 01206 01JUL1982 31DEC9999 Y Cold agglutinins, quantitative estimation of by serial dilutions (including qualitative estimation covered by Item 1202 where performed) (SP) 01207 01JUL1982 31DEC9999 Y Cold agglutinins, quantitative estimation of by serial dilutions (including qualitative estimation covered by Item 1203 where performed) (OP) 01208 01NOV1988 31DEC9999 Y Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter of, - acid phosphatase (one or more fractions) alanine amino-transferase, albumin, alkaline phosphatase, alkaline phosphatase isoenzymes, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, C-reactive protein, creatine kinase, creatine kinase isoenzymes, creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, glycosylated haemoglobin, HDL cholesterol, iron, lactate dehydrogenase, lactate dehydrogenase isoenzymes, lipase, magnesium, phosphate, potassium, total protein, sodium, total thyroxine, triglycerides, urate, urea - one estimation. (RP) 01209 01NOV1988 31DEC9999 Y Two estimations specified in item 1201 (SP) 01210 01NOV1988 31DEC9999 Y Two estimations specified in item 1204 (PP) 01211 01JUL1982 31DEC9999 Y Blood volume, estimation of by dye method (SP) 01212 01JUL1982 31DEC9999 Y Blood volume, estimation of by dye method (OP) 01213 01NOV1988 31DEC9999 Y Two estimations specified in item 1205 (OP) 01214 01NOV1988 31DEC9999 Y Two estimations specified in item 1208 (RP) 01215 01JUL1982 31DEC9999 Y Blood, spectroscopic examination of (SP) 01216 01JUL1982 31DEC9999 Y Blood, spectroscopic examination of (OP) 01217 01NOV1988 31DEC9999 Y Three estimations specified in item 1201 (SP) 01218 01NOV1988 31DEC9999 Y Three estimations specified in item 1204 (PP) 01219 01NOV1988 31DEC9999 Y Three estimations specified in item 1205 (OP) 01220 01NOV1988 31DEC9999 Y Three estimations specified in item 1208 (RP) 01221 01NOV1988 31DEC9999 Y Four estimations specified in item 1201 (SP) 01222 01NOV1988 31DEC9999 Y Four estimations specified in item 1204 (PP) 01223 01NOV1988 31DEC9999 Y Four estimations specified in item 1205 (OP) 01224 01NOV1988 31DEC9999 Y Four estimations specified in item 1208 (RP) 01225 01NOV1988 31DEC9999 Y Five estimations specified in item 1201 (SP) 01226 01NOV1988 31DEC9999 Y Five estimations specified in item 1204 (PP) 01227 01NOV1988 31DEC9999 Y Five estimations specified in item 1205 (OP) 01228 01NOV1988 31DEC9999 Y Five estimations specified in item 1208 (RP) 01229 01NOV1988 31DEC9999 Y Six estimations specified in item 1201 (SP) 01230 01NOV1988 31DEC9999 Y Six estimations specified in item 1204 (PP) 01231 01NOV1988 31DEC9999 Y Six estimations specified in item 1205 (OP) 01232 01NOV1988 31DEC9999 Y Six estimations specified in item 1208 (RP) 01234 01JUL1982 31DEC9999 Y Estimation of-- bleeding time; coagulation time (including clot retraction); prothrombin time (one stage); thromboplastin time (partial) with or without kaolin and with or without kaolin clotting time; or thrombotest (Owren)-- one procedure (SP) 01235 01JUL1982 31DEC9999 Y Estimation of-- bleeding time; coagulation time (including clot retraction); prothrombin time (one stage); thromboplastin time (partial) with or without kaolin and with or without kaolin clotting time; or thrombotest (Owren)-- one procedure (OP) 01236 01JUL1982 31DEC9999 Y Two procedures to which Item 1234 applies (SP) 01237 01JUL1982 31DEC9999 Y Two procedures to which Item 1235 applies (OP) 01238 01JUL1982 31DEC9999 Y Three or more procedures to which Item 1234 applies (SP) 01239 01JUL1982 31DEC9999 Y Three or more procedures to which Item 1235 applies (OP) 01242 01JUL1982 31DEC9999 Y Platelet aggregation, qualitative test for (SP) 01243 01JUL1982 31DEC9999 Y Platelet aggregation, qualitative test for (OP) 01244 01JUL1982 31DEC9999 Y Estimation of thrombin time (including test for presence of an inhibitor and serial test for fibrinogenolysis) or recalcified plasma clotting time-- each procedure (SP) 01246 01JUL1982 31DEC9999 Y Estimation of thrombin time (including test for presence of an inhibitor and serial test for fibrinogenolysis) or recalcified plasma clotting time-- each procedure (OP) 01247 01JUL1982 31DEC9999 Y Fibrinogen titre, determination of (SP) 01248 01JUL1982 31DEC9999 Y Fibrinogen titre, determination of (OP) 01249 01NOV1988 31DEC9999 Y Qualitative estimation by any method, except by reagent strip or dip-stick of the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in serum - one or more estimations. (SP) 01250 01NOV1988 31DEC9999 Y Qualitative estimation by any method, except by reagent strip or dip-stick of the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in serum - one or more estimations. (PP) 01251 01JUL1982 31DEC9999 Y Factor 13, test for presence of (SP) 01252 01JUL1982 31DEC9999 Y Factor 13, test for presence of (OP) 01253 01NOV1988 31DEC9999 Y Qualitative estimation by any method, except by reagent strip or dip-stick of the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in serum - one or more estimations. (OP) 01254 01NOV1988 31DEC9999 Y Qualitative estimation by any method, except by reagent strip or dip-stick of the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in serum - one or more estimations. (RP) 01255 01JUL1982 31DEC9999 Y Thromboplastin generation screening test (SP) 01256 01JUL1982 31DEC9999 Y Thromboplastin generation screening test (OP) 01257 01NOV1988 31DEC9999 Y Qualitative estimation by any method except by reagent strip or dip-stick of the following faecal constituents - haemoglobin, porphyrins, reducing substances estimations - one or more estimations, including all estimations within any twenty eight day period. (SP) 01258 01NOV1988 31DEC9999 Y Qualitative estimation by any method except by reagent strip or dip-stick of the following faecal constituents - haemoglobin, porphyrins, reducing substances estimations - one or more estimations, including all estimations within any twenty eight day period. (PP) 01259 01JUL1982 31DEC9999 Y Prothrombin time, estimation of (two stage) (SP) 01260 01JUL1982 31DEC9999 Y Prothrombin time, estimation of (two stage) (OP) 01261 01JUL1982 31DEC9999 Y Qualitative, quantitative or qualitative and quantitative estimation of fibrin degeneration products (SP) 01262 01JUL1982 31DEC9999 Y Qualitative, quantitative or qualitative and quantitative estimation of fibrin degeneration products (OP) 01263 01JUL1982 31DEC9999 Y Quantitative estimation of-- platelet adhesion, prothrombin consumption or protamine sulphate-- each procedure (SP) 01264 01JUL1982 31DEC9999 Y Quantitative estimation of-- platelet adhesion, prothrombin consumption or protamine sulphate-- each procedure (OP) 01265 01NOV1988 31DEC9999 Y Qualitative estimation by any method except by reagent strip or dip-stick of the following faecal constituents - haemoglobin, porphyrins, reducing substances estimations - one or more estimations, including all estimations within any twenty eight day period. (OP) 01266 01NOV1988 31DEC9999 Y Qualitative estimation by any method except by reagent strip or dip-stick of the following faecal constituents - haemoglobin, porphyrins, reducing substances estimations - one or more estimations, including all estimations within any twenty eight day period. (RP) 01267 01JUL1982 31DEC9999 Y Euglobulin lysis time, estimation of (SP) 01268 01JUL1982 31DEC9999 Y Euglobulin lysis time, estimation of (OP) 01269 01NOV1988 31DEC9999 Y Immunological test for human haemoglobin in faeces, including chemical tests if performed - one or more specimens received separately or together within any twenty eight day period. (SP) 01270 01NOV1988 31DEC9999 Y Immunological test for human haemoglobin in faeces, including chemical tests if performed - one or more specimens received separately or together within any twenty eight day period. (PP) 01271 01JUL1982 31DEC9999 Y Quantitative estimation of platelet antibodies (by one or more techniques), platelet Factor III availability or one or more blood coagulation factors (including antihaemophilic globulin)-- each procedure (SP) 01272 01JUL1982 31DEC9999 Y Quantitative estimation of platelet antibodies (by one or more techniques), platelet Factor III availability or one or more blood coagulation factors (including antihaemophilic globulin)-- each procedure (OP) 01273 01NOV1988 31DEC9999 Y Immunological test for human haemoglobin in faeces, including chemical tests if performed - one or more specimens received separately or together within any twenty eight day period. (OP) 01274 01NOV1988 31DEC9999 Y Immunological test for human haemoglobin in faeces, including chemical tests if performed - one or more specimens received separately or together within any twenty eight day period. (RP) 01275 01NOV1988 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine - one or more estimations. (SP) 01276 01NOV1988 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine - one or more estimations. (PP) 01277 01JUL1982 31DEC9999 Y Platelet aggregation test using-- ADP, collagen, 5HT, ristocetin, or similar substance-- one procedure (SP) 01278 01JUL1982 31DEC9999 Y Platelet aggregation test using-- ADP, collagen, 5HT, ristocetin, or similar substance-- one procedure (OP) 01279 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1277 applies (SP) 01280 01JUL1982 31DEC9999 Y Two or more procedures to which Item 1278 applies (OP) 01281 01NOV1988 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine - one or more estimations. (OP) 01282 01NOV1988 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine - one or more estimations. (RP) 01283 01NOV1988 31DEC9999 Y Quantitative estimation of blood gases including tests performed from - p02, oxygen saturation, pC02, bicarbonate, pH, and any other measurement (eg. haemoglobin, potassium) or calculation performed on the same specimen by the same instrument or group of instruments - one or more estimation on one specimen. (SP) 01284 01NOV1988 31DEC9999 Y Quantitative estimation of blood gases including tests performed from - p02, oxygen saturation, pC02, bicarbonate, pH, and any other measurement (eg. haemoglobin, potassium) or calculation performed on the same specimen by the same instrument or group of instruments - one or more estimation on one specimen. (PP) 01285 01NOV1988 31DEC9999 Y Quantitative estimation of blood gases including tests performed from - p02, oxygen saturation, pC02, bicarbonate, pH, and any other measurement (eg. haemoglobin, potassium) or calculation performed on the same specimen by the same instrument or group of instruments - one or more estimation on one specimen. (OP) 01286 01NOV1988 31DEC9999 Y Quantitative estimation of blood gases including tests performed from - p02, oxygen saturation, pC02, bicarbonate, pH, and any other measurement (eg. haemoglobin, potassium) or calculation performed on the same specimen by the same instrument or group of instruments - one or more estimation on one specimen. (RP) 01287 01NOV1988 31DEC9999 Y One or more estimations of blood gases as specified in item 1283 on two or more specimens within any one day. (SP) 01288 01NOV1988 31DEC9999 Y One or more estimations of blood gases as specified in item 1284 on two or more specimens within any one day. (PP) 01289 01NOV1988 31DEC9999 Y One or more estimations of blood gases as specified in item 1285 on two or more specimens within any one day. (OP) 01290 01NOV1988 31DEC9999 Y One or more estimations of blood gases as specified in item 1286 on two or more specimens within any one day. (RP) 01291 01NOV1988 31DEC9999 Y Calculus, analysis of one or more. (SP) 01292 01NOV1988 31DEC9999 Y Calculus, analysis of one or more. (PP) 01293 01NOV1988 31DEC9999 Y Calculus, analysis of one or more. (OP) 01294 01NOV1988 31DEC9999 Y Calculus, analysis of one or more. (RP) 01295 01NOV1988 31DEC9999 Y Drug or chemical assays - including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, be ingested or absorbed toxic chemicals including any services specified in items 1329, 134 1 and 1353 - one or more assays within any twenty eight day period. (SP) 01296 01FEB1984 31DEC9999 Y Quantitative estimation of any substance by reagent strip with reflectance meter (not associated with Items 1301 to1312) by or on behalf of an approved pathology practitioner where the patient is referred by a medical practitioner for the estimation and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member - one or more estimations (SP) 01297 01FEB1984 31DEC9999 Y Quantitative estimation of any substance by reagent strip with reflectance meter (not associated with Items 1301 to 1312) by or on behalf of an approved pathology practitioner where the patient is referred by a medical practitioner for the estimation and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member - one or more estimations (OP) 01298 01NOV1983 31DEC9999 Y Quantitative estimation of any substance by reagent strip with reflectance meter (not associated with Items 1301 to 1312) by or on behalf of an approved pathology practitioner where the patient is referred by a medical practitioner for the estimation and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member - one or more estimations (HP) 01299 01NOV1988 31DEC9999 Y Drug or chemical assays - including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, be ingested or absorbed toxic chemicals including any services specified in items 1332, 1344 and 1356 - one or more assays within any twenty eight day period. (PP) 01300 01NOV1988 31DEC9999 Y Drug or chemical assays - including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, be ingested or absorbed toxic chemicals including any services specified in items 1335, 1347 and 1359 - one or more assays within any twenty eight day period. (OP) 01301 01FEB1984 29FEB1984 N Estimation by any method of-- albumin, alkaline phosphatase, ALT, AST, bicarbonate, bilirubin (direct) , bilirubin (indirect), calcium, chloride, cholesterol, CK, CK isoenzymes, creatinine, GGTP, globulin, glucose, HBD, LD, phosphate, potassium, protein (total), sodium, triglycerides, urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1302 and 1303 where the estimation is performed on a multichannel analyser-- one estimation (SP) 01301 01MAR1984 31DEC9999 Y Estimation by any method, except by reagent strip with or without reflectance meter, of - albumin; alkaline phosphatase; ALT; AST; bicarbonate; bilirubin (direct); bilirubin(indirect); calcium (including serum ionized calcium); chloride; cholesterol; CK; CK isoenzymes; creatinine; GGTP; globulin; glucose; HBD; LD; phosphate; potassium; protein (total) ; sodium; triglycerides; urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1302 and 1303 where the estimation is performed on a multichannel analyser - one estimation (SP) 01302 01FEB1984 29FEB1984 N Estimation by any method of-- albumin, alkaline phosphatase, ALT, AST, bicarbonate, bilirubin (direct) , bilirubin (indirect), calcium, chloride, cholesterol, CK, CK isoenzymes, creatinine, GGTP, globulin, glucose, HBD, LD, phosphate, potassium, protein (total), sodium, triglycerides, urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1301 and 1303 where the estimation is performed on a multichannel analyser-- one estimation (OP) 01302 01MAR1984 31DEC9999 Y Estimation by any method, except by reagent strip with or without reflectance meter, of - albumin; alkaline phosphatase; ALT; AST; bicarbonate; bilirubin (direct); bilirubin(indirect); calcium (including serum ionized calcium); chloride; cholesterol; CK; CK isoenzymes; creatinine; GGTP; globulin; glucose; HBD; LD; phosphate; potassium; protein (total) ; sodium; triglycerides; urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1301 and 1303 where the estimation is performed on a multichannel analyser - one estimation (OP) 01303 01JUL1982 29FEB1984 N Estimation by any method of-- albumin, alkaline phosphatase, ALT, AST, bicarbonate, bilirubin (direct) , bilirubin (indirect), calcium, chloride, cholesterol, CK, CK isoenzymes, creatinine, GGTP, globulin, glucose, HBD, LD, phosphate, potassium, protein (total), sodium, triglycerides, urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1301 and 1302 where the estimation is performed on a multichannel analyser-- one estimation (HP) 01303 01MAR1984 31DEC9999 Y Estimation by any method, except by reagent strip with or without reflectance meter, of - albumin; alkaline phosphatase; ALT; AST; bicarbonate; bilirubin (direct); bilirubin(indirect); calcium (including serum ionized calcium); chloride; cholesterol; CK; CK isoenzymes; creatinine; GGTP; globulin; glucose; HBD; LD; phosphate; potassium; protein (total) ; sodium; triglycerides; urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1301 and 1302 where the estimation is performed on a multichannel analyser - one estimation (HP) 7.70 01304 01FEB1984 31DEC9999 Y Two estimations of a kind specified in Item 1301 (SP) 01305 01FEB1984 31DEC9999 Y Two estimations of a kind specified in Item 1302 (OP) 01306 01JUL1982 31DEC9999 Y Two estimations of a kind specified in Item 1303 (HP) 01307 01FEB1984 31DEC9999 Y Three to five estimations of a kind specified in Item 1301 (SP) 01308 01FEB1984 31DEC9999 Y Three to five estimations of a kind specified in Item 1302 (OP) 01309 01JUL1982 31DEC9999 Y Three to five estimations of a kind specified in Item 1303 (HP) 01310 01FEB1984 31DEC9999 Y Six or more estimations of a kind specified in Item 1301 (SP) 01311 01FEB1984 31DEC9999 Y Six or more estimations of a kind specified in Item 1302 (OP) 01312 01JUL1982 31DEC9999 Y Six or more estimations of a kind specified in Item 1303 (HP) 01313 01JUL1982 31DEC9999 Y Glycosylated haemoglobin, estimation of, in the management of established diabetes, with a maximum of three estimations in any twelve month period (SP) 01314 01JUL1982 31DEC9999 Y Glycosylated haemoglobin, estimation of, in the management of established diabetes, with a maximum of three estimations in any twelve month period (OP) 01315 01NOV1988 31DEC9999 Y Drug or chemical assays - including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, be ingested or absorbed toxic chemicals including any services specified in items 1338, 1350 and 1361 - one or more assays within any twenty eight day period. (RP) 01316 01NOV1988 31DEC9999 Y Drug assays - including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug or drugs of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects - one or more assays within any seven day period. (SP) 01317 01NOV1988 31DEC9999 Y Drug assays - including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug or drugs of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects - one or more assays within any seven day period. (PP) 01318 01NOV1988 31DEC9999 Y Drug assays - including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug or drugs of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects - one or more assays within any seven day period. (OP) 01319 01JUL1982 31DEC9999 Y Qualitative estimation of-- acidity (by pH meter or titration), blood in faeces (occult blood), cryoglobulins, cryoproteins, euglobulins, macroglobulins (Sia test), PBG, UBG or any other substance not specified in any other item in this Division-- one estimation (SP) 01320 01JUL1982 31DEC9999 Y Qualitative estimation of-- acidity (by pH meter or titration), blood in faeces (occult blood), cryoglobulins, cryoproteins, euglobulins, macroglobulins (Sia test), PBG, UBG or any other substance not specified in any other item in this Division-- one estimation (OP) 01321 01NOV1988 31DEC9999 Y Drug assays - including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug or drugs of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects - one or more assays within any seven day period. (RP) 01322 01JUL1982 31DEC9999 Y Two or more estimations to which Item 1319 applies (SP) 01323 01JUL1982 31DEC9999 Y Two or more estimations to which Item 1320 applies (OP) 01324 01FEB1984 31DEC9999 Y Quantitative estimation of blood gases (including pO2, oxygen saturation, pCO2 and estimation of bicarbonate and pH) (SP) 01325 01FEB1984 31DEC9999 Y Quantitative estimation of blood gases (including pO2, oxygen saturation, pCO2 and estimation of bicarbonate and pH) (OP) 01326 01JUL1982 31DEC9999 Y Quantitative estimation of blood gases (including pO2, oxygen saturation, pCO2 and estimation of bicarbonate and pH) (HP) 01327 01JUL1982 31DEC9999 Y Qualitative estimation of-- foetoprotein, gastric acidity (by dye method) or porphyrins-- each estimation (SP) 01328 01JUL1982 31DEC9999 Y Qualitative estimation of-- foetoprotein, gastric acidity (by dye method) or porphyrins-- each estimation (OP) 01329 01NOV1988 31DEC9999 Y Drug assay - quantitative estimation on blood or other body fluid by any method or methods of a drug being used therapeutically for the patient from whom the specimen was taken (excluding antibiotics or antimicrobial chemotherapeutic agents) - one estimation. (SP) 01330 01JUL1982 31DEC9999 Y Chromatography, qualitative estimation of a substance not specified in any other item in this Division (SP) 01331 01JUL1982 31DEC9999 Y Chromatography, qualitative estimation of a substance not specified in any other item in this Division (OP) 01332 01NOV1988 31DEC9999 Y Drug assay - quantitative estimation on blood or other body fluid by any method or methods of a drug being used therapeutically for the patient from whom the specimen was taken (excluding antibiotics or antimicrobial chemotherapeutic agents) - one estimation. (PP) 01333 01JUL1982 31DEC9999 Y Electrophoresis, qualitative (SP) 01334 01JUL1982 31DEC9999 Y Electrophoresis, qualitative (OP) 01335 01NOV1988 31DEC9999 Y Drug assay - quantitative estimation on blood or other body fluid by any method or methods of a drug being used therapeutically for the patient from whom the specimen was taken (excluding antibiotics or antimicrobial chemotherapeutic agents) - one estimation. (OP) 01336 01JUL1982 31DEC9999 Y Australia antigen or similar antigen, detection of by any method including radioimmunoassay (SP) 01337 01JUL1982 31DEC9999 Y Australia antigen or similar antigen, detection of by any method including radioimmunoassay (OP) 01338 01NOV1988 31DEC9999 Y Drug assay - quantitative estimation on blood or other body fluid by any method or methods of a drug being used therapeutically for the patient from whom the specimen was taken (excluding antibiotics or antimicrobial chemotherapeutic agents) - one estimation. (RP) 01339 01JUL1982 31DEC9999 Y Osmolality, estimation of in serum or urine (SP) 01340 01JUL1982 31DEC9999 Y Osmolality, estimation of in serum or urine (OP) 01341 01NOV1988 31DEC9999 Y Two estimations specified in item 1329. (SP) 01342 01JUL1982 31DEC9999 Y Quantitative estimation of-- acid phosphatase, aldolase, amylase, lipase, amylase and lipase, bromide, BSP, caeruloplasmin, carotene, complement (total or fraction), any other specific protein (excluding immunoglobulins) (where estimated by immunodiffusion, nephelometry, Laurell rocket or similar technique), creatine, hexosamine, lactate, lithium, magnesium, pyruvate, salicylate or xylose-- each estimation (SP) 01343 01JUL1982 31DEC9999 Y Quantitative estimation of-- acid phosphatase, aldolase, amylase, lipase, amylase and lipase, bromide, BSP, caeruloplasmin, carotene, complement (total or fraction), any other specific protein (excluding immunoglobulins) (where estimated by immunodiffusion, nephelometry, Laurell rocket or similar technique), creatine, hexosamine, lactate, lithium, magnesium, pyruvate, salicylate or xylose-- each estimation (OP) 01344 01NOV1988 31DEC9999 Y Two estimations specified in item 1332. (PP) 01345 01JUL1982 29FEB1984 N Quantitative estimation of-- arsenic, copper, gold, lead, mercury, strontium, zinc, any other element not specified in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neo-natal bilirubin (direct and indirect) cholinesterase, coproporphyrin, erythroporphyrin, uroporphyrin, or any other porphyrin factor, delta ALA, 5HIAA, iron (including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase, urinary or serum HCG (other than in diagnosis of pregnancy), or any other substance not specified in any other item in this Division-- each estimation (SP) 01345 01MAR1984 31DEC9999 Y Quantitative estimation of - arsenic, copper, gold, lead, mercury, strontium, zinc, any other element not specified in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neo-natal bilirubin(direct and indirect), cholinesterase, coproporphyrin, erythroporphyrin, uroporphyrin or any other porphyrin factor, delta ALA, 5HIAA, iron(including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase or any other substance not specified in any other item in this Division - each estimation (SP) 01346 01JUL1982 29FEB1984 N Quantitative estimation of-- arsenic, copper, gold, lead, mercury, strontium, zinc, any other element not specified in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neo-natal bilirubin (direct and indirect) cholinesterase, coproporphyrin, erythroporphyrin, uroporphyrin, or any other porphyrin factor, delta ALA, 5HIAA, iron (including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase, urinary or serum HCG (other than in diagnosis of pregnancy), or any other substance not specified in any other item in this Division-- each estimation (OP) 01346 01MAR1984 31DEC9999 Y Quantitative estimation of - arsenic, copper, gold, lead, mercury, strontium, zinc, any other element not specified in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neo-natal bilirubin(direct and indirect) cholinesterase, coproporphyrin, erythroporphyrin, uroporphyrin or any other porphyrin factor, delta ALA, 5HIAA, iron(including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase or any other substance not specified in any other item in this Division - each estimation (OP) 01347 01NOV1988 31DEC9999 Y Two estimations specified in item 1335. (OP) 01348 01JUL1982 31DEC9999 Y Dibucaine number or similar, determination of (SP) 01349 01JUL1982 31DEC9999 Y Dibucaine number or similar, determination of (OP) 01350 01NOV1988 31DEC9999 Y Two estimations specified in item 1338. (RP) 01351 01JUL1982 31DEC9999 Y Indican, qualitative test for (SP) 01352 01JUL1982 31DEC9999 Y Indican, qualitative test for (OP) 01353 01NOV1988 31DEC9999 Y Three or more estimations specified in item 1329. (SP) 01354 01JUL1982 31DEC9999 Y Calculus, analysis of (SP) 01355 01JUL1982 31DEC9999 Y Calculus, analysis of (OP) 01356 01NOV1988 31DEC9999 Y Three or more estimations specified in item 1332. (PP) 01357 01JUL1982 31DEC9999 Y Amniotic fluid, spectrophotometric analysis of (SP) 01358 01JUL1982 31DEC9999 Y Amniotic fluid, spectrophotometric analysis of (OP) 01359 01NOV1988 31DEC9999 Y Three or more estimations specified in item 1335. (OP) 01360 01JUL1982 31DEC9999 Y Electrophoresis, quantitative (including qualitative test) (SP) 01361 01NOV1988 31DEC9999 Y Three or more estimations specified in item 1338. (RP) 01362 01JUL1982 31DEC9999 Y Electrophoresis, quantitative (including qualitative test) (OP) 01363 01NOV1988 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio or palmitic acid - one or more examinations or estimations. (SP) 01364 01JUL1982 29FEB1984 N Quantitative estimation of-- catecholamines (each component), faecal fat, HMMA, hydroxyproline, non-pregnancy oestrogens, pregnanediol, pregnanetriol, any other steroid fraction (where not estimated in the same process as another steroid fraction) or multiple steroid fractions estimated in the same process-- each estimation (SP) 01364 01MAR1984 31DEC9999 Y Quantitative estimation of - catecholamines (one or more components), faecal fat, HMMA, hydroxyproline, non-pregnancy oestrogens, pregnanediol, pregnanetriol, any other steroid fraction (where not estimated in the same process as another steroid fraction) or multiple steroid fractions estimated in the same process - each estimation (SP) 01365 01NOV1988 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio or palmitic acid - one or more examinations or estimations. (PP) 01366 01JUL1982 29FEB1984 N Quantitative estimation of-- catecholamines (each component), faecal fat, HMMA, hydroxyproline, non-pregnancy oestrogens, pregnanediol, pregnanetriol, any other steroid fraction (where not estimated in the same process as another steroid fraction) or multiple steroid fractions estimated in the same process-- each estimation (OP) 01366 01MAR1984 31DEC9999 Y Quantitative estimation of - catecholamines (one or more components), faecal fat, HMMA, hydroxyproline, non-pregnancy oestrogens, pregnanediol, pregnanetriol, any other steroid fraction (where not estimated in the same process as another steroid fraction) or multiple steroid fractions estimated in the same process - each estimation (OP) 01367 01NOV1988 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio or palmitic acid - one or more examinations or estimations. (OP) 01368 01JUL1982 31DEC9999 Y Chromatography, quantitative estimation (including qualitative test) of any substance not specified in any other item in this Division (SP) 01369 01NOV1988 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio or palmitic acid - one or more examinations or estimations. (RP) 01370 01JUL1982 31DEC9999 Y Chromatography, quantitative estimation (including qualitative test) of any substance not specified in any other item in this Division (OP) 01371 01NOV1988 31DEC9999 Y Electrophoresis, quantitative or qualitative of serum, urine or other body fluid to demonstrate protein classes or presence and amount of para protein, including any measurement of albumin, globulin, total protein and any protein specified in item 1379, but excluding lipoprotein electrophoresis - one or more examinations. (SP) 01372 01JUL1982 29FEB1984 N Lechithin/sphingomyelin ratio of amniotic fluid, determination of (SP) 01372 01MAR1984 31DEC9999 Y Lecithin/sphingomyelin ratio of amniotic fluid, determination of (SP) 01373 01NOV1988 31DEC9999 Y Electrophoresis, quantitative or qualitative of serum, urine or other body fluid to demonstrate protein classes or presence and amo unt of para protein, including any measurement of albumin, globulin, total protein and any protein specified in item 1383, but excluding lipoprotein electrophoresis - one or more examinations. (PP) 01374 01JUL1982 29FEB1984 N Lechithin/sphingomyelin ratio of amniotic fluid, determination of (OP) 01374 01MAR1984 31DEC9999 Y Lecithin/sphingomyelin ratio of amniotic fluid, determination of (OP) 01375 01NOV1988 31DEC9999 Y Electrophoresis, q uantitative or qualitative of serum, unne or other body fluid to demonstrate protein classes or presence and amo unt of para protein, including any measurement of albumin, globulin, total protein and any protein specified in item 1386, but excluding lipoprotein electrophoresis - one or more examinations. (OP) 01376 01JUL1982 31DEC9999 Y Drug assays-- qualitative estimations or screening procedures, by colorimetric methods-- one or more estimations or procedures on each specimen (SP) 01377 01NOV1988 31DEC9999 Y Electrophoresis, quantitative or qualitative of serum, urine or other body fluid to demonstrate protein classes or presence and amo unt of para protein, including any measurement of albumin, globulin, total protein and any protein specified in item 1388, but excluding lipoprotein electrophoresis - one or more examinations. (RP) 01378 01JUL1982 31DEC9999 Y Drug assays-- qualitative estimations or screening procedures, by colorimetric methods-- one or more estimations or procedures on each specimen (OP) 01379 01NOV1988 31DEC9999 Y Alpha-feta protein, Alpha-1 antitrypsin, Alpha-2 microglobulin, beta-2 microglobulin, CA-1 25 antigen, C- l esterase inhibitor, Caeruloplasmin, Carcinoembryonic antigen, Ferritin, Haptoglobins, Microalbumin, Prostate specific antigen, Transferrin - quantitative estimation in serum, urine or other body fluid - one estimation. (SP) 01380 01JUL1982 29FEB1984 N Assay by radioimmmunoassay, enzyme linked immunoassay, gas liquid chromatography or any other method of barbiturates, carbamazepine, digoxin or phenytoin-- estimation of one substance by one or more methods (SP) 01380 01MAR1984 31DEC9999 Y Assay by radioimmunoassay, enzyme linked immunoassay, gas liquid chromatography or any other method of barbiturates, carbamazepine, digoxin or phenytoin - estimation of one substance by one or more methods (SP) 01381 01JUL1982 29FEB1984 N Assay by radioimmmunoassay, enzyme linked immunoassay, gas liquid chromatography or any other method of barbiturates, carbamazepine, digoxin or phenytoin-- estimation of one substance by one or more methods (OP) 01381 01MAR1984 31DEC9999 Y Assay by radioimmunoassay, enzyme linked immunoassay, gas liquid chromatography or any other method of barbiturates, carbamazepine, digoxin or phenytoin - estimation of one substance by one or more methods (OP) 01382 01JUL1982 31DEC9999 Y Estimation of two substances referred to in Item 1380 by using one or more of the methods specified in that item in relation to each (SP) 01383 01NOV1988 31DEC9999 Y Alpha-feta protein, Alpha-1 antitrypsin, Alpha-2 microglobulin, beta-2 microglobulin, CA-1 25 antigen, C- l esterase inhibitor, Caeruloplasmin, Carcinoembryonic antigen, Ferritin, Haptoglobins, Microalbumin, Prostate specific antigen, Transferrin - quantitative estimation in serum, urine or other body fluid - one estimation. (PP) 01384 01JUL1982 31DEC9999 Y Estimation of two substances referred to in Item 1381 by using one or more of the methods specified in that item in relation to each (OP) 01385 01JUL1982 31DEC9999 Y Estimation of three or more substances referred to in Item 1380 by using one or more of the methods specified in that item in relation to each (SP) 01386 01NOV1988 31DEC9999 Y Alpha-feta protein, Alpha-1 antitrypsin, Alpha-2 microglobulin, beta-2 microglobulin, CA-1 25 antigen, C- l esterase inhibitor, Caeruloplasmin, Carcinoembryonic antigen, Ferritin, Haptoglobins, Microalbumin, Prostate specific antigen, Transferrin - quantitative estimation in serum, urine or other body fluid - one estimation. (OP) 01387 01JUL1982 31DEC9999 Y Estimation of three or more substances referred to in Item 1381 by using one or more of the methods specified in that item in relation to each (OP) 01388 01NOV1988 31DEC9999 Y Alpha-feta protein, Alpha-1 antitrypsin, Alpha-2 microglobulin, beta-2 microglobulin, CA-1 25 antigen, C- l esterase inhibitor, Caeruloplasmin, Carcinoembryonic antigen, Ferritin, Haptoglobins, Microalbumin, Prostate specific antigen, Transferrin - quantitative estimation in serum, urine or other body fluid - one estimation. (RP) 01389 01NOV1988 31DEC9999 Y Quantitative estimation of two or more proteins specified in item 1379. (SP) 01390 01NOV1988 31DEC9999 Y Quantitative estimation of two or more proteins specified in item 1383. (PP) 01391 01NOV1988 31DEC9999 Y Quantitative estimation of two or more proteins specified in item 1386. (OP) 01392 01JUL1982 31DEC9999 Y Assay by radioimmunoassay, enzyme linked immunoassay, gas liquid chromatography or any other method of diazepam, ethosuximide, methotrexate, morphine, procainamide, quinidine or a similar substance not referred to in any item in this Division other than this item and Item 1393-- estimation of one substance by one or more methods (SP) 01393 01JUL1982 31DEC9999 Y Assay by radioimmunoassay, enzyme linked immunoassay, gas liquid chromatography or any other method of diazepam, ethosuximide, methotrexate, morphine, procainamide, quinidine or a similar substance not referred to in any item in this Division other than this item and Item 1392-- estimation of one substance by one or more methods (OP) 01394 01JUL1982 31DEC9999 Y Estimation of two substances referred to in Item 1392 by using one or more of the methods specified in that item in relation to each (SP) 01395 01JUL1982 31DEC9999 Y Estimation of two substances referred to in Item 1393 by using one or more of the methods specified in that item in relation to each (OP) 01396 01NOV1988 31DEC9999 Y Quantitative estimation of two or more proteins specified in item 1388. (RP) 01397 01JUL1982 31DEC9999 Y Estimation of three or more substances referred to in Item 1392 by using one or more of the methods specified in that item in relation to each (SP) 01398 01JUL1982 31DEC9999 Y Estimation of three or more substances referred to in Item 1393 by using one or more of the methods specified in that item in relation to each (OP) 01399 01NOV1988 31DEC9999 Y Iron studies involving quantitative analysis of iron, transferrin and ferritin, including iron binding capacity if performed. (SP) 01400 01NOV1988 31DEC9999 Y Iron studies involving quantitative analysis of iron, transferrin and ferritin, including iron binding capacity if performed. (PP) 01401 01JUL1982 31DEC9999 Y HDL cholesterol, estimation of, in proven cases of hyperlipidaemia-- one estimation in any twelve month period (SP) 01402 01JUL1982 31DEC9999 Y HDL cholesterol, estimation of, in proven cases of hyperlipidaemia-- one estimation in any twelve month period (OP) 01403 01NOV1988 31DEC9999 Y Iron studies involving quantitative analysis of iron, transferrin and ferritin, including iron binding capacity if performed. (OP) 01404 01NOV1988 31DEC9999 Y Iron studies involving quantitative analysis of iron, transferrin and ferritin, including iron binding capacity if performed. (RP) 01405 01NOV1988 31DEC9999 Y Serum B12, scrum folate, red cell folate, one or more quantitative estimations, including all estimations within any twenty eight day period. (SP) 01406 01NOV1988 31DEC9999 Y Serum B12, scrum folate, red cell folate, one or more quantitative estimations, including all estimations within any twenty eight day period. (PP) 01407 01NOV1988 31DEC9999 Y Serum B12, scrum folate, red cell folate, one or more quantitative estimations, including all estimations within any twenty eight day period. (OP) 01408 01NOV1988 31DEC9999 Y Serum B12, scrum folate, red cell folate, one or more quantitative estimations, including all estimations within any twenty eight day period. (RP) 01409 01NOV1988 31DEC9999 Y Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of Vitamins A, B1, B2, B3, B6, C, and E - one or more estimations within any six month period. (SP) 01410 01NOV1988 31DEC9999 Y Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of Vitamins A, B1, B2, B3, B6, C, and E - one or more estimations within any six month period. (PP) 01411 01NOV1988 31DEC9999 Y Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of Vitamins A, B1, B2, B3, B6, C, and E - one or more estimations within any six month period. (OP) 01412 01NOV1988 31DEC9999 Y Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of Vitamins A, B1, B2, B3, B6, C, and E - one or more estimations within any six month period. (RP) 01413 01NOV1988 31DEC9999 Y Vitamin D or D fractions - one or more estimations. (SP) 01414 01NOV1988 31DEC9999 Y Vitamin D or D fractions - one or more estimations. (PP) 01415 01NOV1988 31DEC9999 Y Vitamin D or D fractions - one or more estimations. (OP) 01416 01NOV1988 31DEC9999 Y Vitamin D or D fractions - one or more estimations. (RP) 01417 01AUG1989 31DEC9999 Y Examination of serum for blood group antibodies including identification and, if necessary, quantitative estimation of any antibodies detected (SP) 01418 01AUG1989 31DEC9999 Y Examination of serum for blood group antibodies including identification and, if necessary, quantitative estimation of any antibodies detected (OP) 01419 01AUG1989 31DEC9999 Y Direct Coombs test, qualitative or quantitative test for cold agglutinins, or heterophile antibodies, qualitative spectroscopic examination of blood for abnormal haemoglobins, qualitative test for red cell porphyrins and detection of metalbumin (Schumm's test) including service specified in item 1170 or 1172 - 1 or more tests (SP) 01420 01AUG1989 31DEC9999 Y Direct Coombs test, qualitative or quantitative test for cold agglutinins, or heterophile antibodies, qualitative spectroscopic examination of blood for abnormal haemoglobins, qualitative test for red cell porphyrins and detection of metalbumin (Schumm's test) including service specified in item 1171 or 1173 - 1 or more tests (OP) 01421 01JUL1982 31DEC9999 Y Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)-- using any technique-- one estimation (SP) 01422 01JUL1982 31DEC9999 Y Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)-- using any technique-- one estimation (OP) 01424 01JUL1982 31DEC9999 Y Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)-- using any technique-- two or more estimations (SP) 01425 01JUL1982 31DEC9999 Y Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)-- using any technique-- two or more estimations (OP) 01429 01NOV1988 31DEC9999 Y Alcohol, ammonia, angiotensin converting enzyme, bilirubin (neonatal, one or more fractions), cholinesterase, cystine ( cysteine), hydroxy indoleacetic acid, hydroxyproline, lactate, lead, pyruvate, oxalate, xylose, zinc - one quantitative estimation. (SP) 01430 01NOV1988 31DEC9999 Y Alcohol, ammonia, angiotensin converting enzyme, bilirubin (neonatal, one or more fractions), cholinesterase, cystine ( cysteine), hydroxy indoleacetic acid, hydroxyproline, lactate, lead, pyruvate, oxalate, xylose, zinc - one quantitative estimation. (PP) 01431 01NOV1988 31DEC9999 Y Alcohol, ammonia, angiotensin converting enzyme, bilirubin (neonatal, one or more fractions), cholinesterase, cystine ( cysteine), hydroxy indoleacetic acid, hydroxyproline, lactate, lead, pyruvate, oxalate, xylose, zinc - one quantitative estimation. (OP) 01432 01NOV1988 31DEC9999 Y Alcohol, ammonia, angiotensin converting enzyme, bilirubin (neonatal, one or more fractions), cholinesterase, cystine ( cysteine), hydroxy indoleacetic acid, hydroxyproline, lactate, lead, pyruvate, oxalate, xylose, zinc - one quantitative estimation. (RP) 01433 01NOV1988 31DEC9999 Y Two or more estimations specified in item 1429. (SP) 01434 01NOV1988 31DEC9999 Y Two or more estimations specified in item 1430. (PP) 01435 01NOV1988 31DEC9999 Y Two or more estimations specified in item 1431. (OP) 01436 01NOV1988 31DEC9999 Y Two or more estimations specified in item 1432. (RP) 01437 01NOV1988 31DEC9999 Y Aluminium, arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium - in blood, urine or other body fluid or tissue - one or more estimations within any six month period. (SP) 01438 01NOV1988 31DEC9999 Y Aluminium, arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium - in blood, urine or other body fluid or tissue - one or more estimations within any six month period. (PP) 01439 01NOV1988 31DEC9999 Y Aluminium, arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium - in blood, urine or other body fluid or tissue - one or more estimations within any six month period. (OP) 01440 01NOV1988 31DEC9999 Y Aluminium, arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium - in blood, urine or other body fluid or tissue - one or more estimations within any six month period. (RP) 01445 01NOV1988 31DEC9999 Y Porphyrins (one or more fractions), Catecholamines (one or more fractions), Hydroxy Methoxy Mandelic Acid (HMMA), Homovanillic Acid (HVA), Methoxy Hydroxy Phenylethylene Glycol (MHPG), Phenyl Acetic Acid (PAA) - quantitative including any qualitative estimations - one or more estimations. (SP) 01446 01NOV1988 31DEC9999 Y Porphyrins (one or more fractions), Catecholamines (one or more fractions), Hydroxy Methoxy Mandelic Acid (HMMA), Homovanillic Acid (HVA), Methoxy Hydroxy Phenylethylene Glycol (MHPG), Phenyl Acetic Acid (PAA) - quantitative including any qualitative estimations - one or more estimations. (PP) 01447 01NOV1988 31DEC9999 Y Porphyrins (one or more fractions), Catecholamines (one or more fractions), Hydroxy Methoxy Mandelic Acid (HMMA), Homovanillic Acid (HVA), Methoxy Hydroxy Phenylethylene Glycol (MHPG), Phenyl Acetic Acid (PAA) - quantitative including any qualitative estimations - one or more estimations. (OP) 01448 01NOV1988 31DEC9999 Y Porphyrins (one or more fractions), Catecholamines (one or more fractions), Hydroxy Methoxy Mandelic Acid (HMMA), Homovanillic Acid (HVA), Methoxy Hydroxy Phenylethylene Glycol (MHPG), Phenyl Acetic Acid (PAA) - quantitative including any qualitative estimations - one or more estimations. (RP) 01449 01NOV1988 31DEC9999 Y Faecal fat - one or more quantitative estimations within any twenty eight day period. (SP) 01450 01NOV1988 31DEC9999 Y Faecal fat - one or more quantitative estimations within any twenty eight day period. (PP) 01451 01NOV1988 31DEC9999 Y Faecal fat - one or more quantitative estimations within any twenty eight day period. (OP) 01452 01JUL1982 29FEB1984 N Hormone assays (including assay of insulin, growth hormone, TSH, LH, FSH, T3, prolactin, renin, gastrin, cortisol (selenium labelled), ACTH or HPL but not including assay of a thyroid hormone covered by Item 1421 or 1424) using gamma emitting labels or any other unspecified technique-- one estimation of any one hormone (SP) 01452 01MAR1984 31DEC9999 Y Hormone assays - assay of insulin, growth hormone, TSH, LH, FSH, T3, prolactin, renin, gastrin, cortisol (selenium labelled), ACTH, HPL but not including assay of a thyroid hormone covered by Item 1421 or 1424, using gamma emitting labels or other unspecified technique - one estimation of any one hormone (SP) 01453 01JUL1982 29FEB1984 N Hormone assays (including assay of insulin, growth hormone, TSH, LH, FSH, T3, prolactin, renin, gastrin, cortisol (selenium labelled), ACTH or HPL but not including assay of a thyroid hormone covered by Item 1422 or 1425) using gamma emitting labels or any other unspecified technique-- one estimation of any one hormone (OP) 01453 01MAR1984 31DEC9999 Y Hormone assays - assay of insulin, growth hormone, TSH, LH, FSH, T3, prolactin, renin, gastrin, cortisol (selenium labelled), ACTH, HPL but not including assay of a thyroid hormone covered by Item 1422 or 1425, using gamma emitting labels or other unspecified technique - one estimation of any one hormone (OP) 01454 01NOV1988 31DEC9999 Y Faecal fat - one or more quantitative estimations within any twenty eight day period. (RP) 01455 01JUL1982 31DEC9999 Y Two estimations of any one hormone using any technique referred to in Item 1452 (SP) 01456 01JUL1982 31DEC9999 Y Two estimations of any one hormone using any technique referred to in Item 1453 (OP) 01457 01NOV1988 31DEC9999 Y Solid tissue or tissues excluding blood elements- assay of one or more enzymes, excluding assays performed in association with items 200 l, 2005, 20 11 and 20 17 including any assays performed within any 28 day period. (SP) 01458 01JUL1982 31DEC9999 Y Three estimations of any one hormone using any technique referred to in Item 1452 (SP) 01459 01JUL1982 31DEC9999 Y Three estimations of any one hormone using any technique referred to in Item 1453 (OP) 01460 01NOV1988 31DEC9999 Y Solid tissue or tissues excluding blood elements- assay of one or more enzymes, excluding assays performed in association with items 200 l, 2005, 20 11 and 20 17 including any assays performed within any 28 day period. (PP) 01461 01JUL1982 31DEC9999 Y Each estimation of any one hormone in excess of three estimations using any technique referred to in Item 1452 (SP) 01462 01JUL1982 31DEC9999 Y Each estimation of any one hormone in excess of three estimations using any technique referred to in Item 1453 (OP) 01463 01NOV1988 31DEC9999 Y Solid tissue or tissues excluding blood elements- assay of one or more enzymes, excluding assays performed in association with items 200 l, 2005, 20 11 and 20 17 including any assays performed within any 28 day period. (OP) 01464 01NOV1988 31DEC9999 Y Solid tissue or tissues excluding blood elements- assay of one or more enzymes, excluding assays performed in association with items 200 l, 2005, 20 11 and 20 17 including any assays performed within any 28 day period. (RP) 01465 01NOV1988 31DEC9999 Y Thyroid function tests, total thyroxine and T3 resin uptake or equivalent test, thyroxine binding globulin, free thyroxine, free T3, total T3, thyrotrophin (TSH) - an initial test or tests, and any indicated additional test or tests, performed within any twenty eight day period. (SP) 01466 01NOV1988 31DEC9999 Y Thyroid function tests, total thyroxine and T3 resin uptake or equivalent test, thyroxine binding globulin, free thyroxine, free T3, total T3, thyrotrophin (TSH) - an initial test or tests, and any indicated additional test or tests, performed within any twenty eight day period. (PP) 01467 01NOV1988 31DEC9999 Y Thyroid function tests, total thyroxine and T3 resin uptake or equivalent test, thyroxine binding globulin, free thyroxine, free T3, total T3, thyrotrophin (TSH) - an initial test or tests, and any indicated additional test or tests, performed within any twenty eight day period. (OP) 01468 01NOV1988 31DEC9999 Y Thyroid function tests, total thyroxine and T3 resin uptake or equivalent test, thyroxine binding globulin, free thyroxine, free T3, total T3, thyrotrophin (TSH) - an initial test or tests, and any indicated additional test or tests, performed within any twenty eight day period. (RP) 01469 01NOV1984 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or in subsequent lesion in the breast - one or more assays (SP) 01470 01NOV1984 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or in subsequent lesion in the breast - one or more assays (OP) 01471 01NOV1988 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones. (SP) 01472 01NOV1988 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones. (PP) 01473 01NOV1988 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones. (OP) 01474 01NOV1988 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones. (RP) 01475 01JUL1982 31DEC9999 Y Hormone assays (including assay of progesterone, testosterone, cortisol (tritium labelled), 17-hydroxyprogesterone, oestradiol or aldosterone) using beta emitting labels or bioassay techniques-- one estimation of any one hormone (SP) 01476 01JUL1982 31DEC9999 Y Hormone assays (including assay of progesterone, testosterone, cortisol (tritium labelled), 17-hydroxyprogesterone, oestradiol or aldosterone) using beta emitting labels or bioassay techniques-- one estimation of any one hormone (OP) 01477 01NOV1988 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of - ACTH, Aldosterone, Androstenedione, C-peptide, Calcitonin, Cortisol, Cyclic AMP, DHEAS, FSH, Gastrin, Growth hormone, Hydroxyprogesterone, Insulin, LH, Oestradiol, Oestriol, Oestrone, Progesterone, Prolactin, PTH, Renin, Sex hormone binding globulin, free or total Testosterone, Urine steroid fraction or fractions, Vasoactive intestinal peptide, excluding services specified in item 1515 - one estimation. (SP) 01478 01JUL1982 31DEC9999 Y Hormone assay using beta emitting labels or bioassay techniques-- two estimations of any one hormone (SP) 01479 01JUL1982 31DEC9999 Y Hormone assay using beta emitting labels or bioassay techniques-- two estimations of any one hormone (OP) 01480 01NOV1988 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of - ACTH, Aldosterone, Androstenedione, C-peptide, Calcitonin, Cortisol, Cyclic AMP, DHEAS, FSH, Gastrin, Growth hormone, Hydroxyprogesterone, Insulin, LH, Oestradiol, Oestriol, Oestrone, Progesterone, Prolactin, PTH, Renin, Sex hormone binding globulin, free or total Testosterone, Urine steroid fraction or fractions, Vasoactive intestinal peptide, excluding services specified in item 1515 - one estimation. (PP) 01481 01JUL1982 31DEC9999 Y Hormone assay using beta emitting labels or bioassay techniques-- three estimations of any one hormone (SP) 01482 01JUL1982 31DEC9999 Y Hormone assay using beta emitting labels or bioassay techniques-- three estimations of any one hormone (OP) 01483 01NOV1988 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of - ACTH, Aldosterone, Androstenedione, C-peptide, Calcitonin, Cortisol, Cyclic AMP, DHEAS, FSH, Gastrin, Growth hormone, Hydroxyprogesterone, Insulin, LH, Oestradiol, Oestriol, Oestrone, Progesterone, Prolactin, PTH, Renin, Sex hormone binding globulin, free or total Testosterone, Urine steroid fraction or fractions, Vasoactive intestinal peptide, excluding services specified in item 1515 - one estimation. (OP) 01484 01JUL1982 31DEC9999 Y Hormone assay using beta emitting labels or bioassay techniques-- each estimation of any one hormone in excess of three (SP) 01485 01JUL1982 31DEC9999 Y Hormone assay using beta emitting labels or bioassay techniques-- each estimation of any one hormone in excess of three (OP) 01486 01NOV1988 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of - ACTH, Aldosterone, Androstenedione, C-peptide, Calcitonin, Cortisol, Cyclic AMP, DHEAS, FSH, Gastrin, Growth hormone, Hydroxyprogesterone, Insulin, LH, Oestradiol, Oestriol, Oestrone, Progesterone, Prolactin, PTH, Renin, Sex hormone binding globulin, free or total Testosterone, Urine steroid fraction or fractions, Vasoactive intestinal peptide, excluding services specified in item 1515 - one estimation. (RP) 01487 01NOV1988 31DEC9999 Y Two estimations specified in item 1477. (SP) 01488 01NOV1988 31DEC9999 Y Two estimations specified in item 1480. (PP) 01489 01NOV1988 31DEC9999 Y Two estimations specified in item 1483. (OP) 01490 01NOV1988 31DEC9999 Y Two estimations specified in item 1486. (RP) 01491 01NOV1988 31DEC9999 Y Three estimations specified in item 1477. (SP) 01492 01NOV1988 31DEC9999 Y Three estimations specified in item 1480. (PP) 01493 01NOV1988 31DEC9999 Y Three estimations specified in item 1483. (OP) 01494 01NOV1988 31DEC9999 Y Three estimations specified in item 1486. (RP) 01495 01NOV1988 31DEC9999 Y Four estimations specified in item 1477 . (SP) 01496 01NOV1988 31DEC9999 Y Four estimations specified in item 1480 . (PP) 01497 01NOV1988 31DEC9999 Y Four estimations specified in item 1483 . (OP) 01498 01NOV1988 31DEC9999 Y Four estimations specified in item 1486 . (RP) 01499 01NOV1988 31DEC9999 Y Five estimations specified in item 1477. (SP) 01500 01NOV1988 31DEC9999 Y Five estimations specified in item 1480. (PP) 01501 01NOV1988 31DEC9999 Y Five estimations specified in item 1483. (OP) 01502 01NOV1988 31DEC9999 Y Five estimations specified in item 1486. (RP) 01503 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1477. (SP) 01504 01JUL1982 31DEC9999 Y Procedural service associated with -ACTH stimulation test, adrenaline tolerance test, arginine infusion test, bromsulphthalein test, carbohydrate tolerance test, creatinine clearance test, gastric function test requiring intubation, glucagon tolerance test, histidine loaded FIGLU test, L-dopa stimulation test, phenolsulphthalein excretion test, TSH stimulation test (other than the administration of TSH), urea clearance test, urea concentration test, vasopressin stimulation test, xylose absorption test, or any similar test (SP) 01505 01JUL1982 31DEC9999 Y Procedural service associated with -ACTH stimulation test, adrenaline tolerance test, arginine infusion test, bromsulphthalein test, carbohydrate tolerance test, creatinine clearance test, gastric function test requiring intubation, glucagon tolerance test, histidine loaded FIGLU test, L-dopa stimulation test, phenolsulphthalein excretion test, TSH stimulation test (other than the administration of TSH), urea clearance test, urea concentration test, vasopressin stimulation test, xylose absorption test, or any similar test (OP) 01506 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1480. (PP) 01507 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1483. (OP) 01508 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1486. (RP) 01509 01NOV1988 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or subsequent lesion in the breast or metastasis from a breast carcinoma - one or more assays. (SP) 01510 01NOV1988 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or subsequent lesion in the breast or metastasis from a breast carcinoma - one or more assays. (PP) 01511 01JUL1982 31DEC9999 Y Procedural services associated with -tolbutamide test, insulin hypoglycaemia stimulation test, gonadotrophin releasing hormone stimulation test (other than the administration of gonadotrophin releasing hormone), thyrotrophin releasing hormone stimulation test (other than the administration of thyroid stimulating hormone), urine acidification test, or any similar test (SP) 01512 01JUL1982 31DEC9999 Y Procedural services associated with -tolbutamide test, insulin hypoglycaemia stimulation test, gonadotrophin releasing hormone stimulation test (other than the administration of gonadotrophin releasing hormone), thyrotrophin releasing hormone stimulation test (other than the administration of thyroid stimulating hormone), urine acidification test, or any similar test (OP) 01513 01NOV1988 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or subsequent lesion in the breast or metastasis from a breast carcinoma - one or more assays. (OP) 01514 01NOV1988 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or subsequent lesion in the breast or metastasis from a breast carcinoma - one or more assays. (RP) 01516 01JUL1982 31DEC9999 Y Procedural services associated with the administration of -thyrotrophin releasing hormone, gonadotrophin releasing hormone or thyroid stimulating hormone (SP) 01517 01JUL1982 31DEC9999 Y Procedural services associated with the administration of -thyrotrophin releasing hormone, gonadotrophin releasing hormone or thyroid stimulating hormone (OP) 01521 01AUG1989 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), test for factor XIII deficiency, fibrinogen, or 1 of - fibrinogen degradation products, fibrin monomer or D-dimer - 1 estimation (SP) 01522 01AUG1989 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), test for factor XIII deficiency, fibrinogen, or 1 of - fibrinogen degradation products, fibrin monomer or D-dimer - 1 estimation (OP) 01523 01AUG1989 31DEC9999 Y 2 estimations specified in item 1521 (SP) 01524 01AUG1989 31DEC9999 Y 2 estimations specified in item 1522 (OP) 01525 01AUG1989 31DEC9999 Y 3 estimations specified in item 1521 (SP) 01526 01AUG1989 31DEC9999 Y 3 estimations specified in item 1522 (OP) 01527 01AUG1989 31DEC9999 Y 4 or more estimations specified in item 1521 (SP) 01528 01AUG1989 31DEC9999 Y 4 or more estimations specified in item 1522 (OP) 01529 01JUL1982 31DEC9999 Y Microscopical examination, wet film, not covered by Item 1536 (SP) 01530 01JUL1982 31DEC9999 Y Microscopical examination, wet film, not covered by Item 1537 (OP) 01531 01AUG1989 31DEC9999 Y Quantitative assay, by 1 or more techniques, of plasminogen, antithrombin III, Protein C, Protein S, heparin co-factor II, Euglobulin clot lysis time and test for lupus anticoagulant - 1 estimation (SP) 01532 01AUG1989 31DEC9999 Y Quantitative assay, by 1 or more techniques, of plasminogen, antithrombin III, Protein C, Protein S, heparin co-factor II, Euglobulin clot lysis time and test for lupus anticoagulant - 1 estimation (OP) 01533 01AUG1989 31DEC9999 Y 4 or more estimations specified in item 1531 (SP) 01534 01AUG1989 31DEC9999 Y 4 or more estimations specified in item 1532 (OP) 01535 01AUG1989 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance - 1 or more estimations (SP) 01536 01JUL1982 31DEC9999 Y Microscopical examination of urine and examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (SP) 01537 01JUL1982 31DEC9999 Y Microscopical examination of urine and examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (where the patient is referred by another medical practitioner) (OP) 01538 01AUG1989 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance - 1 or more estimations (OP) 01539 01AUG1989 31DEC9999 Y Heperin assay, only when monitoring a patient on subcutaneous heparin or low molecular weight heparin - 1 or more estimations (SP) 01540 01AUG1989 31DEC9999 Y Heparin assay, only when monitoring a patient on subcutaneous heparin or low molecular weight heparin - 1 or more estimations (OP) 01541 01AUG1989 31DEC9999 Y Quantitative assay of Von Willebrand's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, Passovy factor - 1 estimation (SP) 01542 01AUG1989 31DEC9999 Y Quantitative assay of Von Willebrand's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, Passovy factor - 1 estimation (OP) 01543 01AUG1989 31DEC9999 Y 2 estimations as specified in item 1541 (SP) 01544 01AUG1989 31DEC9999 Y 2 estimations as specified in item 1542 (OP) 01545 01JUL1982 31DEC9999 Y Microscopical examination using gram or similar stain (e.g. Loeffler, methylene blue, Giemsa)-- one stain (SP) 01546 01JUL1982 31DEC9999 Y Microscopical examination using gram or similar stain (e.g. Loeffler, methylene blue, Giemsa)-- one stain (OP) 01548 01JUL1982 31DEC9999 Y Microscopical examination using gram or similar stain (e.g. Loeffler, methylene blue, Giemsa)-- two or more stains (SP) 01549 01JUL1982 31DEC9999 Y Microscopical examination using gram or similar stain (e.g. Loeffler, methylene blue, Giemsa)-- two or more stains (OP) 01550 01AUG1989 31DEC9999 Y 3 or more estimations as specified in item 1541 (SP) 01551 01AUG1989 31DEC9999 Y 3 or more estimations as specified in item 1542 (OP) 01556 01JUL1982 31DEC9999 Y Microscopical examination using special stain (e.g. Ziehl-Neelsen or similar stain)-- one stain (SP) 01557 01JUL1982 31DEC9999 Y Microscopical examination using special stain (e.g. Ziehl-Neelsen or similar stain)-- one stain (OP) 01558 01AUG1989 31DEC9999 Y Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter or electrophoresis of - alanine amino-transferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, creatine kinase, creatine kinase isoenzymes (when not performed as specified in item 1734), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, triglycerides, urate, urea - 1 estimation (SP) 01559 01AUG1989 31DEC9999 Y Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter or electrophoresis of - alanine amino-transferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, creatine kinase, creatine kinase isoenzymes (when not performed as specified in item 1735), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, triglycerides, urate, urea - 1 estimation (OP) 01560 01AUG1989 31DEC9999 Y 2 estimations specified in item 1558 (SP) 01561 01AUG1989 31DEC9999 Y 2 estimations specified in item 1559 (OP) 01562 01AUG1989 31DEC9999 Y 3 estimations specified in item 1558 (SP) 01563 01AUG1989 31DEC9999 Y 3 estimations specified in item 1559 (OP) 01564 01AUG1989 31DEC9999 Y 4 estimations specified in item 1558 (SP) 01565 01AUG1989 31DEC9999 Y 4 estimations specified in item 1559 (OP) 01566 01JUL1982 31DEC9999 Y Microscopical examination using two or more stains, one or more of which is a special stain referred to in Item 1556 (SP) 01567 01JUL1982 31DEC9999 Y Microscopical examination using two or more stains, one or more of which is a special stain referred to in Item 1557 (OP) 01569 01AUG1989 31DEC9999 Y 5 estimations specified in item 1558 (SP) 01570 01AUG1989 31DEC9999 Y 5 estimations specified in item 1559 (OP) 01571 01AUG1989 31DEC9999 Y 6 or more estimations specified in item 1558 (SP) 01572 01AUG1989 31DEC9999 Y 6 or more estimations specified in item 1559 (OP) 01575 01AUG1989 31DEC9999 Y Qualitative estimation by any method, except by reagent strip or dip-stick of the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in plasma - 1 or more estimations (SP) 01576 01AUG1989 31DEC9999 Y Qualitative estimation by any method, except by reagent strip or dip-stick of the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in plasma - 1 or more estimations (OP) 01577 01AUG1989 31DEC9999 Y Qualitative estimation by any method except by reagent strip or dip-stick of the following faecal constituents - haemoglobin, porphyrins, reducing substances - each estimation, to a maximum of 3 estimations, taken on separate days (SP) 01578 01AUG1989 31DEC9999 Y Qualitative estimation by any method except by reagent strip or dip-stick of the following faecal constituents - haemoglobin, porphyrins, reducing substances - each estimation, to a maximum of 3 estimations, taken on separate days (OP) 01579 01AUG1989 31DEC9999 Y Immunological tests for human haemoglobin in faeces performed in any 28 day period, including chemical test if performed - 1 estimation (SP) 01580 01AUG1989 31DEC9999 Y Immunological tests for human haemoglobin in faeces performed in any 28 day period, including chemical test if performed - 1 estimation (OP) 01581 01AUG1989 31DEC9999 Y 2 or more estimations specified in item 1579 (SP) 01582 01AUG1989 31DEC9999 Y 2 or more estimations specified in item, 1580 (OP) 01583 01AUG1989 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine - 1 or more estimations (SP) 01584 01AUG1989 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine - 1 or more estimations (OP) 01586 01JUL1982 31DEC9999 Y Microscopical examination for dermatophytes-- examination of material from one site (SP) 01587 01JUL1982 31DEC9999 Y Microscopical examination for dermatophytes-- examination of material from one site (OP) 01588 01JUL1982 31DEC9999 Y Microscopical examination for dermatophytes-- examination of material from two or more sites (SP) 01589 01JUL1982 31DEC9999 Y Microscopical examination for dermatophytes-- examination of material from two or more sites (OP) 01590 01AUG1989 31DEC9999 Y Quantitative estimation of blood gases including tests performed from - pO2, oxygen saturation, pCO2, bicarbonate, pH, and any other measurement (e.g. haemoglobin, potassium) or calculation performed on the same specimen - 1 or more estimation on 1 specimen (SP) 01591 01AUG1989 31DEC9999 Y Quantitative estimation of blood gases including tests performed from - pO2, oxygen saturation, pCO2, bicarbonate, pH, and any other measurement (e.g. haemoglobin, potassium) or calculation performed on the same specimen - 1 or more estimation on 1 specimen (OP) 01592 01AUG1989 31DEC9999 Y 1 or more estimations of blood gases as specified in item 1590 on 2 or more specimens within any 1 day (SP) 01593 01AUG1989 31DEC9999 Y 1 or more estimations of blood gases as specified in item 1591 on 2 or more specimens within any 1 day (OP) 01595 01AUG1989 31DEC9999 Y Calculus, analysis of 1 or more (SP) 01596 01AUG1989 31DEC9999 Y Calculus, analysis of 1 or more (OP) 30.90 1598 Drug or chemical assays - including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, ingested or absorbed toxic chemicals including any service specified in item 1712, 1714 or 1716, but excluding the surveillance of sports people and athletes for performance improving substances - 1 or more assays (SP) 01598 01AUG1989 31DEC9999 Y Drug or chemical assays - including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, ingested or absorbed toxic chemicals including any services specified in items 1712, 1714 and 1716, but excluding the surveillance of sports people and athletes for performance improving substances - one or more assays.(S) 01599 01AUG1989 31DEC9999 Y Drug or chemical assays - including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, ingested or absorbed toxic chemicals including any service specified in item 1713, 1715 or 1717, but excluding the surveillance of sports people and athletes for performance improving substances - 1 or more assays (OP) 01601 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material other than blood, from one or more sites, obtained directly from a patient, and excluding material from cultures, wet film, including differential cell count if performed - one or more examinations when requested by another practitioner. (SP) 01602 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material other than blood, from one or more sites, obtained directly from a patient, and excluding material from cultures, wet film, including differential cell count if performed - one or more examinations when requested by another practitioner. (PP) 01603 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material other than blood, from one or more sites, obtained directly from a patient, and excluding material from cultures, wet film, including differential cell count if performed - one or more examinations when requested by another practitioner. (OP) 01604 01JUL1982 31DEC9999 Y Microscopical examination of exudate by dark ground illumination for Treponema pallidum (SP) 01605 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material other than blood, from one or more sites, obtained directly from a patient, and excluding material from cultures, wet film, including differential cell count if performed - one or more examinations when requested by another practitioner. (RP) 01606 01JUL1982 31DEC9999 Y Microscopical examination of exudate by dark ground illumination for Treponema pallidum (OP) 01607 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material from one or more sites, other than blood, obtained directly from a patient and excluding material from cultures - examination for dermatophytes or parasites or dark ground illumination, or stained preparation or preparations using any relevant stain or stains excluding services specified in items 1629, 1635 or 1671, and including any services specified in item 1601 - one or more examinations. (SP) 01608 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material from one or more sites, other than blood, obtained directly from a patient and excluding material from cultures - examination for dermatophytes or parasites or dark ground illumination, or stained preparation or preparations using any relevant stain or stains excluding services specified in items 1630, 1639 or 1672, and including any services specified in item 1602 - one or more examinations. (PP) 01609 01FEB1984 31DEC9999 Y Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from one site (SP) 01610 01FEB1984 31DEC9999 Y Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from one site (OP) 01611 01JUL1982 31DEC9999 Y Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from one site (HP) 01612 01FEB1984 31DEC9999 Y Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from two or more sites where processed independently (SP) 01613 01FEB1984 31DEC9999 Y Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from two or more sites where processed independently (OP) 01614 01JUL1982 31DEC9999 Y Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from two or more sites where processed independently (HP) 01615 01FEB1984 31DEC9999 Y Cultural examination of material other than blood or urine for aerobic and anaerobic microorganisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from one site (SP) 01616 01FEB1984 31DEC9999 Y Cultural examination of material other than blood or urine for aerobic and anaerobic microorganisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from one site (OP) 01617 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material from one or more sites, other than blood, obtained directly from a patient and excluding material from cultures - examination for dermatophytes or parasites or dark ground illumination, or stained preparation or preparations using any relevant stain or stains excluding services specified in items 1631, 1642 or 1675, and including any services specified in item 1603 - one or more examinations. (OP) 01618 01JUL1982 31DEC9999 Y Cultural examination of material other than blood or urine for aerobic and anaerobic microorganisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from one site (HP) 01619 01FEB1984 31DEC9999 Y Cultural examination of material other than blood or urine for aerobic and anaerobic microorganisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from two or more sites where processed independently (SP) 01620 01FEB1984 31DEC9999 Y Cultural examination of material other than blood or urine for aerobic and anaerobic microorganisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from two or more sites where processed independently (OP) 01621 01JUL1982 31DEC9999 Y Cultural examination of material other than blood or urine for aerobic and anaerobic microorganisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures-- examination of material from two or more sites where processed independently (HP) 01622 01JUL1982 31DEC9999 Y Cultural examination for mycobacteria-- each specimen (SP) 01623 01JUL1982 31DEC9999 Y Cultural examination for mycobacteria-- each specimen (OP) 01624 01NOV1988 31DEC9999 Y Microscopic examination including serial examinations of material from one or more sites, other than blood, obtained directly from a patient and excluding material from cultures - examination for dermatophytes or parasites or dark ground illumination, or stained preparation or preparations using any relevant stain or stains excluding services specified in items 1632, 1643 or 1677, and including any services specified in item 1605 - one or more examinations. (RP) 01627 01AUG1989 31DEC9999 Y Drug assays - including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects or under a court order or parole board supervision, but excluding the detection of nicotine and metabolites in smoking withdrawal programmes - each assay to a maximum of 4 assays within any 28 day period (SP) 01628 01AUG1989 31DEC9999 Y Drug assays - including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects or under a court order or parole board supervision, but excluding the detection of nicotine and metabolites in smoking withdrawal programmes - each assay to a maximum of 4 assays within any 28 day period (OP) 01629 01NOV1988 31DEC9999 Y Microbial (including fungal and parasitic) antigens not elsewhere specified in an item in the Schedule, identification by immunological method or methods of presence or absence in material obtained directly from a patient, excluding urine and material from cultures - identification of one antigen. (SP) 01630 01NOV1988 31DEC9999 Y Microbial (including fungal and parasitic) antigens not elsewhere specified in an item in the Schedule, identification by immunological method or methods of presence or absence in material obtained directly from a patient, excluding urine and material from cultures - identification of one antigen. (PP) 01631 01NOV1988 31DEC9999 Y Microbial (including fungal and parasitic) antigens not elsewhere specified in an item in the Schedule, identification by immunological method or methods of presence or absence in material obtained directly from a patient, excluding urine and material from cultures - identification of one antigen. (OP) 01632 01NOV1988 31DEC9999 Y Microbial (including fungal and parasitic) antigens not elsewhere specified in an item in the Schedule, identification by immunological method or methods of presence or absence in material obtained directly from a patient, excluding urine and material from cultures - identification of one antigen. (RP) 01633 01FEB1984 31DEC9999 Y Blood culture, including sub-culture, using both aerobic and anaerobic media, with, where indicated, the use of relevant stains or sensitivity testing or relevant stains and sensitivity testing, but not involving organism identification-- each set of cultures to a maximum of three sets (SP) 01634 01FEB1984 31DEC9999 Y Blood culture, including sub-culture, using both aerobic and anaerobic media, with, where indicated, the use of relevant stains or sensitivity testing or relevant stains and sensitivity testing, but not involving organism identification-- each set of cultures to a maximum of three sets (OP) 01635 01NOV1988 31DEC9999 Y Identification of two or more antigens specified in item 1629. (SP) 01636 01JUL1982 31DEC9999 Y Blood culture, including sub-culture, using both aerobic and anaerobic media, with, where indicated, the use of relevant stains or sensitivity testing or relevant stains and sensitivity testing, but not involving organism identification-- each set of cultures to a maximum of three sets (HP) 01637 01JUL1982 31DEC9999 Y Screening test for mycoplasma or ureaplasma or both (SP) 01638 01JUL1982 31DEC9999 Y Screening test for mycoplasma or ureaplasma or both (OP) 01639 01NOV1988 31DEC9999 Y Identification of two or more antigens specified in item 1630. (PP) 01640 01JUL1982 31DEC9999 Y Coagulase test for organism identification by slide or tube method, not being a test conducted in conjunction with a service specified in Item 1644, 1647, 1661 or 1664 that is performed for the purpose of identifying the same organism (SP) 01641 01JUL1982 31DEC9999 Y Coagulase test for organism identification by slide or tube method, not being a test conducted in conjunction with a service specified in Item 1645, 1648, 1662 or 1665 that is performed for the purpose of identifying the same organism (OP) 01642 01NOV1988 31DEC9999 Y Identification of two or more antigens specified in item 1631. (OP) 01643 01NOV1988 31DEC9999 Y Identification of two or more antigens specified in item 1632. (RP) 01644 01JUL1982 31DEC9999 Y Identification of pathogenic microorganisms other than M tuberculosis, using biochemical tests or other special techniques involving sub-culture or biochemical tests and other special techniques involving sub-culture-- identification of one organism (SP) 01645 01JUL1982 31DEC9999 Y Identification of pathogenic microorganisms other than M tuberculosis, using biochemical tests or other special techniques involving sub-culture or biochemical tests and other special techniques involving sub-culture-- identification of one organism (OP) 01646 01NOV1988 31DEC9999 Y Cultural examination including serial cultures (eg of faeces or sputum) to determine the presence or absence of pathogenic micro-organisms, including fungi but excluding viruses, in material obtained directly from a patient, other than blood or urine, including all tests necessary to identify any cultured pathogen, and necessary antibiotic sensitivity testing and including any services specified in items 1629 and 1635 - examination of material from one or more sites. (SP) 01647 01JUL1982 31DEC9999 Y Identification of two or more organisms, excluding M tuberculosis, by the method referred to in Item 1644 (SP) 01648 01JUL1982 31DEC9999 Y Identification of two or more organisms, excluding M tuberculosis, by the method referred to in Item 1645 (OP) 01649 01NOV1988 31DEC9999 Y Cultural examination including serial cultures (eg of faeces or sputum) to determine the presence or absence of pathogenic micro-organisms, including fungi but excluding viruses, in material obtained directly from a patient, other than blood or urine, including all tests necessary to identify any cultured pathogen, and necessary antibiotic sensitivity testing and including any services specified in items 1630 and 1639 - examination of material from one or more sites. (PP) 01650 01NOV1988 31DEC9999 Y Cultural examination including serial cultures (eg of faeces or sputum) to determine the presence or absence of pathogenic micro-organisms, including fungi but excluding viruses, in material obtained directly from a patient, other than blood or urine, including all tests necessary to identify any cultured pathogen, and necessary antibiotic sensitivity testing and including any services specified in items 1631 and 1642 - examination of material from one or more sites. (OP) 01651 01NOV1988 31DEC9999 Y Cultural examination including serial cultures (eg of faeces or sputum) to determine the presence or absence of pathogenic micro-organisms, including fungi but excluding viruses, in material obtained directly from a patient, other than blood or urine, including all tests necessary to identify any cultured pathogen, and necessary antibiotic sensitivity testing and including any services specified in items 1632 and 1643 - examination of material from one or more sites. (RP) 01652 01NOV1988 31DEC9999 Y Microbiological examination consisting of items 1607 and 1646. (SP) 01653 01NOV1988 31DEC9999 Y Microbiological examination consisting of items 1608 and 1649. (PP) 01654 01NOV1988 31DEC9999 Y Microbiological examination consisting of items 16 17 and 1650. (OP) 01655 01NOV1988 31DEC9999 Y Microbiological examination consisting of items 1624 and 1651. (RP) 01656 01NOV1988 31DEC9999 Y Blood culture to determine the presence or absence of pathogenic micro-organisms excluding viruses, including serial cultures and sub-cultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing - all cultures performed within any three day period. (SP) 01657 01NOV1988 31DEC9999 Y Blood culture to determine the presence or absence of pathogenic micro-organisms excluding viruses, including serial cultures and sub-cultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing - all cultures performed within any three day period. (PP) 01658 01NOV1988 31DEC9999 Y Blood culture to determine the presence or absence of pathogenic micro-organisms excluding viruses, including serial cultures and sub-cultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing - all cultures performed within any three day period. (OP) 01659 01NOV1988 31DEC9999 Y Blood culture to determine the presence or absence of pathogenic micro-organisms excluding viruses, including serial cultures and sub-cultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing - all cultures performed within any three day period. (RP) 01661 01JUL1982 31DEC9999 Y Identification of pathogenic microorganisms using a serological technique (including the immunofluorescent or immunoenzymic method)- a procedure involving one technique (SP) 01662 01JUL1982 31DEC9999 Y Identification of pathogenic microorganisms using a serological technique (including the immunofluorescent or immunoenzymic method)- a procedure involving one technique (OP) 01664 01JUL1982 31DEC9999 Y Two or more of any procedures of a kind referred to in Item 1661 using different techniques (SP) 01665 01JUL1982 31DEC9999 Y Two or more of any procedures of a kind referred to in Item 1662 using different techniques (OP) 01668 01FEB1984 31DEC9999 Y Anaerobic culture of urine obtained by suprapubic aspiration of the bladder where previous aerobic urine culture is negative, plus microscopical examination of urine, with cell count, relevant stains (if indicated), aerobic cultural examination and colony count of micro-organisms (not being a service to which Item 1682 or 1683 applies), together with sensitivity testing (where indicated) and general examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (not covered by Item 1673, 1674 or 1676) (SP) 01669 01FEB1984 31DEC9999 Y Anaerobic culture of urine obtained by suprapubic aspiration of the bladder where previous aerobic urine culture is negative, plus microscopical examination of urine, with cell count, relevant stains (if indicated), aerobic cultural examination and colony count of micro-organisms (not being a service to which Item 1682 or 1683 applies), together with sensitivity testing (where indicated) and general examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (not covered by Item 1673, 1674 or 1676) (OP) 01670 01JUL1982 31DEC9999 Y Anaerobic culture of urine obtained by suprapubic aspiration of the bladder where previous aerobic urine culture is negative, plus microscopical examination of urine, with cell count, relevant stains (if indicated), aerobic cultural examination and colony count of micro-organisms (not being a service to which Item 1682 or 1683 applies), together with sensitivity testing (where indicated) and general examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (not covered by Item 1673, 1674 or 1676) (HP) 01671 01NOV1988 31DEC9999 Y Urine examination including serial examination, with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts. (Simple culture by dip slide is excluded from this item). (SP) 01672 01NOV1988 31DEC9999 Y Urine examination including serial examination, with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts. (Simple culture by dip slide is excluded from this item). (PP) 01673 01FEB1984 31DEC9999 Y Microscopical examination of urine, with cell count, relevant stains (if indicated), aerobic cultural examination and colony count of micro-organisms (not being a service to which Item 1682 or 1683 applies), together with sensitivity testing (where indicated) and general examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (SP) 01674 01FEB1984 31DEC9999 Y Microscopical examination of urine, with cell count, relevant stains (if indicated), aerobic cultural examination and colony count of micro-organisms (not being a service to which Item 1682 or 1683 applies), together with sensitivity testing (where indicated) and general examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (OP) 01675 01NOV1988 31DEC9999 Y Urine examination including serial examination, with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts. (Simple culture by dip slide is excluded from this item). (OP) 01676 01JUL1982 31DEC9999 Y Microscopical examination of urine, with cell count, relevant stains (if indicated), aerobic cultural examination and colony count of micro-organisms (not being a service to which Item 1682 or 1683 applies), together with sensitivity testing (where indicated) and general examination for one or more of pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone and bile pigments (HP) 01677 01NOV1988 31DEC9999 Y Urine examination including serial examination, with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts. (Simple culture by dip slide is excluded from this item). (RP) 01678 01NOV1988 31DEC9999 Y Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule - estimation of one antibody. (SP) 01679 01NOV1988 31DEC9999 Y Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule - estimation of one antibody. (PP) 01680 01NOV1988 31DEC9999 Y Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule - estimation of one antibody. (OP) 01681 01NOV1988 31DEC9999 Y Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule - estimation of one antibody. (RP) 01682 01JUL1982 31DEC9999 Y Microscopical examination of urine and simple culture by means of dip slide or microbiological kit test (SP) 01683 01JUL1982 31DEC9999 Y Microscopical examination of urine and simple culture by means of dip slide or microbiological kit test (where the patient is referred by another medical practitioner) (OP) 01684 01NOV1988 31DEC9999 Y Two estimations specified in item 1678. (SP) 01685 01NOV1988 31DEC9999 Y Two estimations specified in item 1679. (PP) 01686 01NOV1988 31DEC9999 Y Two estimations specified in item 1680. (OP) 01687 01JUL1982 31DEC9999 Y Microscopical examination of faeces or body fluids for parasites, cysts or ova, with or without simple stains or concentration techniques (SP) 01688 01JUL1982 31DEC9999 Y Microscopical examination of faeces or body fluids for parasites, cysts or ova, with or without simple stains or concentration techniques (OP) 01689 01NOV1988 31DEC9999 Y Two estimations specified in item 1681. (RP) 01690 01NOV1988 31DEC9999 Y Three estimations specified in item 1678. (SP) 01691 01NOV1988 31DEC9999 Y Three estimations specified in item 1679. (PP) 01692 01NOV1988 31DEC9999 Y Three estimations specified in item 1680. (OP) 01693 01JUL1982 31DEC9999 Y Identification of helminths (SP) 01694 01JUL1982 31DEC9999 Y Identification of helminths (OP) 01695 01NOV1988 31DEC9999 Y Three estimations specified in item 1681. (RP) 01696 01NOV1988 31DEC9999 Y Four estimations specified in item 1678. (SP) 01697 01NOV1988 31DEC9999 Y Four estimations specified in item 1679. (PP) 01698 01NOV1988 31DEC9999 Y Four estimations specified in item 1680. (OP) 01699 01NOV1988 31DEC9999 Y Four estimations specified in item 1681. (RP) 01700 01NOV1988 31DEC9999 Y Five estimations specified in item 1678 . (SP) 01701 01NOV1988 31DEC9999 Y Five estimations specified in item 1679 . (PP) 01702 01JUL1982 31DEC9999 Y Cultural examination for parasites, other than trichomonas-- culture of one parasite (SP) 01703 01JUL1982 31DEC9999 Y Cultural examination for parasites, other than trichomonas-- culture of one parasite (OP) 01704 01NOV1988 31DEC9999 Y Five estimations specified in item 1680 . (OP) 01705 01JUL1982 31DEC9999 Y Cultural examination for parasites, other than trichomonas-- culture of two or more parasites (SP) 01706 01JUL1982 31DEC9999 Y Cultural examination for parasites, other than trichomonas-- culture of two or more parasites (OP) 01707 01NOV1988 31DEC9999 Y Five estimations specified in item 1681 . (RP) 01708 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1678 . (SP) 01709 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1679 . (PP) 01710 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1680 . (OP) 01711 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1681 . (RP) 01712 01AUG1989 31DEC9999 Y Drug assay - quantitative estimation on blood or other body fluid by any method of a drug being used therapeutically for the patient from whom the specimen was taken and not elsewhere specified in the Schedule - 1 estimation (SP) 01713 01AUG1989 31DEC9999 Y Drug assay - quantitative estimation on blood or other body fluid by any method of a drug being used therapeutically for the patient from whom the specimen was taken and not elsewhere specified in the Schedule - 1 estimation (OP) 01714 01AUG1989 31DEC9999 Y 2 estimations specified in item 1712 (SP) 01715 01AUG1989 31DEC9999 Y 2 estimations specified in item 1713 (OP) 01716 01AUG1989 31DEC9999 Y 3 or more estimations specified in item 1712 (SP) 01717 01AUG1989 31DEC9999 Y 3 or more estimations specified in item 1713 (OP) 01721 01JUL1982 31DEC9999 Y Determination of the minimum inhibitory concentration of an antibiotic or chemotherapeutic agent by tube technique or by agar plate dilution-- one organism (SP) 01722 01JUL1982 31DEC9999 Y Determination of the minimum inhibitory concentration of an antibiotic or chemotherapeutic agent by tube technique or by agar plate dilution-- one organism (OP) 01724 01JUL1982 31DEC9999 Y Determination of the minimum inhibitory concentration of an antibiotic or chemotherapeutic agent by tube technique or by agar plate dilution-- two or more organisms (SP) 01725 01JUL1982 31DEC9999 Y Determination of the minimum inhibitory concentration of an antibiotic or chemotherapeutic agent by tube technique or by agar plate dilution-- two or more organisms (OP) 01726 01AUG1989 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio, palmitic acid, phosphatidylglycerol or lamellar body phospholipid - 1 or more examinations or estimations (SP) 01727 01AUG1989 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio, palmitic acid, phosphatidylglycerol or lamellar body phospholipid - 1 or more examinations or estimations (OP) 01728 01NOV1988 31DEC9999 Y Herpes simplex virus, one or more types, investigation for, in material obtained directly from a patient, by one or more cultural methods, including any immuno-logical tests for herpes infection on serum or other body fluid, or on other material obtained directly from a patient, and including any services specified in items 1629 and 1635. (SP) 01729 01NOV1988 31DEC9999 Y Herpes simplex virus, one or more types, investigation for, in material obtained directly from a patient, by one or more cultural methods, including any immuno-logical tests for herpes infection on serum or other body fluid, or on other material obtained directly from a patient, and including any services specified in items 1630 and 1639. (PP) 01730 01NOV1988 31DEC9999 Y Herpes simplex virus, one or more types, investigation for, in material obtained directly from a patient, by one or more cultural methods, including any immuno-logical tests for herpes infection on serum or other body fluid, or on other material obtained directly from a patient, and including any services specified in items 1631 and 1642. (OP) 01731 01NOV1988 31DEC9999 Y Herpes simplex virus, one or more types, investigation for, in material obtained directly from a patient, by one or more cultural methods, including any immuno-logical tests for herpes infection on serum or other body fluid, or on other material obtained directly from a patient, and including any services specified in items 1632 and 1642. (RP) 01732 01JUL1982 31DEC9999 Y Detection of substances inhibitory to micro-organisms in a body fluid (including urine) (SP) 01733 01JUL1982 31DEC9999 Y Detection of substances inhibitory to micro-organisms in a body fluid (including urine) (OP) 01734 01AUG1989 31DEC9999 Y Electrophoresis, quantitative or qualitative of serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, or the isoenzymes of lactate dehydrogenase, alkaline phosphatase and creatine kinase or lipoprotein electrophoresis (only when the Cholesterol is >6.5mmol/l and Triglyceride >3.0 mmol/l or in the diagnosis of types III and IV hyperlipidemia), including the preliminary quantitation of total protein, albumin and globulin or of total relevant enzyme activity - 1 examination to a maximum of 2 examinations in any 12 month period (SP) 01735 01AUG1989 31DEC9999 Y Electrophoresis, quantitative or qualitative of serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, or the isoenzymes of lactate dehydrogenase, alkaline phosphatase and creatine kinase or lipoprotein electrophoresis (only when the Cholesterol is >6.5 mmol/l and Triglyceride >3.0 mmol/l or in the diagnosis of types III and IV hyperlipidemia), including the preliminary quantitation of total protein, albumin and globulin or of total relevant enzyme activity - 1 examination to a maximum of 2 examinations in any 12 month period (OP) 01736 01AUG1989 31DEC9999 Y Electrophoresis, quantitative or qualitative of concurrently collected, or collected within a 28 day period, serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, including the preliminary quantitation of total protein, albumin and globulin, or of total relevant enzyme activity - 2 or more examinations (SP) 01737 01AUG1989 31DEC9999 Y Electrophoresis, quantitative or qualitative of concurrently collected, or collected within a 28 day period, serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, including the preliminary quantitation of total protein, albumin and globulin, or of total relevant enzyme activity - 2 or more examinations (OP) 01738 01AUG1989 31DEC9999 Y Alpha-feto protein, Alpha-1 antitrypsin, Alpha-2 macroglobulin, beta-2 microglobulin, C-1 esterase inhibitor, Caeruloplasmin, Ferritin (unless specified in item 1752), Haptoglobins, Microalbumin (in proven diabetes mellitus), Prealbumin, Prostate Specific Antigen, Prostatic Acid Phosphatase, Transferrin (unless specified in item 1752) and, in the follow-up of proven malignancy, Mucin-like carcinoma associated antigen, CA-125 antigen, CA-19.9 antigen, CA-15.3 antigen, Carcinoembryonic antigen, Mammary serum antigen, Neuron specific enolase, SCC Related antigen, Thyroglobulin - quantitative estimation in serum, urine or other body fluid - 1 estimation (SP) 01739 01AUG1989 31DEC9999 Y Alpha-feto protein, Alpha-1 antitrypsin, Alpha-2 macroglobulin, beta-2 microglobulin, C-1 esterase inhibitor, Caeruloplasmin, Ferritin (unless specified in item 1753), Haptoglobins, Microalbumin (in proven diabetes mellitus), Prealbumin, Prostate Specific Antigen, Prostatic Acid Phosphatase, Transferrin (unless specified in item 1753) and, in the follow up of proven malignancy, Mucin-like carcinoma associated antigen, CA-125 antigen, CA-19.9 antigen, CA-15.3 antigen, Carcinoembryonic antigen, Mammary serum antigen, Neuron specific enolase, SCC Related antigen, Thyroglobulin - quantitative estimation in serum, urine or other body fluid - 1 estimation (OP) 01740 01AUG1989 31DEC9999 Y 2 or more estimations specified in item 1738 (SP) 01741 01AUG1989 31DEC9999 Y 2 or more estimations specified in item 1739 (OP) 01742 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent - one or more estimations. (SP) 01743 01JUL1982 31DEC9999 Y Quantitative assay of an antibiotic or a chemotherapeutic agent in a body fluid (including urine) (SP) 01744 01JUL1982 31DEC9999 Y Quantitative assay of an antibiotic or a chemotherapeutic agent in a body fluid (including urine) (OP) 01745 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent - one or more estimations. (PP) 01746 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent - one or more estimations. (OP) 01747 01NOV1984 31DEC9999 Y Serological tests for Hepatitis A and Hepatitis B. Each test to a maximum of two tests. (SP) 01748 01NOV1984 31DEC9999 Y Serological tests for Hepatitis A and Hepatitis B. Each test to a maximum of two tests. (OP) 01749 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent - one or more estimations. (RP) 01752 01AUG1989 31DEC9999 Y Iron studies consisting of quantitative analysis of iron, transferrin or iron binding capacity and ferritin (SP) 01753 01AUG1989 31DEC9999 Y Iron studies consisting of quantitative analysis of iron, transferrin or iron binding capacity and ferritin (OP) 01754 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, in serum, urine or either body fluid, estimation of inhibitory concentration or bactericidal titre including any services specified in item 1742 - one or more estimations. (SP) 01755 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, in serum, urine or either body fluid, estimation of inhibitory concentration or bactericidal titre including any services specified in item 1745 - one or more estimations. (PP) 01756 01JUL1982 31DEC9999 Y Agglutination tests (screening)-- one test (SP) 01757 01JUL1982 31DEC9999 Y Agglutination tests (screening)-- one test (OP) 01758 01JUL1982 31DEC9999 Y Agglutination tests (screening) -- two or more tests (SP) 01759 01JUL1982 31DEC9999 Y Agglutination tests (screening) -- two or more tests (OP) 01760 01JUL1982 31DEC9999 Y Agglutination tests (quantitative) , including those for enteric fever and brucellosis-- one antigen (SP) 01761 01JUL1982 31DEC9999 Y Agglutination tests (quantitative) , including those for enteric fever and brucellosis-- one antigen (OP) 01762 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, in serum, urine or either body fluid, estimation of inhibitory concentration or bactericidal titre including any services specified in item 1746 - one or more estimations. (OP) 01763 01JUL1982 31DEC9999 Y Agglutination tests (quantitative) , including those for enteric fever and brucellosis-- second to sixth antigen-- each antigen (SP) 01764 01JUL1982 31DEC9999 Y Agglutination tests (quantitative) , including those for enteric fever and brucellosis-- second to sixth antigen-- each antigen (OP) 01765 01NOV1988 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, in serum, urine or either body fluid, estimation of inhibitory concentration or bactericidal titre including any services specified in item 1749 - one or more estimations. (RP) 01766 01JUL1982 31DEC9999 Y Agglutination tests (quantitative) , including those for enteric fever and brucellosis-- each antigen in excess of six (SP) 01767 01JUL1982 31DEC9999 Y Agglutination tests (quantitative) , including those for enteric fever and brucellosis-- each antigen in excess of six (OP) 01768 01AUG1989 31DEC9999 Y Serum B12, serum folate - 1 or more estimations within any 28 day period (SP) 01769 01AUG1989 31DEC9999 Y Serum B12, serum folate - 1 or more estimations within any 28 day period (OP) 01770 01AUG1989 31DEC9999 Y Red cell folate and serum B12 and, if required, serum folate, to a maximum of 3 estimations in any 12 month period (SP) 01771 01AUG1989 31DEC9999 Y Red cell folate and serum B12 and, if required, serum folate, to a maximum of 3 estimations in any 12 month period (OP) 01772 01JUL1982 31DEC9999 Y Flocculation test, including V.D.R.L., Kahn, Kline or similar tests-- one test (SP) 01773 01JUL1982 31DEC9999 Y Flocculation test, including V.D.R.L., Kahn, Kline or similar tests-- one test (OP) 01775 01JUL1982 31DEC9999 Y Flocculation test, including V.D.R.L., Kahn, Kline or similar tests-- two or more tests (SP) 01776 01JUL1982 31DEC9999 Y Flocculation test, including V.D.R.L., Kahn, Kline or similar tests-- two or more tests (OP) 01780 01AUG1989 31DEC9999 Y Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of Vitamins A, B1, B2, B3, B6, C, and E - 1 or more estimations within any 6 month period (SP) 01781 01JUL1982 31DEC9999 Y Complement fixation tests-- one test (SP) 01782 01JUL1982 31DEC9999 Y Complement fixation tests-- one test (OP) 01783 01AUG1989 31DEC9999 Y Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of Vitamins A, B1, B2, B3, B6, C, and E - 1 or more estimations within any 6 month period (OP) 01784 01JUL1982 29FEB1984 N Complement fixation tests-- each test in excess of one (SP) 01784 01MAR1984 31DEC9999 Y Complement fixation tests - each test in excess of one (SP) 5.10 01785 01JUL1982 29FEB1984 N Complement fixation tests-- each test in excess of one (OP) 01785 01MAR1984 31DEC9999 Y Complement fixation tests - each test in excess of one (OP) 3.85 01786 01AUG1989 31DEC9999 Y Vitamin D or D fractions - 1 or more estimations (SP) 01787 01AUG1989 31DEC9999 Y Vitamin D or D fractions - 1 or more estimations (OP) 01791 01AUG1989 31DEC9999 Y Acetoacetate, alcohol, aminoacids, ammonia, angiotensin converting enzyme, betahydroxybutyrate, cholinesterase, cystine (cysteine), total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline, lactate, neonatal bilirubin (1 or more fractions), oxalate, pyruvate, serotonin, xylose, zinc - 1 quantitative estimation (SP) 01792 01AUG1989 31DEC9999 Y Acetoacetate, alcohol, aminoacids, ammonia, angiotensin converting enzyme, betahydroxybutyrate, cholinesterase, cystine (cysteine), total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline, lactate, neonatal bilirubin (1 or more fractions), oxalate, pyruvate, serotonin, xylose, zinc - 1 quantitative estimation (OP) 01793 01JUL1982 31DEC9999 Y Fluorescent serum antibody test (FTA test, FTA-- absorbed test or similar)-- one test (SP) 01794 01JUL1982 31DEC9999 Y Fluorescent serum antibody test (FTA test, FTA-- absorbed test or similar)-- one test (OP) 01795 01AUG1989 31DEC9999 Y 2 or more estimations specified in item 1791 (SP) 01796 01JUL1982 31DEC9999 Y Each test referred to in Item 1793 in excess of one (SP) 01797 01JUL1982 31DEC9999 Y Each test referred to in Item 1794 in excess of one (OP) 01798 01AUG1989 31DEC9999 Y 2 or more estimations specified in item 1792 (OP) 01801 01NOV1988 31DEC9999 Y Identification of paraprotein or suspected paraprotein, the presence of which is suggested by other tests (eg item 1371 or 1807), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresis or immunofixation - one or more procedures. (SP) 01802 01NOV1988 31DEC9999 Y Identification of paraprotein or suspected paraprotein, the presence of which is suggested by other tests (eg item 1373 or 1810), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresis or immunofixation - one or more procedures. (PP) 01803 01NOV1988 31DEC9999 Y Identification of paraprotein or suspected paraprotein, the presence of which is suggested by other tests (eg item 1375 or 1811), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresis or immunofixation - one or more procedures. (OP) 01804 01NOV1988 31DEC9999 Y Identification of paraprotein or suspected paraprotein, the presence of which is suggested by other tests (eg item 1377 or 1812), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresis or immunofixation - one or more procedures. (RP) 01805 01JUL1982 31DEC9999 Y Haemagglutination tests-- one test (SP) 01806 01JUL1982 31DEC9999 Y Haemagglutination tests-- one test (OP) 01807 01NOV1988 31DEC9999 Y Immunoglobulins G, A, M, D or sub-classes thereof, quantitative estimation in serum, urine or other body fluid, by any method - estimation of one immunoglobin. (SP) 01808 01JUL1982 31DEC9999 Y Haemagglutination tests-- each test in excess of one (SP) 01809 01JUL1982 31DEC9999 Y Haemagglutination tests-- each test in excess of one (OP) 01810 01NOV1988 31DEC9999 Y Immunoglobulins G, A, M, D or sub-classes thereof, quantitative estimation in serum, urine or other body fluid, by any method - estimation of one immunoglobin. (PP) 01811 01NOV1988 31DEC9999 Y Immunoglobulins G, A, M, D or sub-classes thereof, quantitative estimation in serum, urine or other body fluid, by any method - estimation of one immunoglobin. (OP) 01812 01NOV1988 31DEC9999 Y Immunoglobulins G, A, M, D or sub-classes thereof, quantitative estimation in serum, urine or other body fluid, by any method - estimation of one immunoglobin. (RP) 01813 01NOV1988 31DEC9999 Y Two estimations specified in item 1807. (SP) 01814 01NOV1988 31DEC9999 Y Two estimations specified in item 1810. (PP) 01815 01NOV1988 31DEC9999 Y Two estimations specified in item 1811. (OP) 01816 01NOV1988 31DEC9999 Y Two estimations specified in item 1812. (RP) 01817 01NOV1988 31DEC9999 Y Three or more estimations specified in item 1807. (SP) 01818 01NOV1988 31DEC9999 Y Three or more estimations specified in item 181. (PP) 01819 01NOV1988 31DEC9999 Y Three or more estimations specified in item 1811. (OP) 01820 01NOV1988 31DEC9999 Y Three or more estimations specified in item 1812. (RP) 01821 01NOV1988 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of two estimations in any twelve month period. (SP) 01822 01NOV1988 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of two estimations in any twelve month period. (PP) 01823 01JUL1982 31DEC9999 Y Haemagglutination inhibition tests-- one test (SP) 01824 01JUL1982 31DEC9999 Y Haemagglutination inhibition tests-- one test (OP) 01825 01NOV1988 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of two estimations in any twelve month period. (OP) 01826 01JUL1982 31DEC9999 Y Haemagglutination inhibition tests-- each test in excess of one (SP) 01827 01JUL1982 31DEC9999 Y Haemagglutination inhibition tests-- each test in excess of one (OP) 01828 01NOV1988 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of two estimations in any twelve month period. (RP) 01829 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - one test for single or multiple allergens with a maximum of two estimations in any twelve month period. (SP) 01830 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - one test for single or multiple allergens with a maximum of two estimations in any twelve month period. (PP) 01831 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - one test for single or multiple allergens with a maximum of two estimations in any twelve month period. (OP) 01832 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - one test for single or multiple allergens with a maximum of two estimations in any twelve month period. (RP) 01833 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - more than one test for single or multiple allergens, including any services specified in item 1829, with a maximum of three estimations in any twelve month period. (SP) 01834 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - more than one test for single or multiple allergens, including any services specified in item 1830, with a maximum of three estimations in any twelve month period. (PP) 01835 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - more than one test for single or multiple allergens, including any services specified in item 1831, with a maximum of three estimations in any twelve month period. (OP) 01836 01NOV1988 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - more than one test for single or multiple allergens, including any services specified in item 1832, with a maximum of three estimations in any twelve month period. (RP) 01837 01NOV1988 31DEC9999 Y Antibodies to tissue antigens which are not elsewhere specified in an item in the Schedule - estimation of one antibody. (SP) 01838 01NOV1988 31DEC9999 Y Antibodies to tissue antigens which are not elsewhere specified in an item in the Schedule - estimation of one antibody. (PP) 01839 01JUL1982 31DEC9999 Y Antistreptolysin O titre or similar test, qualitative, not associated with Item 1843 or 1846 (SP) 01840 01JUL1982 31DEC9999 Y Antistreptolysin O titre or similar test, qualitative, not associated with Item 1844 or 1847 (OP) 01841 01NOV1988 31DEC9999 Y Antibodies to tissue antigens which are not elsewhere specified in an item in the Schedule - estimation of one antibody. (OP) 01842 01NOV1988 31DEC9999 Y Antibodies to tissue antigens which are not elsewhere specified in an item in the Schedule - estimation of one antibody. (RP) 01843 01JUL1982 31DEC9999 Y Antistreptolysin O titre test, anti-desoxyribonuclease B titre test or similar test (quantitative) -- one test (SP) 01844 01JUL1982 31DEC9999 Y Antistreptolysin O titre test, anti-desoxyribonuclease B titre test or similar test (quantitative) -- one test (OP) 01845 01NOV1988 31DEC9999 Y Two estimations specified in item 1837. (SP) 01846 01JUL1982 31DEC9999 Y Antistreptolysin O titre test, anti-desoxyribonuclease B titre test or similar test (quantitative) -- two or more tests (SP) 01847 01JUL1982 31DEC9999 Y Antistreptolysin O titre test, anti-desoxyribonuclease B titre test or similar test (quantitative) -- two or more tests (OP) 01848 01NOV1988 31DEC9999 Y Two estimations specified in item 1838. (PP) 01849 01NOV1988 31DEC9999 Y Two estimations specified in item 1841. (OP) 01850 01NOV1988 31DEC9999 Y Two estimations specified in item 1842. (RP) 01851 01JUL1982 31DEC9999 Y Total and differential cell count on any body fluid (SP) 01852 01JUL1982 31DEC9999 Y Total and differential cell count on any body fluid (OP) 01853 01NOV1988 31DEC9999 Y Three estimations specified in item 1837. (SP) 01854 01NOV1988 31DEC9999 Y Three estimations specified in item 1838. (PP) 01855 01NOV1988 31DEC9999 Y Three estimations specified in item 1841. (OP) 01856 01NOV1988 31DEC9999 Y Three estimations specified in item 1842. (RP) 01857 01NOV1988 31DEC9999 Y Four estimations specified in item 1837. (SP) 01858 01JUL1982 31DEC9999 Y Autogenous vaccine, preparation of-- each organism (SP) 01859 01JUL1982 31DEC9999 Y Autogenous vaccine, preparation of-- each organism (OP) 01860 01NOV1988 31DEC9999 Y Four estimations specified in item 1838. (PP) 01861 01NOV1988 31DEC9999 Y Four estimations specified in item 1841. (OP) 01862 01NOV1988 31DEC9999 Y Four estimations specified in item 1842. (RP) 01863 01NOV1988 31DEC9999 Y Five estimations specified in item 1837. (SP) 01864 01NOV1988 31DEC9999 Y Five estimations specified in item 1838. (PP) 01865 01NOV1988 31DEC9999 Y Five estimations specified in item 1841. (OP) 01866 01NOV1988 31DEC9999 Y Five estimations specified in item 1842. (RP) 01867 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1837. (SP) 01868 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1838. (PP) 01869 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1841. (OP) 01870 01NOV1988 31DEC9999 Y Six or more estimations specified in item 1842. (RP) 01871 01AUG1989 31DEC9999 Y Aluminium, arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium - in blood, urine or other body fluid or tissue - 1 or more estimations within any 6 month period (SP) 01872 01AUG1989 31DEC9999 Y Aluminium, arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium - in blood, urine or other body fluid or tissue - 1 or more estimations within any 6 month period (OP) 01875 01NOV1988 31DEC9999 Y Complement - total and components - one or two quantitative estimations. (SP) 01876 01NOV1988 31DEC9999 Y Complement - total and components - one or two quantitative estimations. (PP) 01877 01JUL1982 31DEC9999 Y Immunoelectrophoresis using polyvalent antisera (SP) 01878 01JUL1982 31DEC9999 Y Immunoelectrophoresis using polyvalent antisera (OP) 01879 01NOV1988 31DEC9999 Y Complement - total and components - one or two quantitative estimations. (OP) 01880 01NOV1988 31DEC9999 Y Complement - total and components - one or two quantitative estimations. (RP) 01881 01NOV1988 31DEC9999 Y Three or four estimations specified in item 1875. (SP) 01882 01NOV1988 31DEC9999 Y Three or four estimations specified in item 1876. (PP) 01883 01NOV1988 31DEC9999 Y Three or four estimations specified in item 1879. (OP) 01884 01JUL1982 31DEC9999 Y Immunoelectrophoresis using monovalent antiserum-- each antiserum (SP) 01885 01JUL1982 31DEC9999 Y Immunoelectrophoresis using monovalent antiserum-- each antiserum (OP) 01886 01NOV1988 31DEC9999 Y Three or four estimations specified in item 1880. (RP) 01887 01NOV1988 31DEC9999 Y Five or more estimations specified in item 1875. (SP) 01888 01JUL1982 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation of by immunodiffusion or any other method-- estimation of one immunoglobulin (SP) 01889 01JUL1982 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation of by immunodiffusion or any other method-- estimation of one immunoglobulin (OP) 01890 01NOV1988 31DEC9999 Y Five or more estimations specified in item 1876. (PP) 01891 01JUL1982 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation of by immunodiffusion or any other method-- estimation of each immunoglobulin in excess of one (SP) 01892 01JUL1982 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation of by immunodiffusion or any other method-- estimation of each immunoglobulin in excess of one (OP) 01893 01NOV1988 31DEC9999 Y Five or more estimations specified in item 1879. (OP) 01894 01NOV1988 31DEC9999 Y Five or more estimations specified in item 1880. (RP) 01895 01AUG1989 31DEC9999 Y Blood lead estimation, other than for occupational health screening purposes, to a maximum of 3 estimations in any 6 month period - each estimation (SP) 01896 01AUG1989 31DEC9999 Y Blood lead estimation, other than for occupational health screening purposes, to a maximum of 3 estimations in any 6 month period - each estimation (OP) 01897 01JUL1982 31DEC9999 Y Immunoglobulin E, quantitative estimation of (SP) 01898 01JUL1982 31DEC9999 Y Immunoglobulin E, quantitative estimation of (OP) 01901 01NOV1988 31DEC9999 Y Leucocyte fractionation as a preliminary to leucocyte marker or leucocyte function tests. (SP) 01902 01NOV1988 31DEC9999 Y Leucocyte fractionation as a preliminary to leucocyte marker or leucocyte function tests. (PP) 01903 01JUL1982 31DEC9999 Y Radioallergosorbent tests for allergen identification-- identification of one to four allergens-- each allergen (SP) 01904 01JUL1982 29FEB1984 N Radioallergosorbent tests for allergen identification-- identification of one to four allergens-- each allergen (OP) 01904 01MAR1984 31DEC9999 Y Radioallergosorbent tests for allergen identification - identification of one to four allergens - each allergen (OP) 7.65 01905 01JUL1982 31DEC9999 Y Radioallergosorbent tests for allergen identification-- identification of each allergen in excess of four (SP) 01906 01JUL1982 31DEC9999 Y Radioallergosorbent tests for allergen identification-- identification of each allergen in excess of four (OP) 01907 01NOV1988 31DEC9999 Y Leucocyte fractionation as a preliminary to leucocyte marker or leucocyte function tests. (OP) 01908 01NOV1988 31DEC9999 Y Leucocyte fractionation as a preliminary to leucocyte marker or leucocyte function tests. (RP) 01909 01NOV1988 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar and any test specified in the HAEMATOLOGY DIVISION of the Schedule). (SP) 01910 01NOV1988 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar and any test specified in the HAEMATOLOGY DIVISION of the Schedule). (PP) 01911 01JUL1982 31DEC9999 Y Immunofluorescent detection of tissue antibodies, qualitative (not associated with the service specified in Item 1918), detection of one antibody (SP) 01912 01JUL1982 31DEC9999 Y Immunofluorescent detection of tissue antibodies, qualitative (not associated with the service specified in Item 1919), detection of one antibody (OP) 01913 01JUL1982 31DEC9999 Y Immunofluorescent detection of tissue antibodies, qualitative (not associated with the service specified in Item 1918), detection of each antibody in excess of one (SP) 01914 01JUL1982 29FEB1984 N Immunofluorescent detection of tissue antibodies, qualitative (not associated with the service specified in Item 1919), detection of each antibody in excess of one (OP) 01914 01MAR1984 31DEC9999 Y Immunofluorescent detection of tissue antibodies, qualitative(not associated with the service specified in Item 1919), detection of each antibody in excess of one (OP) 7.65 01915 01NOV1988 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar and any test specified in the HAEMATOLOGY DIVISION of the Schedule). (OP) 01916 01NOV1988 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar and any test specified in the HAEMATOLOGY DIVISION of the Schedule). (RP) 01917 01NOV1988 31DEC9999 Y Leucocyte surface marker characterisation by irnmunofluorescence or immunoenzyme techniques - one to three subset markers. (SP) 01918 01JUL1982 31DEC9999 Y Immunofluorescent detection of tissue antibodies, qualitative and quantitative-- detection and estimation of each antibody (SP) 01919 01JUL1982 31DEC9999 Y Immunofluorescent detection of tissue antibodies, qualitative and quantitative-- detection and estimation of each antibody (OP) 01920 01NOV1988 31DEC9999 Y Leucocyte surface marker characterisation by irnmunofluorescence or immunoenzyme techniques - one to three subset markers. (PP) 01921 01NOV1988 31DEC9999 Y Leucocyte surface marker characterisation by irnmunofluorescence or immunoenzyme techniques - one to three subset markers. (OP) 01922 01NOV1988 31DEC9999 Y Leucocyte surface marker characterisation by irnmunofluorescence or immunoenzyme techniques - one to three subset markers. (RP) 01923 01NOV1988 31DEC9999 Y Leucocyte surface markers as specified in item 1917 - four or more subset markers. (SP) 01924 01JUL1982 31DEC9999 Y Complement fixation tests on human tissue antibodies-- one antibody (SP) 01925 01JUL1982 31DEC9999 Y Complement fixation tests on human tissue antibodies-- one antibody (OP) 01926 01JUL1982 31DEC9999 Y Complement fixation tests on human tissue antibodies-- each antibody in excess of one (SP) 01927 01JUL1982 29FEB1984 N Complement fixation tests on human tissue antibodies-- each antibody in excess of one (OP) 01927 01MAR1984 31DEC9999 Y Complement fixation tests on human tissue antibodies - each antibody in excess of one (OP) 7.65 01928 01NOV1988 31DEC9999 Y Leucocyte surface markers as specified in item 1920 - four or more subset markers. (PP) 01929 01NOV1988 31DEC9999 Y Leucocyte surface markers as specified in item 1921 - four or more subset markers. (OP) 01930 01NOV1988 31DEC9999 Y Leucocyte surface markers as specified in item 1922 - four or more subset markers. (RP) 01931 01NOV1988 31DEC9999 Y HLA typing comprising A, B and C phenotypes. (SP) 01932 01NOV1988 31DEC9999 Y HLA typing comprising A, B and C phenotypes. (PP) 01933 01NOV1988 31DEC9999 Y HLA typing comprising A, B and C phenotypes. (OP) 01934 01NOV1988 31DEC9999 Y HLA typing comprising A, B and C phenotypes. (RP) 01935 01JUL1982 31DEC9999 Y Latex flocculation test-- qualitative, quantitative or qualitative and quantitative (SP) 01936 01JUL1982 31DEC9999 Y Latex flocculation test-- qualitative, quantitative or qualitative and quantitative (OP) 01937 01NOV1988 31DEC9999 Y HLA typing, DR phenotype. (SP) 01938 01NOV1988 31DEC9999 Y HLA typing, DR phenotype. (PP) 01939 01NOV1988 31DEC9999 Y HLA typing, DR phenotype. (OP) 01940 01NOV1988 31DEC9999 Y HLA typing, DR phenotype. (RP) 01941 01JUL1982 31DEC9999 Y Rose Waaler test, quantitative, using sheep cells (SP) 01942 01JUL1982 31DEC9999 Y Rose Waaler test, quantitative, using sheep cells (OP) 01943 01JUL1982 31DEC9999 Y Modified Rose Waaler test using stabilised sheep cells, not associated with Item 1941 (SP) 01944 01JUL1982 29FEB1984 N Modified Rose Waaler test using stabilised sheep cells, not associated with Item 1942 (OP) 01944 01MAR1984 31DEC9999 Y Modified Rose Waaler test using stabilised sheep cells, not associated with Item 1942 (OP) 7.65 01945 01NOV1988 31DEC9999 Y IILA typing, one or more antigens. (SP) 01946 01NOV1988 31DEC9999 Y IILA typing, one or more antigens. (PP) 01947 01NOV1988 31DEC9999 Y IILA typing, one or more antigens. (OP) 01948 01JUL1982 31DEC9999 Y Lupus erythematosus cells, preparation and examination of film for (SP) 01949 01JUL1982 31DEC9999 Y Lupus erythematosus cells, preparation and examination of film for (OP) 01950 01NOV1988 31DEC9999 Y IILA typing, one or more antigens. (RP) 01951 01NOV1988 31DEC9999 Y Mantoux test. (SP) 01952 01NOV1988 31DEC9999 Y Mantoux test. (PP) 01953 01NOV1988 31DEC9999 Y Mantoux test. (OP) 01954 01NOV1988 31DEC9999 Y Mantoux test. (RP) 01955 01JUL1982 31DEC9999 Y Tanned erythrocyte haemagglutination test for tissue antibodies-- one antibody (SP) 01956 01JUL1982 31DEC9999 Y Tanned erythrocyte haemagglutination test for tissue antibodies-- one antibody (OP) 01957 01JUL1982 31DEC9999 Y Tanned erythrocyte haemagglutination test for tissue antibodies-- each antibody in excess of one (SP) 01958 01JUL1982 31DEC9999 Y Tanned erythrocyte haemagglutination test for tissue antibodies-- each antibody in excess of one (OP) 01959 01AUG1989 31DEC9999 Y Porphyrins (1 or more fractions), Catecholamines (1 or more fractions), Hydroxy Methoxy Mandelic Acid (HMMA), Homovanillic Acid (HVA), Metanephrines, Methoxy Hydroxy Phenylethylene Glycol (MHPG), Phenyl Acetic Acid (PAA) - quantitative including any qualitative estimations - 1 or more estimations (SP) 01960 01AUG1989 31DEC9999 Y Porphyrins (1 or more fractions), Catecholamines (1 or more fractions), Hydroxy Methoxy Mandelic Acid (HMMA), Homovanillic Acid (HVA), Metanephrines, Methoxy Hydroxy Phenylethylene Glycol (MHPG), Phenyl Acetic Acid (PAA) - quantitative including any qualitative estimations - 1 or more estimations (OP) 01963 01AUG1989 31DEC9999 Y Faecal fat, Breath Hydrogen measurements in response to loading with disaccharides - 1 or more quantitative estimations within any 28 day period (SP) 01964 01AUG1989 31DEC9999 Y Faecal fat, Breath Hydrogen measurements in response to loading with disaccharides - 1 or more quantitative estimations within any 28 day period (OP) 01965 01JUL1982 31DEC9999 Y Leucocyte fractionation as preliminary test to specific tests of leucocyte function-- by density gradient centrifugation or any other method (SP) 01966 01JUL1982 31DEC9999 Y Leucocyte fractionation as preliminary test to specific tests of leucocyte function-- by density gradient centrifugation or any other method (OP) 01969 01AUG1989 31DEC9999 Y Solid tissue or tissues excluding blood elements - assay of 1 or 2 enzymes (SP) 01970 01AUG1989 31DEC9999 Y Solid tissue or tissues excluding blood elements - assay of 1 or 2 enzymes (OP) 01971 01JUL1982 31DEC9999 Y Neutrophil or monocyte tests for phagocytic activity-- visual techniques (SP) 01972 01JUL1982 31DEC9999 Y Neutrophil or monocyte tests for phagocytic activity-- visual techniques (OP) 01973 01JUL1982 31DEC9999 Y Neutrophil or monocyte function tests for phagocytic activity-- radioactive techniques (SP) 01974 01JUL1982 31DEC9999 Y Neutrophil or monocyte function tests for phagocytic activity-- radioactive techniques (OP) 01975 01AUG1989 31DEC9999 Y Assay of 3 to 5 enzymes as specified in item 1969 (SP) 01976 01AUG1989 31DEC9999 Y Assay of 3 to 5 enzymes as specified in item 1970 (OP) 01977 01AUG1989 31DEC9999 Y Assay of 6 or more enzymes as specified in item 1969 (SP) 01978 01AUG1989 31DEC9999 Y Assay of 6 or more enzymes as specified in item 1970 (OP) 01981 01JUL1982 31DEC9999 Y Lymphocyte cell count-- E. rosette technique or similar (SP) 01982 01JUL1982 31DEC9999 Y Lymphocyte cell count-- E. rosette technique or similar (OP) 01983 01AUG1989 31DEC9999 Y Thyroid function tests, including thyrotrophin (TSH) and at least 1 or more of the following tests - free thyroxine index, free thyroxine, free T3, total T3, thyroxine binding globulin (SP) 01984 01AUG1989 31DEC9999 Y Thyroid function tests, including thyrotrophin (TSH) and at least 1 or more of the following tests - free thyroxine index, free thyroxine, free T3, total T3, thyroxine binding globulin (OP) 01985 01AUG1989 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones (SP) 01986 01AUG1989 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones (OP) 01987 01JUL1982 31DEC9999 Y B lymphocyte cell count-- by immunofluorescence or immunoperoxidase (SP) 01988 01JUL1982 31DEC9999 Y B lymphocyte cell count-- by immunofluorescence or immunoperoxidase (OP) 01989 01NOV1990 31DEC9999 Y Growth hormone suppression by glucose loading, Growth hormone stimulation by exercise, Dexamethasone suppression test, L-Dopa stimulation of growth hormone, where physically performed by a recognised pathologist - 1 or more procedures (SP) 01990 01NOV1990 31DEC9999 Y Growth hormone suppression by glucose loading, Growth hormone stimulation by exercise, Dexamethasone suppression test, L-Dopa stimulation of growth hormone, where physically performed by a recognised pathologist - one or more procedures. (GP) 01991 01NOV1990 31DEC9999 Y Gonadotrophin releasing hormone stimulation test, Synacthen stimulation test, Glucagon stimulation test with C-peptide measurement, Pentagastrin stimulation of thyrocalcitonin release, Secretin stimulation of gastrin release, Insulin hypoglycaemia, Arginine infusion, where physically performed by a recognised pathologist - 1 procedure (SP) 01992 01NOV1990 31DEC9999 Y Gonadotrophin releasing hormone stimulation test, Synacthen stimulation test, Glucagon stimulation test with C-peptide measurement, Pentagastrin stimulation of thyrocalcitonin release, Secretin stimulation of gastrin release, Insulin hypoglycaemia, Arginine infusion, where physically performed by a recognised pathologist - one procedure. (GP) 01993 01NOV1990 31DEC9999 Y Two or more procedures specified in item 1991. (SP) 01994 01NOV1990 31DEC9999 Y Two or more procedures specified in item 1992. (GP) 01995 01JUL1982 31DEC9999 Y Lymphocyte function test-- visual transformation (SP) 01996 01JUL1982 31DEC9999 Y Lymphocyte function test-- visual transformation (OP) 01997 01JUL1982 31DEC9999 Y Lymphocyte function test-- radioactive techniques (SP) 01998 01JUL1982 31DEC9999 Y Lymphocyte function test-- radioactive techniques (OP) 02001 01NOV1988 31DEC9999 Y Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions. (SP) 02002 01NOV1988 31DEC9999 Y Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions. (PP) 02003 01NOV1988 31DEC9999 Y Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions. (OP) 02004 01NOV1988 31DEC9999 Y Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions. (RP) 02005 01NOV1988 31DEC9999 Y Immediate frozen section diagnosis of biopsy material, including any other histopathology examination. (SP) 02006 01JUL1982 31DEC9999 Y Tissue group typing (HLA phenotyping) (SP) 02007 01JUL1982 31DEC9999 Y Tissue group typing (HLA phenotyping) (OP) 02008 01NOV1988 31DEC9999 Y Immediate frozen section diagnosis of biopsy material, including any other histopathology examination. (PP) 02009 01NOV1988 31DEC9999 Y Immediate frozen section diagnosis of biopsy material, including any other histopathology examination. (OP) 02010 01NOV1988 31DEC9999 Y Immediate frozen section diagnosis of biopsy material, including any other histopathology examination. (RP) 02011 01NOV1988 31DEC9999 Y Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination. (SP) 02012 01NOV1988 31DEC9999 Y Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination. (PP) 02013 01JUL1982 31DEC9999 Y Mantoux, Schick, Casoni or similar test, not being a test covered by Item 987 or 989 (SP) 02014 01JUL1982 29FEB1984 N Mantoux, Schick, Casoni or similar test, not being a test covered by Item 987 or 989 (OP) 02014 01MAR1984 31DEC9999 Y Mantoux, Schick, Casoni or similar test, not being a test covered by Item 987 or 989 (OP) 7.65 02015 01NOV1988 31DEC9999 Y Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination. (OP) 02016 01NOV1988 31DEC9999 Y Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination. (RP) 02017 01NOV1988 31DEC9999 Y Electron microscopy of biopsy material including any other histopathology examination. (SP) 02018 01NOV1988 31DEC9999 Y Electron microscopy of biopsy material including any other histopathology examination. (PP) 02019 01NOV1988 31DEC9999 Y Electron microscopy of biopsy material including any other histopathology examination. (OP) 02020 01NOV1988 31DEC9999 Y Electron microscopy of biopsy material including any other histopathology examination. (RP) 02021 01AUG1989 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of: ACTH, Aldosterone, Androstenedione, C-peptide, Calcitonin, Cortisol, Cyclic AMP, DHEAS, 11-Deoxycortisol, Dihydrotestosterone, FSH, Gastrin, Glucagon, Growth hormone, Human Placental Lactogen, Hydroxyprogesterone, Insulin, LH, Oestradiol, Oestriol, Oestrone, Progesterone, Prolactin, PTH, Renin, Sex hormone binding globulin, Somatomedin C(IgF1), free or total Testosterone, TSH (where not requested as part of a thyroid function test), Urine steroid fraction or fractions, Vasoactive intestinal peptide, Vasopressin (anti-diuretic hormone) - 1 estimation (SP) 02022 01JUL1982 31DEC9999 Y Skin sensitivity-- induction and detection of sensitivity to chemical antigens (SP) 02023 01JUL1982 31DEC9999 Y Skin sensitivity-- induction and detection of sensitivity to chemical antigens (OP) 02024 01AUG1989 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of: ACTH, Aldosterone, Androstenedione, C-peptide, Calcitonin, Cortisol, Cyclic AMP, DHEAS, 11-Deoxycortisol, Dihydrotestosterone, FSH, Gastrin, Glucagon, Growth hormone, Human Placental Lactogen, Hydroxyprogesterone, Insulin, LH, Oestradiol, Oestriol, Oestrone, Progesterone, Prolactin, PTH, Renin, Sex hormone binding globulin, Somatomedin C(IgF1), free or total Testosterone, TSH (where not requested as part of a thyroid function test), Urine steroid fraction or fractions, Vasoactive intestinal peptide, Vasopressin (anti-diuretic hormone) - 1 estimation (OP) 02025 01AUG1989 31DEC9999 Y 2 estimations specified in item 2021 (SP) 02026 01AUG1989 31DEC9999 Y 2 estimations specified in item 2024 (OP) 02027 01AUG1989 31DEC9999 Y 3 estimations specified in item 2021 (SP) 02028 01AUG1989 31DEC9999 Y 3 estimations specified in item 2024 (OP) 02029 01AUG1989 31DEC9999 Y 4 estimations specified in item 2021 (SP) 02030 01AUG1989 31DEC9999 Y 4 estimations specified in item 2024 (OP) 02031 01AUG1989 31DEC9999 Y 5 estimations specified in item 2021 (SP) 02032 01AUG1989 31DEC9999 Y 5 estimations specified in item 2024 (OP) 02033 01AUG1989 31DEC9999 Y 6 or more estimations specified in item 2021 (SP) 02034 01AUG1989 31DEC9999 Y 6 or more estimations specified in item 2024 (OP) 02037 01AUG1989 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or subsequent lesion in the breast or metastasis from a breast carcinoma - 1 or more assays (SP) 02038 01AUG1989 31DEC9999 Y Hormone receptor assay on proven primary breast carcinoma or subsequent lesion in the breast or metastasis from a breast carcinoma - 1 or more assays (OP) 02039 01AUG1989 31DEC9999 Y HDL Cholesterol, estimation of, in patients with serum cholesterol 5.5mmol/l or those on prescribed lipid lowering drugs - each estimation to a maximum of 4 estimations in any 12 month period (SP) 02040 01AUG1989 31DEC9999 Y HDL cholesterol, estimation of, in patients with serum cholesterol 5.5mmol/l or those on prescribed lipid lowering drugs - each estimation to a maximum of 4 estimations in any 12 month period (OP) 02041 01JUL1982 31DEC9999 Y Histopathology examination of biopsy material-- processing of one or more paraffin blocks, with all appropriate stains and provision of professional opinion (SP) 02042 01JUL1982 31DEC9999 Y Histopathology examination of biopsy material-- processing of one or more paraffin blocks, with all appropriate stains and provision of professional opinion (OP) 02043 01AUG1989 31DEC9999 Y Glycosylated haemoglobin only when performed in the management of established diabetes - each estimation to a maximum of 4 estimations in any 12 month period (SP) 02044 01AUG1989 31DEC9999 Y Glycosylated haemoglobin only when performed in the management of established diabetes - each estimation to a maximum of 4 estimations in any 12 month period (OP) 02048 01JUL1982 31DEC9999 Y Immediate frozen section diagnosis of biopsy material performed at the pathologist's laboratory and confirmatory histopathology examination of this material after the frozen section using all appropriate stains (SP) 02049 01JUL1982 31DEC9999 Y Immediate frozen section diagnosis of biopsy material performed at the pathologist's laboratory and confirmatory histopathology examination of this material after the frozen section using all appropriate stains (OP) 02051 01NOV1988 31DEC9999 Y Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes - one or more examinations . (SP) 02052 01NOV1988 31DEC9999 Y Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes - one or more examinations . (PP) 02053 01NOV1988 31DEC9999 Y Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes - one or more examinations . (OP) 02054 01NOV1988 31DEC9999 Y Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes - one or more examinations . (RP) 02055 01NOV1988 31DEC9999 Y Cytological examination including serial examinations of smears from skin, lip, mouth, nose or anus for detection of pre-cancerous or cancerous changes - one or more examinations. (SP) 02056 01JUL1982 31DEC9999 Y Immediate frozen section diagnosis of biopsy material performed at a distance of one or more kilometres from the pathologist's laboratory and confirmatory histopathology examination of this material after the frozen section using all appropriate stains (SP) 02057 01JUL1982 31DEC9999 Y Immediate frozen section diagnosis of biopsy material performed at a distance of one or more kilometres from the pathologist's laboratory and confirmatory histopathology examination of this material after the frozen section using all appropriate stains (OP) 02058 01NOV1988 31DEC9999 Y Cytological examination including serial examinations of smears from skin, lip, mouth, nose or anus for detection of pre-cancerous or cancerous changes - one or more examinations. (PP) 02059 01NOV1988 31DEC9999 Y Cytological examination including serial examinations of smears from skin, lip, mouth, nose or anus for detection of pre-cancerous or cancerous changes - one or more examinations. (OP) 02060 01JUL1982 31DEC9999 Y Immunofluorescent investigation of biopsy specimen, including any other histopathology examination of the biopsy specimen and any histopathology examination of tissue obtained from the patient at the time the tissue subject to immunofluorescent investigation was obtained (SP) 02061 01JUL1982 31DEC9999 Y Immunofluorescent investigation of biopsy specimen, including any other histopathology examination of the biopsy specimen and any histopathology examination of tissue obtained from the patient at the time the tissue subject to immunofluorescent investigation was obtained (OP) 02062 01NOV1984 31DEC9999 Y Electron microscopy examination of biopsy material including any other histopathology examination of that tissue obtained from the one patient at the one time. (SP) 02063 01NOV1984 31DEC9999 Y Electron microscopy examination of biopsy material including any other histopathology examination of that tissue obtained from the one patient at the one time. (OP) 02064 01NOV1988 31DEC9999 Y Cytological examination including serial examinations of smears from skin, lip, mouth, nose or anus for detection of pre-cancerous or cancerous changes - one or more examinations. (RP) 02065 01NOV1988 31DEC9999 Y Cytological examination including serial examinations for malignant cells of body fluids, urine, washings or brushings not specified in item 2055 and any histopathological service performed - one or more examinations. (SP) 02066 01NOV1988 31DEC9999 Y Cytological examination including serial examinations for malignant cells of body fluids, urine, washings or brushings not specified in item 2058 and any histopathological service performed - one or more examinations. (PP) 02067 01NOV1988 31DEC9999 Y Cytological examination including serial examinations for malignant cells of body fluids, urine, washings or brushings not specified in item 2059 and any histopathological service performed - one or more examinations. (OP) 02068 01NOV1988 31DEC9999 Y Cytological examination including serial examinations for malignant cells of body fluids, urine, washings or brushings not specified in item 2064 and any histopathological service performed - one or more examinations. (RP) 02069 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues. (SP) 02070 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues. (PP) 02071 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues. (OP) 02072 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues. (RP) 02073 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist, or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance. (SP) 02074 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist, or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance. (PP) 02075 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist, or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance. (OP) 02076 01NOV1988 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist, or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance. (RP) 02081 01JUL1982 31DEC9999 Y Cytological examination for pathological change of smears from cervix and vagina, skin or mucous membrane, excluding nasal smears for cell count covered by Item 1545, 1546, 1548 or 1549-- each examination (SP) 02082 01JUL1982 31DEC9999 Y Cytological examination for pathological change of smears from cervix and vagina, skin or mucous membrane, excluding nasal smears for cell count covered by Item 1545, 1546, 1548 or 1549-- each examination (OP) 02083 01AUG1989 31DEC9999 Y Microscopic examination of material other than blood, from 1 or more sites, obtained directly from a patient and excluding material from cultures - wet film, including differential cell count if performed, examination for dermatophytes or dark ground illumination, or stained preparation or preparations using any relevant stain or stains - 1 or more examinations (SP) 02084 01AUG1989 31DEC9999 Y Microscopic examination of material other than blood, from 1 or more sites, obtained directly from a patient and excluding material from cultures - wet film, including differential cell count if performed, examination for dermatophytes or dark ground illumination, or stained preparation or preparations using any relevant stain or stains - 1 or more examinations (OP) 02085 01AUG1989 31DEC9999 Y Microscopic examination of faeces for parasites using concentration techniques including the use of appropriate stains, to a maximum of 3 estimations taken on separate days including any service specified in item 2083 - each estimation (SP) 02086 01AUG1989 31DEC9999 Y Microscopic examination of faeces for parasites using concentration techniques including the use of appropriate stains, to a maximum of 3 estimations taken on separate days including any service specified in item 2084 - each estimation (OP) 02087 01AUG1989 31DEC9999 Y The cultural examination and microscopical examination when indicated (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic micro-organisms, including fungi but excluding viruses, from nasal swabs, throat swabs, eye swabs and ear swabs, including pathogen identification and antibiotic sensitivity testing, including any service specified in item 2083 - 1 or more sites (SP) 02088 01AUG1989 31DEC9999 Y The cultural examination and microscopical examination when indicated (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic micro-organisms, including fungi but excluding viruses, from nasal swabs, throat swabs, eye swabs and ear swabs, including pathogen identification and antibiotic sensitivity testing, including any service specified in item 2084 - 1 or more sites (OP) 02089 01AUG1989 31DEC9999 Y Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic micro-organisms, including fungi but excluding viruses, from the following sites - skin or other superficial sites, urethra, vagina, cervix or rectum (except for faecal pathogens), or specimens of sputum (except when part of item 2119), including pathogenic identification and antibiotic sensitivity testing, including any service specified in item 2083 or 2087 - 1 or more examinations on 1 or more specimens (SP) 02090 01AUG1989 31DEC9999 Y Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic micro-organisms, including fungi but excluding viruses, from the following sites: skin or other superficial sites, urethra, vagina, cervix or rectum (except for faecal pathogens), or specimens of sputum (except where part of item 2120), including pathogenic identification and antibiotic sensitivity testing, including any service specified in item 2084 or 2088 - 1 or more examinations on 1 or more specimens (OP) 02091 01JUL1982 31DEC9999 Y Cytological examination for malignant cells-- examination of sputum, urine, bronchial secretion, cerebrospinal fluid, peritoneal fluid or any similar fluid-- each examination (SP) 02092 01JUL1982 31DEC9999 Y Cytological examination for malignant cells-- examination of sputum, urine, bronchial secretion, cerebrospinal fluid, peritoneal fluid or any similar fluid-- each examination (OP) 02093 01JUL1985 31DEC9999 Y Cytological examination for malignant cells of material obtained by fine needle aspiration ofsolid tissues. (SP) 02094 01JUL1985 31DEC9999 Y Cytological examination for malignant cells of material obtained by fine needle aspiration ofsolid tissues. (OP) 02095 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management, if: the attendance is by video conference; and the patient is located within a flood affected eligible area. 02096 01JUL1982 31DEC9999 Y Cytological examination for malignant cells-- examination of gastric washings, duodenal washings, oesophageal washings or colonic washings; including collection of specimen-- each examination (SP) 02097 01JUL1982 31DEC9999 Y Cytological examination for malignant cells-- examination of gastric washings, duodenal washings, oesophageal washings or colonic washings; including collection of specimen-- each examination (OP) 02098 01AUG1989 31DEC9999 Y Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) of post-operative wounds, aspirations of body cavities, synovial fluid CSF and operative or biopsy specimens for the presence of pathogenic micro-organisms, including fungi but excluding viruses, involving aerobic and anaerobic culture and the use of different culture media and including pathogen identification and antibiotic sensitivity testing, including any service specified in item 2083, 2087 or 2089 - 1 or more sites (SP) 02099 01AUG1989 31DEC9999 Y Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) of post-operative wounds, aspirations of body cavities, synovial fluid CSF and operative or biopsy specimens for the presence of pathogenic micro-organisms, including fungi but excluding viruses, involving aerobic and anaerobic culture and the use of different culture media and including pathogen identification and antibiotic sensitivity testing, including any service specified in item 2084, 2088 or 2090 - 1 or more sites (OP) 02100 01JUL2011 31OCT2012 N Level A - Telehealth attendance at consulting rooms A professional attendance at consulting rooms (not being a service to which any other item applies) lasting at least 5 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, who is not an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist or consultant physician. 02100 01NOV2012 28FEB2013 N Level A - Telehealth attendance at consulting rooms Professional attendance at consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 02100 01MAR2013 31DEC9999 Y Professional attendance at consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection 19(2) of the Act applies 02101 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of one or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood - one or more estimations. (SP) 02102 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of one or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood - one or more estimations. (PP) 02103 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of one or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood - one or more estimations. (OP) 02104 01JUL1982 31DEC9999 Y Hormonal assessment by cytological examination of vaginal epithelium involving cell count, index or both (SP) 02105 01JUL1982 31DEC9999 Y Hormonal assessment by cytological examination of vaginal epithelium involving cell count, index or both (OP) 02106 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of one or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood - one or more estimations. (RP) 02107 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood. (SP) 02108 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood. (PP) 02109 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood. (OP) 02110 01NOV1988 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood. (RP) 02111 01JUL1982 31DEC9999 Y Cytological examination for pathological change of smears from cervix and vagina with hormonal assessment by cytological examination of vaginal epithelium involving cell count, index or both (SP) 02112 01JUL1982 31DEC9999 Y Cytological examination for pathological change of smears from cervix and vagina with hormonal assessment by cytological examination of vaginal epithelium involving cell count, index or both (OP) 02113 01NOV1988 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis); or by fragile X-site determination - one or more identifications. (SP) 02114 01NOV1988 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis); or by fragile X-site determination - one or more identifications. (PP) 02115 01NOV1988 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis); or by fragile X-site determination - one or more identifications. (OP) 02116 01NOV1988 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis); or by fragile X-site determination - one or more identifications. (RP) 02117 01AUG1989 31DEC9999 Y Cultural examination (including the detection of Clostridial toxins or antigens not elsewhere specified in the Schedule) of faeces to determine the presence or absence of faecal pathogens, involving the use of at least 2 selective or enrichment media as well as culture in at least 2 different atmospheres and including pathogen identification and antibiotic sensitivity testing, including any service specified in item 2083, to a maximum of 3 specimens in any 7 day period - each examination (SP) 02118 01AUG1989 31DEC9999 Y Cultural examination (including the detection of Clostridial toxins or antigens not elsewhere specified in the Schedule) of faeces to determine the presence or absence of faecal pathogens, involving the use of at least 2 selective or enrichment media as well as culture in at least 2 different atmospheres and including pathogen identification and antibiotic sensitivity testing, including any service specified in item 2084, to a maximum of 3 specimens in any 7 day period - each examination (OP) 02119 01AUG1989 31DEC9999 Y Microscopy with appropriate stains and cultural examinations of 3 specimens of sputum, urine or other bodily fluids for mycobacteria and any other bacterial pathogens, including pathogen identification and antibiotic sensitivity testing and including any service specified in item 2083 (SP) 02120 01AUG1989 31DEC9999 Y Microscopy with appropriate stains and cultural examinations of 3 specimens of sputum, urine or other bodily fluids for mycobacteria and any other bacterial pathogens, including pathogen identification and antibiotic sensitivity testing and including any service specified in item 2084 (OP) 02121 01NOV2018 09JAN2020 N Professional attendance at consulting rooms by a general practitioner, lasting less than 20 minutes, for providing mental health services to a patient with mental health issues, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient and the general practitioner are located within a drought affected eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner; and (e) the patient has an existing relationship with the general practitioner. 02121 10JAN2020 30JUN2020 N Professional attendance by video conference by a general practitioner, lasting less than 20 minutes, for providing mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; or (b) the patient and the general practitioner are located within a drought affected eligible area, and: (i) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner; and (ii) the patient has an existing relationship with the general practitioner 02121 01JUL2020 31DEC9999 Y Professional attendance by video conference by a general practitioner, lasting less than 20 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire. 02122 01JUL2011 31OCT2012 N Level A - Telehealth attendance other than at consulting rooms A professional attendance other than at consulting rooms (not being a service to which any other item applies) lasting at least 5 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is located outside an inner metropolitan area, not being an admitted patient, and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02122 01NOV2012 31DEC2012 N Level A - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) outside an inner metropolitan area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02122 01JAN2013 28FEB2013 N Level A - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount 02122 01MAR2013 31DEC9999 Y Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02123 01AUG1989 31DEC9999 Y Blood culture to determine the presence or absence of pathogenic micro-organisms excluding viruses, including serial cultures and sub-cultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing - each set of cultures to a maximum of 3 sets (SP) 02124 01AUG1989 31DEC9999 Y Blood culture to determine the presence or absence of pathogenic micro-organisms excluding viruses, including serial cultures and sub-cultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing - each set of cultures to a maximum of 3 sets (OP) 02125 01JUL2011 31DEC2012 N Level A - Telehealth attendance at a residential aged care facility A professional attendance by a medical practitioner (not being a service to which any other item applies) lasting at least 5 minutes (whether or not continuous) that requires the provision of clinical support to a patient who is: a) a care recipient receiving care in a residential aged care service (other than a professional attendance at a self-contained unit); or b) at consulting rooms situated within such a complex where the patient is a resident of the aged care service (excluding accommodation in a self-contained unit) and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02125 01JAN2013 30JUN2018 N Professional attendance of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02125 01JUL2018 31DEC9999 Y Professional attendance of at least 5 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02126 01JUL2011 31OCT2012 N Level B - Telehealth attendance at consulting rooms A professional attendance at consulting rooms (not being a service to which any other item applies) lasting less than 20 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, who is not an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies and who is participating in a video consultation with a specialist or consultant physician. 02126 01NOV2012 28FEB2013 N Level B - Telehealth attendance at consulting rooms Professional attendance at consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 02126 01MAR2013 31DEC9999 Y Professional attendance at consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 02127 01AUG1989 31DEC9999 Y Urine examination including serial examination, with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts. (Simple culture by dip slide is excluded from this item) (SP) 02128 01AUG1989 31DEC9999 Y Urine examination including serial examination, with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts. (Simple culture by dip slide is excluded from this item) (OP) 02129 01AUG1989 31DEC9999 Y Direct detection of the antigens of Haemophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, Group B streptococcus (in CSF and urine specimens only), RSV, cryptococcal antigens and Varicella zoster or detection of Clostridium difficile toxin except where item 2117 has been performed - 1 or more estimations (SP) 02130 01AUG1989 31DEC9999 Y Direct detection of the antigens of Heamophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, Group B streptococcus (in CSF and urine specimens only), RSV, cryptococcal antigens and Varcella zoster or detection of Clostridium difficile toxin except where item 2118 has been performed - 1 or more estimations (OP) 02131 01JUL1982 31DEC9999 Y Cytological sex determination from blood film (SP) 02132 01JUL1982 31DEC9999 Y Cytological sex determination from blood film (OP) 02133 01AUG1989 31DEC9999 Y Direct detection of Chlamydia from clinical material, not cultures - 1 or more estimations (SP) 02134 01AUG1989 31DEC9999 Y Direct detection of Chlamydia from clinical material, not cultures - 1 or more estimations (OP) 02135 01AUG1989 31DEC9999 Y Direct detection of Herpes simplex from clinical material, not cultures - 1 or more estimations (SP) 02136 01AUG1989 31DEC9999 Y Direct detection of Herpes simplex from clinical material, not cultures - 1 or more estimations (OP) 02137 01JUL2011 31OCT2012 N Level B - Telehealth attendance other than at consulting rooms A professional attendance other than at consulting rooms (not being a service to which any other item applies) lasting less than 20 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is located outside an inner metropolitan area, not being an admitted patient, and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02137 01NOV2012 31DEC2012 N Level B - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) outside an inner metropolitan area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02137 01JAN2013 28FEB2013 N Level B - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount 02137 01MAR2013 31DEC9999 Y Professional attendance not in consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02138 01JUL2011 31OCT2012 N Level B - Telehealth attendance at residential aged care facility A professional attendance by a medical practitioner (not being a service to which any other item applies) lasting less than 20 minutes (whether or not continuous) that requires the provision of clinical support to a patient who is: a) a care recipient receiving care in a residential aged care service (other than a professional attendance at a self-contained unit); or b) at consulting rooms situated within such a complex where the patient is a resident of the aged care service (excluding accommodation in a self-contained unit); and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02138 01NOV2012 31DEC2012 N Level B - Telehealth attendance at residential aged care facility Professional attendance of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02138 01JAN2013 30JUN2018 N Professional attendance of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02138 01JUL2018 31DEC9999 Y Professional attendance of less than 20 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02139 01AUG1989 31DEC9999 Y Investigation for Herpes simplex virus (1 or more types) or Chlamydia trachomatis, in material obtained directly from a patient, by 1 or more cultural methods, including any service specified in item 2133 or 2135 (SP) 02140 01AUG1989 31DEC9999 Y Investigation for Herpes simplex virus (1 or more types) or Chlamydia trachomatis, in material obtained directly from a patient, by 1 or more cultural methods, including any service specified in item 2134 or 2136 (OP) 02141 01JUL1982 31DEC9999 Y Cytological sex chromatin studies (Barr or Y bodies)-- other than from blood film-- each tissue examined (SP) 02142 01JUL1982 31DEC9999 Y Cytological sex chromatin studies (Barr or Y bodies)-- other than from blood film-- each tissue examined (OP) 02143 01JUL2011 31OCT2012 N Level C - Telehealth attendance at consulting rooms A professional attendance at consulting rooms (not being a service to which any other item applies) lasting at least 20 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, who is not an admitted patient; b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist or consultant physician. 02143 01NOV2012 28FEB2013 N Level C - Telehealth attendance at consulting rooms Professional attendance at consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner who provides clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 02143 01MAR2013 31DEC9999 Y Professional attendance at consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner who provides clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection 19(2) of the Act applies 02144 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, lasting less than 20 minutes, if: (a) the attendance is by video conference; and (b) the patient is located within a flood affected eligible area. 02145 01AUG1989 31DEC9999 Y Serology including IgG and IgM estimations of Rubella, toxoplasma or CMV when performed during pregnancy - 1 or more assays (SP) 02146 01AUG1989 31DEC9999 Y Serology including IgG and IgM estimations of Rubella, toxoplasma or CMV when performed during pregnancy - 1 or more assays (OP) 02147 01JUL2011 31OCT2012 N Level C -Telehealth attendance other than at consulting rooms A professional attendance other than at consulting rooms (not being a service to which any other items applies) lasting at least 20 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is located outside an inner metropolitan area, not being an admitted patient, and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02147 01NOV2012 31DEC2012 N Level C - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance - at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02147 01JAN2013 28FEB2013 N Level C - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount 02147 01MAR2013 31DEC9999 Y Professional attendance not in consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02148 01JUL1982 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of amniotic fluid (SP) 02149 01JUL1982 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of amniotic fluid (OP) 02150 01NOV2018 09JAN2020 N Professional attendance at consulting rooms by a general practitioner, lasting at least 20 minutes, for providing mental health services to a patient with mental health issues, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient and the general practitioner are located within a drought affected eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner; and (e) the patient has an existing relationship with the general practitioner. 02150 10JAN2020 30JUN2020 N Professional attendance by video conference by a general practitioner, lasting at least 20 minutes, for providing mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; or (b) the patient and the general practitioner are located within a drought affected eligible area, and: (i) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner; and (ii) the patient has an existing relationship with the general practitioner 02150 01JUL2020 31DEC9999 Y Professional attendance by video conference by a general practitioner, lasting at least 20 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire. 02151 01NOV1988 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test). (SP) 02152 01NOV1988 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test). (PP) 02153 01NOV1988 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test). (OP) 02154 01NOV1988 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test). (RP) 02155 01JUL1982 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of bone marrow (SP) 02156 01JUL1982 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of bone marrow (OP) 02157 01NOV1988 31DEC9999 Y Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and one or more chemical tests, with a maximum of four examinations in any twelve month peri9d. (SP) 02158 01NOV1988 31DEC9999 Y Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and one or more chemical tests, with a maximum of four examinations in any twelve month peri9d. (PP) 02159 01NOV1988 31DEC9999 Y Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and one or more chemical tests, with a maximum of four examinations in any twelve month peri9d. (OP) 02160 01NOV1988 31DEC9999 Y Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and one or more chemical tests, with a maximum of four examinations in any twelve month peri9d. (RP) 02161 01JUL1982 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood, skin or any tissue or fluid not referred to in Item 2148 or 2155-- each study (SP) 02162 01JUL1982 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood, skin or any tissue or fluid not referred to in Item 2149 or 2156-- each study (OP) 02163 01NOV1988 31DEC9999 Y Sperm antibodies, sperm penetrating ability - one or more tests. (SP) 02164 01NOV1988 31DEC9999 Y Sperm antibodies, sperm penetrating ability - one or more tests. (PP) 02165 01NOV1988 31DEC9999 Y Sperm antibodies, sperm penetrating ability - one or more tests. (OP) 02166 01NOV1988 31DEC9999 Y Sperm antibodies, sperm penetrating ability - one or more tests. (RP) 02167 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta - HCG), qualitative estimation in semen or urine by one or more methods, including serial dilution if performed, for diagnosis of pregnancy - one or more estimations. (SP) 02168 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta - HCG), qualitative estimation in semen or urine by one or more methods, including serial dilution if performed, for diagnosis of pregnancy - one or more estimations. (PP) 02169 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta - HCG), qualitative estimation in semen or urine by one or more methods, including serial dilution if performed, for diagnosis of pregnancy - one or more estimations. (OP) 02170 01JUL1982 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa or centromeres staining)-- one method (SP) 02171 01JUL1982 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa or centromeres staining)-- one method (OP) 02172 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta - HCG), qualitative estimation in semen or urine by one or more methods, including serial dilution if performed, for diagnosis of pregnancy - one or more estimations. (RP) 02173 01JUL1982 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa or centromeres staining)-- two or more methods (SP) 02174 01JUL1982 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa or centromeres staining)-- two or more methods (OP) 02175 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta- IICG), qualitative (if performed) and quantitative estimation in serum by one or more methods for diagnosis of hydatidiform mole, HCG - secreting neoplasm, threatened abortion or follow-up of abortion. (SP) 02176 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta- IICG), qualitative (if performed) and quantitative estimation in serum by one or more methods for diagnosis of hydatidiform mole, HCG - secreting neoplasm, threatened abortion or follow-up of abortion. (PP) 02177 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta- IICG), qualitative (if performed) and quantitative estimation in serum by one or more methods for diagnosis of hydatidiform mole, HCG - secreting neoplasm, threatened abortion or follow-up of abortion. (OP) 02178 01NOV1988 31DEC9999 Y Chorionic gonadotrophin (beta- IICG), qualitative (if performed) and quantitative estimation in serum by one or more methods for diagnosis of hydatidiform mole, HCG - secreting neoplasm, threatened abortion or follow-up of abortion. (RP) 02179 01JUL2011 31DEC2012 N Level C - Telehealth attendance at residential aged care facility A professional attendance by a medical practitioner (not being a service to which any other item applies) lasting at least 20 minutes (whether or not continuous) that requires the provision of clinical support to a patient who is: a) a care recipient receiving care in a residential aged care service (other than a professional attendance at a self-contained unit); or b) at consulting rooms situated within such a complex where the patient is a resident of the aged care service (excluding accommodation in a self-contained unit); and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02179 01JAN2013 30JUN2018 N Professional attendance of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02179 01JUL2018 31DEC9999 Y Professional attendance of at least 20 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02180 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, lasting at least 20 minutes, if: the attendance is by video conference; and the patient is located within a flood affected eligible area. 02181 01AUG1989 31DEC9999 Y Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule - estimation of 1 antibody (SP) 02182 01AUG1989 31DEC9999 Y Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule - estimation of 1 antibody (OP) 02183 01AUG1989 31DEC9999 Y 2 estimations specified in item 2181 (SP) 02184 01AUG1989 31DEC9999 Y 2 estimations specified in item 2182 (OP) 02185 01AUG1989 31DEC9999 Y 3 estimations specified in item 2181 (SP) 02186 01AUG1989 31DEC9999 Y 3 estimations specified in item 2182 (OP) 02187 01AUG1989 31DEC9999 Y 4 estimations specified in item 2181 (SP) 02188 01AUG1989 31DEC9999 Y 4 estimations specified in item 2182 (OP) 02189 01AUG1989 31DEC9999 Y 5 estimations specified in item 2181 (SP) 02190 01AUG1989 31DEC9999 Y 5 estimations specified in item 2182 (OP) 02191 01AUG1989 31DEC9999 Y 6 or more estimations specified in item 2181 (SP) 02192 01AUG1989 31DEC9999 Y 6 or more estimations specified in item 2182 (OP) 02193 02MAR2019 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, lasting at least 40 minutes, if: the attendance is by video conference; and the patient is located within a flood affected eligible area. 02195 01JUL2011 31OCT2012 N Level D - Telehealth attendance at consulting rooms A professional attendance at consulting rooms (not being a service to which any other item applies) lasting at least 40 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, who is not an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist or consultant physician. 02195 01NOV2012 28FEB2013 N Level D - Telehealth attendance at consulting rooms Professional attendance at consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 02195 01MAR2013 31DEC9999 Y Professional attendance at consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 02196 01NOV2018 09JAN2020 N Professional attendance at consulting rooms by a general practitioner, lasting at least 40 minutes, for providing mental health services to a patient with mental health issues, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient and the general practitioner are located within a drought affected eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner; and (e) the patient has an existing relationship with the general practitioner. 02196 10JAN2020 30JUN2020 N Professional attendance by video conference by a general practitioner, lasting at least 40 minutes, for providing mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; or (b) the patient and the general practitioner are located within a drought affected eligible area, and: (i) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner; and (ii) the patient has an existing relationship with the general practitioner 02196 01JUL2020 31DEC9999 Y Professional attendance by video conference by a general practitioner, lasting at least 40 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire. 02197 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms of more than 60 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner-each attendance. 02198 01NOV2023 31DEC9999 Y Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 60 minutes-an attendance on one or more patients on one occasion-each patient. 02199 01JUL2011 31OCT2012 N Level D - Telehealth attendance other than at consulting rooms A professional attendance other than at consulting rooms (not being a service to which any other item applies) lasting at least 40 minutes (whether or not continuous) by a medical practitioner that requires the provision of clinical support to a patient who is located outside an inner metropolitan area, not being an admitted patient, and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02199 01NOV2012 31DEC2012 N Level D - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) outside an inner metropolitan area; and (ii) at the time of the attendance - at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02199 01JAN2013 28FEB2013 N Level D - Telehealth attendance other than at consulting rooms Professional attendance not in consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance - at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount 02199 01MAR2013 31DEC9999 Y Professional attendance not in consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient 02200 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 60 minutes in duration by a prescribed medical practitioner-an attendance on one or more patients at one residential aged care facility on one occasion-each patient. 02201 01JUL1982 31DEC9999 Y Examination of semen for presence of spermatozoa (SP) 02202 01JUL1982 31DEC9999 Y Examination of semen for presence of spermatozoa (OP) 02203 01NOV1988 31DEC9999 Y Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count - one procedure. 02204 01NOV1988 31DEC9999 Y Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count - two procedures. 02205 01NOV1988 31DEC9999 Y 13lood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count - three or more procedures. 02206 01NOV1988 31DEC9999 Y Microscopical examination of urine. 02207 01NOV1988 31DEC9999 Y Pregnancy test by one or more imnmunochemical methods. 02208 01NOV1988 31DEC9999 Y Microscopical examination of wet film other than urine. 02209 01NOV1988 31DEC9999 Y Microscopical examination of gram stained film. 02210 01NOV1988 31DEC9999 Y Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method. 02211 01JUL1982 31DEC9999 Y Huhner's test (post-coital test)-- collection of sample and examination of wet preparation (SP) 02212 01JUL1982 31DEC9999 Y Huhner's test (post-coital test)-- collection of sample and examination of wet preparation (OP) 02213 01NOV1988 31DEC9999 Y Microscopical examination screening for fungi in skin, hair or nails - one or more sites. 02214 01NOV1988 31DEC9999 Y Mantoux test. 02215 01JUL1982 31DEC9999 Y Examination of semen involving measurement of volume, sperm count, gram or similar stain, morphology by differential count and motility (including duration) or viability or both (SP) 02216 01JUL1982 31DEC9999 Y Examination of semen involving measurement of volume, sperm count, gram or similar stain, morphology by differential count and motility (including duration) or viability or both (OP) 02217 01NOV1988 31DEC9999 Y Casoni test for hydatid disease. 02218 01NOV1988 31DEC9999 Y Schick test. 02219 01NOV1988 31DEC9999 Y Seminal examination for presence of spermatozoa. 02220 01JUL2011 31DEC2012 N Level D - Telehealth attendance at residential aged care facility A professional attendance by a medical practitioner (not being a service to which any other item applies) lasting at least 40 minutes (whether or not continuous) that requires the provision of clinical support to a patient who is: a) a care recipient receiving care in a residential aged care service (other than a professional attendance at a self-contained unit); or b) at consulting rooms situated within such a complex where the patient is a resident of the aged care service (excluding accommodation in a self-contained unit); and who is participating in a video consultation with a specialist or consultant physician, on 1 occasion - each patient. 02220 01JAN2013 30JUN2018 N Professional attendance of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02220 01JUL2018 31DEC9999 Y Professional attendance of at least 40 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient 02221 01AUG1989 31DEC9999 Y Hepatitis B surface antigen test (SP) 02222 01AUG1989 31DEC9999 Y Hepatitis B surface antigen test (OP) 02223 01AUG1989 31DEC9999 Y Hepatitis B serology to define the immune status of an individual, including at least Hepatitis B surface antibody or Hepatitis B core antibody tests, including service specified in item 2221, 2229 or 2231 (SP) 02224 01AUG1989 31DEC9999 Y Hepatitis B serology to define the immune status of an individual, including at least Hepatitis B surface antibody or Hepatitis B core antibody tests, including service specified in item 2222, 2230 or 2232 (OP) 02225 01JUL1982 31DEC9999 Y Chemical analysis of semen-- analysis of one substance (SP) 02226 01JUL1982 31DEC9999 Y Chemical analysis of semen-- analysis of one substance (OP) 02227 01JUL1982 31DEC9999 Y Chemical analysis of semen-- analysis of two or more substances (SP) 02228 01JUL1982 31DEC9999 Y Chemical analysis of semen-- analysis of two or more substances (OP) 02229 01AUG1989 31DEC9999 Y All serological tests performed for the identification of the agent causing acute Hepatitis, which must include Hepatitis B surface antigen, Hepatitis B core antibody and Hepatitis A IgM antibody tests and those service specified in item 2221, 2223 or 2231 (SP) 02230 01AUG1989 31DEC9999 Y All serological tests performed for the identification of the agent causing acute Hepatitis, which must include Hepatitis B surface antigen, Hepatitis B core antibody and Hepatitis A IgM antibody tests and those services specified in item 2222, 2224 or 2232 (OP) 02231 01AUG1989 31DEC9999 Y All tests performed in the follow up of a patient with proven Hepatitis B, including Hepatitis B surface antigen and either Hepatitis Be antigen or Hepatitis B surface antibody tests, including services specified in item 2221 or 2223 (SP) 02232 01AUG1989 31DEC9999 Y All tests performed in the follow up of a patient with proven Hepatitis B, including Hepatitis B surface antigen and either Hepatitis Be antigen or Hepatitis B surface antibody tests, including services specified in item 2222 or 2224 (OP) 02235 01AUG1989 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent - 1 or more estimations (SP) 02236 01AUG1989 31DEC9999 Y Antibiotics or anti-microbial chemo-therapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent - 1 or more estimations (OP) 25.00 02239 01AUG1989 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 1734, 1736 or 2245), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresis or immunofixation - 1 or more procedures (SP) 02240 01AUG1989 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 1735, 1737 or 2246), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresi or immunofixation - 1 or more procedures (OP) 02241 01AUG1989 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 1734, 1736 or 2245) on serum and urine concurrently collected - 2 or more procedures (SP) 02242 01AUG1989 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 1735, 1737 or 2246) on serum and urine concurrently collected - 2 or more procedures (OP) 02245 01AUG1989 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation in serum, urine or other body fluid, by any method - estimation of 1 immunoglobin (SP) 02246 01AUG1989 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation in serum, urine or other body fluid, by any method - estimation of 1 immunoglobin (OP) 02247 01JUL1982 31DEC9999 Y Spermagglutinating and immobilising antibodies, test for-- one test (SP) 02248 01JUL1982 31DEC9999 Y Spermagglutinating and immobilising antibodies, test for-- one test (OP) 02249 01JUL1982 31DEC9999 Y Two or more tests referred to in Item 2247 (SP) 02250 01JUL1982 31DEC9999 Y Two or more tests referred to in Item 2248 (OP) 02251 01AUG1989 31DEC9999 Y 2 estimations specified in item 2245 (SP) 02252 01AUG1989 31DEC9999 Y 2 estimations specified in item 2246 (OP) 02253 01AUG1989 31DEC9999 Y 3 or more estimations specified in item 2245 (SP) 02254 01AUG1989 31DEC9999 Y 3 or more estimations specified in item 2246 (OP) 02255 01AUG1989 31DEC9999 Y Subclasses of Immunoglobulin G, 1 to 4, estimation where there is a reduced level of clinical significance of either total IgG or IgA - 1 or more estimation (SP) 02256 01AUG1989 31DEC9999 Y Subclasses of Immunoglobulin G, 1 to 4, estimation where there is a reduced level of clinical significance of either total IgG or IgA - 1 or more estimation (OP) 02257 01AUG1989 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of 2 estimations in any 12 month period (SP) 02258 01AUG1989 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of 2 estimations in any 12 month period (OP) 02259 01AUG1989 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - 1 or more tests for single or multiple allergens with a maximum of 4 estimations in any 12 month period (SP) 02260 01AUG1989 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens - 1 or more tests for single or multiple allergens with a maximum of 4 estimations in any 12 month period (SP) 02261 01AUG1989 31DEC9999 Y Antinuclear antibodies, detection in serum or other body fluids, including quantitation if required (SP) 02262 01AUG1989 31DEC9999 Y Antinuclear antibodies, detection in serum or other body fluids, including quantitation if required (OP) 02263 01AUG1989 31DEC9999 Y Measurment of DNA binding (by Farr or equivalent assay, but excluding the Crithidia method), performed only where a positive antinuclear antibody titre of 1:40 or greater has been obtained (SP) 02264 01JUL1982 31DEC9999 Y Sperm penetrability, one or more tests for-- not associated with Item 2211 (SP) 02265 01JUL1982 31DEC9999 Y Sperm penetrability, one or more tests for-- not associated with Item 2212 (OP) 02266 01AUG1989 31DEC9999 Y Measurement of DNA binding (by Farr or equivalent assay, but excluding the Crithidia method), performed only where a positive antinuclear antibody titre of 1:40 or greater has been obtained (OP) 02267 01AUG1989 31DEC9999 Y Antibodies to extractable nuclear antigens, detection of in serum or other body fluids (SP) 02268 01AUG1989 31DEC9999 Y Antibodies to extractable nuclear antigens, detection of in serum or other body fluids (OP) 02269 01AUG1989 31DEC9999 Y Characterization of antibodies to extractable nuclear antigens, performed only where a positive result is obtained including services specified in item 2267 (SP) 02270 01AUG1989 31DEC9999 Y Charaterization of antibodies to extractable nuclear antigens, performed only where a positive result is obtained including services specified in item 2268 (OP) 02271 01AUG1989 31DEC9999 Y Antibodies to tissue antigens that are not elsewhere specified in an item in the Schedule - estimation of 1 antibody (SP) 02272 01JUL1982 29FEB1984 N Chorionic gonadotrophin, qualitative estimation of for diagnosis of pregnancy or hormone producing neoplasm by one or more methods including estimation of beta-HCG in serum or urine (SP) 02272 01MAR1984 31DEC9999 Y Chorionic gonadotrophin(beta-HCG), qualitative estimation or quantitative estimation or qualitative and quantitative estimation by one or more methods for any purpose not covered by Item 2285 or 2286 (SP) 02273 01JUL1982 29FEB1984 N Chorionic gonadotrophin, qualitative estimation of for diagnosis of pregnancy or hormone producing neoplasm by one or more methods including estimation of beta-HCG in serum or urine (OP) 02273 01MAR1984 31DEC9999 Y Chorionic gonadotrophin(beta-HCG), qualitative estimation or quantitative estimation or qualitative and quantitative estimation by one or more methods for any purpose not covered by Item 2285 or 2286 (OP) 02274 01AUG1989 31DEC9999 Y Antibodies to tissue antigens which are not elsewhere specified in an item in the Schedule - estimation of 1 antibody (OP) 02275 01AUG1989 31DEC9999 Y 2 estimations specified in item 2271 (SP) 02276 01AUG1989 31DEC9999 Y 2 estimations specified in item 2274 (OP) 02277 01AUG1989 31DEC9999 Y 3 estimations specified in item 2271 (SP) 02278 01AUG1989 31DEC9999 Y 3 estimations specified in item 2274 (OP) 02279 01AUG1989 31DEC9999 Y 4 or more estimations specified in item 2271 (SP) 02280 01AUG1989 31DEC9999 Y 4 or more estimations specified in item 2274 (OP) 02281 01AUG1989 31DEC9999 Y Rheumatoid factor, detection of by any technique (SP) 02282 01AUG1989 31DEC9999 Y Rheumatoid factor, detection of by any technique (OP) 02283 01AUG1989 31DEC9999 Y Quantitation of Rheumatoid factor where detected, including services specified in item 2281 (SP) 02284 01AUG1989 31DEC9999 Y Quantitation of Rheumatoid factor where detected, including services specified in item 2282 (OP) 02285 01JUL1982 29FEB1984 N Chorionic gonadotrophin, quantitative estimation of by serial dilution for assessment of hormone producing neoplasm by one or more methods (not associated with the service specified in Item 2272) (SP) 02285 01MAR1984 31DEC9999 Y Chorionic gonadotrophin quantitative estimation of(including serial dilutions) for assessments of hormone levels in the case of proven hormone producing neoplasms by one or more methods (SP) 02286 01JUL1982 29FEB1984 N Chorionic gonadotrophin, quantitative estimation of by serial dilution for assessment of hormone producing neoplasm by one or more methods (not associated with the service specified in Item 2273) (OP) 02286 01MAR1984 31DEC9999 Y Chorionic gonadotrophin quantitative estimation of(including serial dilutions) for assessments of hormone levels in the case of proven hormone producing neoplasms by one or more methods (OP) 02287 01JUL1985 31DEC9999 Y PREGNANCY PATHOLOGY ASSESSMENT - comprising haemoglobin estimation, calculation of red cell indices, blood film examination, blood grouping, examination for blood group antibodies, test for syphillis, test for rubella antibodies, microscopic examination of uring and culture - one assessment in any one pregnancy. (SP) 02288 01JUL1985 31DEC9999 Y PREGNANCY PATHOLOGY ASSESSMENT - comprising haemoglobin estimation, calculation of red cell indices, blood film examination, blood grouping, examination for blood group antibodies, test for syphillis, test for rubella antibodies, microscopic examination of uring and culture - one assessment in any one pregnancy. (OP) 02289 01AUG1989 31DEC9999 Y Complement - total and components - 1 quantitative estimation (SP) 02290 01AUG1989 31DEC9999 Y Complement - total and components - 1 quantitative estimation (OP) 02291 01AUG1989 31DEC9999 Y 2 estimations as specified in item 2289 (SP) 02292 01AUG1989 31DEC9999 Y 2 estimations as specified in item 2290 (OP) 02293 01AUG1989 31DEC9999 Y 3 or more estimations as specified in item 2289 (SP) 02294 01NOV1983 31DEC9999 Y Pathology examination of any body fluid or tissue not covered by any other item in this Part (SP) 02295 01NOV1983 31DEC9999 Y Pathology examination of any body fluid or tissue not covered by any other item in this Part (OP) 02296 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02297 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02298 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02299 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02300 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02301 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02302 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02303 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02304 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02305 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02306 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02307 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02308 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02310 01DEC1987 31DEC9999 Y [Unidentified item - pathology] 02312 01AUG1989 31DEC9999 Y 3 or more estimations as specified in item 2290 (OP) 02313 01AUG1989 31DEC9999 Y Leucocyte fractionation as a preliminary to leucocyte marker or leucocyte function tests (SP) 02314 01AUG1989 31DEC9999 Y Leucocyte fractionation as a preliminary to leucocyte marker or leucocyte function tests (OP) 02315 01AUG1989 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar) and any test specified in Division 1 - Haematology in the Schedule (SP) 02316 01AUG1989 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar) and any test specified in Division 1 - Haematology in the Schedule (OP) 02317 01AUG1989 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techniques to assess lymphoid populations using a minimum of 3 monoclonal antibodies, including any services in item 2319 - 1 or more estimations (SP) 02318 01AUG1989 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techniques to assess lymphoid populations using a minimum of 3 monoclonal antibodies, including any service in item 2320 - 1 or more estimations (OP) 02319 01AUG1989 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techniques in the investigation of a probable haematological malignancy using a minimum of 7 monoclonal antibodies, including any services in item 2317 - 1 or more estimations (SP) 02320 01AUG1989 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techniques in the investigation of a probable haematological malignancy using a minimum of 7 monoclonal antibodies, including any service in item 2318 - 1 or more estimations (OP) 02321 01AUG1989 31DEC9999 Y HLA typing comprising A, B, C and DR phenotypes (SP) 02322 01AUG1989 31DEC9999 Y HLA typing comprising A, B, C and DR phenotypes (OP) 02323 01AUG1989 31DEC9999 Y HLA typing, excluding any service specified in item 2321 - 1 or more antigens (SP) 02324 01AUG1989 31DEC9999 Y HLA typing, excluding any service specified in item 2322 - 1 or more antigens (OP) 02325 01AUG1989 31DEC9999 Y Mantoux test (SP) 02326 01AUG1989 31DEC9999 Y Mantoux test (OP) 02327 01AUG1989 31DEC9999 Y Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions (SP) 02328 01AUG1989 31DEC9999 Y Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions (OP) 02329 01AUG1989 31DEC9999 Y Immediate frozen section diagnosis of biopsy material, including any other histopathology examination (SP) 02330 01AUG1989 31DEC9999 Y Immediate frozen section diagnosis of biopsy material, including any other histopathology examination (OP) 02331 01AUG1989 31DEC9999 Y Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination (SP) 02332 01AUG1989 31DEC9999 Y Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination (OP) 02333 01AUG1989 31DEC9999 Y Electron microscopy of biopsy material including any other histopathology examination (SP) 141.40 02334 01JUL1982 31DEC9999 Y Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count-- one procedure 02335 01JUL1982 31DEC9999 Y Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count-- two procedures 02336 01JUL1982 31DEC9999 Y Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count-- three or more procedures 02337 01AUG1989 31DEC9999 Y Electron microscopy of biopsy material including any other histopathology examination (OP) 106.05 02338 01AUG1989 31DEC9999 Y Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes - 1 or more examinations (SP) 20.50 02339 01AUG1989 31DEC9999 Y Cytological examination of smears from cervix or vagina for detection of pre-cancerous or cancerous changes - 1 or more examinations (OP) 02340 01AUG1989 31DEC9999 Y Cytological examination including serial examinations of smears from skin, nipple discharge, lip, mouth, nose or anus for detection of pre-cancerous or cancerous changes - 1 or more examinations (SP) 02341 01AUG1989 31DEC9999 Y Cytological examination including serial examinations of smears from skin, nipple discharge, lip, mouth, nose or anus for detection of pre-cancerous or cancerous changes - 1 or more examinations (OP) 02342 01JUL1982 31DEC9999 Y Microscopical examination of urine 02343 01AUG1989 31DEC9999 Y Cytological examination including serial examinations for malignant cells of body fluids, sputum (single specimen), urine (single specimen), washings or brushings not specified in item 2340 and any histopathological service performed on that cytology specimen - 1 or more examinations (SP) 40.10 02344 01AUG1989 31DEC9999 Y Cytological examination including serial examinations for malignant cells of body fluids, sputum (single specimen), urine (single specimen), washings or brushings not specified in item 2341 and any histopathological service performed on that cytology specimen - 1 or more examinations (OP) 02346 01JUL1982 31DEC9999 Y Pregnancy test by one or more immunochemical methods 02348 01AUG1989 31DEC9999 Y Cytological examination including examination of a series of 3 sputum or urine specimens for malignant cells (SP) 02349 01AUG1989 31DEC9999 Y Cytological examination including examination of a series of 3 sputum or urine specimens for malignant cells (OP) 02350 01AUG1989 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues (SP) 02351 01AUG1989 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues (OP) 02352 01JUL1982 31DEC9999 Y Microscopical examination of wet film other than urine 02355 01AUG1989 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance (SP) 02356 01AUG1989 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance (OP) 02357 01JUL1982 31DEC9999 Y Microscopical examination of gram stained film 02360 01AUG1989 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of 1 or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood - 1 or more estimations (SP) 181.50 02361 01AUG1989 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of 1 or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood - 1 or more estimations (OP) 02362 01JUL1982 31DEC9999 Y Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method 02363 01AUG1989 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood (SP) 02364 01AUG1989 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood (OP) 02365 01AUG1989 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis) or by fragile X-site determination - 1 or more identifications (SP) 02366 01AUG1989 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis) or by fragile X-site determination - 1 or more identifications (OP) 02369 01JUL1982 31DEC9999 Y Microscopical examination screening for fungi in skin, hair or nails-- one or more sites 02370 01AUG1989 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test) (SP) 02371 01AUG1989 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test) (OP) 02372 01AUG1989 31DEC9999 Y Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and 1 or more chemical tests, with a maximum of 4 examinations in any 12 month period (SP) 02373 01AUG1989 31DEC9999 Y Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and 1 or more chemical tests, with a maximum of 4 examinations in any 12 month period (OP) 02374 01JUL1982 31DEC9999 Y Mantoux test 02377 01AUG1989 31DEC9999 Y Sperm antibodies, sperm penetrating ability - 1 or more tests (SP) 02378 01AUG1989 31DEC9999 Y Sperm antibodies, sperm penetrating ability - 1 or more tests (OP) 02379 01AUG1989 31DEC9999 Y Chorionic gonadotrophin (beta - HCG), qualitative estimation in serum or urine by 1 or more methods, including serial dilution if performed, for diagnosis of pregnancy - 1 or more estimations (SP) 02380 01AUG1989 31DEC9999 Y Chorionic gonadotrophin (beta - HCG), qualitative estimation in serum or urine by 1 or more methods, including serial dilution if performed, for diagnosis of pregnancy - 1 or more estimations (OP) 02382 01JUL1982 31DEC9999 Y Casoni test for hydatid disease 02384 01AUG1989 31DEC9999 Y Chorionic gonadotrophin (beta-HCG), qualitative (if performed) and quantitative estimation in serum by 1 or more methods for diagnosis of hydatidiform mole, HCG - secreting neoplasm, threatened abortion or follow-up of abortion (SP) 02385 01AUG1989 31DEC9999 Y Chorionic gonadotrophin (beta-HCG), qualitative (if performed) and quantitative estimation in serum by 1 or more methods for diagnosis of hydatidiform mole, HCG - secreting neoplasm, threatened abortion or follow-up of abortion (OP) 02387 01AUG1989 31DEC9999 Y Seminal examination for presence of spermatozoa 02388 01JUL1982 31DEC9999 Y Schick test 02389 01AUG1989 31DEC9999 Y Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count - 1 procedure 02390 01AUG1989 31DEC9999 Y 2 procedures specified in item 2389 02391 01AUG1989 31DEC9999 Y 3 or more procedures specified in item 2389 8.25 02392 01JUL1982 31DEC9999 Y Seminal examination for presence of spermatozoa 02393 01AUG1989 31DEC9999 Y Microscopical examination of urine 02394 01AUG1989 31DEC9999 Y Pregnancy test by 1 or more immunochemical methods 02395 01AUG1989 31DEC9999 Y Microscopical examination of wet film other than urine 02396 01AUG1989 31DEC9999 Y Microscopical examination of gram-stained film 02397 01AUG1989 31DEC9999 Y Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method 02398 01AUG1989 31DEC9999 Y Microscopical examination screening for fungi in skin, hair or nails - 1 or more sites 02399 01AUG1989 31DEC9999 Y Mantoux test 10.15 02400 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN with or without scan of internal auditory nneatus without intravenous contrast medium (not covered by item 2447 or 2450) 02400 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (not covered by item 2447 or 2450) 02401 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN with or without scan of internal auditory meatus with intravenous contrast medium (not covered by item 2448 or 2451) 02401 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain with or without scan of internal auditory meatus with intravenous contrast medium (not covered by item 2448 or 2451) 02402 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN with or without scan of internal auditor/ meatus without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2449 or 2452) 02402 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2449 or 2452) 02403 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF PITUITARY FOSSA by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan 02403 01SEP1989 31DEC9999 Y Computerised tomography-scan of pituitary fossa by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan 02404 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF ORBITS by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain Scan 02404 01SEP1989 31DEC9999 Y Computerised tomography-scan of orbits by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan 02405 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF MIDDLE EAR AND TEMPORAL BONE, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan 02405 01SEP1989 31DEC9999 Y Computerised tomography-scan of middle ear and temporal bone, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan 02406 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF TEMPORAL BONES WITH AIR STUDY (including reconstructions) and including intrathecal injection, not including an associated brain scan 02406 01SEP1989 31DEC9999 Y Computerised tomography-scan of temporal bones with air study (including reconstructions) and including intrathecal injection, not including an associated brain scan 02407 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF FACIAL BONES, sinuses and salivary glands-Scan of one or more regions without intravenous contrast medium 02407 01SEP1989 31DEC9999 Y Computerised tomography-scan of facial bones, sinuses and salivary glands-scan of one or more regions without intravenous contrast medium 02408 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF FACIAL BONES, sinuses and salivary glands-scan of one or more regions with intravenous contrast medium 02408 01SEP1989 31DEC9999 Y Computerised tomography-scan of facial bones, sinuses and salivary glands-scan of one or more regions with intravenous contrast medium 02409 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF FACIAL BONES, sinuses and salivary glands-scan of one or more regions without and with intravenous contrast medium 02409 01SEP1989 31DEC9999 Y Computerised tomography-scan of facial bones, sinuses and salivary glands-scan of one or more regions without and with intravenous contrast medium 02410 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SOFT TISSUES OF NECK, including larynx, pharynx and upper oesophagus (not associated with cervical spine)-scan of one or more regions without intravenous contrast medium (not covered by item 2444) 02410 01SEP1989 31DEC9999 Y Computerised tomography-scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)-scan of one or more regions without intravenous contrast medium (not covered by item 2444) 02411 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SOFT TISSUES OF NECK including lan/nx, pharynx and upper oesophagus (not associated with cervical spine)-scan of one or more regions with intravenous contrast medium (not covered by item 2445) 02411 01SEP1989 31DEC9999 Y Computerised tomography-scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)-scan of one or more regions with intravenous contrast medium (not covered by item 2445) 02412 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SOFT TISSUES OF NECK including larynx, pharynx and upper oesophagus (not associated with cervical spine)-scan of one or more regions without and with intravenous contrast medium (not covered by item 2446) 02412 01SEP1989 31DEC9999 Y Computerised tomography-scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)-scan of one or more regions without and with intravenous contrast medium (not covered by item 2446) 02413 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SPINE, one or more regions-25 slices or less without intravenous contrast medium 02413 01SEP1989 31DEC9999 Y Computerised tomography-scan of spine, one or more regions-25 slices or less without intravenous contrast medium 02414 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SPINE, one or more regions-25 slices or less with intravenous contrast medium 02414 01SEP1989 31DEC9999 Y Computerised tomography-scan of spine, one or more regions-25 slices or less with intravenous contrast medium 02415 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF S.PINE,;one or more regions-25 slices Sr less without and with intravenous contrast medium 02415 01SEP1989 31DEC9999 Y Computerised tomography-scan of spine, one or more regions-25 slices or less without and with intravenous contrast medium 02416 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SPINE, one or more regions-26 or more slices without intravenous contrast medium 02416 01SEP1989 31DEC9999 Y Computerised tomography-scan of spine, one or more regions-26 or more slices without intravenous contrast medium 02417 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SPINE, one or more regions-26 or more slices with intravenous contrast medium 02417 01SEP1989 31DEC9999 Y Computerised tomography-scan of spine, one or more regions-26 or more slices with intravenous contrast medium 02418 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SPINE, one or more regions-26 or more slices without and with intravenous contrast medium 02418 01SEP1989 31DEC9999 Y Computerised tomography-scan of spine, one or more regions-26 or more slices without and with intravenous contrast medium 02419 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF SPINE, one or more regions with intrathecal contrast medium (not including the preparation by intrathecal injection of contrast medium) 02419 01SEP1989 31DEC9999 Y Computerised tomography-scan of spine, one or more regions with intrathecal contrast medium (not including the preparation by intrathecal injection of contrast medium) 02420 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST (including lungs, mediastinum and pleura) with-out intravenous contrast medium (not covered by item 2438, 2441, 2444, 2447 or 2450) 02420 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (not covered by item 2438, 2441, 2444, 2447 or 2450) 02421 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST (irtcl.uding lungs, mediastinum and pleura) with intravenous contrast medium (not covered by item 2439, 2442, 2445, 2448 or 2451) 02421 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest (including lungs, mediastinum and pleura) with intravenous contrast medium (not covered by item 2439, 2442, 2445, 2448 or 2451) 02422 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST (including lungs, mediastinum and pleura) with-out intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446, 2449 or 2452) 02422 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440 2443, 2446, 2449 or 2452) 02423 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF UPPER ABDOMEN (diaphragm to iliac crest) or PELVIS with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) 02423 01SEP1989 31DEC9999 Y Computerised tomography-scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450) 02424 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF UPPER ABDOMEN (diaphragm to iliac crest) or PELVIS with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) 02424 01SEP1989 31DEC9999 Y Computerised tomography-scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) 02425 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF UPPER ABDOMEN (diaphragm to iliac crest) or PELVIS without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) 02425 01SEP1989 31DEC9999 Y Computerised tomography-scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) 02426 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF UPPER ABDOMEN AND PELVIS without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450) 02426 01SEP1989 31DEC9999 Y Computerised tomography-scan of upper abdomen and pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450) 02427 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF UPPER ABDOMEN AND PELVIS with intravenous con-trast medium (not covered by item 2439, 2442, 2445 or 2451) 02427 01SEP1989 31DEC9999 Y Computerised tomography-scan of upper abdomen and pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) 02428 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF UPPER ABDOMEN AND PELVIS without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) 02428 01SEP1989 31DEC9999 Y Computerised tomography-scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) 02429 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES. ONE OR MORE REGIONS involving up to 20 slices without intravenous contrast medium 02429 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving up to 20 slices without intravenous contrast medium 02430 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES, ONE OR MORE REGIONS involving up to 20 slices with intravenous contrast medium 02430 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving up to 20 slices with intravenous contrast medium 02431 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES, ONE OR MORE REGIONS involving up to 20 slices without and with intravenous contrast medium 02431 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving up to 20 slices without and with intravenous contrast medium 02432 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES, ONE OR MORE REGIONS involving more than 20 slices but not more than 40 slices without intravenous contrast medium 02432 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium 02433 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES. ONE OR MORE REGIONS involving more than 20 slices but not more than 40 slices with intravenous contrast medium 02433 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium 02434 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES, ONE OR MORE REGIONS involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium 02434 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium 02435 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES, ONE OR MORE REGIONS involving more than 40 slices without intravenous contrast medium 02435 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving more than 40 slices without intravenous contrast medium 02436 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES, ONE OR MORE REGIONS involving more than 40 slices with intravenous contrast medium 02436 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving more than 40 slices with intravenous contrast medium 02437 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF EXTREMITIES, ONE OR MORE REGIONS involving more than 40 slices without and with intravenous contrast medium 02437 01SEP1989 31DEC9999 Y Computerised tomography-scan of extremities, one or more regions involving more than 40 slices without and with intravenous contrast medium 02438 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) without intravenous contrast medium (not covered by item 2441, 2444 or 2450) 02438 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium (not covered by item 2441, 2444 or 2450) 02439 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) with intravenous contrast medium (not covered by item 2442, 2445 or 2451) 02439 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium (not covered by item 2442, 2445 or 2451) 02440 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) without and with intravenous contrast medium (not covered by item 2443, 2446 or 2452) 02440 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest and upper abdomen (from lung apices to iliac crest) without and with intravenous contrast medium (not covered by item 2443 2446 or 2452) 02441 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST, ABDOMEN AND PELVIS without intravenous contrast medium (not covered by item 2444) 02441 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest, abdomen and pelvis without intravenous contrast medium (not covered by item 2444) 02442 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST, ABDOMEN AND PELVIS with intravenous contrast medium (not covered by item 2445) 02442 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest, abdomen and pelvis with intravenous contrast medium (not covered by item 2445) 02443 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST, ABDOMEN AND PELVIS without and with intravenous contrast, medium (not covered by item 2446) 02443 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest, abdomen and pelvis without and with intravenous contrast medium (not covered by item 2446) 02444 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF NECK, CHEST, ABDOMEN AND PELVIS without intra-venous contrast medium 02444 01SEP1989 31DEC9999 Y Computerised tomography-scan of neck, chest, abdomen and pelvis without intravenous contrast medium 02445 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF NECK. CHEST, ABDOMEN AND PELVIS with intrave-nous contrast medium 02445 01SEP1989 31DEC9999 Y Computerised tomography-scan of neck, chest, abdomen and pelvis with intravenous contrast medium 02446 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF NECK, CHEST, ABDOMEN AND PELVIS without and with intravenous contrast medium 02446 01SEP1989 31DEC9999 Y Computerised tomography-scan of neck, chest, abdomen and pelvis without and with intravenous contrast medium 02447 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN AND CHEST without intravenous contrast medium 02447 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain and chest without intravenous contrast medium 02448 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN AND CHEST with intravenous contrast medium 02448 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain and chest with intravenous contrast medium 02449 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN AND CHEST without and with intravenous contrast medium 02449 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain and chest without and with intravenous contrast medium 02450 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) and SCAN OF BRAIN without intravenous contrast medium 02450 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium 02451 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST AND UPPER fBDOMEN (from lung apices to iliac crest) and SCAN OF BRAIN with intravenous contrast mediuni . 02451 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium 02452 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) and SCAN OF BRAIN without and with intravenous contrast medium 02452 01SEP1989 31DEC9999 Y Computerised tomography-scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without and with intravenous contrast medium 02453 01AUG1987 31DEC9999 Y COMPUTERISED TOMOGRAPHY PELVIMETRY 02454 01AUG1987 31AUG1989 N COMPUTERISED TQMOGRAPHY-DYNAMIC SCAN OF REGION not associated with any other item in this part 02454 01SEP1989 31DEC9999 Y Computerised tomography-dynamic scan of region not associated with any other item in this part 02455 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-DYNAMIC SCAN OR REGION when associated with another itenn in this part DERIVED FEE-The fee for computerised tomography of the area and report plus an amount of $88 02455 01SEP1989 31DEC9999 Y Computerised tomography-dynamic scan of region when associated with another item in this Part 02458 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN without intravenous contrast medium 02458 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain without intravenous contrast medium 02459 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN with intravenous contrast medium 02459 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain with intravenous contrast medium 02460 01AUG1987 31AUG1989 N COMPUTERISED TOMOGRAPHY-SCAN OF BRAIN without and with intravenous contrast medium 02460 01SEP1989 31DEC9999 Y Computerised tomography-scan of brain without and with intravenous contrast medium 02461 01NOV2019 31DEC9999 Y Professional attendance by video conference by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management, only if: the patient is not an admitted patient; and the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02463 01NOV2019 31DEC9999 Y Professional attendance by video conference by a general practitioner (other than a service to which another item applies), lasting less than 20 minutes and including any of the following that are clinically relevant: taking a patient history; performing a clinical examination; (arranging any necessary investigation; implementing a management plan; providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-only if: - the patient is not an admitted patient; and - the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and - at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and - the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02464 01NOV2019 31DEC9999 Y Professional attendance by video conference by a general practitioner (other than a service to which another item applies), lasting at least 20 minutes but less than 40 minutes and including any of the following that are clinically relevant: taking a patient history; performing a clinical examination; arranging any necessary investigation; implementing a management plan; providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-only if: - the patient is not an admitted patient; and - the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and - at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and - the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02465 01NOV2019 31DEC9999 Y Professional attendance by video conference by a general practitioner (other than a service to which another item applies), lasting at least 40 minutes and including any of the following that are clinically relevant: taking a patient history; performing a clinical examination; arranging any necessary investigation; implementing a management plan; providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-only if: - the patient is not an admitted patient; and - the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and - at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and - the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02471 01NOV2019 31DEC9999 Y Professional attendance by video conference of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02472 01NOV2019 31DEC9999 Y Professional attendance by video conference of more than 5 minutes in duration but not more than 25 minutes (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02475 01NOV2019 31DEC9999 Y Professional attendance by video conference of more than 25 minutes in duration but not more than 45 minutes (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02478 01NOV2019 31DEC9999 Y Professional attendance by video conference of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02480 01NOV2019 31DEC9999 Y Professional attendance by video conference of not more than 5 minutes in duration by a medical practitioner, only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02481 01NOV2019 31DEC9999 Y Professional attendance by video conference of more than 5 minutes in duration but not more than 25 minutes by a medical practitioner, only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02482 01NOV2019 31DEC9999 Y Professional attendance by video conference of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner, only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02483 01NOV2019 31DEC9999 Y Professional attendance by video conference of more than 45 minutes in duration by a medical practitioner, only if:(a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months. 02497 01MAY2005 31OCT2006 N LEVEL 'A' Professional attendance involving taking a short patient history and, if required, limited examination and management AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999 SURGERY CONSULTATION (Professional attendance at consulting rooms) 02497 01NOV2006 30APR2010 N LEVEL 'A' Professional attendance involving taking a short patient history and, if required, limited examination and management AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999 SURGERY CONSULTATION (Professional attendance at consulting rooms) 02497 01MAY2010 30NOV2017 N Professional attendance at consulting rooms by a general practitioner: (a) involving taking a short patient history and, if required, limited examination and management; and (b) at which a cervical smear is taken from a person between the ages of 20 and 69 years (inclusive) who has not had a cervical smear in the last 4 years 02497 01DEC2017 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner: (a) involving taking a short patient history and, if required, limited examination and management; and (b) at which a specimen for a cervical screening service is collected from the patient; if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years. 02501 01NOV2001 30APR2005 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive, who has not had a cervical smear in the last 4 years SURGERY CONSULTATION (Professional attendance at consulting rooms) 02501 01MAY2005 31OCT2006 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02501 01NOV2006 30APR2010 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02501 01MAY2010 30NOV2017 N Professional attendance by a general practitioner at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a papanicolaou smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a papanicolaou smear in the last 4 years 02501 01DEC2017 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years. 02502 01FEB1984 31DEC9999 Y Digits or phalanges-- all or any of either hand or either foot (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02503 01NOV2001 30APR2005 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02503 01MAY2005 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms). This item cannot be claimed in conjunction with item 10999. 02503 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms). This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02503 01MAY2010 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02503 01JAN2013 30NOV2017 N Professional attendance by a general practitioner at a place other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a papanicolaou smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a papanicolaou smear in the last 4 years 02503 01DEC2017 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years. 02504 01NOV2001 30APR2005 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive, who has not had a cervical smear in the last 4 years. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02504 01MAY2005 31OCT2006 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02504 01NOV2006 30APR2010 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02504 01MAY2010 30NOV2017 N Professional attendance by a general practitioner at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a papanicolaou smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a papanicolaou smear in the last 4 years 02504 01DEC2017 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02505 01FEB1984 31DEC9999 Y Digits or phalanges-- all or any of either hand or either foot (when the service is rendered by a specialist in the practice of his specialty) 02506 01NOV2001 30APR2005 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02506 01MAY2005 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms). This item cannot be claimed in conjunction with item 10999. 02506 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms). This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02506 01MAY2010 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02506 01JAN2013 30NOV2017 N Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a papanicolaou smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a papanicolaou smear in the last 4 years 02506 01DEC2017 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02507 01NOV2001 30APR2005 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive, who has not had a cervical smear in the last 4 years SURGERY CONSULTATION (Professional attendance at consulting rooms) 02507 01MAY2005 31OCT2006 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02507 01NOV2006 30APR2010 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02507 01MAY2010 30NOV2017 N Professional attendance by a general practitioner at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a papanicolaou smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a papanicolaou smear in the last 4 years 02507 01DEC2017 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02508 01FEB1984 31DEC9999 Y Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02509 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms). This item cannot be claimed in conjunction with item 10999. 02509 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms). This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02509 01MAY2010 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02509 01JAN2013 30NOV2017 N Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a papanicolaou smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a papanicolaou smear in the last 4 years 02509 01DEC2017 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02512 01FEB1984 31DEC9999 Y Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his specialty) 02516 01FEB1984 31DEC9999 Y Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02517 01NOV2001 30APR2002 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the requirements for a full year of care of a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02517 01MAY2002 31OCT2002 N Note: Benefits are payable for only one service included in Subgroup 2 or A19, Subgroup 2 in a 12-month period The minimum requirements of care needed to be assessed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BM*I: At least once every six months Measure blood pressure: At least once every six months Examine feet: At least once every six months Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once every year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review * Initial visit: measure height wieght and calculate BMI as part of the initial assessment. Subsequent visits: measure weight. LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the requirements for a full year of care of a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02517 01NOV2002 30APR2005 N Note: Benefits are payable for only one service included in Subgroup 2 or A19, Subgroup 2 in a 12-month period The minimum requirements of care needed to be assessed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BMI*: At least once every six months Measure blood pressure: At least once every six months Examine feet: At least once every six months Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once every year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review * Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the requirements for a full year of care of a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02517 01MAY2005 31OCT2005 N The minimum requirements of care needed to be assessed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BMI*: At least once every six months Measure blood pressure: At least once every six months Examine feet: At least once every six months Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once every year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review * Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the requirements for a full year of care of a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02517 01NOV2005 31OCT2006 N The minimum requirements of care needed to be assessed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BMI*: At least twice every cycle of care Measure blood pressure: At least twice every cycle of care Examine feet: At least twice every cycle of care Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once every year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review * Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the requirements for a full year of care of a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02517 01NOV2006 30JUN2009 N The minimum requirements of care needed to be assessed to complete a cycle of care for patients with established diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out* At least once every two years Measure weight and height and calculate BMI** At least twice every cycle of care Measure blood pressure At least twice every cycle of care Examine feet*** At least twice every cycle of care Measure total cholesterol, triglycerides and HDL cholesterol At least once every year Test for microalbuminuria At least once every year Provide self-care education Patient education regarding diabetes management Review diet Reinforce information about appropriate dietary choices Review levels of physical activity Reinforce information about appropriate levels of physical activity Check smoking status Encourage cessation of smoking (if relevant) Review of medication Medication review * Not required if the patient is blind or does not have both eyes. ** Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. *** Not required if the patient does not have both feet. LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02517 01JUL2009 30APR2010 N The minimum requirements of care to complete an annual Diabetes Cycle of Care for patients with established diabetes mellitus must be completed over a period of at least 11 months and up to 13 months, and must include: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out* At least once every two years Measure weight and height and calculate BMI** At least twice every cycle of care Measure blood pressure At least twice every cycle of care Examine feet*** At least twice every cycle of care Measure total cholesterol, triglycerides and HDL cholesterol At least once every year Test for microalbuminuria At least once every year Provide self-care education Patient education regarding diabetes management Review diet Reinforce information about appropriate dietary choices Review levels of physical activity Reinforce information about appropriate levels of physical activity Check smoking status Encourage cessation of smoking (if relevant) Review of medication Medication review * Not required if the patient is blind or does not have both eyes. ** Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. *** Not required if the patient does not have both feet. LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02517 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02518 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02518 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02518 01MAY2010 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02518 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02520 01FEB1984 31DEC9999 Y Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his specialty) 02521 01NOV2001 31OCT2006 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the requirements for a full year of care of a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02521 01NOV2006 30APR2010 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02521 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02522 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02522 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02522 01MAY2010 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02522 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02524 01FEB1984 31DEC9999 Y Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02525 01NOV2001 31OCT2006 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND which completes the requirements for a full year of care of a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02525 01NOV2006 30APR2010 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus SURGERY CONSULTATION (Professional attendance at consulting rooms) 02525 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02526 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02526 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02526 01MAY2010 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02526 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02528 01FEB1984 31DEC9999 Y Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered by a specialist in the practice of his specialty) 02532 01FEB1984 31DEC9999 Y Foot, ankle and lower leg; or upper leg and knee (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02537 01FEB1984 31DEC9999 Y Foot, ankle and lower leg; or upper leg and knee (when the service is rendered by a specialist in the practice of his specialty) 02539 01FEB1984 31DEC9999 Y Shoulder or scapula (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02541 01FEB1984 31DEC9999 Y Shoulder or scapula (when the service is rendered by a specialist in the practice of his specialty) 02543 01FEB1984 31DEC9999 Y Clavicle (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02545 01FEB1984 31DEC9999 Y Clavicle (when the service is rendered by a specialist in the practice of his specialty) 02546 01NOV2001 30APR2002 N At a minimum the Asthma 3+ Visit Plan must include: - at least 3 asthma related consultations in the previous 4 weeks (minimum) to 4 months (maximum) for a patient with moderate to severe asthma - at least two of these consultations to have been planned recalls - diagnosis and assessment of severity - review of asthma related medication - provision of written asthma action plan and education to patient LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the requirements of the Asthma 3+ Visit Plan. SURGERY CONSULTATION (Professional attendance at consulting rooms 02546 01MAY2002 31OCT2002 N Note: Benefits are payable for one service included in Subgroup 3 or A19, Subgroup 3 only in a 12-month period, unless a further Asthma 3+ Visit Plan is clinically indicated. At a minimum the Asthma 3+ Visit Plan must include: - at least 3 asthma related consultations in the previous 4 weeks (minimum) to 4 months (maximum) for a patient with moderate to severe asthma - planned recalls for at least two of these consultations - documented diagnosis and assessment of severity - review of the patient's use of asthma related medication - provision of a written asthma action plan and self-management education to the patient - review of asthma action plan LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of the Asthma 3+ Visit Plan. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02546 01NOV2002 31OCT2006 N Note: Benefits are payable for only one service included in Subgroup 3 or A19, Subgroup 3 in a 12-month period, unless a further Asthma 3+ Visit Plan is clinically indicated. At a minimum the Asthma 3+ Visit Plan must include: - documented diagnosis and assessment of severity - at least 3 asthma related consultations in the previous 4 weeks (minimum) to 4 months (maximum) for a patient with moderate to severe asthma - review of the patient's use of asthma related medication - planned recalls for at least two of these consultations - provision of a written asthma action plan and self-management education to the patient, (if the patient is unable to use a written action plan, alternative patient education may be provided and documented in the medical record). - review of asthma action plan LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of the Asthma 3+ Visit Plan. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02546 01NOV2006 30APR2010 N Note: Benefits are payable for only one service included in Subgroup 3 or A19, Subgroup 3 in a 12-month period, unless a further Asthma Cycle of Care is clinically indicated. At a minimum the Asthma Cycle of Care must include: - at least 2 asthma related consultations within 12 months for a patient with moderate to severe asthma (at least 1 of which (the review consultation) is a consultation that was planned at a previous consultation) - documented diagnosis and assessment of level of asthma control and severity of asthma - review of the patient's use of and access to asthma related medication and devices - provision to the patient of a written asthma action plan (if the patient is unable to use a written asthma action plan - discussion with the patient about an alternative method of providing an asthma action plan, and documentation of the discussion in the patient's medical records) - provision of asthma self-management education to the patient - review of the written or documented asthma action plan LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with the implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of the Asthma Cycle of Care. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02546 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care 02547 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02547 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION AND which completes the minimum requirements of the Asthma Cycle of Care. (Professional attendance at a place other than consulting rooms) 02547 01MAY2010 31DEC2011 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02547 01JAN2012 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02547 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care 02548 01FEB1984 31DEC9999 Y Hip joint 02551 01FEB1984 31DEC9999 Y Pelvic girdle 02552 01NOV2001 30APR2002 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the requirements of the Asthma 3+ Visit Plan. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02552 01MAY2002 31OCT2006 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of the Asthma 3+ Visit Plan. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02552 01NOV2006 30APR2010 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the minimum requirements of the Asthma Cycle of Care. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02552 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care 02553 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02553 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION AND which completes the minimum requirements of the Asthma Cycle of Care. (Professional attendance at a place other than consulting rooms) 02553 01MAY2010 31DEC2012 N CONSULTATION AT A PLACE OTHER CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02553 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care 02554 01FEB1984 31DEC9999 Y Sacro-iliac joints 02557 01FEB1984 31AUG1989 N Smith-Petersen nail-- insertion or similar procedure 02557 01SEP1989 31DEC9999 Y Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture 02558 01NOV2001 30APR2002 N LEVEL 'D' Professional attendance involving taking a exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND which completes the requirements of the Asthma 3+ Visit Plan. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02558 01MAY2002 31OCT2006 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND which completes the minimum requirements of the Asthma 3+ Visit Plan. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02558 01NOV2006 30APR2010 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND which completes the minimum requirements of the Asthma Cycle of Care. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02558 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care 02559 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02559 01NOV2006 30APR2010 N OUT-OF-SURGERY CONSULTATION AND which completes the minimum requirements of the Asthma Cycle of Care. (Professional attendance at a place other than consulting rooms) 02559 01MAY2010 31DEC2012 N CONSULTATION AT A APLACE OTHER THAN CONSULTING ROOMS Professional attendance at a place other than consulting rooms. 02559 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care 02560 01FEB1984 31DEC9999 Y Skull (calvarium) 02563 01FEB1984 31DEC9999 Y Sinuses 02566 01FEB1984 31DEC9999 Y Mastoids 02569 01FEB1984 31DEC9999 Y Petrous temporal bones 02573 01FEB1984 31DEC9999 Y Facial bones-- orbit, maxilla or malar-- any or all 02574 30JUL2002 31OCT2002 N Note: Benefits included in Subgroup 4, A18 or A19, are payable for one 3 step Mental Health Process per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 3 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least two of the consultations to have been planned visits; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a general practitioner, who practices in general practice and has been notified to the HIC as having the required credentials (See Note A30.2) LEVEL C Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the requirements of the 3 Step Mental Health Process. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02574 01NOV2002 30APR2005 N Note: Benefits included in Subgroup 4, A18 or A19, are payable for one 3 step Mental Health Process per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 3 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least two of the consultations to have been planned visits; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a general practitioner, who practices in general practice and has been notified to the HIC as having the required credentials (See Note A30.2) LEVEL C Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the requirements of the 3 Step Mental Health Process. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02574 01MAY2005 31OCT2005 N Note: Benefits included in Subgroup 4, A18 or A19, are payable for one 3 Step Mental Health Process per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 2 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least 2 of the consultations to have been planned visits; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a general practitioner, who practices in general practice and has been notified to the HIC as having the required credentials. LEVEL C Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the requirements of the 3 Step Mental Health Process. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02574 01NOV2005 31DEC9999 Y Note: Benefits included in Subgroup 4, A18 or A19, are payable for one 3 Step Mental Health Process per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 2 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least one of the consultations to have been a planned visit which must include the review step; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a general practitioner, who practices in general practice and has been notified to the HIC as having the required credentials. LEVEL C Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; AND which completes the requirements of the 3 Step Mental Health Process. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02575 30JUL2002 31OCT2002 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02575 01NOV2002 31DEC9999 Y OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02576 01FEB1984 31DEC9999 Y Mandible 02577 30JUL2002 31OCT2002 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND which completes the requirements of the 3 Step Mental Health Process. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02577 01NOV2002 31DEC9999 Y LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan; AND which completes the requirements of the 3 Step Mental Health Process. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02578 30JUL2002 31OCT2002 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02578 01NOV2002 31DEC9999 Y OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02579 01FEB1984 31DEC9999 Y Salivary calculus 02581 01FEB1984 31DEC9999 Y Nose 02583 01FEB1984 31DEC9999 Y Eye 02585 01FEB1984 31DEC9999 Y Temporo-mandibular joints 02587 01FEB1984 31DEC9999 Y Teeth-- single area 02589 01FEB1984 31DEC9999 Y Teeth-- full mouth 02590 01SEP1989 31DEC9999 Y Teeth-orthopantomography 02591 01FEB1984 31DEC9999 Y Palato-pharyngeal studies with fluoroscopic screening 02593 01FEB1984 31DEC9999 Y Palato-pharyngeal studies without fluoroscopic screening 02595 01FEB1984 31DEC9999 Y Larynx 02597 01FEB1984 31DEC9999 Y Spine-- cervical 02598 01MAY2005 31OCT2006 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) BRIEF CONSULTATION of not more than 5 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999 02598 01NOV2006 31DEC2011 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) BRIEF CONSULTATION of not more than 5 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999 02598 01JAN2012 30JUN2013 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) BRIEF CONSULTATION of not more than 5 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. 02598 01JUL2013 30NOV2017 N Professional attendance at consulting rooms of less than 5 minutes in duration by a medical practitioner who practices in general practice (other than a general practitioner) at which a cervical smear is taken from a person between the ages of 20 and 69 years (inclusive) who has not had a cervical smear in the last 4 years 02598 01DEC2017 31DEC9999 Y Professional attendance at consulting rooms of less than 5 minutes in duration by a medical practitioner who practices in general practice (other than a general practitioner) at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02599 01FEB1984 31DEC9999 Y Spine-- thoracic 02600 01NOV2001 30APR2005 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive, who has not had a cervical smear in the last 4 years 02600 01MAY2005 31OCT2006 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. 02600 01NOV2006 31DEC2011 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02600 01JAN2012 30JUN2013 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. 02600 01JUL2013 30NOV2017 N Professional attendance at consulting rooms of more than 5, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a person between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years 02600 01DEC2017 31DEC9999 Y Professional attendance at consulting rooms of more than 5, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02601 01FEB1984 31DEC9999 Y Spine-- lumbo-sacral 02603 01NOV2001 30APR2005 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive, who has not had a cervical smear in the last 4 years 02603 01MAY2005 31OCT2006 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. 02603 01NOV2006 31DEC2011 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02603 01JAN2012 30JUN2013 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. 02603 01JUL2013 30NOV2017 N Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a person between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years 02603 01DEC2017 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02604 01FEB1984 31DEC9999 Y Spine-- sacro-coccygeal 02606 01NOV2001 30APR2005 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive who has not had a cervical smear in the last 4 years 02606 01MAY2005 31OCT2006 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. 02606 01NOV2006 31DEC2011 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02606 01JAN2012 30JUN2013 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive who has not had a cervical smear in the last 4 years. 02606 01JUL2013 30NOV2017 N Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a person between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years 02606 01DEC2017 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02607 01FEB1984 31DEC9999 Y Spine-- two regions 02609 01FEB1984 31DEC9999 Y Spine-- three or more regions 02610 01NOV2001 30APR2005 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive, who has not had a cervical smear in the last 4 years 02610 01MAY2005 31OCT2006 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. 02610 01NOV2006 31DEC2011 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02610 01JAN2012 31DEC2012 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. 02610 01JAN2013 30JUN2013 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount 02610 01JUL2013 30NOV2017 N Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a person between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years 02610 01DEC2017 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02611 01FEB1984 31DEC9999 Y Spine-- functional views of one area 02613 01NOV2001 30APR2005 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive, who has not had a cervical smear in the last 4 years 02613 01MAY2005 31OCT2006 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. 02613 01NOV2006 31DEC2011 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02613 01JAN2012 31DEC2012 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. 02613 01JAN2013 30JUN2013 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive, who has not had a cervical smear in the last 4 years. Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount 02613 01JUL2013 30NOV2017 N Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a person between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years 02613 01DEC2017 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02614 01FEB1984 31DEC9999 Y Bone age study, wrist and knee 02616 01NOV2001 30APR2005 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 inclusive who has not had a cervical smear in the last 4 years 02616 01MAY2005 31OCT2006 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with item 10999. 02616 01NOV2006 31DEC2011 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive who has not had a cervical smear in the last 4 years. This item cannot be claimed in conjunction with items 10994, 10995, 10998 or 10999. 02616 01JAN2012 31DEC2012 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive who has not had a cervical smear in the last 4 years. 02616 01JAN2013 30JUN2013 N PROLONGED CONSULTATION of more than 45 minutes duration AND at which a cervical smear is taken from a woman between the ages of 20 and 69 years inclusive who has not had a cervical smear in the last 4 years. Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount 02616 01JUL2013 30NOV2017 N Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a person between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years 02616 01DEC2017 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years 02617 01FEB1984 31DEC9999 Y Bone age study, wrist 02620 01NOV2001 30APR2002 N SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02620 01MAY2002 31OCT2002 N Note: Benefits are payable for one service included in Subgroup 2 or A18, Subgroup 2 only in a 12-month period The minimum requirements of care needed to be assesed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once per year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BMI: At least once every six months Examine feet: At least once every six months Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once per year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02620 01NOV2002 30APR2005 N Note: Benefits are payable for only one service included in Subgroup 2 or A18, Subgroup 2 in a 12-month period The minimum requirements of care needed to be assessed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BMI*: At least once every six months Measure blood pressure: At least once every six months Examine feet: At least once every six months Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once every year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review * Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02620 01MAY2005 31OCT2005 N The minimum requirements of care needed to be assessed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BMI*: At least once every six months Measure blood pressure: At least once every six months Examine feet: At least once every six months Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once every year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review * Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus. 02620 01NOV2005 31OCT2006 N The minimum requirements of care needed to be assessed to complete an annual cycle of care for patients with diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out: At least once every two years Measure weight and height and calculate BMI*: At least twice every cycle of care Measure blood pressure: At least twice every cycle of care Examine feet: At least twice every cycle of care Measure total cholesterol, triglycerides and HDL cholesterol: At least once every year Test for microalbuminuria: At least once every year Provide self-care education: Patient education regarding diabetes management Review diet: Reinforce information about appropriate dietary choices Review levels of physical activity: Reinforce information about appropriate levels of physical activity Check smoking status: Encourage cessation of smoking (if relevant) Review of medication: Medication review * Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus. 02620 01NOV2006 30JUN2009 N The minimum requirements of care needed to be assessed to complete a cycle of care for patients with established diabetes mellitus are: Assess diabetes control by measuring HbA1c At least once every year Ensure that a comprehensive eye examination is carried out* At least once every two years Measure weight and height and calculate BMI** At least twice every cycle of care Measure blood pressure At least twice every cycle of care Examine feet*** At least twice every cycle of care Measure total cholesterol, triglycerides and HDL cholesterol At least once every year Test for microalbuminuria At least once every year Provide self-care education Patient education regarding diabetes management Review diet Reinforce information about appropriate dietary choices Review levels of physical activity Reinforce information about appropriate levels of physical activity Check smoking status Encourage cessation of smoking (if relevant) Review of medication Medication review * Not required if the patient is blind or does not have both eyes. ** Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment. Subsequent visits: measure weight. *** Not required if the patient does not have both feet. SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus. 02620 01JUL2009 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 02621 01FEB1984 31DEC9999 Y Skeletal survey involving four or more regions 02622 01NOV2001 31OCT2006 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02622 01NOV2006 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the requirements for a cycle of care of a patient with established diabetes mellitus 02624 01NOV2001 31OCT2006 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02624 01NOV2006 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 02625 01FEB1984 31DEC9999 Y Chest (lung fields) by direct radiography (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02627 01FEB1984 31DEC9999 Y Chest (lung fields) by direct radiography (when the service is rendered by a specialist in the practice of his specialty) 02630 01FEB1984 31DEC9999 Y Chest (lung fields) by direct radiography with fluoroscopic screening 02631 01NOV2001 31OCT2006 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than the consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02631 01NOV2006 31DEC2012 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than the consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02631 01JAN2013 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 02633 01NOV2001 31OCT2006 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02633 01NOV2006 31DEC2012 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02633 01JAN2013 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes, in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 02634 01FEB1984 31DEC9999 Y Thoracic inlet or trachea 02635 01NOV2001 31OCT2006 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the requirements for a full year of care of a patient with established diabetes mellitus 02635 01NOV2006 31DEC2012 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus 02635 01JAN2013 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus 02638 01FEB1984 31DEC9999 Y Chest by miniature radiography 02642 01FEB1984 31DEC9999 Y Cardiac examination (including barium swallow) (when the service is rendered otherwise than by a specialist in the practice of his specialty) 02646 01FEB1984 31DEC9999 Y Cardiac examination (including barium swallow) (when the service is rendered by a specialist in the practice of his specialty) 02655 01FEB1984 31DEC9999 Y Sternum or ribs on one side 02656 01FEB1984 31DEC9999 Y Sternum and ribs on one side, or ribs on both sides 02657 01FEB1984 31DEC9999 Y Sternum and ribs on both sides 02664 01NOV2001 30APR2002 N At a minimum the Asthma 3+ Visit Plan must include: - at least 3 asthma related consultations in the previous 4 weeks (minimum) to 4 months (maximum) for a patient with moderate to severe asthma - at least two of these consultations to have been planned recalls - diagnosis and assessment of severity - review of asthma related medication - provision of written asthma action plan and education to patient SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATIONS of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements of the Asthma 3+ Visit Plan. 02664 01MAY2002 31OCT2002 N Note: Benefits are payable for one service included in Subgroup 3 or A18, Subgroup 3 only in a 12-month period, unless a further Asthma 3+ Visit Plan is clinically indicated. At a minimum the Asthma 3+ Visit Plan must include: - at least 3 asthma related consultations in the previous 4 weeks (minimum) to 4 months (maximum) for a patient with moderate to severe asthma - planned recalls for at least two of these consultations - documented diagnosis and assessment of severity - review of the patient's use of asthma related medication - provision of a written asthma action plan and self-management education to the patient - review of asthma action plan SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATIONS of more than 5 minutes duration but not more than 25 minutes duration AND which completes the minimum requirements of the Asthma 3+ Visit Plan. 02664 01NOV2002 31OCT2006 N Note: Benefits are payable for only one service included in Subgroup 3 or A18, Subgroup 3 in a 12-month period, unless a further Asthma 3+ Visit Plan is clinically indicated. At a minimum the Asthma 3+ Visit Plan must include: - documented diagnosis and assessment of severity - at least 3 asthma related consultations in the previous 4 weeks (minimum) to 4 months (maximum) for a patient with moderate to severe asthma - review of the patient's use of asthma related medication - planned recalls for at least two of these consultations - provision of a written asthma action plan and self-management education to the patient, (if the patient is unable to use a written action plan, alternative patient education may be provided and documented in the medical record) - review of asthma action plan SURGERY CONSULTATIONS (Professional attendance at consulting rooms) STANDARD CONSULTATIONS of more than 5 minutes duration but not more than 25 minutes duration AND which completes the minimum requirements of the Asthma 3+ Visit Plan. 02664 01NOV2006 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care 02665 01FEB1984 31DEC9999 Y Plain renal only 02666 01NOV2001 30APR2002 N LONG CONSULTATION or more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements of the Asthma 3+ Visit Plan. 02666 01MAY2002 31OCT2006 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the minimum requirements of the Asthma 3+ Visit Plan. 02666 01NOV2006 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care 02668 01NOV2001 30APR2002 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the requirements of the Asthma 3+ Visit Plan. 02668 01MAY2002 31OCT2006 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the minimum requirements of the Asthma 3+ Visit Plan. 02668 01NOV2006 31DEC9999 Y Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care 02672 01FEB1984 31DEC9999 Y Drip-infusion pyelography 02673 01NOV2001 30APR2002 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than the consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the requirements of the Asthma 3+ Visit Plan. 02673 01MAY2002 31OCT2006 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than the consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the minimum requirements of the Asthma 3+ Visit Plan. 02673 01NOV2006 31DEC2012 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than the consulting rooms) STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration AND which completes the minimum requirements of the Asthma Cycle of Care. 02673 01JAN2013 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care 02675 01NOV2001 30APR2002 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements of the Asthma 3+ Visit Plan. 02675 01MAY2002 31OCT2006 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the minimum requirements of the Asthma 3+ Visit Plan. 02675 01NOV2006 31DEC2012 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the minimum requirements of the Asthma Cycle of Care. 02675 01JAN2013 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care 02676 01FEB1984 31DEC9999 Y Intravenous pyelography, including preliminary plain film 02677 01NOV2001 30APR2002 N PROLONGED CONSULTATION of more 45 minutes duration AND which completes the requirements of the Asthma 3+ Visit Plan. 02677 01MAY2002 31OCT2006 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the minimum requirements of the Asthma 3+ Visit Plan. 02677 01NOV2006 31DEC2012 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the minimum requirements of the Asthma Cycle of Care. 02677 01JAN2013 31DEC9999 Y Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care 02678 01FEB1984 31DEC9999 Y Intravenous pyelography, including preliminary plain film and limited tomography involving up to three tomographic cuts 02681 01FEB1984 31DEC9999 Y Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex 02687 01FEB1984 31DEC9999 Y Antegrade or retrograde pyelography including preliminary plain film 02690 01FEB1984 31DEC9999 Y Retrograde cystography or retrograde urethrography 02694 01FEB1984 31DEC9999 Y Retrograde micturating cysto-urethrography 02697 01FEB1984 31DEC9999 Y Retro-peritoneal pneumogram 02699 01FEB1984 31DEC9999 Y Plain abdominal only (when the service is rendered otherwise than by a specialist in the practice of his specialty) not associated with Item 2709, 2711, 2714 or 2720 02700 01NOV2011 30JUN2018 N Professional attendance by a medical practitioner (including a general practitioner who has not undertaken mental health skills training, but not including a specialist or consultant physician) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02700 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02701 01NOV2011 30JUN2018 N Professional attendance by a medical practitioner (including a general practitioner who has not undertaken mental health skills training, but not including a specialist or consultant physician) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02701 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02702 01JAN2010 31DEC9999 Y PREPARATION by a medical practitioner who has not undertaken mental health skills training (including a general practitioner, but not including a specialist or consultant physician) of a GP MENTAL HEALTH TREATMENT PLAN for a patient (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item or item 2710 or within three months following a claim for item 2712, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Mental Health Treatment Plan. 02703 01FEB1984 31DEC9999 Y Plain abdominal only (when the service is rendered by a specialist in the practice of his specialty) not associated with Item 2709, 2711, 2714 or 2720 02704 30JUL2002 31OCT2002 N Note: Benefits included in Subgroup 4, A18 or A19, are payable for one service per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 3 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least two of the consultations to have been planned visits; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a medical practitioner (not including a general practitioner, a specialist or consultant physician), who practices in general practice and has been notified to the HIC as having the required credentials (See Note A30.2). SURGERY CONSULTATIONS (Professional attendance at consulting rooms) LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration. AND which completes the requirements of the 3 Step Mental Health Process. 02704 01NOV2002 30APR2005 N Note: Benefits included in Subgroup 4, A18 or A19, are payable for one service per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 3 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least two of the consultations to have been planned visits; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a medical practitioner (not including a general practitioner, a specialist or consultant physician), who practices in general practice and has been notified to the HIC as having the required credentials (See Note A30.2). SURGERY CONSULTATIONS (Professional attendance at consulting rooms) LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02704 01MAY2005 31OCT2005 N Note: Benefits included in Subgroup 4, A18 or A19, are payable for one service per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 2 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least 2 of the consultations to have been planned visits; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a medical practitioner (not including a general practitioner, a specialist or consultant physician), who practices in general practice and has been notified to the HIC as having the required credentials. SURGERY CONSULTATIONS (Professional attendance at consulting rooms) LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02704 01NOV2005 31DEC9999 Y Note: Benefits included in Subgroup 4, A18 or A19, are payable for one service per patient only in a 12-month period, unless a further 3 Step Mental Health Process is clinically indicated. At a minimum the 3 Step Mental Health Process must include: at least 2 consultations of more than twenty minutes each for a patient with an assessed mental health disorder; at least one of the consultations to have been a planned visit which must include the review step; an assessment and formulation or diagnosis of the mental health disorder/s; provision of a written mental health plan and appropriate education to the patient and/or the carer (with the patient's agreement); a review of the patient's progress against the goals included in the mental health plan. This review to have been conducted a minimum of 4 weeks and a maximum of 6 months from the consultation in which the mental health plan was prepared; and utilising an outcome tool in the assessment and review stages except where considered clinically inappropriate. The 3 Step Mental Health Process can only be provided by a medical practitioner (not including a general practitioner, a specialist or consultant physician), who practices in general practice and has been notified to Medicare Australia as having the required credentials. SURGERY CONSULTATIONS (Professional attendance at consulting rooms) LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02705 30JUL2002 31OCT2002 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02705 01NOV2002 31DEC9999 Y PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02706 01FEB1984 31DEC9999 Y Oesophagus, with or without examination for foreign body or barium swallow 02707 30JUL2002 31OCT2002 N OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than the consulting rooms) LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02707 01NOV2002 31DEC9999 Y OUT-OF-SURGERY CONSULTATIONS (Professional attendance at a place other than the consulting rooms) LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02708 30JUL2002 31OCT2002 N PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02708 01NOV2002 31DEC9999 Y PROLONGED CONSULTATION of more than 45 minutes duration AND which completes the requirements of the 3 Step Mental Health Process. 02709 01FEB1984 31DEC9999 Y Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film 02710 01NOV2006 30APR2007 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP MENTAL HEALTH CARE PLAN for a patient (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item, within twelve months of a claim for a 3 Step Mental Health Process (items 2574, 2575, 2577, 2578 and 2704, 2705, 2707, 2708) or within three months following a claim for item 2712, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Mental Health Care Plan. 02710 01MAY2007 30JUN2009 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP MENTAL HEALTH CARE PLAN for a patient (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item, within twelve months of a claim for a former 3 Step Mental Health Process (items 2574, 2575, 2577, 2578 and 2704, 2705, 2707, 2708) or within three months following a claim for item 2712, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Mental Health Care Plan. 02710 01JUL2009 31DEC2009 N PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP MENTAL HEALTH TREATMENT PLAN for a patient (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item or within three months following a claim for item 2712, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Mental Health Treatment Plan. 02710 01JAN2010 31DEC9999 Y PREPARATION by a medical practitioner who has undertaken mental health skills training (including a general practitioner, but not including a specialist or consultant physician) of a GP MENTAL HEALTH TREATMENT PLAN for a patient (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item or item 2702 or within three months following a claim for item 2712, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Mental Health Treatment Plan. 02711 01FEB1984 31DEC9999 Y Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film 02712 01NOV2006 30JUN2009 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW a GP MENTAL HEALTH CARE PLAN prepared by that medical practitioner (or an associated medical practitioner) to which item 2710 applies or to REVIEW a PSYCHIATRIST ASSESSMENT AND MANAGEMENT PLAN to which item 291 applies (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within four weeks following a claim for item 2710, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Mental Health Care Plan. 02712 01JUL2009 31DEC2009 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW a GP MENTAL HEALTH TREATMENT PLAN prepared by that medical practitioner (or an associated medical practitioner) to which item 2710 applies or to REVIEW a PSYCHIATRIST ASSESSMENT AND MANAGEMENT PLAN to which item 291 applies (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within four weeks following a claim for item 2710, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Mental Health Treatment Plan. 02712 01JAN2010 31OCT2011 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW a GP MENTAL HEALTH TREATMENT PLAN prepared by that medical practitioner (or an associated medical practitioner) to which item 2702 or 2710 applies or to REVIEW a PSYCHIATRIST ASSESSMENT AND MANAGEMENT PLAN to which item 291 applies (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within four weeks following a claim for item 2702 or 2710, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Mental Health Treatment Plan. 02712 01NOV2011 29FEB2012 N Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW a GP MENTAL HEALTH TREATMENT PLAN prepared by that medical practitioner (or an associated medical practitioner) to which item 2700, 2701, 2715 or 2717 applies or to REVIEW a PSYCHIATRIST ASSESSMENT AND MANAGEMENT PLAN to which item 291 applies (not being a service associated with a service to which items 2713 or 735 to 758 apply). A rebate will not be paid within three months of a previous claim for the same item or within four weeks following a claim for item 2700, 2701, 2715 or 2717, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Mental Health Treatment Plan. 02712 01MAR2012 30JUN2018 N Professional attendance by a medical practitioner (not including a specialist or consultant physician) to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan 02712 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner to review a GP mental health treatment plan which he or she, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan 02713 01NOV2006 31DEC2009 N Professional ATTENDANCE by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) involving taking relevant history, identifying presenting problem(s), providing treatment, advice and/or referral for other services or treatments and documenting the outcomes of the consultation, on a patient in relation to a mental disorder and lasting at least 20 minutes (not being a service associated with a service to which items 2710 or 2712 apply). SURGERY CONSULTATION (Professional attendance at consulting rooms) 02713 01JAN2010 31OCT2011 N Professional ATTENDANCE by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) involving taking relevant history, identifying presenting problem(s), providing treatment, advice and/or referral for other services or treatments and documenting the outcomes of the consultation, on a patient in relation to a mental disorder and lasting at least 20 minutes (not being a service associated with a service to which items 2702, 2710 or 2712 apply). SURGERY CONSULTATION (Professional attendance at consulting rooms) 02713 01NOV2011 30JUN2018 N Professional attendance by a medical practitioner (not including a specialist or consultant physician) in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation 02713 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation 02714 01FEB1984 31DEC9999 Y Barium or other opaque meal, small bowel series only, with or without preliminary plain film 02715 01NOV2011 30JUN2018 N Professional attendance by a medical practitioner (including a general practitioner who has undertaken mental health skills training, but not including a specialist or consultant physician) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02715 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02716 01FEB1984 31DEC9999 Y Opaque enema 02717 01NOV2011 30JUN2018 N Professional attendance by a medical practitioner (including a general practitioner who has undertaken mental health skills training, but not including a specialist or consultant physician) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02717 01JUL2018 31DEC9999 Y Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 02718 01FEB1984 31DEC9999 Y Opaque enema, including air contrast study 02719 01NOV2011 31DEC9999 Y Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW a GP MENTAL HEALTH TREATMENT PLAN prepared by that medical practitioner (or an associated medical practitioner) to which former items 2702 or 2710 applies or to REVIEW a PSYCHIATRIST ASSESSMENT AND MANAGEMENT PLAN to which item 291 applies (not being a service associated with a service to which items 2713 or 735 to 758 apply). A rebate will not be paid within three months of a previous claim for the same item, within three months following the review of a GP mental health treatment plan for the patient under item 2712 or within four weeks following a claim for item 2700, 2701, 2715, 2717, 2702 or 2710 except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Mental Health Treatment Plan. 02720 01FEB1984 31DEC9999 Y Graham's test (cholecystography) , with or without preliminary abdominal radiograph 02721 01NOV2002 31OCT2006 N MEDICAL PRACTITIONER ATTENDANCE (INCLUDING A GENERAL PRACTITIONER, BUT NOT INCLUDING A SPECIALIST OR CONSULTANT PHYSICIAN) ASSOCIATED WITH PROVISION OF FOCUSSED PSYCHOLOGICAL STRATEGIES Note: These services may only be provided by a medical practitioner who is registered with Medicare Australia as meeting the requirements to participate in the Better Outcomes in Mental Health Care Initiative. The medical practitioner must provide the service in a general practice participating in the PIP or which is accredited. Focussed psychological strategies are specific mental health care management strategies, derived from evidence based psychological therapies, that have been shown to integrate the best external evidence of clinical effectiveness with general practice clinical expertise. These strategies are required to be provided to patients by a credentialled medical practitioner and are time limited; being deliverable, in general, in up to 6 planned sessions. In some instances, following review by the practitioner managing the 3 Step Mental Health Process, up to a further 6 sessions may be approved in any 12 month period to an individual patient. Medical practitioners must be notified to Medicare Australia by the General Practice Mental Health Standards Collaboration that they have met the required standards for higher level mental health skills. A session should last for a minimum of 30 minutes. FPS ATTENDANCE Professional attendance for the purpose of providing focussed psychological strategies (from the list included in the Explanatory Notes) for assessed mental health disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes to less than 40 minutes. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02721 01NOV2006 30APR2007 N MEDICAL PRACTITIONER ATTENDANCE (INCLUDING A GENERAL PRACTITIONER, BUT NOT INCLUDING A SPECIALIST OR CONSULTANT PHYSICIAN) ASSOCIATED WITH PROVISION OF FOCUSSED PSYCHOLOGICAL STRATEGIES Note: These services may only be provided by a medical practitioner who is registered with Medicare Australia as having satisfied the requirements for higher level mental health skills for the provision of the service. The medical practitioner must provide the service in a general practice participating in the PIP or which is accredited. Focussed psychological strategies are specific mental health care management strategies, derived from evidence based psychological therapies, that have been shown to integrate the best external evidence of clinical effectiveness with general practice clinical expertise. These strategies are required to be provided to patients by a credentialled medical practitioner and are time limited; being deliverable, in general, in up to 12 planned sessions comprising two groups of up to six sessions. In exceptional circumstances, following review by the practitioner managing either the 3 Step Mental Health Process, the GP Mental Health Care Plan or the Psychiatric Assessment and Management Plan, up to a further 6 sessions may be approved in a calendar year to an individual patient. Medical practitioners must be notified to Medicare Australia by the General Practice Mental Health Standards Collaboration that they have met the required standards for higher level mental health skills. A session should last for a minimum of 30 minutes. FPS ATTENDANCE Professional attendance for the purpose of providing focussed psychological strategies (from the list included in the Explanatory Notes) for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes to less than 40 minutes. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02721 01MAY2007 31OCT2011 N MEDICAL PRACTITIONER ATTENDANCE (INCLUDING A GENERAL PRACTITIONER, BUT NOT INCLUDING A SPECIALIST OR CONSULTANT PHYSICIAN) ASSOCIATED WITH PROVISION OF FOCUSSED PSYCHOLOGICAL STRATEGIES Note: These services may only be provided by a medical practitioner who is registered with Medicare Australia as having satisfied the requirements for higher level mental health skills for the provision of the service. Focussed psychological strategies are specific mental health care management strategies, derived from evidence based psychological therapies, that have been shown to integrate the best external evidence of clinical effectiveness with general practice clinical expertise. These strategies are required to be provided to patients by a credentialled medical practitioner and are time limited; being deliverable, in general, in up to 12 planned sessions comprising two groups of up to six sessions. In exceptional circumstances, following review by the practitioner managing either the former 3 Step Mental Health Process, the GP Mental Health Care Plan or the Psychiatric Assessment and Management Plan, up to a further 6 sessions may be approved in a calendar year to an individual patient. Medical practitioners must be notified to Medicare Australia by the General Practice Mental Health Standards Collaboration that they have met the required standards for higher level mental health skills. A session should last for a minimum of 30 minutes. FPS ATTENDANCE Professional attendance for the purpose of providing focussed psychological strategies (from the list included in the Explanatory Notes) for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes to less than 40 minutes. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02721 01NOV2011 29FEB2012 N MEDICAL PRACTITIONER ATTENDANCE (INCLUDING A GENERAL PRACTITIONER, BUT NOT INCLUDING A SPECIALIST OR CONSULTANT PHYSICIAN) ASSOCIATED WITH PROVISION OF FOCUSSED PSYCHOLOGICAL STRATEGIES Note: These services may only be provided by a medical practitioner who is registered with Medicare Australia as having satisfied the requirements for higher level mental health skills for the provision of the service. Focussed psychological strategies are specific mental health care management strategies, derived from evidence based psychological therapies, that have been shown to integrate the best external evidence of clinical effectiveness with general practice clinical expertise. These strategies are required to be provided to patients by a credentialled medical practitioner and are time limited; being deliverable, in up to ten planned sessions per calendar year. Medical practitioners must be notified to Medicare Australia by the General Practice Mental Health Standards Collaboration that they have met the required standards for higher level mental health skills. A session should last for a minimum of 30 minutes. FPS ATTENDANCE Professional attendance for the purpose of providing focussed psychological strategies (from the list included in the Explanatory Notes) for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes to less than 40 minutes. SURGERY CONSULTATION (Professional attendance at consulting rooms) 02721 01MAR2012 30JUN2018 N Professional attendance at consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes 02721 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes 02722 01FEB1984 31DEC9999 Y Cholegraphy direct-operative or post-operative 02723 01NOV2002 31DEC2012 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02723 01JAN2013 30JUN2018 N Professional attendance at a place other than consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes 02723 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes 02724 01FEB1984 31DEC9999 Y Cholegraphy-intravenous 02725 01NOV2002 30JUN2018 N Professional attendance at consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes 02725 01JUL2018 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes 02726 01FEB1984 31DEC9999 Y Cholegraphy-percutaneous transhepatic 02727 01NOV2002 31DEC2012 N OUT-OF-SURGERY CONSULTATION (Professional attendance at a place other than consulting rooms) 02727 01JAN2013 30JUN2018 N Professional attendance at a place other than consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes 02727 01JUL2018 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes 02728 01FEB1984 31DEC9999 Y Cholegraphy-drip infusion 02729 01NOV2018 28FEB2021 N Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner. 02729 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms, by a general practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, to provide focussed psychological strategies for assessed mental disorders, if: (a) the attendance is by video conference and lasts at least 30 minutes but less than 40 minutes; and (b) the patient is not an admitted patient; and (c) the patient is located within a Modified Monash 4, 5, 6 or 7 area and, at the time of the attendance, is at least 15 kilometres by road from the general practitioner 02730 01FEB1984 31DEC9999 Y Foreign body in eye (special method, Sweet's or other) 02731 01NOV2018 28FEB2021 N Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner 02731 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms, by a general practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, to provide focussed psychological strategies for assessed mental disorders, if: (a) the attendance is by video conference and lasts at least 40 minutes; and (b) the patient is not an admitted patient; and (c) the patient is located within a Modified Monash 4, 5, 6 or 7 area and, at the time of the attendance, is at least 15 kilometres by road from the general practitioner 02732 01FEB1984 31DEC9999 Y Foreign body, localization of and report, not covered by any other item in this Part 02733 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 30 minutes, but less than 40 minutes 02734 01FEB1984 31DEC9999 Y Radiographic examination of both breasts (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breasts because of the past occurrence of breast malignancy in the patient or members of the patient's family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (S) 02735 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes 02736 01FEB1984 31DEC9999 Y Radiographic examination of one breast (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breast because of the past occurrence of breast malignancy in the patient or members of the patient's family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (S) 02738 01FEB1984 31DEC9999 Y Pregnant uterus 02739 01MAR2023 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes, but less than 40 minutes 02740 01FEB1984 31DEC9999 Y Pelvimetry or placentography 02741 01MAR2023 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes, but less than 40 minutes 02742 01FEB1984 31DEC9999 Y Control X-rays associated with intrauterine foetal blood transfusion 02743 01MAR2023 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 02744 01FEB1984 31DEC9999 Y Serial angiocardiography (rapid cassette changing)-each series (AU 8) 02745 01MAR2023 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 02746 01FEB1984 31DEC9999 Y Serial angiocardiography (single plane-direct roll-film method)-each series (AU 8) 02748 01FEB1984 31DEC9999 Y Serial angiocardiography (bi-plane-direct roll-film method)-each series (AU 8) 02750 01FEB1984 31DEC9999 Y Serial angiocardiography (indirect roll-film method)-each series (AU 8) 02751 01FEB1984 31DEC9999 Y Selective coronary arteriography 02752 01FEB1984 31DEC9999 Y Discography-one disc 02754 01FEB1984 31DEC9999 Y Dacryocystography-one side 02756 01FEB1984 31DEC9999 Y Encephalography 02758 01FEB1984 31DEC9999 Y Cerebral angiography-one side 02760 01FEB1984 31DEC9999 Y Cerebral ventriculography 02762 01FEB1984 31DEC9999 Y Hysterosalpingography 02764 01FEB1984 31DEC9999 Y Bronchography-one side 02766 01FEB1984 31DEC9999 Y Arteriography, peripheral-one side 02768 01FEB1984 31DEC9999 Y Phlebography-one side 02770 01FEB1984 31DEC9999 Y Aortography 02772 01FEB1984 31DEC9999 Y Splenography 02773 01FEB1984 31DEC9999 Y Myelography, one region 02774 01FEB1984 31DEC9999 Y Myelography, two regions 02775 01FEB1984 31DEC9999 Y Myelography, three regions 02776 01FEB1984 31DEC9999 Y Selective arteriography per injection and film run 02778 01FEB1984 31DEC9999 Y Sialography-one side 02780 01FEB1984 31DEC9999 Y Vasoepididymography-one side 02782 01FEB1984 31DEC9999 Y Sinuses and fistulae 02784 01FEB1984 31DEC9999 Y Laryngography with contrast media 02786 01FEB1984 31AUG1989 N Pneumarthrography 02786 01SEP1989 31DEC9999 Y Pneumoarthrography 02788 01FEB1984 31DEC9999 Y Arthrography-contrast 02790 01FEB1984 31DEC9999 Y Arthrography-double contrast 02792 01FEB1984 31DEC9999 Y Lymphangiography, including follow up radiography 02794 01FEB1984 31DEC9999 Y Pneumomediastinum 02796 01FEB1984 31DEC9999 Y Tomography, any part and report 02798 01FEB1984 31DEC9999 Y Stereoscopic examination of any area and report 02799 01JAN2013 31OCT2019 N Initial professional attendance of 10 minutes or less in duration on a patient by a specialist or consultant physician practising in his or her specialty of pain medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 02799 01NOV2019 31DEC9999 Y Initial professional attendance of 10 minutes or less in duration on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of pain medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 02800 01FEB1984 31AUG1989 N Examination with general anaesthesia (AU 7) 02800 01SEP1989 31DEC9999 Y Examination with general anaesthesia (not associated with a radiographic examination) (AU 7) 02801 01MAY2006 31OCT2011 N MEDICAL PRACTITIONER (PAIN MEDICINE SPECIALIST) ATTENDANCE - SURGERY OR HOSPITAL Professional attendance at consulting rooms or hospital by a consultant physician or specialist practising in the specialty of pain medicine, where the patient was referred to him or her by a medical practitioner - INITIAL attendance in a single course of treatment 02801 01NOV2011 31OCT2019 N Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 02801 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment 02802 01FEB1984 31AUG1989 N Examination without general anaesthesia 02802 01SEP1989 31DEC9999 Y Examination without general anaesthesia (not associated with a radiographic examination) 02804 01FEB1984 31DEC9999 Y Radiographic examination of any part and report not covered by any item in this Part 02805 01FEB1984 31DEC9999 Y Encephalography (AU 10) 02806 01MAY2006 31OCT2019 N Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 2814 applies) after the first in a single course of treatment 02806 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 2814 applies) after the first in a single course of treatment 02807 01FEB1984 31DEC9999 Y Cerebral angiography, one side-percutaneous, catheter or open exposure (AU 10) 02811 01FEB1984 31DEC9999 Y Cerebral ventriculography (AU 10) 02813 01FEB1984 31DEC9999 Y Dacryocystography-one side 02814 01MAY2006 31OCT2019 N Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 02814 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 02815 01FEB1984 31DEC9999 Y Bronchography-one or both sides (AU 8) 02817 01FEB1984 31DEC9999 Y Aortography (AU 8) 02819 01FEB1984 31DEC9999 Y Arteriography (peripheral) or phlebography-one vessel (AU 6) 02820 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference rendered by a consultant physician or specialist practising in the specialty of pain medicine to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or c) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 2801, 2806 or 2814. 02820 01NOV2012 31DEC2012 N Professional attendance on a patient by a specialist or consultant physician practising in his or her specialty of pain medicine if: (a) the attendance is by video conference; and (b) item 2801, 2806 or 2814 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 02820 01JAN2013 31OCT2019 N Professional attendance on a patient by a specialist or consultant physician practising in his or her specialty of pain medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 2801 lasting more than 10 minutes; or (ii) provided with item 2806 or 2814; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 02820 01NOV2019 31DEC9999 Y Professional attendance on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of pain medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 2801 lasting more than 10 minutes; or (ii) provided with item 2806 or 2814; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 02823 01FEB1984 31DEC9999 Y Splenography (AU 6) 02824 01MAY2006 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 02824 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment 02825 01FEB1984 31DEC9999 Y Retroperitoneal pneumogram 02827 01FEB1984 31DEC9999 Y Selective arteriogram or phlebogram (AU 6) 02831 01FEB1984 31DEC9999 Y Percutaneous injection of radioopaque material into renal pelvis or into a renal cyst (including aspiration of the cyst) for antegrade pyelography 02832 01MAY2006 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 2840 applies) after the first in a single course of treatment 02832 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 2840 applies) after the first in a single course of treatment 02833 01FEB1984 31DEC9999 Y Pneumoarthrography or pneumoperitoneum 02834 01SEP1989 31DEC9999 Y Preparation for contrast arthrography or double contrast arthrography excluding arthrography of the joints between articular processes of the vertebrae 02837 01FEB1984 31DEC9999 Y Drip-infusion pyelography or dripinfusion cholegraphy 02839 01FEB1984 31DEC9999 Y Retrograde micturating cystourethrography 02840 01MAY2006 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 02840 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 02841 01FEB1984 31DEC9999 Y Hysterosalpingography (AU 6) 02843 01FEB1984 31DEC9999 Y Discography-one disc (AU 5) 02844 01SEP1989 31DEC9999 Y Preparation for discography using Metrizamide contrast medium 02845 01FEB1984 31DEC9999 Y Intraosseous venography 02847 01FEB1984 31AUG1989 N Myelography (AU 11) 02847 01SEP1989 31DEC9999 Y Myelography, not covered by item 2848 (AU 11) 02848 01NOV1984 31DEC9999 Y Myelography, using Metrizamide (Amipaque) contrast medium (AU 11) 02849 01FEB1984 31DEC9999 Y Cisternal puncture 02851 01FEB1984 31DEC9999 Y Sinus or fistula injection into 02852 01SEP1989 31DEC9999 Y Preparation for sialography 02853 01FEB1984 31DEC9999 Y Lymphangiography-one side 02855 01FEB1984 31DEC9999 Y Laryngography 02857 01FEB1984 31DEC9999 Y Pneumomediastinum 02859 01FEB1984 31AUG1989 N Cholegram, percutaneous transhepatic 02859 01SEP1989 31DEC9999 Y Cholegram, percutaneous transhepatic (AU 11) 02861 01FEB1984 31AUG1989 N Radiotherapy, superficial-each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given to one field only 02861 01SEP1989 31DEC9999 Y Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances) not covered by any other item in this Part-each attendance at which fractionated treatment is given-one field 02863 01FEB1984 31DEC9999 Y Radiotherapy, superficial-each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields 02865 01FEB1984 31DEC9999 Y Radiotherapy, superficial-each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given to one field only 02867 01FEB1984 31DEC9999 Y Radiotherapy, superficial-each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields 02869 01FEB1984 31DEC9999 Y Radiotherapy, superficial-attendance in relation to a condition for the treatment of which a single dose to one field only is given 02871 01FEB1984 31DEC9999 Y Radiotherapy, superficial-attendance in relation to a condition for the treatment of which a single dose is given separately to each of two or more fields 02873 01FEB1984 31DEC9999 Y Radiotherapy, superficial-each attendance at which treatment is given to an eye 02875 01FEB1984 31DEC9999 Y Radiotherapy, deep or orthovoltage-each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given to one field only 02877 01FEB1984 31DEC9999 Y Radiotherapy, deep or orthovoltage-each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields 02879 01FEB1984 31DEC9999 Y Radiotherapy, deep or orthovoltage-each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given to one field only 02881 01FEB1984 31DEC9999 Y Radiotherapy, deep or orthovoltage-each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields 02883 01FEB1984 31DEC9999 Y Radiotherapy, deep or orthovoltage-attendance in relation to a condition for the treatment of which a single dose to one field only is given (not being an attendance covered by any other item in this Part) 02885 01FEB1984 31DEC9999 Y Radiotherapy, deep or orthovoltage-attendance in relation to a condition for the treatment of which only a single dose is separately given to each of two or more fields (not being an attendance covered by any other item in this Part) 02887 01FEB1984 31AUG1989 N Radiotherapy, megavoltage or teletherapy-each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given to one field only 02887 01SEP1989 31DEC9999 Y Radiation oncology treatment, using a linear accelerator-each attendance at which treatment is given-one field 02889 01FEB1984 31AUG1989 N Radiotherapy, megavoltage or teletherapy-each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields 02889 01SEP1989 31DEC9999 Y -two or more fields up to a maximum of five additional fields (rotational therapy being three fields) 02891 01FEB1984 31AUG1989 N Radiotherapy, megavoltage or teletherapy-each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given to one field only 02891 01SEP1989 31DEC9999 Y Radiation oncology treatment, using cobalt unit or caesium teletherapy unit-each attendance at which treatment is given-one field 02893 01FEB1984 31AUG1989 N Radiotherapy, megavoltage or teletherapy-each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields 02893 01SEP1989 31DEC9999 Y -two or more fields up to a maximum of five additional fields (rotational therapy being three fields) 02894 01SEP1989 31DEC9999 Y Intrauterine insertion alone (AU 5) 02895 01FEB1984 31DEC9999 Y Radiotherapy, megavoltage or teletherapy ( not covered by any other item in this Part)-attendance in relation to a condition for the treatment of which a single dose to one field only is given 02896 01SEP1989 31DEC9999 Y Intravaginal insertion alone (AU 4) 02897 01FEB1984 31DEC9999 Y Radiotherapy, megavoltage or teletherapy (not covered by any other item in this Part)-attendance in relation to a condition for the treatment of which only a single dose is given separately to each of two or more fields 02898 01SEP1989 31DEC9999 Y Combined intrauterine and intravaginal insertion (AU 5) 02899 01FEB1984 31DEC9999 Y Intrauterine insertion alone (AU 5) 02900 01SEP1989 31DEC9999 Y Implantation of a region necessitating a major anaesthetic and surgical exposure (including implantation in an eye or in an intra-abdominal organ, bladder or prostate) (AU 7) 02901 01FEB1984 31DEC9999 Y Intravaginal insertion alone (AU 4) 02902 01SEP1989 31DEC9999 Y Complex implantation of a site not requiring separate surgical exposure but necessitating a major anaesthetic (including implantation in the mouth, in the tongue, in a salivary gland, in the neck, in the axilla, in the groin or in any subcutaneous region) (AU 6) 02903 01SEP1989 31DEC9999 Y Simple implantation of a site not requiring separate surgical exposure, but necessitating a major anaesthetic (AU 5) 02904 01FEB1984 31DEC9999 Y Combined intrauterine and intravaginal insertion (AU 5) 02905 01SEP1989 31DEC9999 Y Implantation of a site not requiring separate surgical exposure or a major anaesthetic (including implantation in skin and implantation in a lip) (AU 4) 02906 01SEP1989 31DEC9999 Y Preparation of a patient to receive sources for gynaecological irradiation and supervision of the patient during the subsequent irradiation (but not including insertion of the radiation source) 02907 01FEB1984 31DEC9999 Y Implantation of a region necessitating a major anaesthetic and surgical exposure (including implantation in an eye or in an intra-abdominal organ, bladder or prostate) (AU 7) 02908 01SEP1989 31DEC9999 Y Removal of sealed radioactive sources under a major anaesthetic (AU 4) 02909 01SEP1989 31DEC9999 Y Removal of sealed radioactive sources without a major anaesthetic 02910 01FEB1984 31DEC9999 Y Complex implantation of a site not requiring separate surgical exposure but necessitating a major anaesthetic (including implantation in the mouth, in the tongue, in a salivary gland, in the neck, in the axilla, in the groin or in any subcutaneous region) (AU 6) 02911 01SEP1989 31DEC9999 Y Construction and first application of a radioactive mould to an intracavitary, an intraoral or an intranasal site 02912 01SEP1989 31DEC9999 Y Attendance upon a patient to apply a radioactive mould constructed for application to an intracavitary, intraoral or intranasal site other than an attendance which is the first attendance to apply the mould-each attendance 02913 01FEB1984 31DEC9999 Y Simple implantation of a site not requiring separate surgical exposure, but necessitating a major anaesthetic (AU 5) 02914 01SEP1989 31DEC9999 Y Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface 02915 01FEB1984 31DEC9999 Y Implantation of a site not requiring separate surgical exposure or a major anaesthetic (including implantation in skin and implantation in a lip) (AU 4) 02916 01SEP1989 31DEC9999 Y Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface 02917 01FEB1984 31DEC9999 Y Preparation of a patient to receive sources for gynaecological irradiation and supervision of the patient during the subsequent irradiation (but not including insertion of the radiation source) 02918 01SEP1989 31DEC9999 Y Attendance upon a patient to apply a radioactive mould constructed for application to an external surface of the patient other than an attendance which is the first attendance to apply the mould-each attendance 02919 01FEB1984 31DEC9999 Y Removal of sealed radioactive sources under a major anaesthetic (AU 4) 02920 01SEP1989 31DEC9999 Y Oral administration of a therapeutic dose of a radioisotope, being an administration not covered by item 2937 02921 01SEP1989 31DEC9999 Y Oral administration of a therapeutic dose of radioiodine for hyperthyroidism or thyroid cancer by single dose technique 02922 01FEB1984 31DEC9999 Y Removal of sealed radioactive sources without a major anaesthetic 02923 01SEP1989 31DEC9999 Y Intravenous administration of a therapeutic dose of a radioisotope 02924 01FEB1984 31DEC9999 Y Construction and first application of a radioactive mould to an intracavitary, an intraoral or an intranasal site 02925 01SEP1989 31DEC9999 Y Intracavitary administration of a therapeutic dose of a radioisotope (not including preliminary paracentesis) (AU 5) 02926 01FEB1984 31DEC9999 Y Attendance upon a patient to apply a radioactive mould constructed for application to an intracavitary, intraoral or intranasal site other than an attendance which is the first attendance to apply the mould-each attendance 02927 01SEP1989 31DEC9999 Y Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area for treatment by a single field or parallel opposed fields (not associated with Item 2932) 02928 01FEB1984 31DEC9999 Y Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface 02929 01SEP1989 31DEC9999 Y Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area, where views in more than one plane are required for treatment by multiple fields, or of two areas (not associated with Item 2934) 02930 01SEP1989 31DEC9999 Y Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of three or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with Item 2936) 02931 01FEB1984 31DEC9999 Y Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface 02932 01SEP1989 31DEC9999 Y Radiation field setting using a diagnostic x-ray unit of a single area for treatment by a single field or parallel opposed fields (not associated with Item 2927) 02933 01FEB1984 31DEC9999 Y Attendance upon a patient to apply a radioactive mould constructed for application to an external surface of the patient other than an attendance which is the first attendance to apply the mould-each attendance 02934 01SEP1989 31DEC9999 Y Radiation field setting using a diagnostic x-ray unit of a single area, where views in more than one plane are required for treatment by multiple fields, or of two areas (not associated with Item 2929) 02935 01FEB1984 31DEC9999 Y Oral administration of a therapeutic dose of a radioisotope, being an administration not covered by Item 2937 02936 01SEP1989 31DEC9999 Y Radiation field setting using a diagnostic x-ray unit of three or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with Item 2930) 02937 01FEB1984 31DEC9999 Y Oral administration of a therapeutic dose of radioiodine for hyperthyroidism or thyroid cancer by single dose technique 02938 01SEP1989 31DEC9999 Y Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to one area with up to two shielding blocks, or for brachytherapy with isodose calculations in a single plane 02939 01FEB1984 31DEC9999 Y Intravenous administration of a therapeutic dose of a radioisotope 02940 01SEP1989 31DEC9999 Y Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by three or more fields, or by a single field or parallel opposed fields to two areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons 02941 01FEB1984 31DEC9999 Y Intracavitary administration of a therapeutic dose of a radioisotope (not including preliminary paracentesis) (AU 5) 02942 01SEP1989 31DEC9999 Y Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to three or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane implants of more than 10 sources or ribbons 02943 01SEP1989 31DEC9999 Y Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to one area with up to two shielding blocks, or for brachytherapy with isodose calculations in a single plane 02944 01SEP1989 31DEC9999 Y Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by three or more fields, or by a single field or parallel opposed fields to two areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons 02945 01SEP1989 31DEC9999 Y Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to three or more areas, or by mantle fields or inverted Y fields, or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane implants of more than 10 sources or ribbons 02946 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes 02946 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes 02949 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes 02949 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes 02951 01FEB1984 31AUG1989 N Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees exceeds $124.00 but does not exceed $ 02951 01SEP1989 31DEC9999 Y Assistance at any operation for which the fee exceeds $160 but does not exceed $285 or at a series or a combination of operations where the fee for at least one of the operations exceeds $160 but where the fee for the series or combination of operations does not exceed $285 02953 01FEB1984 29FEB1984 N Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified is $118.00 or more 02953 01MAR1984 31AUG1989 N Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified exceeds $ 02953 01SEP1989 31DEC9999 Y Assistance at any operation for which the fee exceeds $285 or at a combination of operations for which the aggregate fee exceeds $285 provided that the fee for at least one of the operations exceeds $160 02954 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes 02954 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes 02955 01AUG1988 31DEC9999 Y Assistance at a delivery involving Caesarean section, not in association with item 201 when itemised by the same practitioner 02957 01AUG1988 31DEC9999 Y Assistance at a series or combination of operations, one of which is a delivery involving Caesarean section, not in association with item 201 when itemised by the same practitioner 02958 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes 02958 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes 02960 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a brain scanner, plain study (OR) 02961 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a brain scanner, plain study (HR) 02962 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a brain scanner, plain study and contrast medium study (OR) 02963 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a brain scanner, plain study and contrast medium study (HR) 02964 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a body scanner, plain study (OR) 02965 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a body scanner, plain study (HR) 02966 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a body scanner, plain study and contrast medium study (OR) 02967 01FEB1984 31DEC9999 Y Computerised axial tomography-brain scan on a body scanner, plain study and contrast medium study (HR) 02968 01FEB1984 31DEC9999 Y Computerised axial tomography-body scan on a body scanner, plain study (OR) 02969 01FEB1984 31DEC9999 Y Computerised axial tomography-body scan on a body scanner, plain study (HR) 02970 01FEB1984 31DEC9999 Y Computerised axial tomography-body scan on a body scanner, plain study and intravenous contrast medium study (OR) 02971 01FEB1984 31DEC9999 Y Computerised axial tomography-body scan on a body scanner, plain study and intravenous contrast medium study (HR) 02972 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes 02972 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes 02974 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes 02974 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes 02978 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 02978 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 02980 01JUN1986 31AUG1989 N MAGNETIC RESONANCE IMAGING - examination of any parts or parts of the body (HR) 02980 01SEP1989 31DEC9999 Y Magnetic resonance imaging-examination of any part or parts of body (HR) 02981 01JUL1985 31DEC9999 Y MAGNETIC RESONANCE IMAGING - examination of any part of parts of the body using a scanner with magnetic filed strength of one Tesla or less. (HR) 02984 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 02984 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 02988 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H) 02988 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H) 02992 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 02992 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 02996 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 02996 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 03000 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H) 03000 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H) 03003 01JAN2013 31OCT2019 N Initial professional attendance of 10 minutes or less in duration on a patient by a specialist or consultant physician practising in his or her specialty of palliative medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 03003 01NOV2019 31DEC9999 Y Initial professional attendance of 10 minutes or less in duration on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of palliative medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 03004 01JAN1984 31DEC9999 Y Operative procedure on tissue, organ or region not covered by any other item in this Part, including any consultation on the same occasion 03005 01MAY2006 31OCT2011 N MEDICAL PRACTITIONER (PALLIATIVE MEDICINE SPECIALIST) ATTENDANCE - SURGERY OR HOSPITAL Professional attendance at consulting rooms or hospital by a consultant physician or specialist practising in the specialty of palliative medicine, where the patient was referred to him or her by a medical practitioner - INITIAL attendance in a single course of treatment 03005 01NOV2011 31OCT2019 N Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 03005 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment 03006 01FEB1984 31DEC9999 Y Dressing of localized burns (not involving grafting)-each attendance at which the procedure is performed, including any associated consultation 03010 01MAY2006 31OCT2019 N Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 3014 applies) after the first in a single course of treatment 03010 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 3014 applies) after the first in a single course of treatment 03012 01FEB1984 31DEC9999 Y Dressing of burns, extensive, without anaesthesia (not involving grafting)-- each attendance at which the procedure is performed, including any associated consultation 03014 01MAY2006 31OCT2019 N Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 03014 01NOV2019 31DEC9999 Y Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 03015 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference rendered by a consultant physician or specialist practising in the specialty of palliative medicine to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or c) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 3005, 3010 or 3014. 03015 01NOV2012 31DEC2012 N Professional attendance on a patient by a specialist or consultant physician practising in his or her specialty of palliative medicine if: (a) the attendance is by video conference; and (b) item 3005, 3010 or 3014 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 03015 01JAN2013 31OCT2019 N Professional attendance on a patient by a specialist or consultant physician practising in his or her specialty of palliative medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 3005 lasting more than 10 minutes; or (ii) provided with item 3010 or 3014; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 03015 01NOV2019 31DEC9999 Y Professional attendance on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of palliative medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 3005 lasting more than 10 minutes; or (ii) provided with item 3010 or 3014; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 03016 01FEB1984 31DEC9999 Y Dressing of localized burns under general anaesthesia (not involving grafting)-- each attendance at which the procedure is performed, including any associated consultation (G) (AU 7) 03018 01MAY2006 31OCT2011 N MEDICAL PRACTITIONER (PALLIATIVE MEDICINE SPECIALIST) ATTENDANCE - HOME VISIT Professional attendance at a place other than consulting rooms or hospital by a consultant physician or specialist practising in the specialty of pallitive medicine, where the patient was referred to him or her by a medical practitioner - INITIAL attendance in a single course of treatment 03018 01NOV2011 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 03018 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment 03022 01FEB1984 31DEC9999 Y Dressing of localized burns under general anaesthesia (not involving grafting)-- each attendance at which the procedure is performed, including any associated consultation (S) (AU 7) 03023 01MAY2006 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 3028 applies) after the first in a single course of treatment 03023 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 3028 applies) after the first in a single course of treatment 03027 01FEB1984 31DEC9999 Y Dressing of burns, extensive, under general anaesthesia (not involving grafting)-- each attendance at which the procedure is performed, including any associated consultation (G) (AU 10) 03028 01MAY2006 31OCT2019 N Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 03028 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment 03032 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes 03032 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes 03033 01FEB1984 31DEC9999 Y Dressing of burns, extensive, under general anaesthesia (not involving grafting)-- each attendance at which the procedure is performed, including any associated consultation (S) (AU 10) 03038 01FEB1984 31DEC9999 Y Excision, under general anaesthesia, of burns involving not more than 10 per cent of body surface, where grafting is not carried out during the same operation (AU 10) 03039 01FEB1984 31DEC9999 Y Excision, under general anaesthesia, of burns involving more than 10 per cent of body surface, where grafting is not carried out during the same operation (AU 15) 03040 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes 03040 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes 03041 01FEB1984 29FEB1984 N Debridement, under general anaesthesia, of deep or extensive contaminated wound of soft tissue (AU 10) 03041 01MAR1984 31AUG1989 N Debridement, under general anaesthesia, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed(AU 10) 03041 01SEP1989 31DEC9999 Y Debridement, under general anaesthesia or major regional or field block, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed (AU 10) 03044 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes 03044 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes 03046 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), superficial, not covered by any item in Part 2 (AU 5) 03050 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 (AU 6) 03051 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes 03051 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes 03055 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 03055 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines 03058 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (AU 7) 03059 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (D) (AU 7) 03062 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes 03062 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes 03063 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue (AU 7) 03068 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue (D) (AU 7) 03069 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 03069 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 03073 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), superficial, not covered by any item in Part 2 (AU 6) 03074 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 03074 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 03078 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H) 03078 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H) 03082 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 (G) (AU 7) 03083 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 03083 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H) 03087 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 (S) (AU 7) 03088 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 03088 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H) 03092 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (AU 7) 03093 01MAY2006 31OCT2019 N Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H) 03093 01NOV2019 31DEC9999 Y Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H) 03095 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (D) (AU 7) 03098 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (G) (AU 8) 03101 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (S) (AU 8) 03103 01FEB1984 31DEC9999 Y Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (D) (AU 8) 03104 01FEB1984 31DEC9999 Y Repair of full thickness laceration of ear, eyelid or nose with accurate apposition of each layer of tissue (AU 10) 03106 01FEB1984 31DEC9999 Y Dressing and removal of sutures requiring a general anaesthetic, not associated with any other item in this Part (AU 5) 03110 01FEB1984 31DEC9999 Y Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (AU 6) 03113 01FEB1984 31DEC9999 Y Superficial foreign body, removal of, as an independent procedure (AU 5) 03114 01FEB1984 31DEC9999 Y Superficial foreign body, removal of, as an independent procedure (D) (AU 5) 03116 01FEB1984 31DEC9999 Y Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6) 03117 01FEB1984 31DEC9999 Y Subcutaneous foreign body, removal of, as an independent procedure (D) (AU 6) 03120 01FEB1984 31DEC9999 Y Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (AU 7) 03124 01FEB1984 31DEC9999 Y Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (AU 7) 03128 01FEB1984 31DEC9999 Y Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (D) (AU 7) 03130 01FEB1984 31DEC9999 Y Biopsy of skin or mucous membrane, as an independent procedure (AU 5) 03134 01FEB1984 31DEC9999 Y Biopsy of skin or mucous membrane, as an independent procedure (D) (AU 5) 03135 01FEB1984 31DEC9999 Y Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (AU 6) 03142 01FEB1984 31DEC9999 Y Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (AU 6) 03147 01FEB1984 31DEC9999 Y Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (D) (AU 6) 03148 01FEB1984 31AUG1989 N Aspiration biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5) 03148 01SEP1989 31DEC9999 Y Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5) 03157 01FEB1984 31DEC9999 Y Biopsy of bone marrow by trephine using an open approach (AU 5) 03158 01FEB1984 31DEC9999 Y Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (AU 5) 03159 01MAY1990 31DEC9999 Y BIOPSY OF BONE MARROW by aspiration or PUNCH BIOPSY OF SYNOVIAL ANAESTHETIC 5 UNITS - ITEM NOS 406G / 510S 03160 01FEB1984 31DEC9999 Y Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane or pleura (AU 5) 03161 01MAY1990 31DEC9999 Y BIOPSY OF PLEURA, PERCUTANEOUS - one or more biopsies on anyone occasion ANAESTHETIC 5 UNITS - ITEM NOS 406G / 510S 03162 01AUG1988 31DEC9999 Y Needle biopsy of vertebra (AU 8) 03168 01FEB1984 31DEC9999 Y Scalene node biopsy (AU 5) 03173 01FEB1984 31DEC9999 Y Sinus, excision of, involving superficial tissue only (AU 6) 03175 01FEB1984 31DEC9999 Y Sinus, excision of, involving superficial tissue only (D) (AU 6) 03178 01FEB1984 31DEC9999 Y Sinus, excision of, involving muscle and deep tissue (G) (AU 7) 03183 01FEB1984 31DEC9999 Y Sinus, excision of, involving muscle and deep tissue (S) (AU 7) 03187 01FEB1984 31DEC9999 Y Sinus, excision of, involving muscle and deep tissue (D) (AU 7) 03194 01FEB1984 31DEC9999 Y Ganglion or small bursa, excision of (G) (AU 6) 03199 01FEB1984 31DEC9999 Y Ganglion or small bursa, excision of (S) (AU 6) 03208 01FEB1984 31DEC9999 Y Bursa (large), including olecranon, calcaneum or patella, excision of (G) (AU 6) 03213 01FEB1984 31DEC9999 Y Bursa (large), including olecranon, calcaneum or patella, excision of (S) (AU 6) 03217 01FEB1984 31DEC9999 Y Bursa, semimembranosus (Baker's cyst), excision of (AU 7) 03219 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3221, 3223, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 6) 03219 01MAR1984 31AUG1989 N Tumour, cyst, ulcer or scar(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3221, 3223, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 6) 03219 01SEP1989 31DEC9999 Y Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by item 3221, 3223, 3225, 3226 or 3349 (G) (AU 6) 03220 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3222, 3224, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 6) 03220 01MAR1984 31AUG1989 N Tumour, cyst, ulcer or scar(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3222, 3224, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 6) 03220 01SEP1989 31DEC9999 Y Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by item 3222, 3224, 3225, 3226 or 3349 (S) (AU 6) 03221 01FEB1984 29FEB1984 N Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 9) 03221 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 9) 03221 01SEP1989 31DEC9999 Y Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by item 3349 (G) (AU 9) 03222 01FEB1984 29FEB1984 N Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 9) 03222 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 9) 03222 01SEP1989 31DEC9999 Y Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by item 3349 (S) (AU 9) 03223 01FEB1984 29FEB1984 N Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 13) 03223 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 13) 03223 01SEP1989 31DEC9999 Y Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by item 3349 (G) (AU 13) 03224 01FEB1984 29FEB1984 N Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 13) 03224 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 13) 03224 01SEP1989 31DEC9999 Y Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by item 3349 (S) (AU 13) 03225 01FEB1984 29FEB1984 N Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (AU 15) 03225 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (AU 15) 03225 01SEP1989 31DEC9999 Y Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not covered by item 3349 (AU 15) 03226 01FEB1984 29FEB1984 N Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (AU 17) 03226 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (AU 17) 03226 01SEP1989 31DEC9999 Y Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not covered by item 3349 (AU 17) 03229 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3230 or 3331 (D) (AU 6) 03229 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3230 or 3331 (D) (AU 6) 03229 01SEP1989 31DEC9999 Y Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by item 3230 (D) (AU 6) 03230 01FEB1984 29FEB1984 N Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3331 (D) (AU 9) 03230 01MAR1984 31AUG1989 N Tumours, cysts, ulcers or scars(other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3331 (D) (AU 9) 03230 01SEP1989 31DEC9999 Y Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (D) (AU 9) 03233 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, more than 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (AU 6) 03233 01MAR1984 31DEC9999 Y Tumour, cyst, ulcer or scar(other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (AU 6) 03237 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, more than 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (S) (AU 6) 03237 01MAR1984 31DEC9999 Y Tumour, cyst, ulcer or scar(other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (S) (AU 6) 03245 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, more than 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (D) (AU 6) 03245 01MAR1984 31DEC9999 Y Tumour, cyst, ulcer or scar(other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (D) (AU 6) 03247 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (G) (AU 8) 03247 01MAR1984 31DEC9999 Y Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (G)(AU 8) 03253 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (S) (AU 8) 03253 01MAR1984 31DEC9999 Y Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (S)(AU 8) 03258 01FEB1984 29FEB1984 N Tumour, cyst, ulcer or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (D) (AU 8) 03258 01MAR1984 31DEC9999 Y Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (D)(AU 8) 03261 01FEB1984 29FEB1984 N Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (G) (AU 8) 03261 01MAR1984 31DEC9999 Y Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (G) (AU 8) 03265 01FEB1984 29FEB1984 N Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (S) (AU 8) 03265 01MAR1984 31DEC9999 Y Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (S) (AU 8) 03268 01FEB1984 29FEB1984 N Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (D) (AU 8) 03268 01MAR1984 31DEC9999 Y Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (D) (AU 8) 03271 01FEB1984 29FEB1984 N Malignant tumour, removal of, from skin, requiring wide and deep excision (AU 8) 03271 01MAR1984 31DEC9999 Y Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma(AU 8) 03276 01FEB1984 31DEC9999 Y Malignant tumour, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands (AU 13) 03281 01FEB1984 31DEC9999 Y Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (AU 8) 03284 01FEB1984 31DEC9999 Y Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (D) (AU 8) 03289 01FEB1984 31DEC9999 Y Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (AU 10) 03290 01FEB1984 31DEC9999 Y Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (D) (AU 10) 03295 01FEB1984 31DEC9999 Y Malignant tumour, removal of, from any region involving a radical operation (not being an operation covered by any other item in this Part) (AU 13) 03301 01FEB1984 29FEB1984 N Malignant tumour, removal of, from any region involving a limited operation (not being an operation covered by any other item in this Part) (AU 8) 03301 01MAR1984 31DEC9999 Y Malignant tumour, removal of, from any region involving a limited operation, other than removal of basal cell carcinoma(not being an operation covered by any other item in this Part) (AU 8) 03306 01FEB1984 31DEC9999 Y Lipectomy-- transverse wedge excision of abdominal apron (AU 10) 03307 01FEB1984 31DEC9999 Y Lipectomy-- wedge excision of skin or fat not covered by Item 3306-- one excision (AU 10) 03308 01FEB1984 31AUG1989 N Lipectomy-- wedge excision of skin or fat not covered by Item 3306-- two or more excisions (AU 10) 03308 01SEP1989 31DEC9999 Y Lipectomy-wedge excision of skin or fat not covered by item 3306-two or more excisions (AU 12) 03310 01FEB1984 31DEC9999 Y Lipectomy-- subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (AU 12) 03311 01FEB1984 31DEC9999 Y Lipectomy-- radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus (AU 18) 03314 01FEB1984 31DEC9999 Y Axillary hyperidrosis, wedge excision for (AU 7) 03315 01NOV1986 31AUG1989 N AXILLARY HYPERHIDROSIS, total excision of sweat gland bearing area ANAESTHETIC 10 UNITS-ITEM NOS 450G/521S 03315 01SEP1989 31DEC9999 Y Axillary hyperhidrosis, total excision of sweat gland bearing area (AU 10) 03320 01FEB1984 31DEC9999 Y Plantar wart, removal of (AU 5) 03330 01FEB1984 31DEC9999 Y Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal-- each attendance at which the procedure is performed on not more than 5 lesions (including any associated consultation) (AU 4) 03331 01FEB1984 31DEC9999 Y Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal-- each attendance at which the procedure is performed on not more than 5 lesions (including any associated consultation) (D) (AU 4) 03332 01FEB1984 31DEC9999 Y Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal-- each attendance at which the procedure is performed on more than 5 but not more than 10 lesions (including any associated consultation) (AU 5) 03338 01FEB1984 31DEC9999 Y Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal-- each attendance at which the procedure is performed on more than 10 but not more than 15 lesions (including any associated consultation) (AU 6) 03342 01FEB1984 31DEC9999 Y Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal-- each attendance at which the procedure is performed on more than 15 but not more than 20 lesions (including any associated consultation) (AU 7) 03346 01FEB1984 31DEC9999 Y Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal-- each attendance at which the procedure is performed on more than 20 lesions (including any associated consultation) (AU 8) 03347 01AUG1988 31DEC9999 Y Warts, removal of, by any method (other than by chemical means) under general anaesthesia or under a regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, not associated with any other item in this Part (AU 6) 03348 01NOV1990 31DEC9999 Y Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) (AU 4) 03349 01FEB1984 31DEC9999 Y Cutaneous neoplastic lesions, treatment by electrosurgical destruction, chemotherapy, simple curettage or shaving-- one or more lesions (AU 4) 03350 01FEB1984 31DEC9999 Y Cancer of skin or mucous membrane, removal by serial curettage excision or cryosurgery using liquid nitrogen (not covered by Item 3349) (AU 6) 03351 01FEB1984 31DEC9999 Y Cancer of skin or mucous membrane, removal by serial curettage excision or cryosurgery using liquid nitrogen (not covered by Item 3349)-- more than 3 but not more than 10 lesions (AU 9) 03352 01FEB1984 31DEC9999 Y Cancer of skin or mucous membrane, removal by serial curettage excision or cryosurgery using liquid nitrogen (not covered by Item 3349)-more than 10 lesions (AU 13) 03356 01FEB1984 31DEC9999 Y Skin lesions, multiple injections with hydrocortisone or similar preparations 03363 01FEB1984 31DEC9999 Y Keloid, extensive, multiple injections of hydrocortisone or similar preparations under general anaesthesia (AU 5) 03366 01FEB1984 31DEC9999 Y Haematoma, aspiration of (AU 4) 03371 01FEB1984 31DEC9999 Y Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care) 03379 01FEB1984 31DEC9999 Y Large haematoma, large abscess, (including ischio-rectal abscess), carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5) 03384 01FEB1984 31DEC9999 Y Large haematoma, large abscess, (including ischio-rectal abscess), carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (S) (AU 5) 03386 01FEB1984 31DEC9999 Y Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (D) (AU 5) 03391 01FEB1984 31AUG1989 N Muscle, excision of (limited) (AU 6) 03391 01SEP1989 31DEC9999 Y Muscle, excision of (limited) or fasciotomy (AU 6) 03393 01FEB1984 31DEC9999 Y Muscle, excision of (limited) (D) (AU 6) 03399 01FEB1984 31DEC9999 Y Muscle, excision of (extensive) (AU 7) 03400 01FEB1984 31DEC9999 Y Muscle, excision of (extensive) (D) (AU 7) 03404 01FEB1984 31DEC9999 Y Muscle, ruptured, repair of (limited) , not associated with external wound (AU 7) 03407 01FEB1984 31DEC9999 Y Muscle, ruptured, repair of (extensive) , not associated with external wound (AU 7) 03417 01FEB1984 31DEC9999 Y Fascia, deep, repair of, for herniated muscle (AU 7) 03425 01FEB1984 31DEC9999 Y Bone tumour, innocent, excision of, not covered by any other item in this Part (AU 7) 03427 01FEB1984 31DEC9999 Y Bone tumour, innocent, excision of, not covered by any other item in this Part (D) (AU 7) 03431 01FEB1984 31DEC9999 Y Styloid process of temporal bone, removal of (AU 7) 03437 01FEB1984 31DEC9999 Y Parotid gland, total extirpation of (AU 15) 03444 01FEB1984 31DEC9999 Y Parotid gland, total extirpation of with preservation of facial nerve (AU 18) 03450 01FEB1984 31DEC9999 Y Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (AU 14) 03455 01FEB1984 31DEC9999 Y Submandibular gland, extirpation of (AU 8) 03456 01FEB1984 31DEC9999 Y Submandibular gland, extirpation of (D) (AU 8) 03459 01FEB1984 31DEC9999 Y Sublingual gland, extirpation of (AU 7) 03462 01FEB1984 31DEC9999 Y Sublingual gland, extirpation of (D) (AU 7) 03465 01FEB1984 31DEC9999 Y Salivary gland, dilatation or diathermy of duct (AU 6) 03466 01FEB1984 31DEC9999 Y Salivary gland, dilatation or diathermy of duct (D) (AU 6) 03468 01FEB1984 31AUG1989 N Salivary gland, removal of calculus from duct (G) (AU 7) 03468 01SEP1989 31DEC9999 Y Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one more such procedures (G) (AU 7) 03472 01FEB1984 31AUG1989 N Salivary gland, removal of calculus from duct (S) (AU 7) 03472 01SEP1989 31DEC9999 Y Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one or more such procedures (S) (AU 7) 03475 01FEB1984 31AUG1989 N Salivary gland, removal of calculus from duct (D) (AU 7) 03475 01SEP1989 31DEC9999 Y Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one or more such procedures (D) (AU 7) 03477 01FEB1984 31DEC9999 Y Salivary gland, repair of cutaneous fistula of (AU 7) 03480 01FEB1984 31DEC9999 Y Tongue, partial excision of (AU 7) 03483 01FEB1984 31DEC9999 Y Tongue, partial excision of (D) (AU 7) 03495 01FEB1984 31DEC9999 Y Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (AU 18) 03496 01FEB1984 31DEC9999 Y Tongue tie, repair of, not covered by any other item in this Part (AU 6) 03500 01FEB1984 31DEC9999 Y Tongue tie, repair of, not covered by any other item in this Part (D) (AU 6) 03505 01FEB1984 31AUG1989 N Tongue tie or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (AU 6) 03505 01SEP1989 31DEC9999 Y Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (AU 6) 03507 01FEB1984 31AUG1989 N Tongue tie or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (D) (AU 6) 03507 01SEP1989 31DEC9999 Y Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (D) (AU 6) 03509 01FEB1984 31DEC9999 Y Ranula or mucous cyst of mouth, removal of (G) (AU 9) 03516 01FEB1984 31DEC9999 Y Ranula or mucous cyst of mouth, removal of (S) (AU 9) 03521 01FEB1984 31DEC9999 Y Ranula or mucous cyst of mouth, removal of (D) (AU 9) 03526 01FEB1984 31DEC9999 Y Branchial cyst, removal of (AU 9) 03530 01FEB1984 31DEC9999 Y Branchial fistula, removal of (AU 9) 03532 01FEB1984 31DEC9999 Y Cystic hygroma, removal of massive lesion requiring extensive excision-- with or without thoracotomy (AU 11) 03542 01FEB1984 31AUG1989 N Thyroidectomy, total (AU 14) 03542 01SEP1989 31DEC9999 Y Thyroidectomy, total or thyroidectomy following previous hemithyroidectomy or following previous unilateral or bilateral sub-total thyroidectomy (AU 14) 03547 01FEB1984 31DEC9999 Y Parathyroid tumour, removal of (AU 13) 03555 01FEB1984 31DEC9999 Y Parathyroid glands, removal of, other than for tumour (AU 16) 03557 01AUG1987 31AUG1989 N CERVICAL RE-EXPLORATION for recurrent or persistent hyperparathyroidism ANAESTHETIC 20 UNITS-ITEM NOS 464G/533S 03557 01SEP1989 31DEC9999 Y Cervical re-exploration for recurrent or persistent hyperparathyroidism (AU 20) 03560 01DEC1991 31DEC9999 Y [Unidentified item] 03563 01FEB1984 31AUG1989 N Hemithyroidectomy or sub-total thyroidectomy with or without exposure of recurrent laryngeal nerve (AU 12) 03563 01SEP1989 31DEC9999 Y Total hemithyroidectomy or bilateral sub-total thyroidectomy, with or without exposure of recurrent laryngeal nerve (AU 12) 03576 01FEB1984 31AUG1989 N Thyroid, excision of localized tumour of (AU 10) 03576 01SEP1989 31DEC9999 Y Thyroid, excision of localised tumour of, or unilateral sub-total thyroidectomy (AU 10) 03581 01FEB1984 31DEC9999 Y Thyroglossal cyst, removal of (AU 10) 03591 01FEB1984 31DEC9999 Y Thyroglossal cyst and fistula, removal of (AU 10) 03597 01FEB1984 31DEC9999 Y Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair (AU 13) 03616 01FEB1984 31DEC9999 Y Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (AU 22) 03618 01FEB1984 31DEC9999 Y Lymph glands of neck, limited excision of (AU 9) 03622 01FEB1984 31DEC9999 Y Lymph glands of neck, radical excision of (AU 20) 03634 01FEB1984 31DEC9999 Y Lymph glands of groin or axilla, limited excision of (AU 9) 03638 01FEB1984 31DEC9999 Y Lymph glands of groin or axilla, radical excision of (AU 13) 03647 01FEB1984 31DEC9999 Y Simple mastectomy with or without frozen section biopsy (G) (AU 9) 03652 01FEB1984 31DEC9999 Y Simple mastectomy with or without frozen section biopsy (S) (AU 9) 03654 01FEB1984 31DEC9999 Y Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7) 03664 01FEB1984 31DEC9999 Y Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7) 03668 01FEB1984 31AUG1989 N Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed (G) (AU 8) 03668 01SEP1989 31DEC9999 Y Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (G) (AU 8) 03673 01FEB1984 31AUG1989 N Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed (S) (AU 8) 03673 01SEP1989 31DEC9999 Y Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (S) (AU 8) 03678 01FEB1984 31DEC9999 Y Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (G) (AU 8) 03683 01FEB1984 31DEC9999 Y Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (S) (AU 8) 03698 01FEB1984 31DEC9999 Y Breast, extended simple mastectomy with or without frozen section biopsy (AU 12) 03700 01FEB1984 31DEC9999 Y Subcutaneous mastectomy with or without frozen section biopsy (AU 12) 03702 01FEB1984 31DEC9999 Y Breast, radical or modified radical mastectomy with or without frozen section biopsy (AU 16) 03707 01FEB1984 31DEC9999 Y Nipple, inverted, surgical eversion of (AU 7) 03713 01FEB1984 31DEC9999 Y Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (G) (AU 9) 03718 01FEB1984 31DEC9999 Y Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (S) (AU 9) 03719 01NOV1990 31DEC9999 Y Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (AU 11) 03722 01FEB1984 31AUG1989 N Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus or pyloroplasty (adult) (AU 11) 03722 01SEP1989 31DEC9999 Y Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (AU 11) 03726 01FEB1984 31DEC9999 Y Laparotomy involving division of peritoneal adhesions (where no other listed intra abdominal procedure is performed) (AU 11) 03727 01NOV1990 31DEC9999 Y Laparotomy involving division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (AU 14) 03728 01NOV1990 31DEC9999 Y Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (AU 20) 03730 01FEB1984 31DEC9999 Y Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (AU 14) 03734 01FEB1984 31DEC9999 Y Laparotomy for control of postoperative haemorrhage, where no other procedure is performed (AU 11) 03739 01FEB1984 31DEC9999 Y Laparotomy involving operation on abdominal viscera, not covered by any other item in this Part (G) (AU 12) 03745 01FEB1984 31DEC9999 Y Laparotomy involving operation on abdominal viscera, not covered by any other item in this Part (S) (AU 12) 03750 01FEB1984 31DEC9999 Y Subphrenic abscess, drainage of (AU 10) 03752 01FEB1984 31DEC9999 Y Liver biopsy, percutaneous (AU 6) 03754 01FEB1984 31DEC9999 Y Liver tumour, removal of other than by biopsy (AU 13) 03759 01FEB1984 31DEC9999 Y Liver, massive resection of or lobectomy (AU 18) 03764 01FEB1984 31DEC9999 Y Liver abscess, abdominal drainage of (AU 11) 03783 01FEB1984 31DEC9999 Y Hydatid cyst of liver, peritoneum or viscus, drainage procedure for (AU 11) 03789 01FEB1984 31DEC9999 Y Operative cholangiography (including one or more cholegrams performed during the one operation) or operative pancreatography (AU 10) 03793 01FEB1984 31DEC9999 Y Cholecystectomy (G) (AU 11) 03798 01FEB1984 31DEC9999 Y Cholecystectomy (S) (AU 11) 03818 01NOV1984 31DEC9999 Y Choledochoscopy (AU 7) 03820 01FEB1984 31DEC9999 Y Choledochotomy (with or without cholecystectomy), including dilatation of sphincter of Oddi and removal of calculi (AU 13) 03822 01FEB1984 31DEC9999 Y Choledochotomy (with or without cholecystectomy), including dilatation of sphincter of Oddi and removal of calculi with choledochoduodenostomy, choledochogastrostomy or choledochoenterostomy (AU 18) 03825 01FEB1984 31DEC9999 Y Transduodenal operation on sphincter of Oddi, including dilatation, removal of calculi, sphincterotomy and sphincteroplasty with or without choledochotomy, with or without cholecystectomy (AU 15) 03831 01FEB1984 31DEC9999 Y Cholecystoduodenostomy, cholecystogastrostomy or cholecystoenterostomy with or without enteroenterostomy (AU 15) 03834 01FEB1984 31DEC9999 Y Operation for reconstruction of hepatic duct or common bile duct for correction of strictures or atresia including all necessary anastomoses, not associated with Item 3793, 3798, 3820, 3822, 3825 or 3831 (AU 19) 03847 01FEB1984 31AUG1989 N Oesophagoscopy (not covered by Item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) (AU 6) 03847 01SEP1989 31DEC9999 Y Oesophagoscopy (not covered by item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) with or without biopsy (AU 6) 03849 01FEB1984 31AUG1989 N Oesophagoscopy (not covered by Item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) with biopsy or with endoscopic sclerosing injection of oesophageal or gastric varices (AU 7) 03849 01SEP1989 31DEC9999 Y Oesophagoscopy (not covered by item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) with endoscopic sclerosing injection of oesophageal or gastric varices (AU 7) 03851 01FEB1984 29FEB1984 N Oesophagoscopy (not covered by Item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) with polypectomy, with or without removal of foreign body, with or without diathermy coagulation of bleeding oesophageal, gastric or duodenal lesions (AU 7) 03851 01MAR1984 31DEC9999 Y Oesophagoscopy (not covered by Item 5464), gastroscopy, duodenoscopy or panendoscopy(one or more such procedures) with one or more of the following procedures - polypectomy, removal of foreign body, diathermy coagulation of bleeding upper gastrointestinal lesions (AU 7) 03853 01NOV1990 31DEC9999 Y Oesophageal prosthesis, insertion of, including endoscopy and dilatation (AU 9) 03860 01FEB1984 31DEC9999 Y Endoscopic pancreatocholangiography (AU 8) 03862 01FEB1984 31DEC9999 Y Endoscopic sphincterotomy with or without extraction of stones from common bile duct (AU 8) 03864 01NOV1990 31DEC9999 Y Biliary manometry (AU 9) 03866 01NOV1990 31DEC9999 Y Endoscopic biliary dilatation (AU 11) 03867 01NOV1990 31DEC9999 Y Bile duct, endoscopic stenting of (including endoscopy and dilatation) (AU 11) 03868 01NOV1990 31DEC9999 Y Percutaneous endoscopic gastrostomy (initial procedure) (AU 10) 03869 01NOV1990 31DEC9999 Y Percutaneous endoscopic gastrostomy (repeat procedure) (AU 10) 03870 01NOV1990 31DEC9999 Y Endoscopic laser therapy for malignancy of upper or lower gastrointestinal tract (AU 12) 03875 01FEB1984 31DEC9999 Y Vagotomy-- trunkal (AU 11) 03882 01FEB1984 31DEC9999 Y Vagotomy-- selective (AU 12) 03889 01FEB1984 31DEC9999 Y Vagotomy, highly selective; or vagotomy, trunkal or selective, with pyloroplasty or gastroenterostomy (AU 13) 03891 01FEB1984 31AUG1989 N Vagotomy, highly selective with pyloroplasty or gastroenterostomy (AU 13) 03891 01SEP1989 31DEC9999 Y Vagotomy, highly selective, with pyloroplasty, gastroenterostomy or dilatation of pylorus (AU 13) 03892 01FEB1984 31DEC9999 Y Gastric reduction or gastroplasty for obesity, by any method (AU 13) 03893 01FEB1984 31DEC9999 Y Gastric by-pass for obesity, including an anastomosis, by any method (AU 21) 03894 01FEB1984 31DEC9999 Y Gastro-enterostomy (including gastroduodenostomy) or enterocolostomy or entero-enterostomy (G) (AU 12) 03898 01FEB1984 31DEC9999 Y Gastro-enterostomy (including gastroduodenostomy) or enterocolostomy or entero-enterostomy (S) (AU 12) 03900 01FEB1984 31DEC9999 Y Gastro-enterostomy or gastroduodenostomy, reconstruction of (AU 14) 03902 01FEB1984 31DEC9999 Y Pancreatic cyst-anastomosis to stomach or duodenum (AU 13) 03922 01FEB1984 31DEC9999 Y Partial gastrectomy, with or without gastro-jejunostomy (AU 15) 03930 01FEB1984 31DEC9999 Y Gastrectomy, total, for benign disease (AU 19) 03937 01NOV1986 31AUG1989 N GASTRECTOMY, RADICAL SUB-TOTAL, for carcinoma ANAESTHETIC 19 UNITS-ITEM NOS 463G/531S 03937 01SEP1989 31DEC9999 Y Gastrectomy, sub-total radical, for carcinoma (AU 19) 03938 01FEB1984 31DEC9999 Y Gastrectomy, total radical, for carcinoma (AU 21) 03952 01FEB1984 31DEC9999 Y Pyloroplasty, infant or pyloromyotomy (Ramstedt's operation) (AU 9) 03976 01FEB1984 31DEC9999 Y Enterostomy or colostomy, extraperitoneal closure of (G) (AU 11) 03981 01FEB1984 31DEC9999 Y Enterostomy or colostomy, extraperitoneal closure of (S) (AU 11) 03986 01FEB1984 31DEC9999 Y Enterostomy or colostomy, intraperitoneal closure, not involving resection (AU 11) 03988 01SEP1989 31DEC9999 Y Colostomy, refashioning of (AU 10) 04001 01NOV2006 31DEC2013 N MEDICAL PRACTITIONER ATTENDANCE (INCLUDING A GENERAL PRACTITIONER, BUT NOT INCLUDING A SPECIALIST OR CONSULTANT PHYSICIAN) ASSOCIATED WITH PROVISION OF NON-DIRECTIVE PREGNANCY SUPPORT COUNSELLING SERVICES Professional attendance for the purpose of providing non-directive pregnancy support counselling to a woman who is concerned about a current pregnancy or a pregnancy that occurred in the preceding 12 months, by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service, and lasting at least 20 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may not be provided by a medical practitioner who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of 3 non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items - 4001, 81000, 81005 and 81010 (see Explanatory note M.8). SURGERY CONSULTATION (professional attendance at consulting rooms) 04001 01JAN2014 30JUN2018 N Professional attendance of at least 20 minutes in duration at consulting rooms by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 81000, 81005 or 81010 applies in relation to that pregnancy Note: For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act. 04001 01JUL2018 30JUN2021 N Professional attendance of at least 20 minutes in duration at consulting rooms by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 81000, 81005 or 81010 applies in relation to that pregnancy Note: For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act. 04001 01JUL2021 31DEC9999 Y Professional attendance of at least 20 minutes in duration at consulting rooms by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a patient who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 81000, 81005 or 81010 applies in relation to that pregnancy Note: For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act. 04003 01FEB1984 31DEC9999 Y Intussusception, reduction of, by fluid 04012 01FEB1984 31DEC9999 Y Intussusception, laparotomy and resection of (AU 14) 04018 01FEB1984 31DEC9999 Y Transverse or sigmoid colectomy with or without anastomosis (AU 15) 04038 01NOV1990 31DEC9999 Y Small intestine, resection of, without anastomosis (including formation of stoma) (AU 17) 04039 01FEB1984 31DEC9999 Y Bowel, segmental resection of, with or without anastomosis, not covered by any other item in this Part (G) (AU 15) 04042 01NOV1990 31DEC9999 Y Small intestine, resection of, with anastomosis (AU 18) 04043 01FEB1984 31DEC9999 Y Bowel, segmental resection of, with or without anastomosis, not covered by any other item in this Part (S) (AU 15) 04044 01NOV1990 31DEC9999 Y Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (AU 18) 04045 01NOV1990 31DEC9999 Y Large intestine, resection of, with anastomosis, including right hemicolectomy (AU 20) 04046 01FEB1984 31DEC9999 Y Hemicolectomy, right or left (AU 15) 04047 01NOV1990 31DEC9999 Y Total colectomy and ileostomy (AU 22) 04048 01FEB1984 31DEC9999 Y Total colectomy with ileo-rectal anastomosis or ileostomy (AU 20) 04052 01FEB1984 31DEC9999 Y Total colectomy with excision of rectum and ileostomy-one surgeon (AU 20) 04054 01FEB1984 31DEC9999 Y Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after-care) (AU 17) 04059 01FEB1984 31DEC9999 Y Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection 04065 01NOV1990 31DEC9999 Y Rectum, high restorative anterior resection with intraperitoneal anastomosis (of the rectum) greater than 10 centimetres from the anal verge - excluding resection of sigmoid colon alone (AU 22) 04067 01NOV1990 31DEC9999 Y Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 centimetres from the anal verge (AU 26) 04068 01FEB1984 31DEC9999 Y Rectum, restorative anterior resection of, with rectosigmoidectomy (AU 16) 04070 01SEP1989 31DEC9999 Y Rectosigmoidectomy, anterior (Hartman's operation) (AU 15) 04071 01SEP1989 31DEC9999 Y Restoration of bowel continuity following Hartman's procedure, including dismantling of colostomy (AU 15) 04074 01FEB1984 31DEC9999 Y Appendicectomy, not covered by Item 4084 (G) (AU 8) 04080 01FEB1984 31DEC9999 Y Appendicectomy, not covered by Item 4084 (S) (AU 8) 04084 01FEB1984 31DEC9999 Y Appendicectomy, when performed in conjunction with any other intra-abdominal procedure and through the same incision (AU 5) 04087 01FEB1984 31AUG1989 N Drainage of appendiceal abscess or for ruptured appendix or for peritonitis with or without appendicectomy (G) (AU 10) 04087 01SEP1989 31DEC9999 Y Laparotomy for drainage of pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause-with or without appendicectomy (G) (AU 10) 04093 01FEB1984 31AUG1989 N Drainage of appendiceal abscess or for ruptured appendix or for peritonitis with or without appendicectomy (S) (AU 10) 04093 01SEP1989 31DEC9999 Y Laparotomy for drainage of pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause-with or without appendicectomy (S) (AU 10) 04099 01FEB1984 31DEC9999 Y Small bowel intubation with biopsy 04104 01FEB1984 31DEC9999 Y Small bowel intubation, as an independent procedure 04109 01FEB1984 31DEC9999 Y Pancreatectomy, partial (AU 15) 04115 01FEB1984 31DEC9999 Y Pancreatico-duodenectomy, Whipple's operation (AU 30) 04130 01NOV1979 31DEC9999 Y Pancreas, drainage of (AU 11) 04131 01JAN1986 31AUG1989 N PANCREATIC ABSCESS, drainage of, excluding after-care ANAESTHETIC 11 UNITS - ITEM NOS 453G / 522S 04131 01SEP1989 31DEC9999 Y Pancreatic abscess, drainage of, excluding after-care (AU 11) 04133 01FEB1984 31DEC9999 Y Anastomosis of pancreatic duct to bowel (AU 18) 04139 01JAN1986 31AUG1989 N SPLENORRHAPHY OR PARTIAL SPLENECTOMY FOR TRAUMA ANAESTHETIC 13 UNITS - ITEM NOS 457G / 524S 04139 01SEP1989 31DEC9999 Y Splenorrhaphy or partial splenectomy for trauma (AU 13) 04141 01FEB1984 31DEC9999 Y Splenectomy for trauma (AU 13) 04144 01FEB1984 31DEC9999 Y Splenectomy, other than for trauma (AU 13) 04165 01FEB1984 31DEC9999 Y Multiple ruptured viscera (including liver, kidney, spleen or hollow viscus) major repair or removal of (AU 18) 04173 01FEB1984 31DEC9999 Y Retroperitoneal tumour, removal of (AU 15) 04179 01FEB1984 31DEC9999 Y Sacrococcygeal and presacral tumour-- excision of (AU 13) 04185 01FEB1984 31DEC9999 Y Retroperitoneal abscess, drainage of, not involving laparotomy (AU 9) 04191 01NOV1979 31DEC9999 Y Peritoneoscopy (AU 6) 04192 01NOV1984 31DEC9999 Y Laparoscopy, diagnostic (AU 7) 04193 01NOV1984 31DEC9999 Y Laparoscopy, with biopsy (AU 7) 04194 01NOV1984 31DEC9999 Y Laparoscopy, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or any other procedure-one or more procedures with or without biopsy-not associated with item 4193, 6611 or 6612 (AU 7) 04197 01FEB1984 31DEC9999 Y Paracentesis abdominis 04202 01FEB1984 31DEC9999 Y Rectum and anus, abdomino-perineal resection of-- one surgeon (AU 17) 04209 01FEB1984 31DEC9999 Y Rectum and anus, abdomino-perineal resection of, combined synchronous operation-- abdominal resection (AU 16) 04214 01FEB1984 31DEC9999 Y Rectum and anus, abdomino-perineal resection of, combined synchronous operation-- perineal resection 04217 01FEB1984 31DEC9999 Y Abdomino-perineal pull through resection with colo-anal anastomosis (one or two stages), including associated colostomy (AU 30) 04218 01NOV1990 31DEC9999 Y Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy - one surgeon (AU 36) 04219 01NOV1990 31DEC9999 Y Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy - conjoint surgery, abdominal surgeon (including aftercare) (AU 30) 04220 01NOV1990 31DEC9999 Y Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir - conjoint surgery, perineal surgeon 04222 01FEB1984 31DEC9999 Y Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by Item 4233, 4258 or 4262 (G) (AU 8) 04227 01FEB1984 31DEC9999 Y Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by Item 4233, 4258 or 4262 (S) (AU 8) 04228 01NOV1990 31DEC9999 Y Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy - one surgeon (AU 30) 04229 01NOV1990 31DEC9999 Y Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy - conjoint surgery, abdominal surgeon (including aftercare) (AU 26) 04230 01NOV1990 31DEC9999 Y Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy - conjoint surgery, perineal surgeon 04231 01NOV1990 31DEC9999 Y Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (AU 30) 04233 01FEB1984 31DEC9999 Y Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (AU 10) 04238 01FEB1984 31DEC9999 Y Diaphragmatic hernia, traumatic, repair of (AU 17) 04241 01FEB1984 31AUG1989 N Diaphragmatic hernia, other than traumatic, repair of (abdominal approach) (AU 14) 04241 01SEP1989 31DEC9999 Y Diaphragmatic hernia, congential, repair of, by thoracic or adbominal approach) (AU 14) 04242 01NOV1984 31DEC9999 Y Antireflux operation involving insertion of prosthetic device-not associated with Item 4241, 4243, 4244 or 4245 (AU 11) 04243 01NOV1984 31DEC9999 Y Antireflux operation by fundoplasty via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus-not covered by item 4241 or 4242 (AU 18) 04244 01DEC1984 31DEC9999 Y Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus (AU 17) 04245 01DEC1984 31DEC9999 Y Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus (AU 18) 04246 01FEB1984 31DEC9999 Y Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (G) (AU 8) 04249 01FEB1984 31DEC9999 Y Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (S) (AU 8) 04251 01FEB1984 31DEC9999 Y Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (G) (AU 8) 04254 01FEB1984 31DEC9999 Y Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (S) (AU 8) 04258 01FEB1984 31DEC9999 Y Ventral, incisional, lumbar or recurrent hernia or burst abdomen, repair of (G) (AU 10) 04262 01FEB1984 31DEC9999 Y Ventral, incisional, lumbar or recurrent hernia or burst abdomen, repair of (S) (AU 10) 04265 01FEB1984 31DEC9999 Y Hydrocele, tapping of 04266 01SEP1989 31DEC9999 Y Hydrocele, removal of (AU 7) 04269 01FEB1984 31AUG1989 N Varicocele or hydrocele, removal of (G) (AU 7) 04269 01SEP1989 31DEC9999 Y Varicocele, surgical correction of when not associated with items 4288, 4293 and 4296, one procedure (G) (AU 7) 04273 01FEB1984 31AUG1989 N Varicocele or hydrocele, removal of (S) (AU 7) 04273 01SEP1989 31DEC9999 Y Varicocele, surgical correction of when not associated with items 4288, 4293 and 4296 one procedure (S) (AU 7) 04288 01FEB1984 31AUG1989 N Orchidectomy (simple) (G) (AU 7) 04288 01SEP1989 31DEC9999 Y Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (AU 7) 04293 01FEB1984 31AUG1989 N Orchidectomy (simple) (S) (AU 7) 04293 01SEP1989 31DEC9999 Y Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (AU 7) 04296 01FEB1984 31AUG1989 N Orchidectomy and complete excision of spermatic cord (AU 8) 04296 01SEP1989 31DEC9999 Y Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (AU 8) 04307 01FEB1984 31DEC9999 Y Undescended testis, orchidopexy or transplantation of, with or without associated hernial repair (AU 8) 04313 01FEB1984 31DEC9999 Y Secondary detachment of testis from thigh (AU 6) 04319 01FEB1984 31AUG1989 N Circumcision of a person under four weeks of age (AU 6) 04319 01SEP1989 31DEC9999 Y Circumcision of a person under six months of age, where medically indicated (AU 6) 04327 01FEB1984 31AUG1989 N Circumcision of a person under ten years of age but not less than four weeks of age (AU 6) 04327 01SEP1989 31DEC9999 Y Circumcision of a person under ten years of age but not less than six months of age (AU 6) 04338 01FEB1984 31DEC9999 Y Circumcision of a person ten years of age or over (G) (AU 6) 04345 01FEB1984 31DEC9999 Y Circumcision of a person ten years of age or over (S) (AU 6) 04351 01FEB1984 31AUG1989 N Paraphimosis, reduction of, under anaesthesia, with or without dorsal incision, not associated with any other item in this Part (AU 5) 04351 01SEP1989 31DEC9999 Y Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not associated with any other item in this Part (AU 5) 04354 01FEB1984 31DEC9999 Y Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy 04363 01FEB1984 31DEC9999 Y Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not associated with any other item in this Part (AU 5) 04365 01NOV1990 31DEC9999 Y Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is less than or equal to 45 minutes (AU 7) 04366 01FEB1984 31DEC9999 Y Sigmoidoscopic examination with diathermy or resection of one or more rectal polyps or tumours (G) (AU 7) 04367 01FEB1984 31DEC9999 Y Sigmoidoscopic examination with diathermy or resection of one or more rectal polyps or tumours (S) (AU 7) 04368 01NOV1990 31DEC9999 Y Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is greater than 45 minutes (AU 10) 04380 01FEB1984 31DEC9999 Y Full or partial thickness rectal biopsy under general anaesthesia (AU 6) 04383 01FEB1984 31AUG1989 N Flexible fibreoptic sigmoidoscopy with or without short fibreoptic colonoscopy up to splenic flexure (AU 6) 04383 01SEP1989 31DEC9999 Y Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to hepatic flexure, with or without biopsy (AU 6) 04385 01NOV1979 31DEC9999 Y Flexible fibreoptic sigmoidoscopy with or without short fibreoptic colonoscopy up to splenic flexure, with biopsy (AU 7) 04386 01FEB1984 31AUG1989 N Flexible fibreoptic sigmoidoscopy with or without short fibreoptic colonoscopy up to splenic flexure, with removal of one or more colonic polyps, not covered by Item 4366 or 4367 (AU 8) 04386 01SEP1989 31DEC9999 Y Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure with removal of one or more polyps, not covered by item 4366 or 4367 (AU 8) 04388 01FEB1984 29FEB1984 N Fibreoptic colonoscopy-- examination of colon up to and beyond splenic flexure (AU 8) 04388 01MAR1984 31AUG1989 N Fibreoptic colonoscopy examination of colon up to and beyond splenic flexure (long colonoscopy) (AU 8) 04388 01SEP1989 31DEC9999 Y Fibreoptic colonoscopy-examination of colon beyond the hepatic flexure with or without biopsy (AU 8) 04389 01NOV1979 29FEB1984 N Fibreoptic colonoscopy-- examination of colon up to and beyond splenic flexure with biopsy (AU 9) 04389 01MAR1984 31DEC9999 Y Fibreoptic colonoscopy - examination of colon up to and beyond splenic flexure (long colonoscopy) with biopsy (AU 9) 04394 01FEB1984 31AUG1989 N Fibreoptic colonoscopy-- examination of colon up to and beyond splenic flexure (long colonoscopy) with removal of one or more colonic polyps (AU 10) 04394 01SEP1989 31DEC9999 Y Fibreoptic colonoscopy-examination of colon beyond the hepatic flexure with removal of one or more polyps (AU 10) 04395 01NOV1990 31DEC9999 Y Rectal tumour of five centimetres or less in diameter, per anal submucosal excision of (excluding snare diathermy) (AU 10) 04397 01FEB1984 31DEC9999 Y Villous tumour of rectum, greater than 3 centimetres in diameter, local excision (AU 9) 04398 01NOV1990 31DEC9999 Y Anorectal carcinoma - per anal full thickness excision of (AU 13) 04399 01FEB1984 29FEB1984 N Rectal tumour, excision of, via trans-sphincteric approach (AU 12) 04399 01MAR1984 31DEC9999 Y Rectal tumour, excision of, via trans-sphincteric approach(AU 13) 04410 01SEP1989 31DEC9999 Y Rectal prolapse, Delorme procedure for (AU 10) 04411 01NOV1990 31DEC9999 Y Rectal stricture, per anal release of (AU 8) 04413 01FEB1984 31DEC9999 Y Rectum, radical operation for prolapse of, involving laparotomy (AU 13) 04455 01FEB1984 31DEC9999 Y Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not associated with any other item in this Part (AU 4) 04467 01FEB1984 31DEC9999 Y Anal prolapse-- circum-anal suture (AU 6) 04482 01FEB1984 31DEC9999 Y Anal stricture, repair of (AU 7) 04490 01FEB1984 31DEC9999 Y Anal sphincterotomy as an independent procedure for Hirschsprung's disease (AU 6) 04492 01FEB1984 29FEB1984 N Anal incontinence, operation for, by Parkes intersphincteric procedure or by direct repair of anal sphincters, not covered by Item 383 in Part 2 (AU 11) 04492 01MAR1984 31DEC9999 Y Anal incontinence, operation for, by Parkes intersphincteric procedure or by direct repair of anal sphincters, not covered by Item 383 in Part 2 (AU 12) 04493 01NOV1990 31DEC9999 Y Anal sphincter, direct repair of (AU 12) 04507 01NOV1990 31DEC9999 Y Haemorrhoids or rectal prolapse - sclerotherapy for (AU 6) 04509 01FEB1984 31DEC9999 Y Haemorrhoids, rubber band ligation of, or incision of thrombosed external haemorrhoids (AU 5) 04510 01SEP1989 31DEC9999 Y Cryosurgery to haemorrhoids (AU 5) 04523 01FEB1984 31AUG1989 N Haemorrhoidectomy, radical (G) (AU 7) 04523 01SEP1989 31DEC9999 Y Haemorrhoidectomy, radical (G) (AU 8) 04527 01FEB1984 31AUG1989 N Haemorrhoidectomy, radical (S) (AU 7) 04527 01SEP1989 31DEC9999 Y Haemorrhoidectomy, radical (S) (AU 8) 04533 01NOV1990 31DEC9999 Y Anal polyps, excision of one or more of (AU 5) 04534 01FEB1984 31DEC9999 Y Removal of external haemorrhoids, removal of anal skin tags, injection of rectal prolapse or injection of anal prolapse-- under general anaesthesia-- one or more of these procedures (AU 5) 04535 01NOV1990 31DEC9999 Y Anal skin tags, excision of one or more of (AU 7) 04536 01NOV1990 31DEC9999 Y Perianal thrombosis, incision of (AU 7) 04537 01FEB1984 31DEC9999 Y Operation for fissure-in-ano including excision, posterior sphincterotomy or lateral sphincterotomy but excluding dilatation only (G) (AU 6) 04544 01FEB1984 31DEC9999 Y Operation for fissure-in-ano including excision, posterior sphincterotomy or lateral sphincterotomy but excluding dilatation only (S) (AU 6) 04552 01FEB1984 31DEC9999 Y Fistula in ano, subcutaneous, excision of (G) (AU 7) 04557 01FEB1984 31DEC9999 Y Fistula in ano, subcutaneous, excision of (S) (AU 7) 04568 01FEB1984 31DEC9999 Y Fistula in ano, excision of (involving incision of external sphincter) (G) (AU 7) 04572 01NOV1990 31DEC9999 Y Anal fistula, excision of, involving lower half of the anal sphincter mechanism (AU 7) 04573 01FEB1984 31DEC9999 Y Fistula in ano, excision of (involving incision of external sphincter) (S) (AU 7) 04574 01NOV1990 31DEC9999 Y Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (AU 11) 04575 01NOV1990 31DEC9999 Y Anal fistula, repair of by mucosal flap advancement (AU 15) 04576 01NOV1990 31DEC9999 Y Fistula wound - review of, under general anaesthetic (AU 7) 04578 01NOV1990 31DEC9999 Y Anorectal examination, with or without biopsy, under general anaesthetic, not associated with any other item in this Part (AU 6) 04580 01NOV1990 31DEC9999 Y Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding aftercare) (AU 8) 04583 01NOV1990 31DEC9999 Y Anal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is less than or equal to 45 minutes (AU 6) 04584 01NOV1990 31DEC9999 Y Anal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is greater than 45 minutes (AU 11) 04586 01NOV1990 31DEC9999 Y Intestinal sling procedure prior to radiotherapy (AU 15) 04588 01NOV1990 31DEC9999 Y Colonic lavage, total, intra operative (AU 12) 04590 01FEB1984 31DEC9999 Y Faecal fistula, repair of (AU 12) 04606 01FEB1984 31DEC9999 Y Coccyx, excision of (AU 8) 04611 01FEB1984 31DEC9999 Y Pilonidal sinus or cyst or sacral sinus or cyst, excision of in a person ten years of age or over (G) (AU 8) 04617 01FEB1984 31DEC9999 Y Pilonidal sinus or cyst or sacral sinus or cyst, excision of in a person ten years of age or over (S) (AU 8) 04618 01MAY1991 31DEC9999 Y PILONIDAL SINUS, injection of sclerosant fluid under anaesthesia (AU 6 - 407/513) 04619 01MAY1991 31DEC9999 Y TELANGIECTASES OR STARBURST VESSELS, diathenny or sclerosant injection of, including associated consultation 04620 01MAY1991 31DEC9999 Y VARICOSE VEINS, multiple simultaneous injections by continuous compression techniques including associated consultation - ONE OR BOTH LEGS - not associated with any other varicose veins operation on the same leg (excluding after-care) 04621 01MAY1991 31DEC9999 Y VARICOSE VEINS, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of one or more deep perforating veins through separate incisions - ONE LEG - not associated with item 4624, 4625 or 4632 on the same leg (AU 7 - 408/514) 04622 01FEB1984 31DEC9999 Y Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU 6) 04623 01MAY1991 31DEC9999 Y VARICOSE VEINS, complete dissection at SAPHENO-FEMORAL JUNCTION, with or without ligation of long saphenous vein, with or without ligation of the major tributaries at sapheno-femoral junction - ONE LEG (AU 6 - 407/513) 04624 01MAY1991 31DEC9999 Y VARICOSE VEINS, high ligation and complete or partial stripping or excision of long or short saphenous vein or its major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins - one leg (AU 10 - 450/521) 04625 01MAY1991 31DEC9999 Y VARICOSE VEINS, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins - one leg (AU 12 - 454/523) 04626 01MAY1991 31DEC9999 Y LONG SAPHENOUS VEIN, complete dissection and ligation of, at the saphenofemoral junction, for migrating thrombosis of long saphenous vein (AU 11 - 453/522) 04627 01MAY1991 31DEC9999 Y VARICOSE VEINS, complete dissection at sapheno-popliteal junction, with or without ligation of the short saphenous vein, with or without ligation of the major tributaries at the sapheno-popliteal junction - one leg (AU 6 - 407/513) 04628 01MAY1991 31DEC9999 Y VARICOSE VEINS, sub-fascial ligation of single deep perforating vein not associated with any other varicose vein operation on the same leg - ONE LEG (AU 6 - 407/513) 04629 01FEB1984 31DEC9999 Y Varicose veins, injection into-- one or more injections, including any associated consultation 04630 01AUG1988 31DEC9999 Y Telangiectases or starburst vessels, subcutaneous diathermy or sclerosant injection of, including associated consultation 04631 01MAY1991 31DEC9999 Y GROIN OR POPLITEAL FOSSA, reoperation in, for recurrent sapheno-popliteal incompetence - one leg (AU 12 - 454/523) 04632 01MAY1991 31DEC9999 Y GROIN OR POPLITEAL FOSSA, reoperation in, for recurrent sapheno-femoral incompetence or recurrent sapheno-popliteal incompetence with one or more of the following - multiple ligations, local stripping or excision of minor veins or sclerotherapy of minor veins - one leg (AU 13 - 457/524) 04633 01FEB1984 31AUG1989 N Varicose veins, multiple simultaneous injections by continuous compression techniques (excluding after-care) 04633 01SEP1989 31DEC9999 Y Varicose veins, multiple simultaneous injections by continuous compression techniques including associated consultation-one or both legs-not associated with any other varicose veins operation on the same leg (excluding after-care) 04634 01MAY1991 31DEC9999 Y BYPASS OR ANASTOMOSIS FOR OCCLUSIVE ARTERIAL DISEASE ARTERY OF NECK, bypass using vein or synthetic material (AU 19 - 463/531) 04636 01MAY1991 31DEC9999 Y INTERNAL CAROTID ARTERY, transection and reanastomosis of, or resection of small length and reanastomosis of - with or without endarterectomy (AU 18 - 462/529) 04637 01FEB1984 31AUG1989 N Varicose veins, multiple ligations, with or without local stripping or excision, not covered by any other item in this Part (AU 8) 04637 01SEP1989 31DEC9999 Y Varicose veins, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of one or or more deep perforating veins through separate incisions-one leg-not associated with item 4641, 4649 or 4664 on the same leg (AU 7) 04638 01MAY1991 31DEC9999 Y INTERNAL CAROTID ARTERY, re-operation for recurrent stenosis with by-pass by graft of vein or synthetic material (AU 19 - 463/531) 04639 01MAY1991 31DEC9999 Y AORTO-ILIAC OR AORTO-FEMORAL GRAFTING, straight or bifurcated (AU 21 - 465/535) 04640 01FEB1984 31DEC9999 Y Varicose veins, high ligation and complete stripping or excision of long saphenous vein (AU 7) 04641 01JUL1985 31AUG1989 N VARICOSE VEINS, high ligation and stripping or excision of LONG OR SHORT saphenous vein or its major tributaries, WITH OR WITHOUT MULTIPLE LIGATIONS, local stripping or excision of minor veins - ONE LEG ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 04641 01SEP1989 31DEC9999 Y Varicose veins, high ligation and stripping or excision of long or short saphenous vein or its major tributaries, with or without multiple ligations, local stripping or excision of minor veins-one leg (AU 10) 04642 01MAY1991 31DEC9999 Y AXILLARY or SUBCLAVIAN TO FEMORAL BYPASS GRAFTING to one or both FEMORAL ARTERIES (AU 19 - 463/531) 04643 01FEB1984 31DEC9999 Y Varicose veins, high ligation and complete stripping or excision of short saphenous vein (AU 7) 04644 01MAY1991 31DEC9999 Y RENAL ARTERY, bypass grafting to (AU 22 - 466/537) 04645 01MAY1991 31DEC9999 Y RENAL ARTERIES (both), bypass grafting to (AU 26- 470/541) 04646 01MAY1991 31DEC9999 Y SPLENO-RENAL ARTERIAL BYPASS GRAFTING (AU 21- 465/535) 04647 01MAY1991 31DEC9999 Y MESENTERIC VESSEL (single), bypass grafting to (AU 18 - 462/529) 04648 01MAY1991 31DEC9999 Y MESENTERIC VESSELS (multiple), bypass grafting to (AU 21 - 465/535) 04649 01FEB1984 31AUG1989 N Varicose veins, high ligation and complete stripping or excision of both long and short saphenous systems (AU 10) 04649 01SEP1989 31DEC9999 Y Varicose veins, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with or without multiple ligations, local stripping or excision of minor veins-one leg (AU 12) 04650 01MAY1991 31DEC9999 Y INFERIOR MESENTERIC ARTERY, operation on, when performed in association with another intra-abdominal vascular operation (AU 17 - 461/528) 04651 01FEB1984 31AUG1989 N Varicose veins, high ligation of long saphenous vein at saphenous femoral junction (AU 6) 04651 01SEP1989 31DEC9999 Y Varicose veins, complete dissection at sapheno-femoral junction, with or without ligation of long saphenous vein, with or without ligation of the major tributaries at sapheno-femoral junction-one leg (AU 6) 04652 01MAY1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFfING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (AU 19 - 463/531) 04653 01MAY1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFfING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (AU 20 - 464/533) 04654 01MAY1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFfING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery (AU 21 - 465/535) 04655 01FEB1984 31AUG1989 N Varicose veins, high ligation of short saphenous vein at saphenous popliteal junction (AU 6) 04655 01SEP1989 31DEC9999 Y Varicose veins, high ligation of short saphenous vein at saphenous popliteal junction-one leg (AU 6) 04656 01MAY1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5cms of the ankle joint (AU 22 - 466/537) 04657 01MAY1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING using synthetic graft, with lower anastomosis above or below the knee (AU 18 - 462/529) 04658 01FEB1984 31AUG1989 N Varicose veins, sub-fascial ligation of single deep perforation (AU 6) 04658 01SEP1989 31DEC9999 Y Varicose veins, sub-fascial ligation of single deep perforating vein-one leg-not associated with any other varicose operation on the same leg (AU 6) 04659 01MAY1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at one or both anastomoses (AU 20 - 464/533) 04660 01MAY1991 31DEC9999 Y FEMORAL ARTERY SEQUENTIAL BYPASS GRAFTING, (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than one artery - each additional artery revascularised beyond a femoral bypass (AU 16 - 460/527) 04661 01MAY1991 31DEC9999 Y VEIN, harvesting of from leg or arm for bypass or replacement graft when not performed through same incision as operation - each vein (AU 9 - 443/518) 04662 01FEB1984 31DEC9999 Y Varicose veins, sub-fascial ligation of multiple deep perforating veins (Cockett's operation) (AU 7) 04663 01MAY1991 31DEC9999 Y ARTERIAL BVP ASS GRAFTING, using vein or synthetic material, not covered by any other item in this Part (AU 18 - 462/529) 04664 01NOV1984 31DEC9999 Y Re-operation for recurrent sapheno-femoral or sapheno-popliteal incompetence, with or without multiple ligations, local stripping or excision-one leg (AU 13) 04665 01FEB1984 31DEC9999 Y Cross-leg by-pass graft-- saphenous to femoral vein (AU 11) 04666 01MAY1991 31DEC9999 Y ARTERIAL OR VENOUS ANASTOMOSIS, not covered by any other item in this Part, as an independent procedure (AU 15 - 459/526) 04667 01MAY1991 31DEC9999 Y ARTERIAL OR VENOUS ANASTOMOSIS not covered by any other item in this Part, when performed in combination with another vascular operation (including graft to graft anastomosis) (AU 15 - 459/526) 04668 01MAY1991 31DEC9999 Y BYPASS, REPLACEMENT, LIGATION OF ANEURYSMS ANEURYSM OF COMMON OR INTERNAL CAROTID ARTERY, OR BOTH, replacement by graft of vein or synthetic material (AU 20 - 464/533) 04669 01MAY1991 31DEC9999 Y THORACIC ANEURYSM, replacement by graft (AU 35 - 493/564) 04670 01FEB1984 31DEC9999 Y Intra-arterial oxygen injection 04671 01MAY1991 31DEC9999 Y SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft including re-implantation of arteries (AU 35 - 493/564) 04672 01MAY1991 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft (AU 26 - 470/541) 04673 01MAY1991 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) (AU 29 - 473/544) 04674 01MAY1991 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to one or both femoral arteries (with or without excision or bypass of common iliac aneurysms) (AU 29 - 473/544) 04675 01MAY1991 31DEC9999 Y ANEURYSM OF ILIAC ARTERY (common, external or internal), replacement by graftunilateral (AU 18 - 462/529) 04676 01FEB1984 29FEB1984 N Ligation of medium artery, medium vein or medium artery and medium vein by elective operation (including repair of artifical arterio-venous fistula) (AU 6) 04676 01MAR1984 31DEC9999 Y Ligation of medium artery, medium vein or medium artery and medium vein by elective operation, or repair of artificial arterio-venous fistula (AU 6) 04677 01MAY1991 31DEC9999 Y ANEURYSM OF VISCERAL ARTERY, excision and repair by direct anastomosis or replacement by graft (AU 18 - 462/529) 04678 01FEB1984 31DEC9999 Y Ligation of large artery, large vein or large artery and large vein by elective operation (AU 7) 04679 01MAY1991 31DEC9999 Y FALSE ANEURYSM, repair of, at aortic anastomosis following previous aortic surgery (AU 25 - 469/540) 04680 01MAY1991 31DEC9999 Y FALSE ANEURYSM, repair of, in iliac artery and restoration of arterial continuity (AU 19 - 463/531) 04681 01MAY1991 31DEC9999 Y FALSE ANEURYSM, repair of, in femoral artery and restoration of arterial continuity (AU 18 - 462/529) 04682 01MAY1991 31DEC9999 Y RUPTURED THORACIC AORTIC ANEURYSM, replacement by graft (AU 38 - 477 /548) 04683 01MAY1991 31DEC9999 Y RUPTURED THORACO-ABDOMINAL AORTIC ANEURYSM, replacement by graft (AU 40 - 479/550) 04684 01MAY1991 31DEC9999 Y RUPTURED SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft (AU 38 - 477/548) 04685 01MAY1991 31DEC9999 Y RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft (AU 28 - 472/543) 04686 01MAY1991 31DEC9999 Y RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (AU 30 - 474/545) 04687 01MAY1991 31DEC9999 Y RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to one or both femoral arteries (AU 30 - 474/545) 04688 01JUL1985 31AUG1989 N ARTERY or VEIN or ARTERY AND VEIN (including brachial, radial, ulnar ortibial), ligation of, by elective operation OR repair of surgically created fistula ANAESTHETIC 7 UNITS - ITEM NOS 408G / 514S 04688 01SEP1989 31DEC9999 Y Artery or vein or artery and vein (including brachial, radial, ulnar or tibial), ligation of, by elective operation or repair of surgically created fistula (AU 7) 04689 01MAY1991 31DEC9999 Y RUPTURED ILIAC ARTERY ANEURYSM, replacement by graft (AU 22 - 466/537) 04690 01FEB1984 31DEC9999 Y Great artery or great vein (including jugular, subclavian, axillary, iliac, femoral or popliteal) ligation of (AU 8) 04691 01MAY1991 31DEC9999 Y RUPTURED ANEURYSM OF VISCERAL ARTERY, replacement by anastomosis or graft (AU 22 - 466/537) 04692 01MAY1991 31DEC9999 Y RUPTURED ANEURYSM OF VISCERAL ARTERY, simple ligation of (AU 18 - 462/529) 04693 01FEB1984 31DEC9999 Y Major artery or vein of neck or extremity, repair of wound of, with restoration of continuity (AU 13) 04694 01MAY1991 31DEC9999 Y ANEURYSM OF MAJOR ARTERY, replacement by graft, not covered by any other item in this Part (AU 21 - 465/535) 04695 01FEB1984 31DEC9999 Y Microvascular repair using operating microscope with restoration of continuity of artery or vein of distal extremity or digit (AU 14) 04696 01FEB1984 31DEC9999 Y Major artery or vein of abdomen including aorta and vena cava, repair of wound of, with restoration of continuity (AU 16) 04697 01MAY1991 31DEC9999 Y ENDARTERECTOMY AND ARTERIAL PATCH ARTERY OR ARTERIES OF NECK, endarterectomy of, including closure by suture (where endarterectomy of one or more arteries is undertaken through one arteriotomy incision) (AU 17 - 461/528) 04698 01MAY1991 31DEC9999 Y INTERNAL CAROTID ARTERY, re-operation for recurrent stenosis with endarterectomy and closure by suture (AU 19 - 463/531) 04699 01FEB1984 31AUG1989 N Arterio-venous fistula, dissection and repair of, with restoration of continuity (AU 10) 04699 01SEP1989 31DEC9999 Y Arterio-venous fistula, dissection and repair of, with restoration of continuity (not in association with haemodialysis) (AU 10) 04700 01MAY1991 31DEC9999 Y INNOMINATE OR SUBCLAVIAN ARTERY, endarterectomy of, including closure by suture (AU 18 - 462/529) 04701 01MAY1991 31DEC9999 Y AORTIC ENDARTERECTOMY, including closure by suture, not associated with another procedure on the aorta (AU 18 - 462/529) 04702 01FEB1984 31AUG1989 N Arterio-venous fistula, dissection and ligation of (AU 10) 04702 01SEP1989 31DEC9999 Y Arterio-venous fistula, dissection and ligation of (not in association with haemodialysis) (AU 10) 04703 01MAY1991 31DEC9999 Y AORTD-ILIAC ENDARTERECTOMY (one or both iliac arteries), including closure by suture not associated with Item 4704 (AU 19 - 463/531) 04704 01MAY1991 31DEC9999 Y AORTD-FEMORAL ENDARTERECTOMY (one or both femoral arteries) or BILATERAL ILID-FEMORAL ENDARTERECTOMY, including closure by suture, not in association with Item 4703 (AU 20 - 464/533) 04705 01FEB1984 31AUG1989 N Innominate, subclavian or any intraabdominal artery, endarterectomy of (AU 19) 04705 01SEP1989 31DEC9999 Y Innominate, subclavian or any intra-abdominal artery, endarterectomy of, with closure by simple suture or patch graft, including harvesting of vein (AU 19) 04706 01MAY1991 31DEC9999 Y ILIAC ENDARTERECTOMY, including closure by suture, not associated with another procedure on the iliac artery (AU 17 - 461/528) 04707 01MAY1991 31DEC9999 Y ILIO-FEMORAL ENDARTERECTOMY (one side), including closure by suture (AU 17 - 461/528) 04708 01MAY1991 31DEC9999 Y RENAL ARTERY, endarterectomy of (AU 19 - 463/531) 04709 01FEB1984 31AUG1989 N Artery of neck or extremities, endarterectomy of (AU 15) 04709 01SEP1989 31DEC9999 Y Artery of neck or extremities, endarterectomy of, with closure by simple suture or patch graft, including harvesting of vein (AU 15) 04710 01MAY1991 31DEC9999 Y RENAL ARTERIES (both), endarterectomy of (AU 21 - 465/535) 04711 01MAY1991 31DEC9999 Y COELIAC OR SUPERIOR MESENTERIC ARTERY, endarterectomy of (AU 19 - 463/531) 04712 01MAY1991 31DEC9999 Y COELIAC AND SUPERIOR MESENTERIC ARTERY, endarterectomy of (AU 20 - 464/533) 04713 01MAY1991 31DEC9999 Y INFERIOR MESENTERIC ARTERY, endarterectomy of, not associated with any other item in this Part (AU 19 - 463/531) 04714 01MAY1991 31DEC9999 Y ARTERY OF EXTREMmES, endarterectomy of, including closure by suture (AU 12 - 454/523) 04715 01FEB1984 31DEC9999 Y Great artery or great vein (including carotid, jugular, subclavian, axillary, iliac, femoral or popliteal) ligation of involving gradual occlusion by mechanical device (AU 10) 04716 01MAY1991 31DEC9999 Y EXTENDED DEEP FEMORAL ENDARTERECTOMY where the endarterectomy is at least 7cms long (AU 17 - 461/528) 04717 01MAY1991 31DEC9999 Y ARTERY OR VEIN, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is less than 3cm long (AU 13 - 457/524) 04718 01MAY1991 31DEC9999 Y ARTERY OR VEIN, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is 3cm long or greater (AU 14 - 458/525) 04719 01MAY1991 31DEC9999 Y ARTERY OR VEIN BYPASS GRAFf, patch grafting to using vein or synthetic material, not associated with any other vascular operation (AU 14 - 458/525) 04720 01MAY1991 31DEC9999 Y VEIN, harvesting of from leg or arm for patch when not performed through same incision as operation (AU 9 - 443/518) 04721 01FEB1984 31DEC9999 Y Inferior vena cava, plication or ligation of (AU 12) 04722 01MAY1991 31DEC9999 Y ENDARTERECTOMY, in association with an arterial bypass operation to prepare the site for anastomosis - each site (AU 16 - 460/527) 04723 01MAY1991 31DEC9999 Y EMBOLECTOMY, THROMBECTOMY AND VASCULAR TRAUMA EMBOLUS, removal of, from artery of neck (AU 15 - 459/526) 04724 01MAY1991 31DEC9999 Y EMBOLECTOMY or THROMBECTOMY, by abdominal approach, of an artery or bypass graft of trunk (AU 16 - 460/527) 04725 01MAY1991 31DEC9999 Y EMBOLECTOMY OR THROMBECTOMY, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (AU 11 - 453/522) 04726 01MAY1991 31DEC9999 Y INFERIOR VENA CAVA OR ILIAC VEIN, thrombectomy of (AU 12 - 454/523) 04727 01MAY1991 31DEC9999 Y THROMBUS, removal of, from femoral or other similar large vein (AU 10 - 450/521) 04728 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by lateral suture (AU 12 - 454/523) 04729 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by direct anastomosis (AU 13 - 457/524) 04730 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 15 - 459/526) 04731 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by lateral suture (AU 13 - 457/524) 04732 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by direct anastomosis (AU 14 - 458/525) 04733 01FEB1984 31DEC9999 Y Internal carotid artery, repositioning of (AU 13) 04734 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 16 - 460/527) 04735 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by lateral suture (AU 16 - 460/527) 04736 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by direct anastomosis (AU 17 - 461/528) 04737 01MAY1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by means of interposition graft (AU 18 - 462/529) 04738 01FEB1984 31AUG1989 N Arterial patch graft (AU 12) 04738 01SEP1989 31DEC9999 Y Arterial patch graft including harvesting of vein (AU 12) 04739 01MAY1991 31DEC9999 Y ARTERY OF NECK, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (AU 12 - 454/523) 04740 01MAY1991 31DEC9999 Y LAPAROTOMY for control of post operative bleeding or thrombosis after intraabdominal vascular procedure, where no other procedure is performed (AU 14 - 458/525) 04741 01MAY1991 31DEC9999 Y EXTREMITY, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (AU 12 - 454/523) 04742 01MAY1991 31DEC9999 Y LIGATION, EXCISION, ELECTIVE REPAffi, DECOMPRESSION OF VESISELS I MAJOR ARTERY OF NECK, elective ligation or exploration of, not associated o/ith any other vascular procedure (AU 11 - 453/522) 04743 01MAY1991 31DEC9999 Y GREAT ARTERY OR GREAT VEIN (including subclavian, axillary, iliac, femoral or popliteal), ligation of, or exploration of, not associated with any other vascular procedure (AU 13 - 457/524) 04744 01FEB1984 31AUG1989 N Aorto-iliac or aorto-femoral bifurcate graft (AU 19) 04744 01SEP1989 31DEC9999 Y Aorto-iliac or aorto-femoral or other intra-abdominal straight or bifurcate graft, with or without local endarterectomy to prepare artery for anastomosis (AU 19) 04746 01MAY1991 31DEC9999 Y ARTERY OR VEIN (including brachial, radial, ulnar or tibial), ligation of, by elective operation, or exploration of, not associated with any other vascular procedure (AU 9 - 443/518) 04747 01MAY1991 31DEC9999 Y TEMPORAL ARTERY, biopsy of (AU 7 - 408/514) 04748 01MAY1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and ligation (AU 14 - 458/525) 458/525) 04749 01FEB1984 31AUG1989 N Axillary-femoral by-pass graft or subclavian-femoral by-pass graft (AU 16) 04749 01SEP1989 31DEC9999 Y Axillary or subclavian to femoral by-pass graft or other extra-abdominal arterial by-pass graft, using a synthetic graft, with or without local endarterectomy to prepare artery for anastomosis (AU 16) 04750 01MAY1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE NECK, dissection and ligation (AU 17 - 461/528) 04751 01MAY1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and ligation (AU 19- 463/531) 04752 01MAY1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and repair of, with restoration of continuity (AU 18 - 462/529) 04753 01MAY1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE NECK, dissection and repair of, with restoration of continuity (AU 18 - 462/529) 04754 01FEB1984 31AUG1989 N Arterial or venous graft or by-pass not included in any other item (AU 20) 04754 01SEP1989 31DEC9999 Y Arterial by-pass graft using synthetic graft, with or without local endarterectomy (AU 16) 04755 01JUL1985 31AUG1989 N FEMORAL ARTERY BY-PASS GRAFT using synthetic or vein graft, including harvesting of vein, with below knee anastomosis ANAESTHETIC 20 UNITS - ITEM NOS 464G / 533S 04755 01SEP1989 31DEC9999 Y Femoral artery by-pass graft using synthetic or vein graft, including harvesting of vein, with below knee anastomosis (AU 20) 04756 01FEB1984 31DEC9999 Y Micro-arterial or micro-venous graft using operating microscope (AU 22) 04757 01MAY1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE ABOOMEN, dissection and repair of, with restoration of continuity (AU 22 - 466/537) 04758 01MAY1991 31DEC9999 Y SURGICALLY CREATED ARTERIO-VENOUS FISTULA OF AN EXTREMITY, closure of (AU 10 - 450/521) 04759 01MAY1991 31DEC9999 Y SCALENOTOMY (AU 10 - 450/521) 04760 01MAY1991 31DEC9999 Y FIRST RIB, resection of portion of (AU 13 - 457/524) 04761 01MAY1991 31DEC9999 Y CERVICAL RIB, removal of, or other operation for removal of thoracic outlet compression, not covered by any other item in this Part (AU 13 - 457/524) 04762 01FEB1984 31AUG1989 N Arterial anastomosis (AU 16) 04762 01SEP1989 31DEC9999 Y Arterial anastomosis not associated with any other arterial operation, with or without local endarterectomy to prepare artery for anastomosis (AU 16) 04763 01MAY1991 31DEC9999 Y COELIAC ARTERY, decompression of, for coeliac artery compression syndrome, as an independent procedure (AU 19 - 463/531) 04764 01FEB1984 31DEC9999 Y Microvascular anastomosis of artery or vein using operating microscope, for reimplantation of limb or digit or free transfer of tissue (AU 38) 04765 01MAY1991 31DEC9999 Y POPLITEAL ARTERY, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (AU 13 - 457/524) 04766 01FEB1984 31DEC9999 Y Portal hypertension, vascular anastomosis for (AU 21) 04767 01MAY1991 31DEC9999 Y CAROTID BODY TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is less that 4cm in maximum diameter (AU 19 - 463/531) 04768 01MAY1991 31DEC9999 Y CAROTID BODY TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter (AU 19 - 463/531) 04769 01MAY1991 31DEC9999 Y RECURRENT CAROTID BODY TUMOUR, resection of, with or without repair or 04770 01MAY1991 31DEC9999 Y NECK, excision of infected bypass graft, including closure of vessel or vessels (AU 15 - 459/526) 04771 01MAY1991 31DEC9999 Y AORTO-DUODENAL FISTULA, repair of, by suture of aorta and repair of duodenum (AU 24 - 468/539) 04772 01MAY1991 31DEC9999 Y AORTO-DUODENAL FISTULA, repair of, by insertion of aortic graft and repair of duodenum (AU 26 - 470/541) 04773 01MAY1991 31DEC9999 Y AORTO-DUODENAL FISTULA, repair of, by oversewing of abdominal aorta, repair 04774 01MAY1991 31DEC9999 Y lNFECTED BYPASS GRAFT FROM TRUNK, excision of, including closure of arteries (AU 20 - 464/533) 04775 01MAY1991 31DEC9999 Y lNFECTED AXILLO-FEMORAL OR FEMORO-FEMORAL GRAFT, excision of, including closure of arteries (AU 15 - 459/526) 04776 01MAY1991 31DEC9999 Y lNFECTED BYPASS GRAFT FROM EXTREMITIES, excision of including closure of arteries (AU 15 - 459/526) 04777 01MAY1991 31DEC9999 Y OPERATIONS FOR VASCULAR DISEASE ARTERIOVENOUS SHUNT, EXTERNAL, insertion of (AU 9 - 443/518) 04778 01FEB1984 31AUG1989 N Embolus, removal of, from artery of neck or extremities (AU 12) 04778 01SEP1989 31DEC9999 Y Embolus, removal of, from an artery or by-pass graft of neck or extremities (AU 12) 04779 01MAY1991 31DEC9999 Y ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, in association with another venous or arterial operation (AU 14 - 458/525) 04780 01MAY1991 31DEC9999 Y ARTERIOVENOUS SHUNT, EXTERNAL, removal of (AU 5 - 406/510) 04781 01MAY1991 31DEC9999 Y ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, not in association with another venous or arterial operation (AU 14 - 458/525) 04782 01MAY1991 31DEC9999 Y ARTERIOVENOUS ACCESS DEVICE, insertion of (AU 14 - 458/525) 04783 01MAY1991 31DEC9999 Y ARTERIOVENOUS ACCESS DEVICE, thrombectomy of (AU 11 - 453/522) 04784 01FEB1984 31AUG1989 N Embolus, removal of, from artery of trunk (AU 15) 04784 01SEP1989 31DEC9999 Y Embolus or thrombus, removal of, from artery or prosthetic graft of trunk (AU 15) 04785 01MAY1991 31DEC9999 Y STENOSIS OF ARTERIOVENOUS FISTULA OR PROSTHETIC ARTERIOVENOUS ACCESS DEVICE, correction of (AU 14 - 458/525) 04786 01MAY1991 31DEC9999 Y INTRA-ABDOMINAL ARTERY OR VEIN, cannulation of for infusion chemotherapy, by open operation (excluding aftercare) (AU 11 - 453/522) 04787 01MAY1991 31DEC9999 Y ARTERIAL CANNULATION for infusion chemotherapy by open operation, not covered by Item 4786 (excluding after-care) (AU 10 - 450/521) 04788 01MAY1991 31DEC9999 Y CENTRAL VEIN CATHETERISATION by open exposure, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device (AU 11 - 453/522) 04789 01FEB1984 31DEC9999 Y Thrombus, removal of, from femoral, iliac or other similar large vein (AU 12) 04790 01MAY1991 31DEC9999 Y HICKMAN OR BROVIAC CATHETER, OR OTHER CHEMOTHERAPY DEVICE, removal of (AU 10 - 450/521) 04791 01FEB1984 31DEC9999 Y Abdominal aortic aneurysm, excision of and insertion of graft (AU 26) 04792 01JUL1985 31AUG1989 N THORACO-ABDOMINAL ANEURYSM, excision of and insertion of graft, including reanastomosis of visceral vessels ANAESTHETIC 40 UNITS - ITEM NOS 479G / 550S 04792 01SEP1989 31DEC9999 Y Thoraco-abdominal aneurysm, excision of and insertion of graft, including reanastomosis of visceral vessels (AU 40) 04793 01MAY1991 31DEC9999 Y ISOLA TED LIMB PERFUSION, including cannulation of artery and vein at commencement of procedure, regional perfusion for chemotherapy, or other therapy, repair of arteriotomy and venotomy at conclusion of procedure (excluding aftercare) (AU 18 - 462/529) 04794 01FEB1984 31AUG1989 N Ruptured abdominal aortic aneurysm, excision of and insertion of graft (AU 26) 04794 01SEP1989 31DEC9999 Y Ruptured abdominal aortic aneurysm, excision of and insertion of graft, or repair of aorto-duodenal fistula, including repair of aorta and duodenum (AU 26) 04795 01MAY1991 31DEC9999 Y ENDOVASCULAR INTERVENTION PROCEDURES INFERIOR VENA CAVAL FILTER, insertion of, by percutaneous method using interventional imaging techniques (AU 11 - 453/522) 04796 01MAY1991 31DEC9999 Y INFERIOR VENA CAVAL FILTER, insertion of, by open operation (AU 12 - 454/523) 04797 01MAY1991 31DEC9999 Y INFERIOR VENA CAVA, plication, ligation, or application of caval clip (AU 13 - 457/524) 04798 01FEB1984 31DEC9999 Y Aneurysm of major artery, excision of and insertion of graft (AU 18) 04799 01MAY1991 31DEC9999 Y INFERIOR VENA CAVA, reconstruction of or bypass by vein or synthetic material (AU 24 - 468/539) 04800 01FEB1984 31DEC9999 Y Transluminal arterioplasty including associated radiological services and preparation (AU 12) 04801 01JUL1985 31AUG1989 N EXCISION OF INFECTED PROSTHETIC BY-PASS GRAFT from NECK or EXTREMITIES, including closure of vessel or vessels ANAESTHETIC 14 UNITS - ITEM NOS 458G / 525S 04801 01SEP1989 31DEC9999 Y Excision of infected prosthetic by-pass graft from neck or extremities, including closure of vessel or vessels (AU 14) 04802 01AUG1985 31AUG1989 N EXCISION OF INFECTED PROSTHETIC BY-PASS GRAFT from TRUNK, including closure of vessel or vessels ANAESTHETIC 18 UNITS - ITEM NOS 462G / 529S 04802 01SEP1989 31DEC9999 Y Excision of infected prosthetic by-pass graft from trunk, including closure of vessel or vessels (AU 18) 04803 01MAY1991 31DEC9999 Y CROSS LEG BYPASS GRAFTING, saphenous to iliac or femoral vein (AU 14 - 458/525) 04804 01MAY1991 31DEC9999 Y SAPHENOUS VEIN ANASTOMOSIS to femoral or popliteal vein for femoral vein bypass (AU 14 - 458/525) 04805 01MAY1991 31DEC9999 Y VENOUS STENOSIS OR OCCLUSION, vein bypass for, using vein or synthetic material, not associated with items 4803 or 4804 (AU 13 - 457/524) 04806 01FEB1984 31AUG1989 N Intra-aortic balloon for counterpulsation, operation for insertion by arteriotomy or removal of and arterioplasty (AU 14) 04806 01SEP1989 31DEC9999 Y Intra-aortic balloon for counterpulsation, operation for insertion by arteriotomy, or removal of and arterioplasty (excluding repair by patch graft) (AU 14) 04807 01MAY1991 31DEC9999 Y VEIN STENOSIS, patch angioplasty for, (excluding vein graft stenosis)-using vein or synthetic material (AU 15 - 459/526) 04808 01FEB1984 31DEC9999 Y Arteriovenous shunt, external, insertion of (AU 9) 04809 01MAY1991 31DEC9999 Y VENOUS VALVE, plica tion or repair to restore valve competency (AU 25 - 469/540) 04810 01MAY1991 31DEC9999 Y VEIN TRANSPLANT to restore valvular function (AU 15 - 459/526) 04811 01MAY1991 31DEC9999 Y EXTERNAL STENT, application of, to restore venous valve competency to superficial vein - one stent (AU 10 - 450/521) 04812 01FEB1984 31DEC9999 Y Arteriovenous shunt, external, removal of (AU 5) 04813 01MAY1990 31DEC9999 Y TRANS LUMINAL BALLOON ANGIOPLASTY OF CORONORY ARTERY AND DILATATION OF VESSEL, using interventional imaging techniques ANAESTHETIC 12 UNITS - ITEM NOS 454G I 523S 04814 01MAY1990 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY OF PERIPHERAL VESSEL AND DILATATION OF VESSEL, using interventional imaging techniques ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 04815 01MAY1991 31DEC9999 Y EXTERNAL STENTS, application of, to restore venous valve competency to superficial vein or veins - more than one stent (AU 11 - 453/522) 04816 01MAY1991 31DEC9999 Y EXTERNAL STENT, application of, to restore venous valve competency to deep vein (one stent) (AU 11 - 453/522) 04817 01FEB1984 31DEC9999 Y Arteriovenous anastomosis, direct, of upper or lower limb (AU 14) 04818 01MAY1991 31DEC9999 Y EXTERNAL STENTS, application of, to restore venous valve competency to deep vein or veins (more than one stent) (AU 12 - 454/523) 04819 01MAY1991 31DEC9999 Y PORTAL HYPERTENSION, vascular decompression operation for (including splenorenal, porto-caval and mesenterico-caval anastomosis) (AU 24 - 468/539) 04820 01MAY1991 31DEC9999 Y SYMPATHECTOMY LUMBAR SYMPATHEOUMY (AU 11 - 453/522) 04821 01MAY1991 31DEC9999 Y CERVICAL OR UPPER THORACIC SYMPATHECTOMY by any surgical approach (AU 16 - 460/527) 04822 01FEB1984 31AUG1989 N Intra-arterial infusion of arteries of neck, thorax or abdomen, including initial operation and all postoperative management (AU 13) 04822 01SEP1989 31DEC9999 Y Cannulation of intra-abdominal artery or vein for infusion chemotherapy, by open operation (excluding after-care) (AU 13) 04823 01NOV1985 31AUG1989 N ARTERIAL CANNULATION for infusion chemotherapy by open operation, not covered by Item 4822 (excluding after-care) ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 04823 01SEP1989 31DEC9999 Y Arterial cannulation for infusion chemotherapy, by open operation, not covered by item 4822 (excluding after-care) (AU 10) 04824 01JUL1985 31AUG1989 N CENTRAL VEIN CATHETERISATION by open exposure, using subcutaneous tunnel with pump or access port as with a Hickman or Broviac catheter not covered by item 4825 ANAESTHETIC 8 UNITS - ITEM NOS 409G / 514S 04824 01SEP1989 31DEC9999 Y Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with a Hickman or Broviac catheter, not covered by item 4825 (AU 8) 04825 01NOV1986 31AUG1989 N CENTRAL VEIN CATHETERISATION by open exposure using subcutaneous tunnel with pump or access port as with a Hickman or Broviac catheter in children under the age of 12 years ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 04825 01SEP1989 31DEC9999 Y Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with a Hickman or Broviac catheter, in children under the age or 12 years (AU 12) 04826 01MAY1991 31DEC9999 Y CERVICAL OR UPPER THORACIC SYMPATHECTOMY, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (AU 13 - 457/524) 04827 01MAY1991 31DEC9999 Y LUMBAR SYMPATHECTOMY, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (AU 11 - 453/522) 04828 01MAY1991 31DEC9999 Y DEBRIDEMENT AND AMPUTATIONS FOR VASCULAR DISEASE ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone (AU 8 - 409/517) 04829 01SEP1989 31DEC9999 Y Percutaneous epidural implant for chronic pain-insertion of (one or two stages), not involving laminectomy (AU 8) 04830 01SEP1989 31DEC9999 Y Percutaneous epidural implant for chronic pain-removal of (AU 7) 04831 01MAY1991 31DEC9999 Y ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (AU 9 - 443/518) 04832 01FEB1984 31DEC9999 Y Operation on phalanx (AU 7) 04834 01MAY1991 31DEC9999 Y MISCELLANEOUS VASCULAR PROCEDURES OPERATIVE ARTERIOGRAPHY OR VENOGRAPHY, one or more of, performed during the course of an operative prodedure on an artery or vein on one leg (AU 8 - 409/517) 04835 01MAY1991 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLAS1Y OF CORONARY ARTERY AND DILATATION OF VESSEL, using interventionaI imaging techniques (AU 12 - 454/523) 04836 01MAY1991 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLAS1Y OF PERIPHERAL VESSEL AND DILATATION OF VESSEL, using interventionaI imaging techniques (AU 12 - 454/523) 04837 01MAY1991 31DEC9999 Y OPERATIONS FOR ACUTE OSTEOMYELITIS OPERATION ON PHALANX (AU 7 - 408/514) 04838 01FEB1984 31DEC9999 Y Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, skull, mandible or maxilla (other than alveolar margins)-- one bone (AU 10) 04841 01FEB1984 31DEC9999 Y Operation on mandible or maxilla (other than alveolar margins)-- one bone (D) (AU 10) 04844 01FEB1984 31DEC9999 Y Operation on humerus or femur-- one bone (AU 10) 04853 01FEB1984 31DEC9999 Y Operation on spine or pelvic bones-- one bone (AU 13) 04860 01FEB1984 31DEC9999 Y Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)-- one bone or any combination of adjoining bones (AU 12) 04862 01FEB1984 31DEC9999 Y Operation on mandible or maxilla or mandible and maxilla (other than alveolar margins) (D) (AU 12) 04864 01FEB1984 31DEC9999 Y Operation on humerus or femur-- one bone (AU 11) 04867 01FEB1984 31DEC9999 Y Operation on spine or pelvic bones-- one bone (AU 12) 04870 01FEB1984 31DEC9999 Y Operation on skull (AU 12) 04877 01FEB1984 31DEC9999 Y Operation on any combination of adjoining bones, being bones referred to in Item 4864, 4867 or 4870 (AU 12) 04927 01FEB1984 31DEC9999 Y One digit of hand (G) (AU 6) 04930 01FEB1984 31DEC9999 Y One digit of hand (S) (AU 6) 04934 01FEB1984 31DEC9999 Y Two digits of one hand (G) (AU 7) 04940 01FEB1984 31DEC9999 Y Two digits of one hand (S) (AU 7) 04943 01FEB1984 31DEC9999 Y Three digits of one hand (G) (AU 8) 04948 01FEB1984 31DEC9999 Y Three digits of one hand (S) (AU 8) 04950 01FEB1984 31DEC9999 Y Four digits of one hand (G) (AU 9) 04954 01FEB1984 31DEC9999 Y Four digits of one hand (S) (AU 9) 04957 01FEB1984 31DEC9999 Y Five digits of one hand (G) (AU 10) 04961 01FEB1984 31DEC9999 Y Five digits of one hand (S) (AU 10) 04965 01FEB1984 31DEC9999 Y Finger or thumb, including metacarpal or part of metacarpal-- each digit (G) (AU 6) 04969 01FEB1984 31DEC9999 Y Finger or thumb, including metacarpal or part of metacarpal-- each digit (S) (AU 6) 04972 01FEB1984 31DEC9999 Y Hand, midcarpal or transmetacarpal (G) (AU 7) 04976 01FEB1984 28FEB1985 N Hand, midcarpal or transmetacarpal (S) (AU 7) 04976 01MAR1985 31DEC9999 Y HAND, MIDCARPAL OR TRANSMETACARPAL ANAESTHETIC 7 UNITS (S) - ITEM NOS 408G / 514S 04979 01FEB1984 31DEC9999 Y Hand, forearm or through arm (AU 8) 04983 01FEB1984 31DEC9999 Y At shoulder (AU 12) 04987 01FEB1984 31DEC9999 Y Interscapulothoracic (AU 15) 04990 01FEB1984 31DEC9999 Y One digit of foot (G) (AU 6) 04993 01FEB1984 31DEC9999 Y One digit of foot (S) (AU 6) 04995 01FEB1984 31DEC9999 Y Two digits of one foot (G) (AU 7) 04997 01FEB1984 31DEC9999 Y Two digits of one foot (S) (AU 7) 04999 01FEB1984 28FEB1985 N Three digits of one foot (G) (AU 8) 04999 01MAR1985 31DEC9999 Y THREE DIGITS of one foot (G) ANAESTHETIC 8 UNITS - ITEM NOS 409G / 517S 05000 01JAN2005 30APR2010 N LEVEL 'A' Professional attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management SURGERY CONSULTATION Professional attendance at consulting rooms. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05000 01MAY2010 31DEC9999 Y Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance 05001 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of ordinary complexity 05002 01FEB1984 31DEC9999 Y Three digits of one foot (S) (AU 8) 05003 01JAN2005 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05003 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY) Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05003 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS, HOSPITAL OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05003 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients on one occasion-each patient 05004 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of ordinary complexity 05006 01FEB1984 31DEC9999 Y Four digits of one foot (G) (AU 9) 05007 01JAN2005 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05009 01FEB1984 31DEC9999 Y Four digits of one foot (S) (AU 9) 05010 01JAN2005 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05010 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6 pm on any other day. 05010 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is accommodated in a residential aged care facility (other than accommodation in a self-contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05011 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of ordinary complexity 05012 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high 05013 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high 05014 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high 05015 01FEB1984 31DEC9999 Y Five digits of one foot (G) (AU 10) 05016 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of high complexity 05017 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of high complexity 05018 01FEB1984 31DEC9999 Y Five digits of one foot (S) (AU 10) 05019 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine involving medical decision-making of high complexity 05020 01JAN2005 30APR2010 N LEVEL 'B' Professional attendance involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, OR a professional attendance of less than 20 minutes duration involving components of a service to which item 5040, 5043, 5046, 5049, 5060, 5063, 5064 or 5067 applies SURGERY CONSULTATION (Professional attendance at consulting rooms. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05020 01MAY2010 31OCT2023 N Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance 05020 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation 05021 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of ordinary complexity 05022 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of ordinary complexity 05023 01JAN2005 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05023 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY) Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05023 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS, HOSPITAL OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05023 01JAN2013 31OCT2023 N Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient 05023 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient 05024 01FEB1984 31DEC9999 Y Toe, including metatarsal or part of metatarsal-- each toe (G) (AU 7) 05026 01JAN2005 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05027 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of ordinary complexity 05028 01JAN2005 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05028 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05028 01JAN2013 31OCT2023 N Professional attendance by a general practitioner (other than a service to which another item in the table applies), at a residential aged care facility to residents of the facility, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05028 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner (other than a service to which another item in this Schedule applies), on care recipients in a residential aged care facility, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05029 01FEB1984 31DEC9999 Y Toe, including metatarsal or part of metatarsal-- each toe (S) (AU 7) 05030 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high 05031 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high 05032 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high 05033 01MAR2020 31DEC9999 Y Professional attendance, on a patient 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of high complexity 05034 01FEB1984 31DEC9999 Y Foot at ankle (Syme, Pirogoff types) (AU 8) 05035 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of high complexity 05036 01MAR2020 31DEC9999 Y Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) involving medical decision-making of high complexity 05038 01FEB1984 31DEC9999 Y Foot, midtarsal or transmetatarsal (AU 7) 05039 01MAR2020 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 05040 01JAN2005 30APR2010 N LEVEL 'C' Professional attendance involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of a service to which item 5060, 5063, 5064 or 5067 applies. SURGERY CONSULTATION (Professional attendance at consulting rooms. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05040 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance 05041 01MAR2020 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist's specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (d) the attendance is for at least 60 minutes 05042 01MAR2020 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 05043 01JAN2005 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution). The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05043 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY) Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital or residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05043 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS, HOSPITAL OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital or residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05043 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient 05044 01MAR2020 31DEC9999 Y Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (d) the attendance is for at least 60 minutes 05045 01NOV1979 31DEC9999 Y Through leg or at knee (AU 8) 05046 01JAN2005 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05048 01NOV1979 31DEC9999 Y Through thigh (AU 10) 05049 01JAN2005 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05049 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05049 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05050 01JUL1985 31AUG1989 N THROUGH THIGH, AT KNEE OR BELOW KNEE ANAESTHETIC 10 UNITS - ITEM NOS 450G / 5218 05050 01SEP1989 31DEC9999 Y Through thigh, at knee or below knee (AU 10) 05051 01FEB1984 31DEC9999 Y At hip (AU 14) 05055 01FEB1984 31DEC9999 Y Hindquarter (AU 17) 05057 01NOV1986 31AUG1989 N AMPUTATION STUMP, reamputation of, to provide adequate skin and muscle cover DERIVED FEE - 75% of the original amputation fee ANAESTHETIC - ITEM NOS 488G / 5608 05057 01SEP1989 31DEC9999 Y Amputation stump, reamputation of, to provide adequate skin and muscle cover 05059 01FEB1984 31DEC9999 Y Ear, removal of foreign body in, otherwise than by simple syringing (AU 4) 05060 01JAN2005 30APR2010 N LEVEL 'D' Professional attendance involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan SURGERY CONSULTATION (Professional attendance at consulting rooms. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05060 01MAY2010 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance 05062 01FEB1984 31DEC9999 Y Ear, removal of foreign body in, involving incision of external auditory canal (AU 6) 05063 01JAN2005 30APR2010 N HOME VISIT (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05063 01MAY2010 31OCT2011 N HOME VISIT OR CONSULTATION AT AN INSTITUTION (OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY) Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05063 01NOV2011 31DEC2012 N CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS, HOSPITAL OR A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05063 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient 05064 01JAN2005 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05066 01FEB1984 31DEC9999 Y Aural polyp, removal of (AU 4) 05067 01JAN2005 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day.) 05067 01MAY2010 31DEC2012 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) each patient. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05067 01JAN2013 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05068 01FEB1984 31DEC9999 Y External auditory meatus, surgical removal of keratosis obturans from, not covered by any other item in this Part (AU 9) 05069 01AUG1986 31AUG1989 N MEATOPLASTY involving removal of cartilage or bone or both cartilage and bone not covered by Item 5070 ANAESTHETIC 9 UNITS - ITEM NOS 443G / 5188 05069 01SEP1989 31DEC9999 Y Meatoplasty involving removal of cartilage or bone or both cartilage and bone not covered by item 5070 (AU 9) 05070 01AUG1986 31AUG1989 N MEATOPLASTY involving removal of cartilage or bone or both cartilage and bone associated with Items 5078, 5091, 5095, 5098 or 5100 ANAESTHETIC 7 UNITS - ITEM NOS 408G / 514S 05070 01SEP1989 31DEC9999 Y Meatoplasty involving removal of cartilage or bone or both cartilage and bone associated with items 5078, 5091, 5095, 5098 or 5100 (AU 7) 05071 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation 05072 01FEB1984 31DEC9999 Y External auditory meatus, removal of exostoses in (AU 12) 05073 01SEP1986 31AUG1989 N Correction of AUDITORY CANAL STENOSIS, including meatoplasty, with or without grafting ANAESTHETIC 12 UNITS - ITEM NOS 454G / 5238 05073 01SEP1989 31DEC9999 Y Correction of auditory canal stenosis, including meatoplasty, with or without grafting (AU 12) 05074 01OCT1986 31AUG1989 N RECONSTRUCTION OF EXTERNAL AUDITORY CANAL in association with Items 5095, 5098, 5100 ANAESTHETIC 9 UNITS - ITEM NOS 443G / 5188 05074 01SEP1989 31DEC9999 Y Reconstruction of external auditory canal in association with items 5095, 5098, 5100 (AU 9) 05075 01FEB1984 31DEC9999 Y Myringoplasty, trans-canal approach (Rosen incision) (AU 11) 05076 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient 05077 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item in this Schedule applies, lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05078 01FEB1984 31DEC9999 Y Myringoplasty, post-aural or endaural approach with or without mastoid inspection (AU 12) 05079 01AUG1986 31AUG1989 N ATTICOTOMY without reconstruction of the bony defect, with or without myringoplasty ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 05079 01SEP1989 31DEC9999 Y Atticotomy without reconstruction of the bony defect, with or without myringoplasty (AU 12) 05080 01AUG1986 31AUG1989 N ATTICOTOMY with reconstruction of the bony defect, with or without myringoplasty ANAESTHETIC 14 UNITS - ITEM NOS 458G / 525S 05080 01SEP1989 31DEC9999 Y Atticotomy with reconstruction of the bony defect with or without myringoplasty (AU 14) 05081 01FEB1984 31DEC9999 Y Ossicular chain reconstruction (AU 12) 05085 01FEB1984 31DEC9999 Y Ossicular chain reconstruction and myringoplasty (AU 13) 05087 01FEB1984 31DEC9999 Y Mastoidectomy (cortical) (AU 12) 05091 01FEB1984 31DEC9999 Y Obliteration of the mastoid cavity (AU 10) 05093 01AUG1986 31AUG1989 N MASTOIDECTOMY, intact wall technique, with myringoplasty ANAESTHETIC 16 UNITS - ITEM NOS 460G / 527S 05093 01SEP1989 31DEC9999 Y Mastoidectomy, intact wall technique, with myringoplasty (AU 16) 05094 01AUG1986 31AUG1989 N MASTOIDECTOMY, intact wall technique, with myringoplasty and ossicular chain reconstruction ANAESTHETIC 18 UNITS - ITEM NOS 462G / 529S 05094 01SEP1989 31DEC9999 Y Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (AU 18) 05095 01FEB1984 31DEC9999 Y Mastoidectomy (radical or modified radical) (AU 13) 05098 01FEB1984 31DEC9999 Y Mastoidectomy ( radical or modified radical) and myringoplasty (AU 13) 05100 01FEB1984 31DEC9999 Y Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (AU 14) 05101 01AUG1986 31AUG1989 N REVISION OF MASTOIDECTOMY (radical, modified radical or intact wall), including myringoplasty ANAESTHETIC 16 UNITS - ITEM NOS 460G / 527S 05101 01SEP1989 31DEC9999 Y Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (AU 16) 05102 01FEB1984 31DEC9999 Y Decompression of facial nerve in its mastoid portion (AU 13) 05104 01FEB1984 31DEC9999 Y Decompression of facial nerve in its intracranial portion by intracranial or intrapetrous approach (AU 18) 05106 01FEB1984 31DEC9999 Y Labyrinthotomy or destruction of labyrinth (AU 12) 05108 01FEB1984 31DEC9999 Y Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine approach-- transmastoid, translabyrinthine procedure (including after-care) (AU 39) 05112 01FEB1984 31DEC9999 Y Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine approach-- intracranial procedure (including aftercare) 05113 01AUG1987 31AUG1989 N SKULL BASE TUMOUR, removal of by infra-temporal approach ANAESTHETIC 40 UNITS-ITEM NOS 479G/550S 05113 01SEP1989 31DEC9999 Y Skull base tumour, removal of by infratemporal approach (AU 40) 05114 01AUG1987 31AUG1989 N PARTIAL TEMPORAL BONE RESECTION for removal of tumour involving mastoidectomy with or without decompression of facial nerve. ANAESTHETIC 28 UNITS-ITEM NOS 472G/543S 05114 01SEP1989 31DEC9999 Y Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve (AU 28) 05115 01AUG1987 31AUG1989 N TOTAL TEMPORAL BONE RESECTION for removal of tumour ANAESTHETIC 32 UNITS-ITEM NOS 475G/546S 05115 01SEP1989 31DEC9999 Y Total temporal bone resection for removal of tumour (AU 32) 05116 01FEB1984 31DEC9999 Y Endolymphatic sac, transmastoid decompression with or without drainage of (AU 12) 05117 01AUG1987 31AUG1989 N TRANSLABYRINTHINE VESTIBULAR NERVE SECTION ANAESTHETIC 22 UNITS-ITEM NOS 466G/537S 05117 01SEP1989 31DEC9999 Y Translabyrinthine vestibular nerve section (AU 22) 05118 01AUG1987 31AUG1989 N RETROLABYRINTHINE VESTIBULAR and/or COCHLEAR NERVE SECTION ANAESTHETIC 26 UNITS-ITEM NOS 470G/541S 05118 01SEP1989 31DEC9999 Y Retrolabyrinthine vestibular and/or cochlear nerve section (AU 26) 05119 01AUG1987 31AUG1989 N INTERNAL AUDITORY MEATUS, exploration by middle cranial fossa approach with cranial nerve decompression ANAESTHETIC 23 UNITS-ITEM NOS 467G/538S 05119 01SEP1989 31DEC9999 Y Internal auditory meatus, exploration by middle cranial fossa approach with cranial nerve decompression (AU 23) 05122 01FEB1984 31DEC9999 Y Internal auditory meatus, exploration of, by middle cranial fossa approach with or without removal of tumour (AU 21) 05127 01FEB1984 31DEC9999 Y Fenestration operation-- each ear (AU 11) 05131 01FEB1984 31DEC9999 Y Venous graft to fenestration cavity (AU 12) 05138 01FEB1984 31DEC9999 Y Stapedectomy (AU 11) 05143 01FEB1984 31DEC9999 Y Stapes mobilisation (AU 10) 05147 01FEB1984 31AUG1989 N Repair of round window (AU11) 05147 01SEP1989 31DEC9999 Y Round window surgery including repair or cochleotomy (AU 11) 05148 01AUG1986 31AUG1989 N COCHLEAR IMPLANT, insertion of, including mastoidectomy ANAESTHETIC 23 UNITS-ITEM NOS 467G/538S 05148 01SEP1989 31DEC9999 Y Cochlear implant, insertion of, including mastoidectomy (AU 23) 05152 01FEB1984 31DEC9999 Y Glomus tumour, transtympanic removal of (AU 12) 05158 01FEB1984 31DEC9999 Y Glomus tumour, transmastoid removal of, including mastoidectomy (AU 13) 05162 01FEB1984 31DEC9999 Y Abscess or inflammation of middle ear, operation for (excluding aftercare) (AU 7) 05166 01FEB1984 31DEC9999 Y Middle ear, exploration of (AU 9) 05172 01FEB1984 31DEC9999 Y Middle ear, insertion of tube for drainage of (including myringotomy) (AU 7) 05173 01AUG1986 31AUG1989 N CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, one or more, with or without myringoplasty ANAESTHETIC 10 UNITS-ITEM NOS 450G/521S 05173 01SEP1989 31DEC9999 Y Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty (AU 10) 05174 01AUG1986 31AUG1989 N CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, one or more, with or without myringoplasty with ossicular chain reconstruction ANAESTHETIC 16 UNITS-ITEM NOS 460G/527S 05174 01SEP1989 31DEC9999 Y Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty with ossicular chain reconstruction (AU 16) 05176 01FEB1984 31DEC9999 Y Perforation of tympanum, cauterisation or diathermy of (AU 6) 05177 01AUG1986 31AUG1989 N EXCISION OF RIM OF EARDRUM PERFORATION, not associated with mynngoplasty ANAESTHETIC 6 UNITS-ITEM NOS 407G/513S 05177 01SEP1989 31DEC9999 Y Excision of rim of eardrum perforation, not associated with myringoplasty (AU 6) 05182 01FEB1984 31DEC9999 Y Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (AU 7) 05186 01FEB1984 31DEC9999 Y Tympanic membrane, microinspection of one or both ears under general anaesthesia, not associated with any other item in this Part (AU 7) 05192 01FEB1984 31DEC9999 Y Examination of nasal cavity or postnasal space or nasal cavity and post-nasal space, under general anaesthesia, not associated with any other item in this Part (AU 6) 05196 01FEB1984 31DEC9999 Y Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (AU 8) 05200 01JAN2005 31DEC9999 Y Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance 05201 01FEB1984 31DEC9999 Y Nose, removal of foreign body in, other than by simple probing (AU 6) 05203 01JAN2005 31DEC9999 Y Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance 05205 01FEB1984 31DEC9999 Y Nasal polyp or polypi (simple), removal of 05207 01JAN2005 31DEC9999 Y Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance 05208 01JAN2005 31OCT2023 N Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance 05208 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 45 minutes, but not more than 60 minutes, (other than a service to which another item applies) by a medical practitioner (other than a general practitioner) 05209 01NOV2023 31DEC9999 Y Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which another item applies) by a medical practitioner (other than a general practitioner) 05210 01FEB1984 31DEC9999 Y Nasal polyp or polypi (requiring admission to hospital), removal of (G) (AU 7) 05214 01FEB1984 31DEC9999 Y Nasal polyp or polypi (requiring admission to hospital), removal of (S) (AU 7) 05217 01FEB1984 31AUG1989 N Nasal septum, septoplasty or submucous resection of (AU 9) 05217 01SEP1989 31DEC9999 Y Nasal septum, septoplasty, submucous resection or closure of septal perforation (AU 9) 05220 01JAN2005 30APR2010 N HOME VISITS (Professional attendance on 1 or more patients on 1 occasion at a place other than consulting rooms, hospital, residential aged care facility or institution) BRIEF HOME VISIT of not more than 5 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05220 01MAY2010 31DEC2012 N BRIEF CONSULTATION in an after hours period of not more than 5 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12 noon on a Saturday, or before 8am or after 6pm on any other day 05220 01JAN2013 31DEC9999 Y Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes-an attendance on one or more patients on one occasion-each patient 05223 01JAN2005 30APR2010 N STANDARD HOME VISIT of more than 5 minutes duration but not more than 25 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05223 01MAY2010 31DEC2012 N STANDARD CONSULTATION in an after hours period of more than 5 minutes duration but not more than 25 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12 noon on a Saturday, or before 8am or after 6pm on any other day. 05223 01JAN2013 31DEC9999 Y Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes-an attendance on one or more patients on one occasion-each patient 05227 01JAN2005 30APR2010 N LONG HOME VISIT of more than 25 minutes duration but not more than 45 minutes duration The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05227 01MAY2010 31DEC2012 N LONG CONSULTATION in an after hours period of more than 25 minutes duration but not more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12 noon on a Saturday, or before 8am or after 6pm on any other day. 05227 01JAN2013 31DEC9999 Y Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes-an attendance on one or more patients on one occasion-each patient 05228 01JAN2005 30APR2010 N PROLONGED HOME VISIT of more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05228 01MAY2010 31DEC2012 N PROLONGED CONSULTATION in an after hours period of more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12 noon on a Saturday, or before 8am or after 6pm on any other day. 05228 01JAN2013 31OCT2023 N Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes-an attendance on one or more patients on one occasion-each patient 05228 01NOV2023 31DEC9999 Y Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting more than 45 minutes, but not more than 60 minutes-an attendance on one or more patients on one occasion-each patient 05229 01FEB1984 29FEB1984 N Cauterisation or diathermy of any or all of septum, turbinates or pharynx -each attendance at which the procedure is performed, including any associated consultation (AU 6) 05229 01MAR1984 31AUG1989 N Cauterisation (other than by chemical means) or diathermy of septum, turbinates or pharynx - one or more of these procedures (including any consultation on the same occasion) not associated with any other operation on the nose (AU 6) 05229 01SEP1989 31DEC9999 Y Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum, turbinates or pharynx-one or more of these procedures (including any consultation on the same occasion) not associated with any other operation on the nose (AU 6) 05230 01FEB1984 29FEB1984 N Cauterisation of blood vessels in nose during epistaxis (AU 7) 05230 01MAR1984 31AUG1989 N Cauterisation (other than by chemical means) of blood vessels in nose during an episode of epistaxis, one or both sides (AU 7) 05230 01SEP1989 31DEC9999 Y Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (AU 7) 05233 01FEB1984 31DEC9999 Y Cryotherapy to nose in the treatment of nasal haemorrhage (AU 7) 05234 01AUG1986 31AUG1989 N DIVISION OF NASAL ADHESIONS, with or without stenting not associated with any other operation on the nose and not perfornned during the post-operative period of a nasal operation ANAESTHETIC 6 UNITS-ITEM NOS 407G/513S 05234 01SEP1989 31DEC9999 Y Division of nasal adhesions, with or without stenting not associated with any other operation on the nose and not performed during the post-operative period of a nasal operation (AU 6) 05235 01FEB1984 31DEC9999 Y Dislocation of turbinate or turbinates, one or both sides, not associated with any other item in this Part (AU 6) 05237 01FEB1984 31AUG1989 N Turbinectomy (AU 6) 05237 01SEP1989 31DEC9999 Y Turbinectomy or turbinectomies, partial or total, unilateral (AU 6) 05240 01JAN2005 31DEC9999 Y CONSULTATION AT AN INSTITUTION OTHER THAN A HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 institution on 1 occasion) each patient BRIEF CONSULTATION of not more than 5 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05241 01FEB1984 31AUG1989 N Turbinates, submucous resection of (AU 8) 05241 01SEP1989 31DEC9999 Y Turbinates, submucous resection of, unilateral (AU 8) 05242 01SEP1989 31DEC9999 Y Nasal turbinates, cryotherapy to (AU 6) 05243 01JAN2005 31DEC9999 Y STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05245 01FEB1984 31DEC9999 Y Maxillary antrum, proof puncture and lavage of (AU 6) 05247 01JAN2005 31DEC9999 Y LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05248 01JAN2005 31DEC9999 Y PROLONGED CONSULTATION of more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05249 01FEB1984 31DEC9999 Y Maxillary antrum, proof puncture and lavage of (D) (AU 6) 05254 01FEB1984 31AUG1989 N Maxillary antrum, proof puncture and lavage of-- under general anaesthesia (requiring admission to hospital) (AU 6) 05254 01SEP1989 31DEC9999 Y Maxillary antrum, proof puncture and lavage of-under general anaesthesia (requiring admission to hospital), not associated with any other item in this Part (AU 6) 05259 01FEB1984 31DEC9999 Y Maxillary antrum, proof puncture and lavage of-- under general anaesthesia (D) (AU 6) 05260 01JAN2005 30APR2010 N CONSULTATION AT A RESIDENTIAL AGED CARE FACILITY (Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion) - each patient BRIEF CONSULTATION of not more than 5 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05260 01MAY2010 31DEC2012 N BRIEF CONSULTATION of not more than 5 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05260 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of not more than 5 minutes in duration by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05261 01NOV2023 31DEC9999 Y Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting more than 60 minutes-an attendance on one or more patients on one occasion-each patient 05262 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient at the facility and is not a resident of a self-contained unit, lasting more than 60 minutes by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05263 01JAN2005 30APR2010 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05263 01MAY2010 31DEC2012 N STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05263 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05264 01FEB1984 31DEC9999 Y Maxillary antrum, lavage of-- each attendance at which the procedure is performed, including any associated consultation (AU 6) 05265 01JAN2005 30APR2010 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05265 01MAY2010 31DEC2012 N LONG CONSULTATION of more than 25 minutes duration but not more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05265 01JAN2013 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05267 01JAN2005 30APR2010 N PROLONGED CONSULTATION of more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 1pm on a Saturday, or before 8am or after 8pm on any other day. 05267 01MAY2010 31DEC2012 N PROLONGED CONSULTATION of more than 45 minutes duration. The attendance must be initiated either on a public holiday, on a Sunday, before 8am or after 12noon on a Saturday, or before 8am or after 6pm on any other day. 05267 01JAN2013 31OCT2023 N Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 45 minutes in duration by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05267 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes, but not more than 60 minutes, by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 05268 01FEB1984 31DEC9999 Y Maxillary artery, transantral ligation of (AU 9) 05270 01FEB1984 31DEC9999 Y Antrostomy (radical) (AU 9) 05274 01FEB1984 31DEC9999 Y Antrostomy (radical) (D) (AU 9) 05277 01FEB1984 31DEC9999 Y Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy (AU 10) 05280 01FEB1984 31DEC9999 Y Antrum, intranasal operation on or removal of foreign body from (AU 8) 05282 01FEB1984 31DEC9999 Y Antrum, intranasal operation on or removal of foreign body from (D) (AU 8) 05284 01FEB1984 31DEC9999 Y Antrum, drainage of, through tooth socket (AU 7) 05286 01FEB1984 31DEC9999 Y Antrum, drainage of, through tooth socket (D) (AU 7) 05288 01FEB1984 31DEC9999 Y Oro-antral fistula, plastic closure of (AU 11) 05291 01FEB1984 31DEC9999 Y Oro-antral fistula, plastic closure of (D) (AU 11) 05292 01SEP1986 31AUG1989 N ETHMOIDAL ARTERY OR ARTERIES, transorbital ligation of (unilateral) ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 05292 01SEP1989 31DEC9999 Y Ethmoidal artery or arteries, transorbital ligation of (unilateral) (AU 10) 05293 01AUG1986 31AUG1989 N LATERAL RHINOTOMY with removal of tumour ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 05293 01SEP1989 31DEC9999 Y Lateral rhinotomy with removal of tumour (AU 12) 05295 01FEB1984 31DEC9999 Y Fronto-nasal ethmoidectomy with or without sphenoidectomy (AU 9) 05298 01FEB1984 31DEC9999 Y Radical fronto-ethmoidectomy with osteoplastic flap (AU 13) 05301 01FEB1984 31DEC9999 Y Frontal sinus or ethmoidal sinuses, intranasal operation on (AU 9) 05305 01FEB1984 31DEC9999 Y Frontal sinus, catheterisation of (AU 6) 05308 01FEB1984 31DEC9999 Y Frontal sinus, trephine of (AU 6) 05318 01FEB1984 31DEC9999 Y Frontal sinus, radical obliteration of (AU 10) 05320 01FEB1984 31DEC9999 Y Ethmoidal sinuses, external operation on (AU 10) 05330 01FEB1984 31DEC9999 Y Sphenoidal sinus, intranasal operation on (AU 10) 05343 01FEB1984 31DEC9999 Y Eustachian tube, catheterisation of (AU 6) 05345 01FEB1984 31DEC9999 Y Division of pharyngeal adhesions (AU 7) 05348 01FEB1984 31AUG1989 N Post-nasal spaces, direct examination of, with biopsy nasendoscopy or sinoscopy (unilateral) (AU 7) 05348 01SEP1989 31DEC9999 Y Post nasal space, direct examination of, with or without biopsy (AU 7) 05349 01AUG1986 31AUG1989 N NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX and LARYNX ANAESTHETIC 7 UNITS - ITEM NOS 408G / 514S 05349 01SEP1989 31DEC9999 Y Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx (AU 7) 05350 01AUG1986 31AUG1989 N NASOPHARYNGEAL ANGIOFIBROMA, transpalatal removal ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 05350 01SEP1989 31DEC9999 Y Nasopharyngeal angiofibroma, transpalatal removal (AU 12) 05354 01FEB1984 31AUG1989 N Pharyngeal pouch, removal of (AU 16) 05354 01SEP1989 31DEC9999 Y Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (AU 16) 05357 01FEB1984 31DEC9999 Y Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (AU 14) 05358 01AUG1986 31AUG1989 N CRICOPHARYNGEAL MYOTOMY with or without inversion of pharyngeal pouch ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 05358 01SEP1989 31DEC9999 Y Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (AU 10) 05360 01FEB1984 31DEC9999 Y Pharyngotomy (lateral), with or without total excision of tongue (AU 6) 05361 01OCT1986 31AUG1989 N PARTIAL PHARYNGECTOMY via PHARYNGOTOMY ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 05361 01SEP1989 31DEC9999 Y Partial pharyngectomy via pharyngotomy (AU 12) 05362 01SEP1986 31AUG1989 N PARTIAL PHARYNGECTOMY via PHARYNGOTOMY with partial or total glossectomy ANAESTHETIC 14 UNITS - ITEM NOS 458G / 525S 05362 01SEP1989 31DEC9999 Y Partial pharyngectomy via pharyngotomy with partial or total glossectomy (AU 14) 05363 01FEB1984 31DEC9999 Y Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (G) (AU 7) 05366 01FEB1984 31DEC9999 Y Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (S) (AU 7) 05389 01FEB1984 31DEC9999 Y Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (G) (AU 8) 05392 01FEB1984 31DEC9999 Y Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (S) (AU 8) 05396 01FEB1984 31DEC9999 Y Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (AU 9) 05401 01FEB1984 31DEC9999 Y Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (AU 9) 05407 01FEB1984 31DEC9999 Y Adenoids, removal of (G) (AU 6) 05411 01FEB1984 31DEC9999 Y Adenoids, removal of (S) (AU 6) 05431 01FEB1984 31DEC9999 Y Lingual tonsil or lateral pharyngeal bands, removal of (AU 7) 05445 01FEB1984 31DEC9999 Y Peritonsillar abscess (quinsy) , incision of (AU 7) 05449 01FEB1984 31DEC9999 Y Uvulotomy (AU 6) 05456 01FEB1984 31DEC9999 Y Vallecular or pharyngeal cysts, removal of (AU 8) 05464 01FEB1984 31DEC9999 Y Oesophagoscopy (with rigid oesophagoscope) (AU 6) 05470 01FEB1984 31DEC9999 Y Oesophagoscopy with dilatation or insertion of prosthesis-- each occasion (AU 7) 05480 01FEB1984 31DEC9999 Y Oesophagoscopy (with rigid oesophagoscope) with biopsy (AU 7) 05486 01FEB1984 31DEC9999 Y Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (AU 7) 05490 01FEB1984 31DEC9999 Y Oesophageal stricture, dilatation of, without oesophagoscopy (AU 6) 05492 01FEB1984 31AUG1989 N Oesophagus, pneumatic dilatation of (AU 8) 05492 01SEP1989 31DEC9999 Y Oesophagus, endoscopic pneumatic dilatation of (AU 8) 05498 01FEB1984 31DEC9999 Y Laryngectomy (total) (AU 20) 05499 01AUG1986 31AUG1989 N VERTICAL HEMI-LARYNGECTOMY including tracheostomy ANAESTHETIC 17 UNITS - ITEM NOS 461G / 528S 05499 01SEP1989 31DEC9999 Y Vertical hemi-laryngectomy including tracheostomy (AU 17) 05500 01DEC1986 31AUG1989 N SUPRAGLOTTIC LARYNGECTOMY including tracheostomy ANAESTHETIC 21 UNITS - ITEM NOS 465G / 535S 05500 01SEP1989 31DEC9999 Y Supraglottic laryngectomy including tracheostomy (AU 21) 05508 01FEB1984 31DEC9999 Y Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (AU 20) 05520 01FEB1984 31AUG1989 N Larynx, direct examination of, as an independent procedure (AU 8) 05520 01SEP1989 31DEC9999 Y Larynx, direct examination of the supraglottic, glottic and subglottic regions, not associated with any other procedure on the larynx nor with the administration of a general anaesthetic (AU 8) 05524 01FEB1984 31DEC9999 Y Larynx, direct examination of, with biopsy (AU 8) 05530 01FEB1984 31DEC9999 Y Larynx, direct examination of, with removal of tumour (AU 9) 05534 01FEB1984 31DEC9999 Y Microlaryngoscopy (AU 8) 05538 01AUG1986 31AUG1989 N MICROLARYNGOSCOPY with removal of juvenile papillomata ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 05538 01SEP1989 31DEC9999 Y Microlaryngoscopy with removal of juvenile papillomata (AU 10) 05539 01AUG1986 31AUG1989 N MICROLARYNGOSCOPY with removal of papillomata by laser surgery ANAESTHETIC 13 UNITS - ITEM NOS 457G / 524S 05539 01SEP1989 31DEC9999 Y Microlaryngoscopy with removal of papillomata by laser surgery (AU 13) 05540 01FEB1984 31DEC9999 Y Microlaryngoscopy with removal of tumour (AU 9) 05541 01AUG1986 31AUG1989 N MICROLARYNGOSCOPY with arytenoidectomy ANAESTHETIC 13 UNITS - ITEM NOS 457G / 524S 05541 01SEP1989 31DEC9999 Y Microlaryngoscopy with arytenoidectomy (AU 13) 05542 01FEB1984 31DEC9999 Y Teflon injection into vocal cord (AU 9) 05545 01FEB1984 31DEC9999 Y Larynx, fractured, operation for (AU 15) 05556 01FEB1984 31AUG1989 N Larynx, external operation on or laryngofissure (AU 13) 05556 01SEP1989 31DEC9999 Y Larynx, external operation on, or laryngofissure, with or without cordectomy (AU 13) 05557 01OCT1986 31AUG1989 N LARYNGOPLASTY or TRACHEOPLASTY, including tracheostomy ANAESTHETIC 17 UNITS - ITEM NOS 461G / 528S 05557 01SEP1989 31DEC9999 Y Laryngoplasty or tracheoplasty, including tracheostomy (AU 17) 05572 01FEB1984 31DEC9999 Y Tracheostomy (G) (AU 10) 05598 01FEB1984 31DEC9999 Y Tracheostomy (S) (AU 10) 05601 01FEB1984 31DEC9999 Y Trachea, removal of foreign body in (AU 7) 05605 01FEB1984 31DEC9999 Y Bronchoscopy, as an independent procedure (AU 7) 05611 01FEB1984 31DEC9999 Y Bronchoscopy with biopsy or other diagnostic or therapeutic procedure (AU 8) 05613 01FEB1984 31DEC9999 Y Bronchus, removal of foreign body in (AU 9) 05615 01MAY1990 31DEC9999 Y FIBREOPTIC BRONCHOSCOPY with one or more transbronchial lung biopsies, with or without bronchial or broncho- alveolar lavage, with or without the use of interventional imaging ANAESTHETIC 8 UNITS - ITEM NOS 409G / 517S 05617 01MAY1990 31DEC9999 Y ENDOSCOPIC LASER RESECTION OF ENDOBRONCHIAL TUMOURS for relief of obstruction including any associated endoscopic procedures ANAESTHETIC 15 UNITS - ITEM NOS 459G / 526S 05619 01FEB1984 31DEC9999 Y Bronchoscopy with dilatation of tracheal stricture (AU 7) 05636 01FEB1984 31AUG1989 N Adrenal gland, biopsy or removal of (AU 12) 05636 01SEP1989 31DEC9999 Y Adrenal gland, excision of-partial or total (AU 12) 05642 01FEB1984 31DEC9999 Y Renal transplant, not covered by Items 5644 and 5645 (AU 24) 05644 01FEB1984 31DEC9999 Y Renal transplant, performed by vascular surgeon and urologist operating together-- vascular anastomosis, including aftercare (AU 24) 05645 01FEB1984 31DEC9999 Y Renal transplant, performed by vascular surgeon and urologist operating together-- ureterovesical anastomosis, including after-care 05647 01FEB1984 29FEB1984 N Donor nephrectomy (cadaver) 05647 01MAR1984 31DEC9999 Y Donor nephrectomy (cadaver) , one or both kidneys 05654 01FEB1984 31DEC9999 Y Nephrectomy, complete (G) (AU 11) 05661 01FEB1984 31DEC9999 Y Nephrectomy, complete (S) (AU 11) 05663 01FEB1989 31DEC9999 Y Nephrectomy, complete, complicated by previous surgery on the same kidney (AU 13) 05665 01FEB1984 31AUG1989 N Partial nephrectomy, nephrectomy complicated by previous surgery on the same kidney or nephroureterectomy (AU 13) 05665 01SEP1989 31DEC9999 Y Nephrectomy, partial (AU 13) 05666 01FEB1989 31DEC9999 Y Nephrectomy, partial, complicated by previous surgery on the same kidney (AU 15) 05667 01NOV1984 31DEC9999 Y Nephrectomy, radical, with enbloc dissection of lymph nodes, with or without adrenalectomy (AU 17) 05675 01FEB1984 31AUG1989 N Nephro-ureterectomy, complete, with bladder repair (AU 17) 05675 01SEP1989 31DEC9999 Y Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (AU 17) 05679 01FEB1984 31DEC1984 N Kidney, fused, symphysiotomy for (AU 14) 05679 01JAN1985 31AUG1989 N KIDNEY, FUSED, symphysiotomy for ANAESTHETIC 14 UNITS - ITEM NOS 458G / 525S 05679 01SEP1989 31DEC9999 Y Kidney, fused, renal symphysiotomy for (AU 14) 05683 01FEB1984 31AUG1989 N Kidney, exploration of, with any procedure, not covered by any other item in this Part (AU 10) 05683 01SEP1989 31DEC9999 Y Kidney or perinephric area, exploration of, with or without drainage of, by open exposure, not covered by any other item in this Part (AU 10) 05691 01FEB1984 31AUG1989 N Nephrolithotomy or pyelolithotomy (AU 12) 05691 01SEP1989 31DEC9999 Y Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for one or two stones (AU 12) 05699 01FEB1984 31AUG1989 N Nephrolithotomy or pyelolithotomy, where complicated by previous surgery on the same kidney or for large staghorn calculus filling renal pelvis and calyces (AU 12) 05699 01SEP1989 31DEC9999 Y Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn stone or 3 or more stones, including one or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (AU 12) 05700 01AUG1986 31AUG1989 N EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY and post-operative care for three days, including pre-operative consultation In hospital for assessment for lithotripsy ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 05700 01SEP1989 31DEC9999 Y Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for three days, including pre-treatment consultation (AU 12) 05705 01FEB1984 31DEC9999 Y Ureterolithotomy (AU 11) 05715 01FEB1984 31AUG1989 N Nephrostomy, nephrotomy or pyelostomy with drainage (AU 11) 05715 01SEP1989 31DEC9999 Y Nephrostomy or pyelostomy, open, as an independent procedure (AU 11) 05721 01FEB1984 31DEC9999 Y Nephropexy, as an independent procedure (AU 9) 05724 01FEB1984 31DEC9999 Y Renal cyst or cysts, excision or unroofing of (AU 11) 05726 01FEB1984 31DEC9999 Y Renal biopsy (closed) (AU 6) 05729 01FEB1984 31DEC9999 Y Pyonephrosis, drainage of (AU 11) 05732 01FEB1984 31DEC9999 Y Perinephric abscess, drainage of (AU 9) 05734 01FEB1984 31AUG1989 N Pyeloplasty (AU 14) 05734 01SEP1989 31DEC9999 Y Pyeloplasty,by open exposure (AU 14) 05737 01FEB1984 31AUG1989 N Pyeloplasty, complicated by previous surgery on same kidney or by congenital kidney abnormality or by the operation being on a solitary kidney (AU 14) 05737 01SEP1989 31DEC9999 Y Pyeloplasty in congenitally abnormal kidney or solitary kidney, by open exposure (AU 14) 05738 01FEB1989 31DEC9999 Y Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (AU 15) 05741 01FEB1984 31DEC9999 Y Divided ureter, repair of (AU 13) 05744 01FEB1984 31AUG1989 N Repair of kidney, wound or injury (AU 13) 05744 01SEP1989 31DEC9999 Y Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, not associated with any other procedure performed on the kidney, renal pelvis or renal pedicle (AU 13) 05747 01FEB1984 31AUG1989 N Ureterectomy, complete or partial, with bladder repair (AU 12) 05747 01SEP1989 31DEC9999 Y Ureterectomy, complete or partial, with or without associated bladder repair, not associated with item 5889 (AU 12) 05753 01FEB1984 31AUG1989 N Replacement of ureter by bowel-- unilateral (AU 12) 05753 01SEP1989 31DEC9999 Y Ureter, replacement of, by bowel (AU 12) 05757 01FEB1984 31DEC9999 Y Replacement of ureter by bowel-- bilateral (AU 17) 05763 01FEB1984 31AUG1989 N Ureter (unilateral), transplantation of, into skin (AU 10) 05763 01SEP1989 31DEC9999 Y Ureter, transplantation of, into skin (AU10) 05769 01FEB1984 31DEC9999 Y Ureters (bilateral), transplantation of, into skin (AU 12) 05773 01FEB1984 31AUG1989 N Ureter (unilateral), transplantation of, into bladder (AU 12) 05773 01SEP1989 31DEC9999 Y Ureter, reimplantation into bladder (AU 12) 05777 01FEB1984 31DEC9999 Y Ureters (bilateral), transplantation of, into bladder (AU 14) 05780 01FEB1984 31AUG1989 N Ureter, transplantation of, into bladder with bladder plastic procedure (Boari flap) (AU 12) 05780 01SEP1989 31DEC9999 Y Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (AU 12) 05785 01FEB1984 31AUG1989 N Ureter (unilateral), transplantation of, into intestine (AU 12) 05785 01SEP1989 31DEC9999 Y Ureter, transplantation of, into intestine (AU 12) 05792 01FEB1984 31DEC9999 Y Ureters (bilateral), transplantation of, into intestine (AU 14) 05799 01FEB1984 31AUG1989 N Ureter, transplantation of, into other ureter (AU 12) 05799 01SEP1989 31DEC9999 Y Ureter, transplantation of, into another ureter (AU 12) 05804 01FEB1984 31AUG1989 N Ureter (unilateral), transplantation of, into isolated intestinal loop (AU 14) 05804 01SEP1989 31DEC9999 Y Ureter, transplantation of, into isolated intestinal segment, unilateral (AU 14) 05807 01FEB1984 31AUG1989 N Ureters (bilateral), transplantation of, into isolated intestinal loop (AU 16) 05807 01SEP1989 31DEC9999 Y Ureters, transplantation of, into isolated intestinal segment, bilateral (AU 16) 05808 01FEB1989 31DEC9999 Y Intestinal urinary reservoir, continent, formation of, including formation of nonreturn valves and implantation of ureters (one or both) into reservoir (AU 27) 05809 01FEB1989 31DEC9999 Y Intestinal urinary conduit or ureterostomy, revision of (AU 13) 05812 01FEB1984 31AUG1989 N Ureterotomy, with exploration or drainage, as an independent procedure (AU 11) 05812 01SEP1989 31DEC9999 Y Ureter, exploration of, with or without drainage of, as an independent procedure (AU 11) 05816 01FEB1984 31DEC9999 Y Ureterotomy, with exploration or drainage for tumour, as an independent procedure (AU 11) 05821 01FEB1984 31AUG1989 N Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition-- unilateral (AU 11) 05821 01SEP1989 31DEC9999 Y Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition (AU 11) 05827 01FEB1984 31DEC9999 Y Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition-- bilateral (AU 13) 05831 01FEB1984 31AUG1989 N Reduction ureteroplasty, unilateral (AU 14) 05831 01SEP1989 31DEC9999 Y Reduction ureteroplasty (AU 14) 05836 01FEB1984 31DEC9999 Y Reduction ureteroplasty, bilateral (AU 17) 05837 01FEB1984 31AUG1989 N Closure of cutaneous ureterostomy-- unilateral (AU 9) 05837 01SEP1989 31DEC9999 Y Closure of cutaneous ureterostomy (AU 9) 05840 01FEB1984 31AUG1989 N Bladder, catheterisation of-- where no other surgical procedure is performed (AU 4) 05840 01SEP1989 31DEC9999 Y Bladder, catheterisation of , where no other procedure is performed (AU 4) 05841 01JAN1986 31AUG1989 N CYSTOSCOPY and URETEROSCOPY with or without PYELOSCOPY including, where performed, ureteric meatotomy or dilatation of the ureter (not associated with a service covered by Items 5842 to 5888) ANAESTHETIC 5 UNITS - ITEM NOS 406G / 51 OS 05841 01SEP1989 31DEC9999 Y Ureteroscopy, with or without any one or more of; cystoscopy, ureteric meatotomy, ureteric dilatation and pyeloscopy, not associated with item 5842, 5843, 5845, 5851, 5878 or 5885 (AU 7) 05842 01JAN1986 31AUG1989 N CYSTOSCOPY and URETEROSCOPY with or without PYELOSCOPY including, where performed, ureteric meatotomy or dilatation of the ureter with one or more of the following procedures in the ureter or renal pelvis - biopsy, diathermy, calculus extraction (not associated with a service covered by Item 5841 and Items 5843 to 5888) ANAESTHETIC 6 UNITS - ITEM NOS 407G / 513S 05842 01SEP1989 31DEC9999 Y Ureteroscopy as described in item 5841, plus one or more of extraction of stone, biopsy or diathermy (AU 9) 05843 01JAN1986 31AUG1989 N CYSTOSCOPY and URETEROSCOPY with or without PYELOSCOPY including, where performed, ureteric meatotomy or dilatation of the ureter with ultrasonic or electrohydraulic pulse disintegration of stone in the ureter or renal pelvis (not associated with Items 5841,5842 and 5845 to 5888) ANAESTHETIC 6 UNITS - ITEM NOS 407G / 513S 05843 01SEP1989 31DEC9999 Y Ureteroscopy as described in item 5841, plus destruction of stone with ultrasound, electrohydraulic shock waves, or laser, with extraction of fragments (AU 11) 05845 01FEB1984 31AUG1989 N Cystoscopy, with or without urethral dilatation (AU 5) 05845 01SEP1989 31DEC9999 Y Cystoscopy with urethroscopy, with or without urethral dilatation, not associated with any other urological endoscopic procedure on the lower urinary tract except item 6070 (AU 5) 05846 01DEC1989 31DEC9999 Y CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not associated with Item 3347 ANAESTHETIC 6 UNIITS - ITEM NOS 407G/513S 05847 01FEB1989 31DEC9999 Y Cystoscopy with ureteric catheterisation including imaging of the upper urinary tract, unilateral or bilateral, not associated with item 5851 or 5855 (AU 6) 05849 01FEB1989 31DEC9999 Y Cystoscopy with one or more of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral, not associated with item 5851 or 5855 (AU 6) 05851 01FEB1984 31AUG1989 N Cystoscopy, with ureteric catheterisation, with or without introduction of opaque medium (AU 5) 05851 01SEP1989 31DEC9999 Y Cystoscopy with ureteric catheterisation, unilateral or bilateral, not associated with item 5847 or 5849 (AU 5) 05853 01FEB1984 31DEC9999 Y Cystoscopy, with controlled hydrodilatation of the bladder (AU 5) 05855 01FEB1989 31DEC9999 Y Cystoscopy, with ureteric meatotomy (AU 5) 05861 01FEB1984 31DEC9999 Y Ascending cysto-urethrography (AU 5) 05864 01FEB1984 31AUG1989 N Cystoscopic removal of foreign body (AU 6) 05864 01SEP1989 31DEC9999 Y Cystoscopy with removal of foreign body (AU 6) 05868 01FEB1984 31AUG1989 N Cystoscopy, with biopsy of bladder tumours (AU 6) 05868 01SEP1989 31DEC9999 Y Cystoscopy with biopsy of bladder, not associated with item 5845, 5855, 5871, 5875, 5878, 5881, 6005, 6006 or 6027 (AU 6) 05871 01FEB1984 31AUG1989 N Cystoscopy, with diathermy or resection of superficial bladder tumours or with other diathermy of bladder or prostate (AU 6) 05871 01SEP1989 31DEC9999 Y Cystoscopy with resection or diathermy of bladder tumour or other lesion of the bladder or prostate, not associated with item 5875 (AU 6) 05872 01DEC1989 31DEC9999 Y CYSTOSCOPY, with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not associated with Item 5845 and Items 5853 to 5888 and Items 6005 and 6006 ANAESTHETIC 8 UNITS - ITEM NOS 409G I 517S 05875 01FEB1984 31AUG1989 N Cystoscopy with diathermy or resection of invasive bladder tumours or solitary tumour over 2 centimetres in diameter (AU 6) 05875 01SEP1989 31DEC9999 Y Cystoscopy with diathermy or resection of multiple bladder tumours in more than two quadrants of the bladder or solitary tumour greater than 2 centimetres in diameter (AU 6) 05878 01FEB1984 29FEB1984 N Cystoscopy, with ureteric meatotomy or with resection of ureterocoele (AU 5) 05878 01MAR1984 31AUG1989 N Cystoscopy, with ureteric meatotomy or with resection of ureterocele(AU 5) 05878 01SEP1989 31DEC9999 Y Cystoscopy with resection of ureterocele (AU 5) 05879 01FEB1989 31DEC9999 Y Cystoscopy with injection into bladder wall (AU 5) 05881 01FEB1984 29FEB1984 N Cystoscopy with endoscopic resection bladder neck or cystoscopy with endoscopic incision of bladder neck or both of these procedures (AU 7) 05881 01MAR1984 31AUG1989 N Cystoscopy with endoscopic resection of bladder neck or cystoscopy with endoscopic incision of bladder neck or both of these procedures (AU 7) 05881 01SEP1989 31DEC9999 Y Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (AU 7) 05883 01FEB1984 31DEC9999 Y Endoscopic external sphincterotomy for neurogenic bladder neck obstruction not associated with Item 5881 (AU 7) 05885 01FEB1984 31AUG1989 N Cystoscopy, with endoscopic removal or manipulation of ureteric calculus (AU 6) 05885 01SEP1989 31DEC9999 Y Endoscopic manipulation or extraction of ureteric calculus (AU 6) 05886 01FEB1989 31DEC9999 Y Endoscopic examination of intestinal conduit or reservoir (AU 5) 05888 01FEB1984 29FEB1984 N Litholapaxy, with or without cystoscopy (AU 7) 05888 01MAR1984 31DEC9999 Y Litholapaxy, with or without cystoscopy (AU 7) 235.00 235.00 235.00 235.00 235.00 235.00 Operations on the Bladder (Open) 05889 01FEB1989 31DEC9999 Y Bladder, partial excision of (AU 13) 05891 01FEB1984 31AUG1989 N Bladder, repair of rupture of, or partial excision of, or plastic repair of (G) (AU 13) 05891 01SEP1989 31DEC9999 Y Bladder, repair of rupture (G) (AU 13) 05894 01FEB1984 31AUG1989 N Bladder, repair of rupture of, or partial excision of, or plastic repair of (S) (AU 13) 05894 01SEP1989 31DEC9999 Y Bladder, repair of rupture (S) (AU 13) 05897 01FEB1984 31AUG1989 N Cystostomy or cystotomy, suprapubic (not covered by Item 5903) (G) (AU 8) 05897 01SEP1989 31DEC9999 Y Cystostomy or cystotomy, suprapubic, not covered by item 5903 and not associated with other open bladder procedure (G) (AU 8) 05901 01FEB1984 31AUG1989 N Cystostomy or cystotomy, suprapubic (not covered by Item 5903) (S) (AU 8) 05901 01SEP1989 31DEC9999 Y Cystostomy or cystotomy, suprapubic, not covered by item 5903 and not associated with other open bladder procedure (S) (AU 8) 05903 01FEB1984 31DEC9999 Y Suprapubic stab cystotomy (AU 6) 05905 01FEB1984 31DEC9999 Y Bladder, total excision of (AU 29) 05906 01NOV2006 31DEC9999 Y Professional attendance of not more than 5 minutes duration SURGERY CONSULTATION (Professional attendance at consulting rooms) 05908 01NOV2006 31DEC9999 Y Professional attendance of more than 5 minutes duration but not more than 20 minutes duration SURGERY CONSULTATION (Professional attendance at consulting rooms) 05910 01NOV2006 31DEC9999 Y Professional attendance of more than 20 minutes duration but not more than 40 minutes duration SURGERY CONSULTATION (Professional attendance at consulting rooms) 05912 01NOV2006 31DEC9999 Y Professional attendance of more than 40 minutes duration SURGERY CONSULTATION (Professional attendance at consulting rooms) 05916 01FEB1984 31DEC9999 Y Bladder neck contracture, operation for (AU 9) 05919 01FEB1984 31DEC9999 Y Bladder tumours, suprapubic diathermy of (AU 10) 05929 01FEB1984 31AUG1989 N Diverticulum of bladder, excision or obliteration of (AU 10) 05929 01SEP1989 31DEC9999 Y Bladder diverticulum, excision or obliteration of (AU 10) 05935 01FEB1984 31DEC9999 Y Vesical fistula, cutaneous, operation for (AU 12) 05936 01FEB1989 31DEC9999 Y Cutaneous vesicostomy, establishment of (AU 9) 05941 01FEB1984 31DEC9999 Y Vesico-vaginal fistula, closure of by abdominal approach (AU 12) 05942 01FEB1989 31DEC9999 Y Vesico-vaginal fistula, closure of, synchronous combined approach, abdominal component, including aftercare (AU 12) 05943 01FEB1989 31DEC9999 Y Vesico-vaginal fistula, closure of, synchronous combined approach, vaginal component, including aftercare 05947 01FEB1984 31AUG1989 N Vesico-colic fistula, closure of, excluding bowel resection (AU 11) 05947 01SEP1989 31DEC9999 Y Vesico-intestinal fistula, closure of, excluding bowel resection (AU 11) 05956 01FEB1984 31DEC9999 Y Vesico-rectal fistula, closure of (AU 13) 05964 01FEB1984 31DEC9999 Y Bladder aspiration, by needle 05968 01FEB1984 31DEC9999 Y Cystotomy, with removal of calculus, as an independent procedure (AU 8) 05977 01FEB1984 31AUG1989 N Urethropexy (Marshall-Marchetti operation) (AU 9) 05977 01SEP1989 31DEC9999 Y Bladder stress incontinence, suprapubic procedure for, not covered by item 6406 (AU 9) 05981 01FEB1984 31AUG1989 N Bladder enlargement using intestine or segment of bowel (AU 23) 05981 01SEP1989 31DEC9999 Y Bladder enlargement using intestine (AU 23) 05982 01FEB1989 31DEC9999 Y Bladder extrophy closure, not involving sphincter reconstruction (AU 14) 05984 01FEB1984 31DEC9999 Y Correction of vesico-ureteric reflux-- operation for-- unilateral (AU 12) 05993 01FEB1984 31DEC9999 Y Correction of vesico-ureteric reflux-- operation for-- bilateral (AU 14) 06001 01FEB1984 31AUG1989 N Prostatectomy (suprapubic, perineal or retropubic) (AU 13) 06001 01SEP1989 31DEC9999 Y Prostatectomy, open (AU13) 06004 01JAN2013 31DEC9999 Y Initial professional attendance of 10 minutes or less in duration on a patient by a specialist practising in his or her specialty of neurosurgery if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 06005 01FEB1984 31AUG1989 N Prostatectomy (endoscopic), with or without cystoscopy (AU 10) 06005 01SEP1989 31DEC9999 Y Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by item 6039, 6066 or 6069 (AU 10) 06006 01FEB1989 31DEC9999 Y Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by items 6039, 6066 and 6069, continuation of, within 10 days of initial procedure which had to be discontinued for medical reasons (AU 9) 06007 01NOV2006 31OCT2019 N Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital 06007 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital 06009 01NOV2006 31OCT2019 N Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her-a minor attendance after the first in a single course of treatment at consulting rooms or hospital 06009 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment at consulting rooms or hospital 06010 01FEB1984 31DEC9999 Y Median bar, endoscopic resection of, with or without cystoscopy (AU 9) 06011 01NOV2006 31OCT2019 N Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her-an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital 06011 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital 06013 01NOV2006 31OCT2019 N Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital 06013 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital 06015 01NOV2006 31OCT2019 N Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital 06015 01NOV2019 31DEC9999 Y Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital 06016 01JUL2011 31OCT2012 N The initiation of a professional attendance via video conference rendered by a specialist practising in the specialty of neurosurgery to a patient who is: a) a care recipient receiving care in a residential aged care service; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; or b) located outside an inner metropolitan area, not being an admitted patient; being a service associated with item 6007, 6009, 6011, 6013 or 6015. 06016 01NOV2012 31DEC2012 N Professional attendance on a patient by a specialist practising in his or her specialty of neurosurgery if: (a) the attendance is by video conference; and (b) item 6007, 6009, 6011, 6013 or 6015 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) outside an inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies 06016 01JAN2013 31OCT2019 N Professional attendance on a patient by a specialist practising in his or her specialty of neurosurgery if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6007 lasting more than 10 minutes; or (ii) provided with item 6009, 6011, 6013 or 6015; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 06016 01NOV2019 31DEC9999 Y Professional attendance on a patient by a specialist practising in the specialist's specialty of neurosurgery if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6007 lasting more than 10 minutes; or (ii) provided with item 6009, 6011, 6013 or 6015; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies 06017 01FEB1984 31DEC9999 Y Prostate, total excision of (AU 13) 06018 01NOV2016 31OCT2019 N Professional attendance by an addiction medicine specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided 06018 01NOV2019 31DEC9999 Y Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided 06019 01NOV2016 31OCT2019 N Professional attendance by an addiction medicine specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or (b) that follows an initial assessment under item 6023 in a single course of treatment; or (c) that follows a review under item 6024 in a single course of treatment 06019 01NOV2019 31DEC9999 Y Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or (b) that follows an initial assessment under item 6023 in a single course of treatment; or (c) that follows a review under item 6024 in a single course of treatment 06022 01FEB1984 31AUG1989 N Prostate, open perineal biopsy of (AU 6) 06022 01SEP1989 31DEC9999 Y Prostate, open perineal biopsy or open drainage of abscess (AU 6) 06023 01NOV2016 31OCT2019 N Professional attendance by an addiction medicine specialist in the practice of his or her specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to him or her by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and (d) neither this item nor item 132 has applied to an attendance on the patient in the preceding 12 months by the same addiction medicine specialist 06023 01NOV2019 31DEC9999 Y Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and (d) neither this item nor item 132 has applied to an attendance on the patient in the preceding 12 months by the same addiction medicine specialist 06024 01NOV2016 30APR2017 N Professional attendance by an addiction medicine specialist in the practice of his or her specialty of at least 20 minutes after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and (d) item 6023 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same addiction medicine specialist who claimed item 6023 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period 06024 01MAY2017 31OCT2019 N Professional attendance by an addiction medicine specialist in the practice of his or her specialty of at least 20 minutes, after the first attendance in a single course of treatment, for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and (d) item 6023 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same addiction medicine specialist who claimed item 6023 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period 06024 01NOV2019 31DEC9999 Y Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and (d) item 6023 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same addiction medicine specialist who claimed item 6023 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period 06025 01NOV2016 31OCT2019 N Initial professional attendance of 10 minutes or less, on a patient by an addiction medicine specialist in the practice of his or her specialty, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the addiction medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 06025 01NOV2019 31DEC9999 Y Initial professional attendance of 10 minutes or less, on a patient by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the addiction medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 06026 01NOV2016 31OCT2019 N Professional attendance on a patient by an addiction medicine specialist in the practice of his or her specialty, if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6018 or 6019 and lasting more than 10 minutes; or (ii) provided with item 6023 or 6024; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the addiction medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19 (2) of the Act applies 06026 01NOV2019 31DEC9999 Y Professional attendance on a patient by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6018 or 6019 and lasting more than 10 minutes; or (ii) provided with item 6023 or 6024; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the addiction medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19 (2) of the Act applies 06027 01FEB1984 31DEC9999 Y Prostate, biopsy of, endoscopic, with or without cystoscopy (AU 6) 06028 01NOV2016 31OCT2019 N Group therapy (including any associated consultation with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour, given under the continuous direct supervision of an addiction medicine specialist in the practice of his or her specialty for a group of 2 to 9 unrelated patients, or a family group of more than 2 patients, each of whom is referred to the addiction medicine specialist by a referring practitioner-for each patient 06028 01NOV2019 31DEC9999 Y Group therapy (including any associated consultation with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour, given under the continuous direct supervision of an addiction medicine specialist in the practice of the addiction medicine specialist's specialty for a group of 2 to 9 unrelated patients, or a family group of more than 2 patients, each of whom is referred to the addiction medicine specialist by a referring practitioner-for each patient 06029 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team 06029 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team 06030 01FEB1984 31DEC9999 Y Prostate, needle biopsy of, or injection into (AU 5) 06031 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06031 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06032 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06032 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06033 01FEB1984 31AUG1989 N Prostatic abscess, retropubic or endoscopic drainage of (AU 7) 06033 01SEP1989 31DEC9999 Y Prostatic abscess, endoscopic drainage of (AU 7) 06034 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team 06034 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team 06035 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team 06035 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team 06036 01FEB1984 31DEC9999 Y Urethral sounds, passage of, as an independent procedure (AU 5) 06037 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06037 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06038 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06038 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06039 01FEB1984 31DEC9999 Y Urethral stricture, dilatation of (AU 5) 06040 01FEB1989 31DEC9999 Y Urethra, repair of rupture of distal section (AU 9) 06041 01FEB1984 31AUG1989 N Urethra, repair of rupture of (AU 10) 06041 01SEP1989 31DEC9999 Y Urethra, repair of rupture of prostatic or membranous segment (AU 10) 06042 01NOV2016 31OCT2019 N Attendance by an addiction medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team 06042 01NOV2019 31DEC9999 Y Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team 06044 01FEB1984 31DEC9999 Y Urethral fistula, closure of (AU 8) 06047 01FEB1984 31DEC9999 Y Urethroscopy, as an independent procedure (AU 5) 06050 01DEC1991 31DEC9999 Y [Unidentified item] 06051 01NOV2016 31OCT2019 N Professional attendance by a sexual health medicine specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided 06051 01NOV2019 31DEC9999 Y Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided 06052 01NOV2016 31OCT2019 N Professional attendance by a sexual health medicine specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6051 in a single course of treatment; or (b) that follows an initial assessment under item 6057 in a single course of treatment; or (c) that follows a review under item 6058 in a single course of treatment 06052 01NOV2019 31DEC9999 Y Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6051 in a single course of treatment; or (b) that follows an initial assessment under item 6057 in a single course of treatment; or (c) that follows a review under item 6058 in a single course of treatment 06053 01FEB1984 31AUG1989 N Urethroscopy, with diathermy of tumour (AU 7) 06053 01SEP1989 31DEC9999 Y Urethroscopy, with any one or more of; biopsy, diathermy or removal of foreign body or stone (AU 7) 06056 01FEB1984 31DEC9999 Y Urethroscopy, with removal of stone or foreign body (AU 6) 06057 01NOV2016 31OCT2019 N Professional attendance by a sexual health medicine specialist in the practice of his or her specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to him or her by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6051 or 6052 applies did not take place on the same day by the same sexual health medicine specialist; and (d) neither this item nor item 132 has applied to an attendance on the patient in the preceding 12 months by the same sexual health medicine specialist 06057 01NOV2019 31DEC9999 Y Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the sexual health medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6051 or 6052 applies did not take place on the same day by the same sexual health medicine specialist; and (d) neither this item nor item 132 has applied to an attendance on the patient in the preceding 12 months by the same sexual health medicine specialist 06058 01NOV2016 30APR2017 N Professional attendance by sexual health medicine specialist in the practice of his or her specialty of at least 20 minutes after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051 or 6052 applies did not take place on the same day by the same sexual health medicine specialist; and (d) item 6057 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same sexual health medicine specialist who claimed item 6057 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period 06058 01MAY2017 31OCT2019 N Professional attendance by a sexual health medicine specialist in the practice of his or her specialty of at least 20 minutes, after the first attendance in a single course of treatment, for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051 or 6052 applies did not take place on the same day by the same sexual health medicine specialist; and (d) item 6057 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same sexual health medicine specialist who claimed item 6057 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period 06058 01NOV2019 31DEC9999 Y Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051 or 6052 applies did not take place on the same day by the same sexual health medicine specialist; and (d) item 6057 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same sexual health medicine specialist who claimed item 6057 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period 06059 01NOV2016 31OCT2019 N Initial professional attendance of 10 minutes or less, on a patient by a sexual health medicine specialist in the practice of his or her specialty, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the sexual health medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 06059 01NOV2019 31DEC9999 Y Initial professional attendance of 10 minutes or less, on a patient by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the sexual health medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19(2) of the Act applies; and (d) no other initial consultation has taken place for a single course of treatment 06060 01NOV2016 31OCT2019 N Professional attendance on a patient by a sexual health medicine specialist in the practice of his or her specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6051 or 6052 and lasting more than 10 minutes; or (ii) provided with item 6057 or 6058; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the sexual health medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19 (2) of the Act applies 06060 01NOV2019 31DEC9999 Y Professional attendance on a patient by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6051 or 6052 and lasting more than 10 minutes; or (ii) provided with item 6057 or 6058; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the sexual health medicine specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection 19 (2) of the Act applies 06061 01FEB1984 31DEC9999 Y Urethra, examination of, involving the use of urethroscope, with cystoscopy (AU 5) 06062 01NOV2016 31OCT2019 N Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment 06062 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-initial attendance in a single course of treatment 06063 01NOV2016 31OCT2019 N Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of his or her specialty following referral of the patient to him or her by a referring practitioner-each attendance after the attendance under item 6062 in a single course of treatment 06063 01NOV2019 31DEC9999 Y Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-each attendance after the attendance under item 6062 in a single course of treatment 06064 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team 06064 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team 06065 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06065 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06066 01FEB1984 31DEC9999 Y Urethral meatotomy, external (AU 4) 06067 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06067 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06068 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team 06068 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team 06069 01FEB1984 31AUG1989 N Urethrotomy, external or internal (AU 5) 06069 01SEP1989 31DEC9999 Y Urethrotomy or urethrostomy, internal or external (AU 5) 06070 01FEB1989 31DEC9999 Y Urethrotomy, optical, for urethral stricture (AU 5) 06071 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team 06071 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team 06072 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06072 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team 06074 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06074 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team 06075 01NOV2016 31OCT2019 N Attendance by a sexual health medicine specialist in the practice of his or her specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team 06075 01NOV2019 31DEC9999 Y Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team 06077 01FEB1984 31DEC9999 Y Urethrectomy, partial or complete, for removal of tumour (AU 9) 06079 01FEB1984 31DEC9999 Y Urethro-vaginal fistula, closure of (AU 9) 06080 01NOV2017 31DEC9999 Y Coordination of a TAVI Case Conference by a TAVI Practitioner where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than once per patient in a five year period.) 06081 01NOV2017 31DEC9999 Y Attendance at a TAVI Case Conference by a specialist or consultant physician who does not also perform the service described in item 6080 for the same case conference where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than twice per patient in a five year period.) 06082 01JUL2021 31DEC9999 Y Attendance at a TMVr suitability case conference, by a cardiothoracic surgeon or an interventional cardiologist, to coordinate the conference, if: (a) the attendance lasts at least 10 minutes; and (b) the surgeon or cardiologist is accredited by the TMVr accreditation committee to perform the service Applicable once each 5 years 06083 01FEB1984 31DEC9999 Y Urethro-rectal fistula, closure of (AU 10) 06084 01JUL2021 31DEC9999 Y Attendance at a TMVr suitability case conference, by a specialist or consultant physician, other than to coordinate the conference, if the attendance lasts at least 10 minutes Applicable once each 5 years 06085 01JUL1985 31AUG1989 N PERIURETHRAL TEFLON INJECTION for urinary incontinence including cystoscopy and urethroscopy ANAESTHETIC 5 UNITS - ITEM NOS 406G / 51 OS 06085 01SEP1989 31DEC9999 Y Peri-urethral injection of Teflon, including urethroscopy and cystoscopy (AU 5) 06086 01FEB1984 31DEC9999 Y Urethroplasty-- single stage operation (AU 10) 06087 01OCT2017 31DEC9999 Y A professional attendance, including by telephone or videoconference, on a patient participating in the Health Care Homes Program by or on behalf of a medical practitioner (including a general practitioner but not including a specialist or consultant physician) or participating nurse practitioner employed or otherwise engaged by the Health Care Home trial site at which the patient is enrolled - each patient. The service must be provided to the patient for the purposes of the Health Care Homes Program and the service may be provided to the patient individually or as part of a group. 06089 01FEB1984 31DEC9999 Y Urethroplasty-- two stage operation-- first stage (AU 9) 06091 01DEC1991 31DEC9999 Y [Unidentified item] 06092 01FEB1984 31DEC9999 Y Urethroplasty-- two stage operation-- second stage (AU 9) 06093 01DEC1991 31DEC9999 Y [Unidentified item] 06094 01DEC1991 31DEC9999 Y [Unidentified item] 06095 01FEB1984 31DEC9999 Y Urethroplasty, not covered by any other item in this Part (AU 9) 06098 01FEB1984 31DEC9999 Y Hypospadias, meatotomy and hemicircumcision (AU 7) 06100 01FEB1989 31DEC9999 Y Hypospadias, glanuloplasty incorporating meatal advancement (AU 8) 06105 01FEB1984 31DEC9999 Y Hypospadias, correction of chordee (AU 10) 06107 01FEB1984 31AUG1989 N Hypospadias, correction of chordee with transplantation of prepuce (AU 10) 06107 01SEP1989 31DEC9999 Y Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, first stage (AU 10) 06110 01FEB1984 31AUG1989 N Hypospadias, urethral reconstruction for, with or without urinary diversion (AU 11) 06110 01SEP1989 31DEC9999 Y Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, second stage (AU 11) 06118 01FEB1984 31AUG1989 N Hypospadias, urethral reconstruction and correction of chordee, complete, one stage including urinary diversion (AU 13) 06118 01SEP1989 31DEC9999 Y Hypospadias or epispadias, with or without chordee, correction of, as one stage procedure, not covered by item 6100 (AU 13) 06122 01FEB1984 31DEC9999 Y Hypospadias, secondary correction of (AU 9) 06130 01FEB1984 31DEC9999 Y Epispadias, repair of, not involving sphincter-- each stage (AU 9) 06135 01FEB1984 31DEC9999 Y Epispadias, repair of, including bladder neck closure (AU 10) 06140 01FEB1984 31DEC9999 Y Urethra, diathermy of (AU 4) 06146 01FEB1984 31DEC9999 Y Urethra, excision of prolapse of (AU 7) 06152 01FEB1984 31AUG1989 N Urethra, excision of diverticulum of (AU 8) 06152 01SEP1989 31DEC9999 Y Urethral diverticulum, excision of (AU 8) 06155 01FEB1989 31DEC9999 Y Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (AU 16) 06157 01FEB1984 31AUG1989 N Urethra, operation for correction of male urinary incontinence (AU 9) 06157 01SEP1989 31DEC9999 Y Urethra, operation for correction of male urinary incontinence, not covered by item 6158 or 6161 (AU 9) 06158 01FEB1989 31DEC9999 Y Artificial urinary sphincter, insertion of cuff, perineal approach (AU 10) 06159 01FEB1989 31DEC9999 Y Artificial urinary sphincter, insertion of cuff, abdominal approach (AU 16) 06160 01FEB1989 31DEC9999 Y Artificial urinary sphincter, insertion of pressure regulating balloon and pump (AU 8) 06161 01FEB1989 31DEC9999 Y Artificial urinary sphincter, revision or removal of, with or without replacement (AU 12) 06162 01FEB1984 31AUG1989 N Priapism, decompression operation for, under general anaesthesia (AU 7) 06162 01SEP1989 31DEC9999 Y Priapism, decompression by glanular stab cavernosospongiosum shunt (AU 7) 06166 01FEB1984 31AUG1989 N Priapism, decompression shunt operation for (AU 10) 06166 01SEP1989 31DEC9999 Y Priapism, shunt operation for, not covered by item 6162 (AU 10) 06175 01FEB1984 31AUG1989 N Urethral valves or urethral membrane, endoscopic resection of (AU 7) 06175 01SEP1989 31DEC9999 Y Urethral valve, destruction of, including cystoscopy and urethroscopy (AU 7) 06179 01FEB1984 31DEC9999 Y Penis, partial amputation of (AU 8) 06184 01FEB1984 31DEC9999 Y Penis, complete or radical amputation of (AU 12) 06189 01FEB1984 31AUG1989 N Penis, repair of laceration or fracture involving cavernous tissue (AU 8) 06189 01SEP1989 31DEC9999 Y Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (AU 8) 06194 01FEB1984 30NOV1985 N Penis, repair of avulsion (AU 12) 06194 01DEC1985 31DEC9999 Y PENIS, repair of avulsion ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 06199 01FEB1984 29FEB1984 N Penis, Peyronie's disease, injection procedure for 06199 01MAR1984 31AUG1989 N Penis, Peyronie's disease, injection procedure for 6204 06199 01SEP1989 31DEC9999 Y Penis, injection of, for investigation or treatment of impotence, priapism or Peyronie's plaque 06204 01FEB1984 31AUG1989 N Penis, Peyronie's disease, operation for (AU 8) 06204 01SEP1989 31DEC9999 Y Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (AU 8) 06205 01FEB1989 31DEC9999 Y Penis, surgery to inhibit rapid penile drainage causing impotence, by ligation of deep veins to Bucks fascia including one or deep cavernosal veins, with or without pharmological test (AU 7) 06207 01FEB1989 31DEC9999 Y Penis, lengthening by translocation of corpora (AU 14) 06208 01FEB1984 31AUG1989 N Penis, plastic implantion of (AU 8) 06208 01SEP1989 31DEC9999 Y Penis, artificial erection device, insertion of, into one or both corpora (AU 8) 06210 01FEB1984 31DEC9999 Y Penis, lengthening of by translocation of corpora, as an independent procedure (AU 8) 06212 01FEB1984 31DEC9999 Y Scrotum, partial excision of (AU 7) 06213 01FEB1989 31DEC9999 Y Penis, artificial erection device, insertion of pump and pressure regulating reservoir (AU 11) 06214 01FEB1989 31DEC9999 Y Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (AU 11) 06215 01FEB1989 31DEC9999 Y Penis, frenuloplasty as an independent procedure (AU 5) 06216 01FEB1989 31DEC9999 Y Scrotum, partial excision of (AU 7) 06218 01FEB1984 31DEC9999 Y Testicular biopsy (AU 6) 06221 01FEB1984 31AUG1989 N Spermatocele or epididymal cysts, excision of (G) (AU 6) 06221 01SEP1989 31DEC9999 Y Spermatocele or epididymal cyst, excision of, one or both (G) (AU 6) 06224 01FEB1984 31AUG1989 N Spermatocele or epididymal cysts, excision of (S) (AU 6) 06224 01SEP1989 31DEC9999 Y Spermatocele or epididymal cyst, excision of, one or both (S) (AU 6) 06228 01FEB1984 31AUG1989 N Exploration of the testis, with or without fixation for torsion (AU 5) 06228 01SEP1989 31DEC9999 Y Exploration of scrotal contents, with or without fixation and with or without biopsy (AU 5) 06231 01FEB1984 31AUG1989 N Retroperitoneal lymph node dissection following orchidectomy (unilateral) (AU 12) 06231 01SEP1989 31DEC9999 Y Retroperitoneal lymph node dissection, unilateral, as an independent procedure (AU 12) 06232 01FEB1984 31DEC9999 Y Retroperitoneal lymph node dissection following nephrectomy for tumour (AU 12) 06233 01NOV1979 31DEC9999 Y Orchidoplasty (AU 8) 06234 01FEB1989 31DEC9999 Y Retroperitoneal lymph node dissection, unilateral, as an independent procedure, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (AU 24) 06236 01FEB1984 31DEC9999 Y Epididymectomy (AU 8) 06245 01FEB1984 29FEB1984 N Vaso-vasostomy or vaso-epididymostomy, unilateral, using operating microscope (AU 14) 06245 01MAR1984 31DEC9999 Y Vaso-vasostomy or vaso-epididymostomy, unilateral, using the operating microscope(AU 14) 06246 01FEB1984 31DEC9999 Y Vasoepididymography and vasovesiculography, preparation for, by open operation, as an independent procedure (AU 5) 06247 01FEB1984 31DEC9999 Y Vaso-vasostomy or vaso-epididymostomy (unilateral) (AU 9) 06249 01FEB1984 31DEC9999 Y Vasotomy or vasectomy (unilateral or bilateral) (G) (AU 5) 06253 01FEB1984 31DEC9999 Y Vasotomy or vasectomy (unilateral or bilateral) (S) (AU 5) 06258 01FEB1984 31DEC9999 Y Gynaecological examination under anaesthesia, not associated with any other item in this Part (AU 5) 06262 01FEB1984 29FEB1984 N Intra-uterine contraceptive device, introduction of, not associated with any other item in this Part, or removal of under general anaesthesia, not associated with any other item in this Part (AU 5) 06262 01MAR1984 31DEC9999 Y Intra-uterine contraceptive device, introduction of, not associated with any other item in this Part (AU 5) 06264 01FEB1984 31DEC9999 Y Intra-uterine contraceptive device, removal of under general anaesthesia, not associated with any other item in this Part (AU 5) 06271 01FEB1984 31DEC9999 Y Hymenectomy (AU 5) 06274 01FEB1984 31DEC9999 Y Bartholin's cyst, excision of (G) (AU 7) 06277 01FEB1984 31DEC9999 Y Bartholin's cyst, excision of (S) (AU 7) 06278 01FEB1984 31DEC9999 Y Bartholin's cyst or gland, marsupialisation of (G) (AU 6) 06280 01FEB1984 31DEC9999 Y Bartholin's cyst or gland, marsupialisation of (S) (AU 6) 06284 01FEB1984 31DEC9999 Y Bartholin's abscess, incision of (AU 5) 06290 01FEB1984 31DEC9999 Y Urethra or urethral caruncle, cauterisation of (AU 4) 06292 01FEB1984 31DEC9999 Y Urethral caruncle, excision of (G) (AU 6) 06296 01FEB1984 31DEC9999 Y Urethral caruncle, excision of (S) (AU 6) 06299 01FEB1984 31AUG1989 N Clitoris, amputation of (AU 7) 06299 01SEP1989 31DEC9999 Y Clitoris, amputation of, where medically indicated (AU 7) 06301 01SEP1989 31DEC9999 Y Vulvoplasty or labioplasty, where medically indicated, not associated with Item 6302 (AU 9) 06302 01FEB1984 31AUG1989 N Vulvectomy (simple), vulvoplasty or labioplasty (AU 9) 06302 01SEP1989 31DEC9999 Y Vulva, wide local excision of suspected malignancy; or hemivulvecomy; or superficial vulvectomy, (including colposcopically directed CO2 laser), one or more procedures (AU 9) 06303 01AUG1988 31DEC9999 Y Colposcopically directed CO2 laser therapy for intraepithelial neoplasia of the cervix, vagina, vulva, urethra or anal canal, including associated biopsies-one anatomical site (AU 5) 06304 01AUG1988 31DEC9999 Y Colposcopically directed CO2 laser therapy for intraepithelial neoplasia of the cervix, vagina, vulva, urethra or anal canal, including associated biopsies-two or more anatomical sites (AU 6) 06305 01AUG1988 31DEC9999 Y Colposcopically directed CO2 laser therapy for condylomata, unsuccessfully treated by other methods (AU 6) 06306 01FEB1984 31DEC9999 Y Vulvectomy (radical) (AU 16) 06307 01SEP1989 31DEC9999 Y Vulvectomy (radical) for malignancy (AU 17) 06308 01FEB1984 31DEC9999 Y Pelvic lymph glands, excision of (radical) (AU 15) 06313 01FEB1984 31DEC9999 Y Vagina, dilatation of, as an independent procedure including any associated consultation (AU 4) 06321 01FEB1984 31DEC9999 Y Vagina, removal of simple tumour-- (including Gartner duct cyst) (AU 8) 06325 01FEB1984 29FEB1984 N Vagina, complete removal of (AU 13) 06325 01MAR1984 31DEC9999 Y Vagina, partial or complete removal of(AU 13) 06327 01FEB1984 31DEC9999 Y Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (AU 18) 06332 01FEB1984 31DEC9999 Y Vaginal septum, excision of, for correction of double vagina (AU 12) 06336 01FEB1984 31DEC9999 Y Plastic repair to enlarge vaginal orifice (AU 9) 06342 01FEB1984 31AUG1989 N Colpotomy or colporrhaphy, not covered by any other item in this Part (AU 6) 06342 01SEP1989 31DEC9999 Y Colpotomy, not covered by any other item in this Part (AU 6) 06347 01FEB1984 29FEB1984 N Cystocele or rectocele, repair of, not covered by Item 6358, 6363, 6367 or 6373 (G) (AU 10) 06347 01MAR1984 31DEC9999 Y Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6358, 6363, 6367 or 6373 (G)(AU 10) 06352 01FEB1984 29FEB1984 N Cystocele or rectocele, repair of, not covered by Item 6358, 6363, 6367 or 6373 (S) (AU 10) 06352 01MAR1984 31DEC9999 Y Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6358, 6363, 6367 or 6373 (S)(AU 10) 06358 01FEB1984 29FEB1984 N Cystocele and rectocele, repair of, not covered by Item 6367 or 6373 (G) (AU 10) 06358 01MAR1984 31DEC9999 Y Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6367 or 6373 (G) (AU 10) 06363 01FEB1984 29FEB1984 N Cystocele and rectocele, repair of, not covered by Item 6367 or 6373 (S) (AU 10) 06363 01MAR1984 31DEC9999 Y Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6367 or 6373 (S) (AU 10) 06367 01FEB1984 29FEB1984 N Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) (G) (AU 10) 06367 01MAR1984 31DEC9999 Y Donald-Fothergill or Manchester operation for genital prolapse (G)(AU 10) 06373 01FEB1984 29FEB1984 N Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) (S) (AU 10) 06373 01MAR1984 31DEC9999 Y Donald-Fothergill or Manchester operation for genital prolapse (S)(AU 10) 06389 01FEB1984 31DEC9999 Y Urethrocele, operation for (AU 9) 06396 01FEB1984 31DEC9999 Y Operation involving abdominal approach for repair of enterocoele or suspension of vaginal vault or enterocoele and suspension of vaginal vault (AU 9) 06398 01FEB1989 31DEC9999 Y Vaginal repair of enterocele with or without repair of rectocele, not associated with item 6347, 6352, 6358, 6363, 6367, 6373, 6396, 6518, 6519 or 6544, and where on a previous occasion there had been performed surgery reflected by a procedure in item 6347, 6352, 6458, 6363, 6367, 6373, 6396, 6518, 6519 or 6544 (AU 8) 06401 01FEB1984 31DEC9999 Y Fistula between genital and urinary or alimentary tracts, repair of, not covered by Item 5941, 6079 or 6083 (AU 13) 06406 01FEB1984 31DEC9999 Y Stress incontinence, sling operation for (AU 12) 06407 01FEB1984 31DEC9999 Y Stress incontinence, combined synchronous abdomino-vaginal operation for; abdominal procedure (including after-care) (AU 12) 06408 01FEB1984 31DEC9999 Y Stress incontinence, combined synchronous abdomino-vaginal operation for; vaginal procedure (including after-care) 06411 01FEB1984 29FEB1984 N Cervix, cauterisation, ionisation, diathermy or biopsy of, with or without removal of cervical polyp and with or without dilatation of cervix (AU 5) 06411 01MAR1984 31AUG1989 N Cervix, cauterisation(other than by by chemical means) ionisation, diathermy or biopsy of, with or without removal of cervical polyp, and with or without dilatation of cervix (AU 5) 06411 01SEP1989 31DEC9999 Y Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (AU 5) 06413 01NOV1986 31AUG1989 N CERVIX, removal of polyp or polypi, with or without dilatation of cervix, not associated with item 6411 ANAESTHETIC 5 UNITS - ITEM NOS 406G / 5108 06413 01SEP1989 31DEC9999 Y Cervix, removal of polyp or polypi, with or without dilatation of cervix, not associated with item 6411 (AU 5) 06415 01FEB1984 29FEB1984 N Examination of the uterine cervix by a magnifying colposcope of the Hinselmann type or similar instrument (AU 5) 06415 01MAR1984 31DEC9999 Y Examination of lower female genital tract by a Hinselmann-type colposcope in a patient with a previous abnormal cervical smear or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner (AU 5) 06430 01FEB1984 29FEB1984 N Cervix, cone biopsy, amputation or repair of, not covered by Item 6367 or 6373 (G) (AU 7) 06430 01MAR1984 31DEC9999 Y Cervix, cone biopsy, amputation or repair of, not covered by Item 6367 06431 01FEB1984 31DEC9999 Y Cervix, cone biopsy, amputation or repair of, not covered by Item 6367 or 6373 (S) (AU 7) 06446 01FEB1984 31DEC9999 Y Cervix, dilatation of, under general anaesthesia, not covered by Item 6460,6464 or 6469 (AU 5) 06447 01SEP1989 31DEC9999 Y Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (AU 5) 06451 01FEB1984 31AUG1989 N Hysteroscopy under general anaesthesia or culdoscopy (AU 7) 06451 01SEP1989 31DEC9999 Y Hysteroscopy with dilatation of cervix under general anaesthesia (AU 7) 06452 01SEP1989 31DEC9999 Y Hysteroscopy with endometrial biopsy or suction curettage, or both (AU 7) 06453 01SEP1989 31DEC9999 Y Hysteroscopy with uterine adhesiolysis or polypectomy or tubal catheterization or removal of IUD which cannot be removed by other means, one or more of (AU 8) 06454 01SEP1989 31DEC9999 Y Hysteroscopy and laparoscopy under general anaesthesia involving either myomectomy or resection of uterine septum, or both (AU 10) 06460 01FEB1984 31AUG1989 N Uterus, curettage of, under general anaesthesia, with or without dilatation (including curettage for incomplete miscarriage) (G) (AU 5) 06460 01SEP1989 31DEC9999 Y Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (G) (AU 5) 06464 01FEB1984 31AUG1989 N Uterus, curettage of, under general anaesthesia, with or without dilatation (including curettage for incomplete miscarriage) (S) (AU 5) 06464 01SEP1989 31DEC9999 Y Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (S) (AU 5) 06469 01FEB1984 31DEC9999 Y Evacuation of the contents of the gravid uterus by curettage or suction curettage not covered by Item 6460 or 6464 (AU 5) 06483 01FEB1984 31AUG1989 N Uterus, curettage of, with colposcopy, cervical biopsy and radical diathermy (AU 8) 06483 01SEP1989 31DEC9999 Y Uterus-colposcopy, cervical biopsy and radical diathermy of (AU 8) 06508 01FEB1984 31AUG1989 N Hysterectomy or uterine myomectomy (AU 10) 06508 01SEP1989 31DEC9999 Y Hysterotomy or uterine myomectomy, abdominal (AU 10) 06513 01FEB1984 31AUG1989 N Hysterectomy, sub-total or total, by any route (G) (AU 11) 06513 01SEP1989 31DEC9999 Y Hysterectomy, abdominal, subtotal or total, with or without removal of uterine adnexae (G) (AU 11) 06517 01FEB1984 31AUG1989 N Hysterectomy, sub-total or total, by any route (S) (AU 11) 06517 01SEP1989 31DEC9999 Y Hysterectomy, vaginal, with or without uterine curettage, not covered by item 6544 (S) (AU 11) 06518 01FEB1989 31DEC9999 Y HYSTERECTOMY, VAGINAL, with or without uterine curettage, not covered by Item 6544 ANAESTHETIC]] UNITS - ITEM NOS 453G / 522S (G) 06519 01FEB1989 31DEC9999 Y HYSTERECTOMY, VAGINAL, with or without uterine curettage, not covered by Item 6544 ANAESTHETIC]] UNITS - ITEM NOS 453G / 522S (S) 06532 01FEB1984 31AUG1989 N Hysterectomy, abdominal, with enucleation of ovarian cyst, one or both sides (G) (AU 12) 06532 01SEP1989 31DEC9999 Y Hysterectomy, abdominal, with excision of ovarian, para-ovarian, broad ligament or other adnexal cyst or mass, one or more, with conservation of the ovaries (G) (AU 12) 06533 01FEB1984 31AUG1989 N Hysterectomy, abdominal, with enucleation of ovarian cyst, one or both sides (S) (AU 12) 06533 01SEP1989 31DEC9999 Y Hysterectomy, abdominal, with excision of ovarian, para-ovarian, broad ligament or other adnexal cyst or mass, one or more, with conservation of the ovaries (S) (AU 12) 06536 01FEB1984 31AUG1989 N Hysterectomy and dissection of pelvic glands (AU 17) 06536 01SEP1989 31DEC9999 Y Radical hysterectomy with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any one more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum (AU 17) 06542 01FEB1984 31AUG1989 N Radical hysterectomy without gland dissection (AU 12) 06542 01SEP1989 31DEC9999 Y Radical hysterectomy without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any one or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum (AU 17) 06543 01SEP1989 31DEC9999 Y Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (AU 19) 06544 01FEB1984 31AUG1989 N Hysterectomy, vaginal, with removal of uterine adnexae (AU 12) 06544 01SEP1989 31DEC9999 Y Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, one or more, one or both sides (AU 12) 06553 01FEB1984 31DEC9999 Y Ectopic gestation, removal of (G) (AU 9) 06557 01FEB1984 31DEC9999 Y Ectopic gestation, removal of (S) (AU 9) 06570 01FEB1984 31DEC9999 Y Bicornuate uterus, plastic reconstruction for (AU 14) 06585 01FEB1984 31DEC9999 Y Uterus, suspension or fixation of, as an independent procedure (G) (AU 8) 06594 01FEB1984 31DEC9999 Y Uterus, suspension or fixation of, as an independent procedure (S) (AU 8) 06604 01NOV1979 31DEC9999 Y Laparoscopy, diagnostic, as a diagnostic procedure performed in gynaecology (AU 7) 06607 01NOV1979 31DEC9999 Y Laparoscopy involving one or more of biopsy, puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or any other procedure-- not associated with Item 6611 or 6612 (AU 7) 06611 01FEB1984 31DEC9999 Y Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (G) (AU 8) 06612 01FEB1984 31DEC9999 Y Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (S) (AU 8) 06613 01MAY1990 31DEC9999 Y STERILISATION BY INTERRUPTION OF FALLOPIAN TUBES, when performed in conjunction with Caesarean section ANAESTHETIC 5 UNITS - ITEM NOS 406G / 510S 06631 01FEB1984 31AUG1989 N Tuboplasty (salpingostomy, salpingolysis, or tubal implantation into uterus), unilateral or bilateral (AU 11) 06631 01SEP1989 31DEC9999 Y Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, one or more procedures (AU 11) 06632 01AUG1987 31AUG1989 N MICROSURGICAL TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, one or more procedures ANAESTHETIC 16 UNITS-ITEM NOS 460G/527S 06632 01SEP1989 31DEC9999 Y Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, one or more procedures (AU 16) 06633 01FEB1984 31DEC9999 Y Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope (AU 18) 06638 01FEB1984 29FEB1984 N Fallopian tubes, hydrotubation of, as an isolated procedure, or Rubin test for patency of (AU 7) 06638 01MAR1984 31AUG1989 N Rubin test for patency of Fallopian tubes, or hydrotubation of Fallopian tubes, as a non-repetitive procedure not associated with any other item in this Part (AU 7) 06638 01SEP1989 31DEC9999 Y Hydrotubation of Fallopian tubes as a non-repetitive procedure not associated with any other item in this Part or Rubin test for patency of Fallopian tubes (AU 7) 06639 01MAY1990 31DEC9999 Y RUBINS TEST FOR PATENCY OF FALLOPIAN TUBES ANAESTHETIC 7 UNITS - ITEM NOS 408G I 514S 06641 01FEB1984 31DEC9999 Y Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure (AU 7) 06643 01FEB1984 29FEB1984 N Laparotomy, involving oophorectomy, salpingectomy, salpingooophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst-- one such procedure not associated with hysterectomy (G) (AU 9) 06643 01MAR1984 31DEC9999 Y Laparotomy, involving oophorectomy, salpingectomy, salpingoophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst - one such procedure not associated with hysterectomy (G) (AU 9) 06644 01FEB1984 29FEB1984 N Laparotomy, involving oophorectomy, salpingectomy, salpingooophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst-- one such procedure not associated with hysterectomy (S) (AU 9) 06644 01MAR1984 31DEC9999 Y Laparotomy, involving oophorectomy, salpingectomy, salpingoophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst - one such procedure not associated with hysterectomy (S) (AU 9) 06648 01FEB1984 29FEB1984 N Laparotomy, involving oophorectomy, salpingectomy, salpingooophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst-- two or more such procedures, unilateral or bilateral, not associated with hysterectomy (G) (AU 10) 06648 01MAR1984 31DEC9999 Y Laparotomy, involving oophorectomy, salpingectomy, salpingoophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst - two or more such procedures, unilateral or bilateral, not associated with hysterectomy (G) (AU 10) 06649 01FEB1984 29FEB1984 N Laparotomy, involving oophorectomy, salpingectomy, salpingooophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst-- two or more such procedures, unilateral or bilateral, not associated with hysterectomy (S) (AU 10) 06649 01MAR1984 31DEC9999 Y Laparotomy, involving oophorectomy, salpingectomy, salpingoophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst - two or more such procedures, unilateral or bilateral, not associated with hysterectomy (S) (AU 10) 06655 01FEB1984 31AUG1989 N Radical or debulking operation for ovarian tumour including omentectomy (AU 16) 06655 01SEP1989 31DEC9999 Y Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (AU 16) 06657 01AUG1987 31DEC9999 Y LAPAROTOMY, FOR REASSESSMENT ('second look') in the management of ovarian cancer, including associated biopsies and other procedures ANAESTHETIC 13 UNITS-ITEM NOS 457G/524S 06658 01SEP1989 31DEC9999 Y Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (AU 19) 06659 01SEP1989 31DEC9999 Y Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (AU 19) 06677 01NOV1979 31DEC9999 Y Pelvic abscess, suprapubic drainage of (G) (AU 8) 06681 01NOV1979 31DEC9999 Y Pelvic abscess, suprapubic drainage of (S) (AU 8) 06686 01FEB1984 31DEC9999 Y Ophthalmological examination under general anaesthesia, not associated with any other item in this Part (AU 5) 06688 01FEB1984 31DEC9999 Y Eye, enucleation of, with or without sphere implant (AU 8) 06692 01FEB1984 31DEC9999 Y Eye, enucleation of, with insertion of integrated implant (AU 9) 06697 01FEB1984 31DEC9999 Y Globe, evisceration of (AU 8) 06699 01FEB1984 31DEC9999 Y Globe, evisceration of, and insertion of intrascleral ball or cartilage (AU 9) 06701 01FEB1984 31DEC9999 Y Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure, or removal of implant from socket (AU 9) 06703 01FEB1984 31DEC9999 Y Orbit, skin graft to, as a delayed procedure (AU 7) 06705 01FEB1984 31DEC9999 Y Contracted socket, reconstruction including mucous membrane grafting and stent mould (AU 11) 06707 01FEB1984 31DEC9999 Y Orbit, exploration with or without biopsy, requiring removal of bone (AU 9) 06709 01FEB1984 31DEC9999 Y Orbit, exploration of, with drainage or biopsy not requiring removal of bone (AU 8) 06715 01FEB1984 31DEC9999 Y Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (AU 11) 06722 01FEB1984 31DEC9999 Y Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (AU 12) 06724 01FEB1984 31DEC9999 Y Orbit, exploration of, with removal of tumour or of foreign body (AU 10) 06728 01FEB1984 29FEB1984 N Eyeball, perforating wound of, not involving intraocular structures-- repair (AU 10) 06728 01MAR1984 31DEC9999 Y Eyeball, perforating wound of, not involving intraocular structures - repair involving suture of cornea or sclera, or both, not covered by Item 6807 (AU 10) 06730 01FEB1984 31DEC9999 Y Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue-- repair (AU 12) 06736 01FEB1984 31DEC9999 Y Eyeball, perforating wound of, with incarceration of lens or vitreous-- repair (AU 12) 06740 01FEB1984 31DEC9999 Y Intraocular foreign body, magnetic removal from anterior segment (AU 10) 06742 01FEB1984 31DEC9999 Y Intraocular foreign body, nonmagnetic removal from anterior segment (AU 11) 06744 01FEB1984 31DEC9999 Y Intraocular foreign body, magnetic removal from posterior segment (AU 10) 06747 01FEB1984 31DEC9999 Y Intraocular foreign body, nonmagnetic removal from posterior segment (AU 12) 06752 01FEB1984 31DEC9999 Y Abscess (intraorbital), drainage of (AU 6) 06754 01FEB1984 31DEC9999 Y Tarsal cyst, extirpation of (AU 6) 06758 01FEB1984 31DEC9999 Y Tarsal cartilage, excision of (AU 8) 06762 01FEB1984 29FEB1984 N Ectropion, tarsal cauterisation for 06762 01MAR1984 31DEC9999 Y Ectropion, tarsal cauterisation for 6766 06766 01FEB1984 31DEC9999 Y Tarsorrhaphy (AU 8) 06767 01FEB1984 31AUG1989 N Electrolysis epilation for trichiasis, each treatment (AU 6) 06767 01SEP1989 31DEC9999 Y Cryotherapy or electrolysis epilation for trichiasis-each treatment (AU 6) 06768 01FEB1984 31DEC9999 Y Canthoplasty, medial or lateral (AU 9) 06772 01FEB1984 31DEC9999 Y Lacrimal gland, excision of palpebral lobe (AU 8 ) 06774 01FEB1984 31DEC9999 Y Lacrimal sac, excision of, or operation on (AU 8) 06778 01FEB1984 31DEC9999 Y Dacryocystorhinostomy (AU 11) 06786 01FEB1984 31DEC9999 Y Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (AU 12) 06792 01FEB1984 31AUG1989 N Lacrimal canalicular system, reconstruction of (AU 8) 06792 01SEP1989 31DEC9999 Y Lacrimal canalicular system, establishment of patency by open operation (AU 8) 06796 01FEB1984 31DEC9999 Y Lacrimal canaliculus, immediate repair of (AU 8) 06799 01FEB1984 31AUG1989 N Naso-lacrimal duct, probing for obstruction, one or both ducts (AU 4) 06799 01SEP1989 31DEC9999 Y Nasolacrimal tube (unilateral) replacement of, under general anaesthesia, or lacrimal passages, probing for obstruction, unilateral or bilateral, with or without lavage (AU 4) 06802 01FEB1984 31AUG1989 N Lacrimal passages, lavage of (excluding after-care) (AU 4) 06802 01SEP1989 31DEC9999 Y Lacrimal passages, lavage of, unilateral, not associated with item 6799 (excluding after-care) (AU 4) 06805 01FEB1984 31DEC9999 Y Punctum snip operation (AU 4) 06807 01FEB1984 31DEC9999 Y Conjunctival peritomy or repair of corneal laceration by conjunctival flap (AU 6) 06810 01FEB1984 31DEC9999 Y Conjunctival graft over cornea (AU 7) 06816 01NOV1979 31DEC9999 Y Cornea or sclera, removal of superficial foreign body from (excluding after-care) (AU 6) 06818 01FEB1984 31DEC9999 Y Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (AU 8) 06820 01FEB1984 31DEC9999 Y Corneal scars, removal of, by partial keratectomy (AU 8) 06824 01FEB1984 31AUG1989 N Cornea, epithelial debridement for dendritic ulcer (excluding after-care) (AU 8) 06824 01SEP1989 31DEC9999 Y Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care) (AU 8) 06828 01FEB1984 31DEC9999 Y Cornea, transplantation of, full thickness, including collection of implant (AU 13) 06832 01FEB1984 31DEC9999 Y Cornea, transplantation of, superficial or lamellar, including collection of transplant (AU 11) 06833 01NOV1984 31DEC9999 Y Refractive keratoplasty (excluding radial keratotomy) following corneal grafting or intraocular operation including any measurements and calculations associated with the procedure (AU 10) 06835 01FEB1984 31DEC9999 Y Conjunctiva, cautery of, including treatment of pannus-- each attendance at which treatment is given including any associated consultation (AU 4) 06837 01FEB1984 31DEC9999 Y Pterygium, removal of (AU 6) 06842 01FEB1984 31DEC9999 Y Pinguecula, removal of (AU 6) 06846 01FEB1984 31DEC9999 Y Limbic tumour, removal of (AU 7) 06848 01FEB1984 31DEC9999 Y Lens extraction (AU 11) 06852 01FEB1984 31DEC9999 Y Artificial lens, insertion of (AU 11) 06857 01FEB1984 31AUG1989 N Artificial lens, removal of (AU 9) 06857 01SEP1989 31DEC9999 Y Artificial lens, removal or repositioning of by open operation-not associated with item 6852 (AU 9) 06858 01NOV1984 31DEC9999 Y Artificial lens, removal of and replacement with a different lens (AU 12) 06859 01FEB1984 31DEC9999 Y Cataract, juvenile, removal of, including subsequent needlings (AU 11) 06861 01FEB1984 31AUG1989 N Capsulectomy, or removal of, vitreous via the anterior chamber (AU 9) 06861 01SEP1989 31DEC9999 Y Capsulectomy or removal of vitreous via the anterior chamber by any method, not associated with any other intraocular operation on that eye (AU 9) 06862 01JUL1985 31AUG1989 N CAPSULECTOMY by posterior chamber sclerotomy OR REMOVAL OF VITREOUS or VITREOUS BANDS from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation on that eye - one or both procedures. (See Explanatory Notes covering this Item) ANAESTHETIC 15 UNITS - ITEM NOS 459G / 526S 06862 01SEP1989 31DEC9999 Y Capsulectomy by posterior chamber sclerotomy or removal of vitreous or vitreous bands from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation on that eye-one or both procedures (AU 15) 06863 01FEB1984 29FEB1984 N Virectomy via posterior chamber sclerotomy with removal of vitreous by cutting and suction and replacement by saline, Hartmann's or similar solution (AU 25) 06863 01MAR1984 31AUG1989 N Vitrectomy via posterior chamber sclerotomy with removal of vitreous by cutting and suction and replacement by saline, Hartmann's or similar solution (AU 25) 06863 01SEP1989 31DEC9999 Y Vitrectomy by posterior chamber sclerotomy-including the removal of vitreous, division of bands or removal of pre-retinal membranes by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation on that eye (AU 25) 06864 01JUL1985 31AUG1989 N CAPSULECTOMY or LENSECTOMY by posterior chamber sclerotomy associated with the removal of vitreous or division of vitreous bands or removal of pre-retinal membrane from the posterior chamber by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation. (See Explanatory Notes covering this Item) ANAESTHETIC 25 UNITS - ITEM NOS 469G / 540S 06864 01SEP1989 31DEC9999 Y Capsulectomy or lensectomy by posterior chamber sclerotomy associated with the removal of vitreous or division of vitreous bands or removal of pre-retinal membrane from the posterior chamber by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation (AU 25) 06865 01FEB1984 31DEC9999 Y Capsulotomy, needling or paracentesis for diagnosis or relief of tension (AU 7) 06871 01FEB1984 31DEC9999 Y Anterior chamber, irrigation of blood from, as an independent procedure (AU 7) 06873 01FEB1984 31DEC9999 Y Glaucoma, filtering and allied operations in the treatment of (AU 10) 06879 01FEB1984 31DEC9999 Y Goniotomy (AU 10) 06881 01FEB1984 31DEC9999 Y Division of anterior or posterior synechiae, as an independent procedure (AU 9) 06885 01FEB1984 31DEC9999 Y Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure (AU 10) 06889 01FEB1984 31DEC9999 Y Iris, light coagulation of (AU 6) 06894 01FEB1984 31DEC9999 Y Tumour, involving ciliary body or ciliary body and iris, excision of (AU 12) 06898 01FEB1984 31DEC9999 Y Cyclodiathermy or cyclocryotherapy (AU 8) 06900 01FEB1984 31AUG1989 N Detached retina, diathermy or cryotherapy for (AU 11) 06900 01SEP1989 31DEC9999 Y Detached retina, diathermy or cryotherapy for, not associated with item 6902 (AU 11) 06902 01FEB1984 31DEC9999 Y Detached retina, resection of, or buckling operation for, or revision operation for (AU 15) 06904 01FEB1984 31AUG1989 N Photocoagulation, each attendance at which treatment is given (AU 10) 06904 01SEP1989 31DEC9999 Y Photocoagulation, treatment to one or both eyes (AU 10) 06906 01FEB1984 31DEC9999 Y Detached retina, removal of encircling silicone band from (AU 8) 06908 01FEB1984 31DEC9999 Y Retina, cryotherapy to, as an independent procedure (AU 13) 06914 01FEB1984 31DEC9999 Y Retrobulbar transillumination, as an independent procedure (AU 5) 06918 01FEB1984 31DEC9999 Y Retrobulbar injection of alcohol or other drug, as an independent procedure 06920 01SEP1989 31DEC9999 Y Injection of botulinus toxin for blepharospasm or strabismus 06922 01FEB1984 31DEC9999 Y Squint, operation for, on one or both eyes, the operation involving a total of one or two muscles (AU 8) 06924 01FEB1984 31AUG1989 N Squint, operation for, on one or both eyes, the operation involving a total of three or four muscles (AU 9) 06924 01SEP1989 31DEC9999 Y Squint, operation for, on one or both eyes, the operation involving a total of three or more muscles (AU 9) 06928 01NOV1979 31DEC9999 Y Squint, operation for, on one or both eyes, the operation involving a total of more than four muscles (AU 10) 06929 01JUL1985 31AUG1989 N READJUSTMENT OF ADJUSTABLE SUTURES, one or both eyes, as an independent procedure following an operation for correction of squint ANAESTHETIC 6 UNITS - ITEM NOS 407G / 513S 06929 01SEP1989 31DEC9999 Y Readjustment of adjustable sutures, one or both eyes, as an independent procedure following an operation for correction of squint (AU 6) 06930 01FEB1984 31DEC9999 Y Squint, muscle transplant for (Hummelsheim type, etc.) (AU 9) 06931 01JUL1985 31AUG1989 N RECURRENT SQUINT OPERATION, one or both eyes, being an operation referred to in Item 6922,6924 or 6930 where there has been two or more previous squint operations on the eye or eyes DERIVED FEE - The fee specified for Item 6922,6924 or 6930 plus one-quarter of that fee ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 06931 01SEP1989 31DEC9999 Y Recurrent squint operation, one or both eyes, being an operation referred to in item 6922, 6924 or 6930 where there has been two or more previous squint operations on the eye or eyes (AU 10) 06932 01FEB1984 31DEC9999 Y Ruptured medial palpebral ligament or ruptured extra-ocular muscle, repair of (AU 9) 06938 01FEB1984 31DEC9999 Y Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (AU 9) 06939 01MAY1990 31DEC9999 Y THORACIC CAVITY, aspiration of, for diagnostic purposes, not associated with Item 6941 06940 01FEB1984 31DEC9999 Y Thoracic cavity, aspiration or paracentesis of, or both (excluding after-care) 06941 01MAY1990 31DEC9999 Y THORACIC CAVITY, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample 06942 01FEB1984 31DEC9999 Y Pericardium, paracentesis of (excluding after-care) (AU 6) 06953 01FEB1984 31DEC9999 Y Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (AU 7) 06954 01SEP1989 31DEC9999 Y Percutaneous needle biopsy of lung (AU 7) 06955 01FEB1984 31DEC9999 Y Empyema, radical operation for, involving resection of rib (AU 13) 06958 01FEB1984 31DEC9999 Y Thoracotomy, exploratory, with or without biopsy (AU 11) 06962 01FEB1984 31DEC9999 Y Thoracotomy with pulmonary decortication (AU 17) 06964 01FEB1984 31DEC9999 Y Thoracotomy for pleurectomy or pleurodesis; or enucleation of hydatid cysts (AU 16) 06966 01FEB1984 31DEC9999 Y Thoracoplasty (complete) (AU 21) 06968 01FEB1984 31DEC9999 Y Thoracoplasty (in stages)-- each stage (AU 14) 06972 01FEB1984 31DEC9999 Y Pectus excavatum or pectus carinatum, radical correction of (AU 16) 06974 01FEB1984 31DEC9999 Y Thoracoscopy, with or without division of pleural adhesions (AU 7) 06980 01FEB1984 31DEC9999 Y Pneumonectomy or lobectomy (AU 18) 06986 01FEB1984 31DEC9999 Y Oesophagectomy with direct anastomosis or with stomach transposition (AU 23) 06988 01FEB1984 31DEC9999 Y Oesophagectomy with interposition of small or large bowel (AU 27) 06992 01FEB1984 31DEC9999 Y Mediastinum, cervical exploration of, with or without biopsy (AU 10) 06995 01FEB1984 31DEC9999 Y Pericardium, transthoracic drainage of (other than for treatment of constrictive pericarditis) (AU 14) 06997 01NOV1979 31DEC9999 Y Hernia, hiatus or other diaphragmatic, transthoracic repair of (AU 15) 06999 01FEB1984 31DEC9999 Y Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum or on more than one of those organs, not covered by any other item in this Part (AU 28) 07001 01FEB1984 29FEB1984 N Right heart catheterisation-- including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test (AU 12) 07001 01MAR1984 31DEC9999 Y Measurement of intracardiac conduction times or right heart catheterisation, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test(AU 12) 07002 01FEB1984 31DEC9999 Y Intracardiac electrophysiological investigations not covered by Item 7001 (AU 16) 07003 01FEB1984 31DEC9999 Y Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture-- including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 12) 07006 01FEB1984 31DEC9999 Y Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure-- including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 14) 07007 01DEC1989 31DEC9999 Y CARDIAC ELECTRO PHYSIOLOGICAL STUDY - up to and including 3 catheter investigation of anyone or more of - syncope, atrioventricular conduction, sinus node function or simple ventricular tachycardia studies, not in association with Item 7008 ANAESTHETIC 19 UNITS - ITEM NOS 463G / 531S 07008 01DEC1989 31DEC9999 Y CARDIAC ELECTRO PHYSIOLOGICAL STUDY - 4 or more catheter supraventricular tachycardia invcstigation; or complex ventricular tachycardia investigation involving multiple ventricular tachycardia inductions, multiple catheter mapping, or acute intravenous anti-arryhthmic drug testing with pre and post drug inductions; or catheter ablation; or intra-operative mapping; or clectrophysiological services during defibrillator implantation or testing - not in association with Item 7007 ANAESTHETIC 27 UNITS - ITEM NOS 471G / 542S 07011 01FEB1984 31DEC9999 Y Selective coronary arteriography-- placement of catheters and injection of opaque material (AU 14) 07013 01FEB1984 31DEC9999 Y Selective coronary arteriography-- placement of catheters and injection of opaque material with right or left heart catheterisation, or both (AU 16) 07015 01MAY1991 31DEC9999 Y INTRA-AORTIC BALLOON FOR COUNTERPULSATION, operation for insertion by arteriotomy, or removal and arterioplasty (excluding repair by patch graft) (AU 14 - 458/525) 07021 01FEB1984 31DEC9999 Y Permanent internal pacemaker and myocardial electrodes, insertion or replacement of by thoracotomy (AU 11) 07028 01FEB1984 31DEC9999 Y Permanent transvenous electrode, insertion or replacement of (AU 12) 07033 01FEB1984 31DEC9999 Y Permanent pacemaker, insertion or replacement of (AU 12) 07042 01FEB1984 31DEC9999 Y Temporary transvenous pacemaking electrode, insertion of (AU 11) 07044 01FEB1984 31DEC9999 Y Open heart surgery for congenital heart disease in children up to two years, excluding patent ductus arteriosus (AU 38) 07046 01FEB1984 31DEC9999 Y Open heart surgery for single valve replacement, atrial septal defect, pulmonary valvotomy, congenital heart disease (not covered by Item 7044) or any other open heart operation not covered by any other item in this Part (AU 32) 07057 01FEB1984 31DEC9999 Y Open heart surgery on more than one valve or involving more than one chamber (AU 38) 07066 01FEB1984 31DEC9999 Y Coronary artery or arteries, direct surgery to, employing cardiopulmonary by-pass (AU 36) 07070 01MAY1991 31DEC9999 Y LUMBAR PUNCTURE, or spinal or epidural injection not covered by Item 748 (AU 5 - 406/510) 07071 01MAY1991 31DEC9999 Y CISTERNAL PUNCTURE 07072 01MAY1991 31DEC9999 Y DIAGNOSTIC PROCEDURES VENTRICULAR PUNCfURE (not including burr-hole) 07073 01MAY1991 31DEC9999 Y SUBDURAL HAEMORRHAGE, tap for, each tap (AU 6 - 407/513) 07074 01MAY1991 31DEC9999 Y BURR-HOLE, single, preparatory to ventricular puncture or for inspection purpose - not included in any other Items (AU 11 - 453/522) 07075 01MAY1991 31DEC9999 Y VENTRICULAR RESERVOIR or intracranial pressure monitoring device, insertion of - including burr-hole (excluding after-care) (AU 12 - 454/523) 07076 01MAY1991 31DEC9999 Y CEREBROSPINAL FLUID reservoir, insertion of (AU 10 - 450/521) 07077 01MAY1991 31DEC9999 Y PROCEDURES FOR PAIN RELIEF INJECTION OF PRIMARY BRANCH OF TRIGEMINAL NERVE with alcohol, cortisone, phenol, or similar substance (AU 8 - 409/517) 07078 01MAY1991 31DEC9999 Y INTRATHECAL INJECfION of alcohol or phenol 07079 01FEB1984 31AUG1989 N Injection into trigeminal ganglion or primary branch of trigeminal nerve with alcohol 07079 01SEP1989 31DEC9999 Y Injection into trigeminal ganglion or primary branch of trigeminal nerve with alcohol, cortisone, phenol, etc. (AU 8) 07080 01MAY1991 31DEC9999 Y NEURECTOMY, INTRACRANIAL, for trigeminal neuralgia (AU 16 - 460/527) 07081 01FEB1984 31DEC9999 Y Intrathecal injection of alcohol or phenol 07082 01MAY1991 31DEC9999 Y TRIGEMINAL GANGLIOTOMY by radiofrequency, balloon or glycerol (AU 8 - 409/517) 07083 01MAY1991 31DEC9999 Y CRANIAL NERVE, intracranial decompression of, using microsurgical techniques (AU 25 - 469/540) 07084 01MAY1991 31DEC9999 Y PERCUTANEOUS NEUROTOMY of posterior divisions of spinal nerves by any method on one or more occasions within a thirty day period, including any spinal, epidural or regional nerve block given at the time of such neurotomy (AU 6 - 407/513) 07085 01FEB1984 31AUG1989 N Lumbar puncture; or spinal or epidural injection not covered by Item 748 or 752 07085 01SEP1989 31DEC9999 Y Lumbar puncture, or spinal or epidural injection not covered by item 748 or 752 (AU 5) 07086 01MAY1991 31DEC9999 Y PERCUTANEOUS NEUROTOMY for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (AU 7 - 408/514) 07087 01MAY1991 31DEC9999 Y PERCUTANEOUS CORDOTOMY (AU 9 - 443/518) 07088 01MAY1991 31DEC9999 Y CORDOTMY OR MYELOTOMY, laminectomy for, or operation for dorsal root entry zone (Drez) lesion (AU 13 - 457/524) 07089 01FEB1984 31DEC9999 Y Cisternal puncture 07090 01MAY1991 31DEC9999 Y SUBCUTANEOUS RESERVOIR AND SPINAL CATHETER FOR PAIN, insertion of (AU 8 - 409/517) 07091 01MAY1991 31DEC9999 Y PERCUTANEOUS EPIDURAL IMPLANT FOR PAIN, insertion of (one or two stages), not involving laminectomy (AU 8 - 409/517) 07092 01MAY1991 31DEC9999 Y EPIDURAL STIMULATOR or INTRATHECAL INFUSION DEVICE, revision of (AU 7 - 408/514) 07093 01MAY1991 31DEC9999 Y PERCUTANEOUS EPIDURAL IMPLANT FOR PAIN, removal of (AU 7 - 408/514) 07094 01MAY1991 31DEC9999 Y EPIDURAL IMPLANT FOR PAIN, laminectomy and insertion of, including implantation of pulse generator (one or two stages) (AU 18 - 462/529) 07095 01MAY1991 31DEC9999 Y PERIPHERAL NERVES CUTANEOUS NERVE (including digi tal nerve), primary repair of, using microsurgical techniques (AU 9 - 443/518) 07096 01MAY1991 31DEC9999 Y CUTANEOUS NERVE (including digital nerve), secondary repair of, using microsurgical techniques (AU 10 - 450/521) 07097 01MAY1991 31DEC9999 Y NERVE 1RUNK, primary repair of, using microsurgical techniques (AU 11 - 453/522) 07098 01MAY1991 31DEC9999 Y NERVE 1RUNK, secondary repair of, using microsurgical techniques (AU 12 - 454/523) 07099 01FEB1984 31DEC9999 Y Ventricular puncture (not including burr-hole) 07100 01MAY1991 31DEC9999 Y NERVE TRUNK, internal (interfasicular), neurolysis of, using microsurgical techniques (AU 11 - 453/522) 07101 01MAY1991 31DEC9999 Y NERVE 1RUNK, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (AU 16 - 460/527) 07102 01MAY1991 31DEC9999 Y CUTANEOUS NERVE (including digital nerve), nerve graft to, using microsurgical techniques (AU 12 - 454/523) 07103 01MAY1991 31DEC9999 Y NERVE, transposition of (AU 8 - 409/517) 07104 01MAY1991 31DEC9999 Y NEURECTOMY, NEUROTOMY or removal of tumour from superficial peripheral nerve (AU 8 - 409/517) 07105 01MAY1991 31DEC9999 Y NEURECTOMY, NEUROTOMY or removal of tumour from deep peripheral nerve (AU 10 - 450/521) 07106 01FEB1984 31DEC9999 Y Cutaneous or digital nerve, primary suture of (G) (AU 8) 07107 01MAY1991 31DEC9999 Y BRACHIAL PLEXUS, exploration of not covered by any other item in this Part (AU 11 - 453/522) 07108 01MAY1991 31DEC9999 Y CRANIAL NERVES VESTIBULAR NERVE, section of, via posterior fossa (AU 24 - 468/539) 07109 01MAY1991 31DEC9999 Y FACIO-HYPOGLOSSAL nerve or FACIO-ACCESSORY nerve, anastomosis of (AU 28 - 472/543) 07110 01MAY1991 31DEC9999 Y CRANIO-CEREBRAL INJURIES Intracranial haemorrhage, burr-hole craniotomy for - including burr holes (AU 11 - 453/522) 07111 01FEB1984 31DEC9999 Y Cutaneous or digital nerve, primary suture of (S) (AU 8) 07112 01FEB1984 29FEB1984 N Cutaneous nerve (other than digital nerve) primary suture of by microsurgical techniques (AU 9) 07112 01MAR1984 31DEC9999 Y Cutaneous nerve (other than digital nerve), primary suture of, using the operating microscope(AU 9) 07113 01MAY1991 31DEC9999 Y FRACTURED SKULL, compound, without dural penetration, operation for (AU 12 - 454/523) 07114 01MAY1991 31DEC9999 Y FRACTURED SKULL, compound or complicated, with dural penetration and brain laceration, operation for (AU 14 - 458/525) 07115 01MAY1991 31DEC9999 Y FRACTURED SKULL with rhinorrhoea or otorrhoea, cranioplasty and repair of (AU 16 - 460/527) 07116 01FEB1984 31DEC9999 Y Repair of divided digital nerve to thumb or finger (G) (AU 8) 07117 01FEB1984 31DEC9999 Y Repair of divided digital nerve to thumb or finger (S) (AU 8) 07118 01JAN1986 31AUG1989 N CUTANEOUS NERVE (including digital nerve), primary repair of ANAESTHETIC 8 UNITS - ITEM NOS 409G / 517S 07118 01SEP1989 31DEC9999 Y Cutaneous nerve (including digital nerve), primary repair of (AU 8) 07119 01JAN1986 31AUG1989 N CUTANEOUS NERVE (including digital nerve), secondary repair of ANAESTHETIC 9 UNITS - ITEM NOS 443G / 518S 07119 01SEP1989 31DEC9999 Y Cutaneous nerve (including digital nerve), secondary repair of (AU 9) 07120 01FEB1984 29FEB1984 N Repair of divided digital nerve to thumb or finger by microsurgical techniques, primary repair (AU 9) 07120 01MAR1984 31AUG1989 N Repair of divided digital nerve to thumb or finger using the operating microscope - primary repair (AU 9) 07120 01SEP1989 31DEC9999 Y Cutaneous nerve (including digital nerve), primary repair of, using the operating microscope (AU 9) 07121 01FEB1984 29FEB1984 N Repair of divided digital nerve to thumb or finger by microsurgical techniques, secondary repair (AU 10) 07121 01MAR1984 31AUG1989 N Repair of divided digital nerve to thumb or finger using the operating microscope - secondary repair (AU 10) 07121 01SEP1989 31DEC9999 Y Cutaneous nerve (including digital nerve), secondary repair of, using the operating microscope (AU 10) 07122 01MAY1991 31DEC9999 Y INTRACRANIAL tumour, biopsy or decompression of via osteoplastic flap OR biopsy and decompression of via osteoplastic flap (AU 18 - 462/529) 07123 01MAY1991 31DEC9999 Y CRANIOTOMY for removal of glioma, metastatic carcinoma or any other tumour in cerebrum, cerebellum or brain stem - not covered by any other Item in this Part (AU 25 - 469/540) 07124 01FEB1984 31AUG1989 N Nerve trunk, primary suture of (AU 8) 07124 01SEP1989 31DEC9999 Y Nerve trunk, primary repair of (AU 8) 07125 01MAY1991 31DEC9999 Y CRANIOTOMY FOR REMOVAL OF MENINGIOMA, pinealoma, cranio-pharyngioma, intraventricular tumour or any other intracranial tumour not covered by any other item in this Part (AU 25 - 469/540) 07126 01MAY1991 31DEC9999 Y PITUITARY TUMOUR, hypophysectomy or removal of by transcranial or transphenoidal approach (AU 25 - 469/540) 07128 01FEB1984 31AUG1989 N Nerve trunk, primary suture of (D) (AU 8) 07128 01SEP1989 31DEC9999 Y Nerve trunk, primary repair of (D) (AU 8) 07129 01FEB1984 29FEB1984 N Nerve trunk, primary suture of, by microsurgical techniques (AU 11) 07129 01MAR1984 31AUG1989 N Nerve trunk, primary suture of, using the operating microscope (AU 11) 07129 01SEP1989 31DEC9999 Y Nerve trunk, primary repair of, using the operating microscope (AU 11) 07130 01MAY1991 31DEC9999 Y ARACHNOIDAL CYST, craniotomy for (AU 15 - 459/526) 07132 01FEB1984 31AUG1989 N Nerve trunk, secondary suture of (AU 9) 07132 01SEP1989 31DEC9999 Y Nerve trunk, secondary repair of (AU 9) 07133 01FEB1984 31DEC9999 Y Neurolysis of nerve trunk, internal(interfascicular), using the operating microscope (AU 11) 07134 01FEB1984 31AUG1989 N Nerve trunk, secondary suture of (D) (AU 9) 07134 01SEP1989 31DEC9999 Y Nerve trunk, secondary repair of (D) (AU 9) 07135 01MAY1991 31DEC9999 Y CRANIOTOMY, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (AU 16 - 460/527) 07136 01MAY1991 31DEC9999 Y CEREBROVASCULAR DISEASE ANEURYSM, clipping or reinforcement of sac (AU 28 - 472/543) 07137 01MAY1991 31DEC9999 Y INTRACRANIAL ARTERIOVENOUS MALFORMATION, excision of (AU 32 - 475/546) 07138 01FEB1984 29FEB1984 N Nerve trunk, secondary suture of, by microsurgical techniques (AU 12) 07138 01MAR1984 31AUG1989 N Nerve trunk, secondary suture of, using the operating microscope(AU 12) 07138 01SEP1989 31DEC9999 Y Nerve trunk, secondary repair of, using the operating microscope (AU 12) 07139 01FEB1984 31AUG1989 N Nerve graft performed with magnification (AU 9) 07139 01SEP1989 31DEC9999 Y Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft (AU 9) 07140 01JUL1985 31AUG1989 N NERVE GRAFT to cutaneous nerve (including digital nerve) ANAESTHETIC 12 UNITS - ITEM NOS 454G / 523S 07140 01SEP1989 31DEC9999 Y Nerve graft to cutaneous nerve (including digital nerve) (AU 12) 07141 01NOV1986 31AUG1989 N NERVE GRAFT to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques ANAESTHETIC 16 UNITS - ITEM NOS 460G / 527S 07141 01SEP1989 31DEC9999 Y Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (AU 16) 07143 01FEB1984 31DEC9999 Y Nerve, transposition of (AU 8) 07146 01FEB1984 31DEC9999 Y Nerve, transposition of (D) (AU 8) 07147 01MAY1991 31DEC9999 Y ANEURYSM, or arteriovenous malformation, intracranial proximal artery clipping of (AU 24 - 468/539) 07148 01FEB1984 31AUG1989 N Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, including multiple percutaneous neurotomy of posterior division of spinal nerves (G) (AU 8) 07148 01SEP1989 31DEC9999 Y Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (G) (AU 8) 07149 01MAY1991 31DEC9999 Y ARTERIOVENOUS MALFORMATION, craniotomy and direct embolisation of (AU 32 - 475/546) 07150 01MAY1991 31DEC9999 Y INTRACRANIAL ANEURYSM or arteriovenous fistula, ligation of cervical vessel or vessels (AU 10 - 450/521) 07151 01MAY1991 31DEC9999 Y CAROTID-CA VERNOUS FISTULA, obliteration of - combined cervical and intracranial procedure (AU 40 - 479/550) 07152 01FEB1984 31AUG1989 N Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, including multiple percutaneous neurotomy of posterior division of spinal nerves (S) (AU 8) 07152 01SEP1989 31DEC9999 Y Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (S) (AU 8) 07153 01JUL1985 31AUG1989 N PERCUTANEOUS NEUROTOMY of posterior divisions of spinal nerves by any method on one or more occasions within a thirty day period, including any spinal, epidural or regional nerve block given at the time of such neurotomy ANAESTHETIC 6 UNITS - ITEM NOS 407G / 513S 07153 01SEP1989 31DEC9999 Y Percutaneous neurotomy of posterior divisions of spinal nerves by any method on one or more occasions within a thirty day period, including any spinal, epidural or regional nerve block given at the time of such neurotomy (AU 6) 07154 01MAY1991 31DEC9999 Y EXTRACRANIAL TO INTRACRANIAL BYPASS using superficial temporal artery or saphenous vein graft (AU 32 - 475/546) 07155 01MAY1991 31DEC9999 Y INFECTION INTRACRANIAL INFECfION, drainage of, via burr-hole - including burr-hole (AU 10 - 450/521) 07156 01FEB1984 31DEC9999 Y Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (AU 10) 07157 01FEB1984 31DEC9999 Y Radiofrequency trigeminal gangliotomy (AU 8) 07158 01MAY1991 31DEC9999 Y INTRACRANIAL ABSCESS, excision of (AU 17 - 461/528) 07159 01MAY1991 31DEC9999 Y OSTEOMYELITIS OF SKULL or removal of infected bone flap, craniectomy for (AU 10 - 450/521) 07160 01MAY1991 31DEC9999 Y CEREBRO-SPINAL FLUID CIRCULATION DISORDERS VENTRICULO-CISTERNOSTOMY (Torkildsen's operation) (AU 15 - 459/526) 07161 01MAY1991 31DEC9999 Y CRANIAL OR CISTERNAL SHUNT DIVERSION, insertion of (AU 14 - 458/525) 07162 01MAY1991 31DEC9999 Y LUMBAR SHUNT DIVERSION, insertion of (AU 13 - 457/524) 07163 01MAY1991 31DEC9999 Y CRANIAL, CISTERNAL OR LUMBAR SHUNT, revision or removal of (AU 12 - 454/523) 07164 01MAY1991 31DEC9999 Y THIRD VENTRICULOSTOMY (AU 15 - 459/526) 07165 01MAY1991 31DEC9999 Y SUBTEMPORAL DECOMPRESSION (AU 26 - 470/541) 07166 01MAY1991 31DEC9999 Y LUMBAR CEREBROSPINAL FLUID DRAIN, insertion of (AU 6 - 407/513) 07167 01MAY1991 31DEC9999 Y CONGENITAL DISORDERS MENINGOCELE, excision and closure of (AU 13 - 457/524) 07168 01MAY1991 31DEC9999 Y MYELOMENINGOCELE, excision and closure of, including skin flaps or Z plasty where performed (AU 15 - 459/526) 07169 01MAY1991 31DEC9999 Y ARNOLD-CHIARI MALFORMATION, decompression of (AU 35 - 493/564) 07170 01FEB1984 31DEC9999 Y Neurectomy, intracranial or radical as in tic douloureux (AU 16) 07171 01FEB1984 31DEC9999 Y Intracranial microsurgical decompression of cranial nerve, posterior cranial fossa approach including Jannetta's operation (AU 25) 07172 01MAY1991 31DEC9999 Y ENCEPHALOCOELE, excision and closure of (AU 34 - 492/563) 07173 01MAY1991 31DEC9999 Y TETHERED CORD, release of, including lipomeningocoele or diastematomyelia (AU 35 - 493/564) 07174 01MAY1991 31DEC9999 Y CRANIOSTENOSIS, operation for - single suture (AU 17 - 461/528) 07175 01FEB1984 31DEC9999 Y Exploration of brachial plexus, not covered by any other item in this Part (AU 11) 07176 01MAY1991 31DEC9999 Y CRANIOSTENOSIS, operation for - more than one suture (AU 20 - 464/533) 07177 01MAY1991 31DEC9999 Y SPINAL DISORDERS INTERVERTEBRAL DISC OR DISCS, laminectomy for exploration or removal of (AU 12 - 454/523) 07178 01FEB1984 31AUG1989 N Neurolysis by open operation, without transposition (G) (AU 7) 07178 01SEP1989 31DEC9999 Y Neurolysis by open operation without transposition, not associated with item 7133 (G) (AU 7) 07179 01MAY1991 31DEC9999 Y RECURRENT DISC LESION OR SPINAL STENOSIS, laminectomy for - one level (AU 13 - 457/524) 07180 01MAY1991 31DEC9999 Y SPINAL CANAL STENOSIS, laminectomy (multi-level), for treatment of (AU 16- 460/527) 07181 01MAY1991 31DEC9999 Y EXTRADURAL TUMOUR OR ABSCESS, laminectomy for (AU 12 - 454/523) 07182 01FEB1984 31AUG1989 N Neurolysis by open operation, without transposition (S) (AU 7) 07182 01SEP1989 31DEC9999 Y Neurolysis by open operation without transposition, not associated with item 7133 (S) (AU 7) 07183 01MAY1991 31DEC9999 Y SPINAL RHIZOLYSIS involving exposure of spinal nerve roots, with or without laminectomy (AU 16 - 460/527) 07184 01FEB1984 31DEC9999 Y Subdural haemorrhage, tap for, each tap (AU 6) 07185 01MAY1991 31DEC9999 Y INTRADURAL LESION, laminectomy for, not covered by any other item in this Part (AU 13 - 457/524) 07186 01FEB1984 31DEC9999 Y Burr-hole, single preparatory to ventricular puncture or for inspection purpose-- not included in any other items (AU 11) 07187 01MAY1991 31DEC9999 Y CRANIOCERVICAL JUNCTION LESION, transoral approach for (AU 29 - 473/544) 07188 01MAY1991 31DEC9999 Y INTRAMEDULLARY TUMOUR OR ARTERIOVENOUS MALFORMATION, laminectomy and radical excision of (AU 14 - 458/525) 07189 01MAY1991 31DEC9999 Y POSTERIOR SPINAL FUSION, not covered by items 7191 and 7193 (AU 18 - 462/529) 07190 01FEB1984 31DEC9999 Y Insertion of ventricular reservoir, or insertion of intracranial pressure monitoring device, including burr-hole, as an independent procedure(excluding after-care)(AU 12) 07191 01MAY1991 31DEC9999 Y LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together - laminectomy, including aftercare (AU 18 - 462/529) 07192 01FEB1984 31DEC9999 Y Intracranial tumour, biopsy of, or intracranial cyst, drainage of via burr-hole-- including burr-hole (AU 10) 07193 01MAY1991 31DEC9999 Y LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together - posterior fusion, including aftercare 07194 01FEB1984 31DEC9999 Y Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (AU 18) 07195 01MAY1991 31DEC9999 Y ANTERIOR INTERBODY SPINAL FUSION TO CERVICAL SPINE - one level (AU 14 - 458/525) 07196 01MAY1991 31DEC9999 Y CERVICAL DISCEcrOMY (ANTERIOR), without fusion (AU 19 - 463/531) 07197 01MAY1991 31DEC9999 Y SPINE (EXCLUDING SACRUM), treatment of fracture of vertebral body, without involvement of cord, requiring immobilisation in plaster or traction by skull calipers (AU 9 - 443/518) 07198 01FEB1984 31AUG1989 N Intracerebral tumour, craniotomy and removal; or temporal lobectomy for any reason (AU 25) 07198 01SEP1989 31DEC9999 Y Craniotomy for removal of glioma, metastatic carcinoma or any other tumour in cerebrum, cerebellum or brain stem-not covered by any other item in this Part (AU 25) 07199 01MAY1991 31DEC9999 Y SPINE (EXCLUDING SACRUM), treatment of fracture of vertebral body, with involvement of cord (AU 9 - 443/518) 07200 01MAY1991 31DEC9999 Y INTRADISCAL INJECTION OF CHYMOPAPAIN (DISCASE) - one disc (AU 8- 409/517) (See para 10.33 of explanatory notes to this Part) 07203 01FEB1984 29FEB1984 N Intracranial extracerebral tumour, craniotomy and removal; or hemispherectomy for any reason (AU 25) 07203 01MAR1984 31AUG1989 N Intracranial extracerebral tumour, craniotomy and removal; or hemispherectomy for any reason, not associated with Item 7204(AU 25) 07203 01SEP1989 31DEC9999 Y Craniotomy for removal of meningioma pinealoma, cranio-pharyngioma or any other intracranial tumour-not covered by any other item in this Part (AU 25) 07204 01FEB1984 31DEC9999 Y Hypophysectomy or removal of pituitary tumour by transcranial or transphenoidal approach(AU 25) 07208 01MAY1991 31DEC9999 Y BONE GRAFT TO SPINE with laminectomy and posterior interbody fusion - one level (AU 15 - 459/526) 07209 01MAY1991 31DEC9999 Y BONE GRAFT TO SPINE with laminectomy and posterior interbody fusion - more than one level (AU 18 - 462/529) 07211 01MAY1991 31DEC9999 Y BONE GRAFT TO SPINE, postero-lateral fusion (AU 14 - 458/525) 07212 01FEB1984 31DEC9999 Y Intracranial haemorrhage, burr-hole craniotomy for-- including burrholes (AU 11) 07213 01MAY1991 31DEC9999 Y ANTERIOR INTERBODY SPINAL FUSION TO LUMBAR OR THORACIC SPINE - one level (AU 15 - 459/526) 07214 01MAY1991 31DEC9999 Y ANTERIOR INTERBODY SPINAL FUSION TO LUMBAR OR THORACIC SPINE - more than one level (AU 15 - 459/526) 07216 01FEB1984 31DEC9999 Y Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (AU 18) 07217 01MAY1991 31DEC9999 Y HYDROMELIA, plugging of obex for, with or without duroplasty (AU 25 - 469/540) 07218 01MAY1991 31DEC9999 Y HYDROMELIA, craniotomy and laminectomy for, with cavity packing and CSF shunt (AU 25 - 469/540) 07219 01MAY1991 31DEC9999 Y SKULL RECONSTRUCTION CRANIOPLASTY, reconstructive (AU 16 - 460/527) 07222 01MAY1991 31DEC9999 Y EPILEPSY CORPUS CALLOSUM, anterior section of, for epilepsy (AU 25 - 469/540) 07223 01MAY1991 31DEC9999 Y CORTICECfOMY, TOPECfOMY or PARTIAL LOBECTOMY for epilepsy (AU 23 - 467/538) 07224 01MAY1991 31DEC9999 Y HEMISPHERECTOMY for intractible epilepsy (AU 40 - 479/550) 07225 01MAY1991 31DEC9999 Y BURR-HOLE PLACEMENT of intracranial depth or surface electrodes (AU 15 - 459/526) 07226 01MAY1991 31DEC9999 Y INTRACRANIAL ELECTRODE PLACEMENT via craniotomy (AU 21 - 465/535) 07227 01MAY1991 31DEC9999 Y STEREOTACTIC PROCEDURES STEREOTACTIC ANATOMICAL LOCALISATION in association with an intracranial operative procedure (AU 17 - 461/528) 07228 01MAY1991 31DEC9999 Y INTRACRANIAL STEREOTACTIC PROCEDURE BY ANY METHOD, not covered by any other item in this Part (AU 17 - 461/528) 07229 01MAY1991 31DEC9999 Y MISCELLANEOUS LEUCOTOMY for psychiatric disorder (AU 15 - 459/526) 07231 01FEB1984 31DEC9999 Y Fracture of skull, depressed or comminuted, operation for (AU 12) 07232 01MAY1991 31DEC9999 Y OPTIC NERVE MENINGES, incision of (AU 14 - 458/525) 07240 01FEB1984 31DEC9999 Y Fractured skull, compound, without dural penetration, operation for (AU 12) 07244 01FEB1984 31DEC9999 Y Fractured skull, compound or complicated, with dural penetration and brain damage, operation for (AU 14) 07248 01FEB1984 31DEC9999 Y Fractured skull with rhinorrhoea or otorrhea, cranioplasty and repair of (AU 16) 07251 01FEB1984 31DEC9999 Y Reconstructive cranioplasty (AU 16) 07265 01FEB1984 31DEC9999 Y Aneurysm or arteriovenous malformation, clipping or reinforcement of sac (AU 28) 07270 01FEB1984 31DEC9999 Y Aneurysm or arteriovenous malformation, intracranial proximal artery clipping (AU 24) 07274 01FEB1984 31DEC9999 Y Aneurysm or arteriovenous fistula, cervical carotid ligation for (AU 10) 07279 01FEB1984 31DEC9999 Y Craniotomy involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc. (AU 16) 07283 01FEB1984 31DEC9999 Y Intracranial abscess, excision of (AU 17) 07287 01FEB1984 31DEC9999 Y Intracranial infection, drainage of, via burr-hole-- including burr-hole (AU 10) 07291 01FEB1984 31DEC9999 Y Craniectomy for osteomyelitis of skull (AU 10) 07298 01FEB1984 31DEC9999 Y Leucotomy or lobotomy for psychiatric causes (AU 15) 07312 01FEB1984 29FEB1984 N Chemopallidectomy or other stereotactic procedure including burrhole and air studies (AU 17) 07312 01MAR1984 31DEC9999 Y Intracranial stereotactic procedure by any method, including burr-holes, preparation for ventriculography and localisation of lesion(AU 17) 07314 01FEB1984 31DEC9999 Y Ventriculo-cisternostomy (Torkildsen's operation) (AU 15) 07316 01FEB1984 31DEC9999 Y Ventriculo-atrial or ventriculoperitoneal valvular shunt for hydrocephalus or other lesions (AU 14) 07318 01FEB1984 31DEC9999 Y Ventriculo-atrial or ventriculoperitoneal valvular shunt, revision or removal of (AU 12) 07320 01FEB1984 31DEC9999 Y Spino-ureteral, spino-peritoneal, spino-pleural or similar spinal shunt for hydrocephalus (AU 13) 07324 01FEB1984 31DEC9999 Y Craniostenosis, operation for-- single suture (AU 17) 07326 01FEB1984 31DEC9999 Y Craniostenosis, operation for-- more than one suture (AU 20) 07328 01FEB1984 31DEC9999 Y Arachnoidal cyst, operation for (AU 15) 07331 01FEB1984 31DEC9999 Y Laminectomy for exploration or removal of intervertebral disc or discs (AU 12) 07336 01FEB1984 31DEC9999 Y Laminectomy for recurrent disc lesion or spinal stenosis (AU 13) 07338 01AUG1988 31DEC9999 Y Laminectomy, multi-level, for the treatment of spinal canal stenosis (AU 16) 07341 01FEB1984 31DEC9999 Y Laminectomy for extradural tumour or abscess (AU 12) 07346 01FEB1984 31DEC9999 Y Laminectomy for intradural lesion or open cordotomy (AU 13) 07353 01FEB1984 31DEC9999 Y Laminectomy and radical excision of intra-medullary tumour or arteriovenous malformation (AU 14) 07355 01FEB1984 31DEC9999 Y Laminectomy followed by posterior fusion-- not covered by Items 7361 and 7365 (AU 18) 07361 01FEB1984 31DEC9999 Y Laminectomy followed by posterior fusion performed by neuro-surgeon and orthopaedic surgeon operating together-- laminectomy including after-care (AU 18) 07365 01FEB1984 31DEC9999 Y Laminectomy followed by posterior fusion performed by neuro-surgeon and orthopaedic surgeon operating together-- posterior fusion including after-care 07370 01FEB1984 31DEC9999 Y Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy (AU 16) 07373 01AUG1987 31AUG1989 N INTRADISCAL INJECTION of chymopapain (DISCASE)-ONE DISC ANAESTHETIC 8 UNITS-ITEM NOS 409G/517S 07373 01SEP1989 31DEC9999 Y Intradiscal injection of chymopapain (Discase)-one disc (AU 8) 07376 01FEB1984 31DEC9999 Y Sympathectomy (cervical, lumbar, thoracic, sacral or presacral) (AU 10) 07381 01FEB1984 31DEC9999 Y Percutaneous cordotomy (AU 9) 07397 01FEB1984 31DEC9999 Y Mandible (AU 4) 07402 01FEB1984 31DEC9999 Y Mandible (D) (AU 4) 07410 01FEB1984 31DEC9999 Y Clavicle (AU 4) 07412 01FEB1984 31DEC9999 Y Shoulder-first or second dislocation (AU 4) 07416 01FEB1984 31DEC9999 Y Shoulder-third or subsequent dislocation -requiring anaesthesia (AU 4) 07419 01FEB1984 31DEC9999 Y Shoulder-third or subsequent dislocation-not requiring anaesthesia 07423 01FEB1984 31DEC9999 Y Elbow (AU 4) 07426 01FEB1984 31DEC9999 Y Carpus (AU 4) 07430 01FEB1984 31DEC9999 Y Carpus on radius and ulna (G)(AU 4) 07432 01FEB1984 31DEC9999 Y Carpus on radius and ulna (S) (AU 4) 07435 01FEB1984 31DEC9999 Y Finger (AU 4) 07436 01FEB1984 31DEC9999 Y Metacarpo-phalangeal joint of thumb (AU 4) 07440 01FEB1984 31DEC9999 Y Hip (G) (AU 5) 07443 01FEB1984 31DEC9999 Y Hip (S) (AU 5) 07446 01FEB1984 31DEC9999 Y Knee (G) (AU 4) 07451 01FEB1984 31DEC9999 Y Knee (S) (AU 4) 07457 01FEB1984 31DEC9999 Y Patella (AU 4) 07461 01FEB1984 31DEC9999 Y Ankle (AU 5) 07464 01FEB1984 31DEC9999 Y Toe (AU 4) 07468 01FEB1984 31DEC9999 Y Tarsus (AU 4) 07472 01FEB1984 31DEC9999 Y Spine (cervical or lumbar), without fracture (AU 7) 07480 01FEB1984 31DEC9999 Y Treatment of a dislocation requiring open operation, being a dislocation referred to in Item 7397, 7410, 7416, 7419, 7426, 7435, 7457 or 7464 07483 01FEB1984 31DEC9999 Y Treatment of a dislocation requiring open operation, being a dislocation referred to in an item (other than an item referred to in Item 7480 or an item that includes the symbol (D)) under the heading Dislocations not requiring Open Operation in this Division 07485 01FEB1984 31DEC9999 Y Treatment of a dislocation of the mandible requiring open operation (D) 07505 01FEB1984 31DEC9999 Y Terminal phalanx of finger or thumb (AU 4) 07508 01FEB1984 31DEC9999 Y Proximal phalanx of finger or thumb (G) (AU 4) 07512 01FEB1984 31DEC9999 Y Proximal phalanx of finger or thumb (S) (AU 4) 07516 01FEB1984 31DEC9999 Y Middle phalanx of finger (AU 4) 07520 01FEB1984 31DEC9999 Y One or more metacarpals, not involving base of first carpometacarpal joint (G) (AU 4) 07524 01FEB1984 31DEC9999 Y One or more metacarpals, not involving base of first carpometacarpal joint (S) (AU 4) 07527 01FEB1984 31DEC9999 Y First metacarpal involving carpometacarpal joint (Bennett's fracture) (G) (AU 4) 07530 01FEB1984 31DEC9999 Y First metacarpal involving carpometacarpal joint (Bennett's fracture) (S) (AU 4) 07533 01FEB1984 31DEC9999 Y Carpus (excluding navicular) (AU 5) 07535 01FEB1984 31DEC9999 Y Navicular or carpal scaphoid (G) (AU 5) 07538 01FEB1984 31DEC9999 Y Navicular or carpal scaphoid (S) (AU 5) 07539 01SEP1989 31DEC9999 Y Carpal scaphoid, fracture of, reduction and screw fixation (AU 10) 07540 01FEB1984 31DEC9999 Y Colles' fracture of wrist (G) (AU 5) 07544 01FEB1984 31DEC9999 Y Colles' fracture of wrist (S) (AU 5) 07547 01FEB1984 31DEC9999 Y Distal end of radius or ulna, involving wrist (AU 5) 07550 01FEB1984 31DEC9999 Y Radius (G) (AU 5) 07552 01FEB1984 31DEC9999 Y Radius (S) (AU 5) 07559 01FEB1984 31DEC9999 Y Ulna (G) (AU 5) 07563 01FEB1984 31DEC9999 Y Ulna (S) (AU 5) 07567 01FEB1984 31DEC9999 Y Humerus or both shafts of forearm (G) (AU 6) 07572 01FEB1984 31DEC9999 Y Humerus or both shafts of forearm (S) (AU 6) 07588 01FEB1984 31DEC9999 Y Clavicle or sternum (G) (AU 6) 07593 01FEB1984 31DEC9999 Y Clavicle or sternum (S) (AU 6) 07597 01FEB1984 31DEC9999 Y Scapula (AU 6) 07601 01FEB1984 31DEC9999 Y One or more ribs-- each attendance (G) (AU 7) 07605 01FEB1984 31DEC9999 Y One or more ribs-- each attendance (S) (AU 7) 07608 01FEB1984 31DEC9999 Y Pelvis (excluding symphysis pubis) or sacrum (G) (AU 8) 07610 01FEB1984 31DEC9999 Y Pelvis (excluding symphysis pubis) or sacrum (S) (AU 8) 07615 01FEB1984 31DEC9999 Y Symphysis pubis (G) (AU 7) 07619 01FEB1984 31DEC9999 Y Symphysis pubis (S) (AU 7) 07624 01FEB1984 31DEC9999 Y Femur (G) (AU 8) 07627 01FEB1984 31DEC9999 Y Femur (S) (AU 8) 07632 01FEB1984 31DEC9999 Y Fibula or tarsus (excepting os calcis or os talus) (G) (AU 6) 07637 01FEB1984 31DEC9999 Y Fibula or tarsus (excepting os calcis or os talus) (S) (AU 6) 07641 01FEB1984 31DEC9999 Y Tibia or patella (G) (AU 6) 07643 01FEB1984 31DEC9999 Y Tibia or patella (S) (AU 6) 07647 01FEB1984 31DEC9999 Y Ankle (Pott's fracture) with or without dislocation, os calcis (calcaneus), os talus or both shafts of leg (G) (AU 7) 07652 01FEB1984 31DEC9999 Y Ankle (Pott's fracture) with or without dislocation, os calcis (calcaneus), os talus or both shafts of leg (S) (AU 7) 07673 01FEB1984 31DEC9999 Y Metatarsals-- one or more (G) (AU 5) 07677 01FEB1984 31DEC9999 Y Metatarsals-- one or more (S) (AU 5) 07681 01FEB1984 31DEC9999 Y Phalanx of toe (other than great toe) (AU 4) 07683 01FEB1984 31DEC9999 Y More than one phalanx of toe (other than great toe) (AU 4) 07687 01FEB1984 31DEC9999 Y Distal phalanx of great toe (AU 4) 07691 01FEB1984 31DEC9999 Y Proximal phalanx of great toe (AU 4) 07694 01FEB1984 31DEC9999 Y Skull, not requiring operation-- each attendance (G) 07697 01FEB1984 31DEC9999 Y Skull, not requiring operation-- each attendance (S) 07701 01FEB1984 31DEC9999 Y Nasal bones, not requiring reduction-- each attendance (G) 07706 01FEB1984 31DEC9999 Y Nasal bones, not requiring reduction-each attendance (S) 07709 01FEB1984 31DEC9999 Y Nasal bones, requiring reduction (G) (AU 6) 07712 01FEB1984 31DEC9999 Y Nasal bones, requiring reduction (S) (AU 6) 07715 01FEB1984 31DEC9999 Y Nasal bones, requiring reduction and involving osteotomies (AU 8) 07718 01NOV1979 31DEC9999 Y Maxilla-not requiring splinting (G) 07719 01NOV1984 31DEC9999 Y Maxilla or mandible, unilateral or bilateral, not requiring splinting 07720 01NOV1984 31DEC9999 Y Maxilla or mandible, unilateral or bilateral, not requiring splinting (D) 07721 01NOV1979 31DEC9999 Y Maxilla-not requiring splinting (S) 07722 01NOV1984 31DEC9999 Y Maxilla or mandible, requiring splinting or wiring of teeth, not associated with item 7725-each procedure to a maximum of three such procedures (AU 13) 07723 01NOV1984 31DEC9999 Y Maxilla or mandible, requiring splinting or wiring of teeth, not associated with item 7726-each procedure to a maximum of three such procedures (D) (AU 13) 07724 01NOV1979 31DEC9999 Y Maxilla-not requiring splinting (D) 07725 01NOV1984 31DEC9999 Y Maxilla or mandible, circumosseous fixation of-each procedure to a maximum of three such procedures (AU 15) 07726 01NOV1984 31DEC9999 Y Maxilla or mandible, circumosseous fixation of-each procedure to a maximum of three such procedures (D) (AU 15) 07727 01NOV1979 31DEC9999 Y Maxilla-with external fixation, wiring of teeth or internal fixation (AU 11) 07728 01NOV1984 31DEC9999 Y Maxilla or mandible, external skeletal fixation of-each procedure to a maximum of three such procedures (AU 15) 07729 01NOV1984 31DEC9999 Y Maxilla or mandible, external skeletal fixation of-each procedure to a maximum of three such procedures (D) (AU 15) 07731 01NOV1979 31DEC9999 Y Maxilla-with external fixation, wiring of teeth or internal fixation (D) (AU 11) 07739 01NOV1979 31DEC9999 Y Mandible-not requiring splinting (G) 07743 01NOV1979 31DEC9999 Y Mandible-not requiring splinting (S) 07745 01NOV1979 31DEC9999 Y Mandible-not requiring splinting (D) 07749 01NOV1979 31DEC9999 Y Mandible-with wiring of teeth, internal fixation or skeletal pinning with external fixation (AU 12) 07753 01NOV1979 31DEC9999 Y Mandible-with wiring of teeth, internal fixation or skeletal pinning with external fixation (D) (AU 12) 07764 01FEB1984 31DEC9999 Y Zygoma (G) (AU 7) 07766 01FEB1984 31DEC9999 Y Zygoma (S) (AU 7) 07770 01FEB1984 31DEC9999 Y Zygoma (D) (AU 7) 07774 01FEB1984 31DEC9999 Y Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster-each attendance (G) 07777 01FEB1984 31DEC9999 Y Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster-each attendance (S) 07781 01FEB1984 31DEC9999 Y Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster-each attendance (G) 07785 01FEB1984 31DEC9999 Y Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster-each attendance (S) 07789 01FEB1984 31DEC9999 Y Spine (excluding sacrum), transverse process or bone other than vertebral body requiring immobilisation in plaster or traction by skull calipers (AU 9) 07793 01FEB1984 31DEC9999 Y Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilisation in plaster or traction by skull calipers (AU 9) 07798 01FEB1984 31DEC9999 Y Spine (excluding sacrum), vertebral body, with involvement of cord (AU 9) 07802 01FEB1984 28FEB1987 N Treatment of a simple and uncomplicated fracture requiring open operation being a fracture referred to in Item 7505, 7508, 7516, 7533, 7601, 7605, 7681, 7683, 7687, 7691, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 07802 01MAR1987 31DEC9999 Y TREATMENT OF A SIMPLE AND UNCOMPLICATED FRACTURE REQUIRING OPEN OPERATION, being a fracture referred to in Item - 7505, 7508,7516,7533, 7601. 7605, 7681,7683,7687,7691,7694,7697, 7701, 7706, 7774, 7777, 7781 or 7785 ANAESTHETIC - ITEM NOS 483G / 554S 07803 01FEB1984 31DEC9999 Y Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in an item (other than an item referred to in Item 7802 or an item that includes the symbol (D)) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07804 01FEB1984 31AUG1989 N Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in Item 7724, 7731, 7745, 7753 or 7770 (D) 07804 01SEP1989 31DEC9999 Y Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D) 07808 01FEB1984 28FEB1987 N Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in Item 7505, 7516, 7533, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 07808 01MAR1987 31DEC9999 Y TREATMENT OF A SIMPLE AND UNCOMPLICATED FRACTURE REQUIRING INTERNAL FIXATION, being a fracture referred to in Item - 7505,7516,7533, 7601,7605,7681, 7683, 7694,7697, 7701,7706, 7774, 7777, 7781 or 7785 ANAESTHETIC - ITEM NOS 484G / 556S 07809 01FEB1984 31DEC9999 Y Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in an item (other than an item referred to in Item 7808 or an item that includes the symbol (D)) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07812 01FEB1984 31AUG1989 N Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in Item 7724, 7731, 7745, 7753 or 7770 (D) 07812 01SEP1989 31DEC9999 Y Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D) 07815 01FEB1984 28FEB1987 N Treatment of a compound fracture requiring open operation, being a fracture referred to in Item 7505, 7516, 7533, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 07815 01MAR1987 31DEC9999 Y TREATMENT OF A COMPOUND FRACTURE REQUIRING OPEN OPERATION, being a fracture referred to in Item - 7505,7516, 7533,7601,7605, 7681, 7683,7694, 7697,7701,7706,7774, 7777, 7781 or 7785 ANAESTHETIC - ITEM NOS 484G / 556S 07817 01FEB1984 31DEC9999 Y Treatment of a compound fracture requiring open operation, being a fracture referred to in an item (other than an item referred to in Item 7815 or an item that includes the symbol (D) ) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07818 01FEB1984 31AUG1989 N Treatment of a compound fracture requiring open operation, being a fracture referred to in Item 7724, 7731, 7745, 7753 or 7770 (D) 07818 01SEP1989 31DEC9999 Y Treatment of a compound fracture requiring open operation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D) 07821 01FEB1984 28FEB1987 N Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in Item 7505, 7516, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 07821 01MAR1987 31DEC9999 Y TREATMENT OF A COMPLICATED FRACTURE INVOLVING VISCERA, BLOOD VESSELS OR NERVES AND REQUIRING OPEN OPERATION, being a fracture referred to in Item - 7505, 7516, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 ANAESTHETIC - ITEM NOS 485G / 557S 07823 01FEB1984 31DEC9999 Y Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in an item (other than an item referred to in Item 7821 or an item that includes the symbol (D)) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07824 01FEB1984 31AUG1989 N Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in Item 7724, 7731, 7745, 7753 or 7770 (D) 07824 01SEP1989 31DEC9999 Y Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D) 07828 01FEB1984 31DEC9999 Y Initial reduction (without full postoperative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol (D)) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07831 01FEB1984 31AUG1989 N Initial reduction (without full postoperative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by Item 7724, 7731, 7745, 7753 or 7770 (D) 07831 01SEP1989 31DEC9999 Y Initial reduction (without full post-operative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by item 7720, 7723, 7726, 7729 or 7770 (D) 07834 01FEB1984 31DEC9999 Y Each subsequent reduction (without full post-operative treatment) in a series (other than the final reduction), being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol(D)) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07836 01FEB1984 31AUG1989 N Each subsequent reduction (without full post-operative treatment) in a series (other than the final reduction), being a reduction that would, but for this item, be covered by Item 7724, 7731, 7745, 7753 or 7770 (D) 07836 01SEP1989 31DEC9999 Y Each subsequent reduction (without full post-operative treatment) in a series (other than the final reduction), being a reduction that would, but for this item, be covered by item 7720, 7723, 7726, 7729 or 7770 (D) 07839 01FEB1984 28FEB1987 N Final reduction (including full postoperative treatment) in a series, being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol (D)) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07839 01MAR1987 31DEC9999 Y FINAL REDUCTION (including full post-operative treatment) in a series being a reduction that would, but for this item, be covered by an item under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division DERIVED FEE - The fee specified for the administration of the anaesthetic for the reduction of this fracture 07841 01FEB1984 31AUG1989 N Final reduction (including full post-operative treatment) in a series, being a reduction that would, but for this item, be covered by Item 7724, 7731, 7745, 7753 or 7770 (D) 07841 01SEP1989 31DEC9999 Y Final reduction (including full post-operative treatment) in a series, being a reduction that would, but for this item, be covered by item 7720, 7723, 7726, 7729 or 7770 (D) 07844 01FEB1984 31DEC9999 Y Treatment of avulsion of epiphysis of any part referred to in an item under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07847 01FEB1984 31DEC9999 Y Treatment of a closed fracture, involving a joint surface, being a fracture referred to in an item (other than an item that includes the symbol(D)) under the heading Simple and Uncomplicated Fractures Not Requiring Open Operation in this Division 07849 01FEB1984 31AUG1989 N Treatment of a closed fracture, involving a joint surface, being a fracture referred to in Item 7724, 7731, 7745, 7753 or 7770 (D) 07849 01SEP1989 31DEC9999 Y Treatment of a closed fracture, involving a joint surface, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D) 07853 01FEB1984 31DEC9999 Y Accessory or sesamoid bone, removal of (AU 6) 07855 01NOV1984 31DEC9999 Y Bone cysts, injection of steroids into (AU 8) 07857 01FEB1984 31DEC9999 Y Epicondylitis, open operation for (AU 6) 07861 01FEB1984 31DEC9999 Y Digital nail, removal of (AU 5) 07864 01FEB1984 31DEC9999 Y Incision for pulp space infection, paronychia or other acute infection of hands or feet, not covered by any other item in this Part (excluding after-care) (AU 5) 07868 01FEB1984 31DEC9999 Y Middle palmar, thenar or hypothenar spaces, drainage of (AU 6) 07872 01FEB1984 31DEC9999 Y Ingrowing toenail, excision of nail bed (G) (AU 6) 07874 01SEP1989 31DEC9999 Y Nail bed, excision or wedge resection of (G) (AU 6) 07875 01SEP1989 31DEC9999 Y Nail bed, excision or wedge resection of (S) (AU 6) 07878 01FEB1984 31DEC9999 Y Ingrowing toenail, excision of nail bed (S) (AU 6) 07883 01FEB1984 31DEC9999 Y Insertion of orthopaedic pin or wire, as an independent procedure (AU 5) 07886 01FEB1984 31DEC9999 Y Removal of buried wire, pin, screw, rod, nail or plate requiring incision under regional or general anaesthesia (AU 8) 07888 01FEB1984 31DEC9999 Y Insertion of orthopaedic pin or wire where no other surgical procedure is performed (D) (AU 5) 07898 01FEB1984 31AUG1989 N Osteosynthesis by Smith-Petersen nail (AU 11) 07898 01SEP1989 31DEC9999 Y Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (AU 11) 07902 01FEB1984 31DEC9999 Y Temporo-mandibular meniscectomy (AU 9) 07907 01FEB1984 31DEC9999 Y Temporo-mandibular meniscectomy (D) (AU 9) 07911 01FEB1984 31DEC9999 Y Manipulation of joint, joints, spine, joint and spine or joints and spine, under general anaesthesia, not associated with any other item in this Part (G) (AU 4) 07915 01FEB1984 31DEC9999 Y Manipulation of joint, joints, spine, joint and spine or joints and spine, under general anaesthesia, not associated with any other item in this Part (S) (AU 4) 07926 01FEB1984 31DEC9999 Y Spine, application of plaster jacket (AU 6) 07928 01FEB1984 31DEC9999 Y Risser jacket, localizer or turn-buckle jacket, application of, body only 07932 01FEB1984 31DEC9999 Y Risser jacket, localizer or turn-buckle jacket, application of, body and head 07934 01FEB1984 31DEC9999 Y Scoliosis, spinal fusion for (AU 23) 07937 01FEB1984 31DEC9999 Y Scoliosis, re-exploration for adjustment or removal of Harrington rods or similar devices (AU 12) 07938 01FEB1984 29FEB1984 N Spinal fusion for scoliosis or kyphosis by use of Harrington distraction rod or by anterior correction (Dwyer procedure) of not more than four spaces (AU 23) 07938 01MAR1984 31DEC9999 Y Anterior correction of scoliosis (Dwyer procedure) of not more than four spaces; or spinal fusion for scoliosis or kyphosis with use of Harrington distraction rod (AU 23) 07939 01FEB1984 29FEB1984 N Spinal fusion for scoliosis or kyphosis by use of Harrington distraction rod and compression rod or by anterior correction (Dwyer procedure) of more than four spaces (AU 29) 07939 01MAR1984 31DEC9999 Y Anterior correction of scoliosis (Dwyer procedure) of more than four spaces; or spinal fusion for scoliosis or kyphosis with use of Harrington distraction and compression rods(AU 29) 07940 01FEB1984 31DEC9999 Y Application of halo for spinal fusion in the treatment of scoliosis, not covered by Item 7934 (AU 8) 07942 01FEB1984 31DEC9999 Y Bone graft to spine, posterior, not covered by Item 7945, 7967 or 7969 (AU 14) 07945 01FEB1984 31DEC9999 Y Bone graft to spine, postero-lateral fusion (AU 14) 07947 01FEB1984 31DEC9999 Y Anterior interbody spinal fusion to cervical spine-- one level (AU 14) 07951 01FEB1984 31DEC9999 Y Anterior interbody spinal fusion to cervical spine-- more than one level (AU 15) 07957 01FEB1984 31DEC9999 Y Anterior interbody spinal fusion to lumbar or thoracic spine-- one level (AU 15) 07961 01FEB1984 31DEC9999 Y Anterior interbody spinal fusion to lumbar or thoracic spine-- more than one level (AU 15) 07967 01FEB1984 31DEC9999 Y Bone graft to spine with laminectomy and posterior interbody fusion-- one level (AU 15) 07969 01FEB1984 31DEC9999 Y Bone graft to spine with laminectomy and posterior interbody fusion-- more than one level (AU 18) 07975 01FEB1984 31DEC9999 Y Bone graft to femur (AU 11) 07977 01FEB1984 31DEC9999 Y Bone graft to tibia (AU 10) 07980 01MAY1990 31DEC9999 Y CARPAL SCAPHOID, fracture of, reduction and screw fixation ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 07983 01FEB1984 31DEC9999 Y Bone graft to humerus or to radius and ulna (AU 10) 07993 01FEB1984 31DEC9999 Y Bone graft to radius or ulna (AU 8) 07999 01FEB1984 31DEC9999 Y Bone graft to scaphoid (AU 9) 08001 01FEB1984 31DEC9999 Y Bone graft to other bones, not covered by any other item in this Part (AU 8) 08003 01FEB1984 31DEC9999 Y Carpal bone, replacement of, by silicone or other implant, including any necessary tendon transfers (AU 9) 08006 01FEB1984 31DEC9999 Y Bone graft not covered by any other item in this Part (D) (AU 8) 08009 01FEB1984 31DEC9999 Y Shoulder-- removal of calcium deposit from cuff (AU 8) 08014 01FEB1984 31DEC9999 Y Shoulder-- arthrotomy (AU 7) 08017 01FEB1984 31DEC9999 Y Shoulder-- arthroplasty or plastic reconstruction (AU 11) 08019 01FEB1984 31DEC9999 Y Shoulder-- arthrodesis or arthrectomy (AU 11) 08022 01FEB1984 31DEC9999 Y Finger or other small joint-- arthrodesis, arthrectomy or arthroplasty (AU 5) 08023 01SEP1989 31DEC9999 Y Finger joint, prosthetic replacement of (AU 5) 08024 01FEB1984 31AUG1989 N Metacarpo-phalangeal joint, prosthetic athroplasty (AU 5) 08024 01SEP1989 31DEC9999 Y Metacarpo-phalangeal joint, prosthetic arthroplasty (AU 5) 08026 01FEB1984 31DEC9999 Y Small joint-- arthrotomy (AU 5) 08028 01FEB1984 31DEC9999 Y Zygapophyseal joints, arthrectomy (AU 8) 08032 01FEB1984 31DEC9999 Y Sacro-iliac joint-- arthrodesis (AU 12) 08036 01FEB1984 31DEC9999 Y Other large joint-- arthrodesis, arthrectomy, arthroplasty or total synovectomy of (AU 10) 08040 01FEB1984 31DEC9999 Y Other large joint-- arthrotomy (AU 8) 08044 01FEB1984 31DEC9999 Y Hip-- arthrodesis (AU 15) 08048 01FEB1984 31DEC9999 Y Hip-- arthrectomy (AU 15) 08053 01FEB1984 31DEC9999 Y Hip-- arthroplasty (Austin Moore, Girdlestone or similar procedure) (AU 10) 08064 01MAR1987 31DEC9999 Y Historical item included for item mapping purposes 08069 01FEB1984 31AUG1989 N Joint-- arthroplasty, total replacement of hip (McKee-Farrer, Charnley or similar procedure), knee, elbow, shoulder or ankle (AU 17) 08069 01SEP1989 31DEC9999 Y Joint - arthroplasty, total replacement of hip (McKee-Farrer, Charnley or similar procedure), wrist, knee, elbow, shoulder or ankle (AU 17) 08070 01FEB1984 31DEC9999 Y Joint-- arthroplasty, revision operation for total replacement of hip, knee, elbow, shoulder or ankle with removal of prosthesis and replacement with new prosthesis (AU 20) 08072 01AUG1988 31DEC9999 Y Shoulder, elbow, wrist, hip or ankle-arthroscopic examination of (AU 6) 08074 01FEB1984 31DEC9999 Y Hip-- arthrotomy including removal of prosthesis (AU 9) 08080 01FEB1984 29FEB1984 N Knee-- diagnostic arthroscopy not associated with a procedure performed through the arthroscope (AU 5) 08080 01MAR1984 31DEC9999 Y Knee - diagnostic arthroscopy not associated with a procedure performed through the arthroscope(AU 6) 08082 01FEB1984 31DEC9999 Y Knee-- arthrotomy, including one or more of, removal of loose body, removal of foreign body, biopsy or lateral capsular release, not associated with Item 8085, 8088, 8090 or 8092 (AU 6) 08085 01FEB1984 29FEB1984 N Knee-- single meniscectomy, repair of one collateral ligament, patellectomy, operation for recurrent dislocation of patella, single transfer of ligament for rotary instablity, single transfer of tendon for rotary instability or any other single procedure not covered by any other item in this Part-- one procedure (AU 7) 08085 01MAR1984 31DEC9999 Y Knee - single meniscectomy, repair of one collateral ligament, patellectomy, operation for recurrent dislocation of patella, single transfer of ligament for rotary instability, single transfer of tendon for rotary instability or any other single procedure not covered by any other item in this Part - one procedure(AU 8) 08088 01FEB1984 31DEC9999 Y Knee-- total synovectomy, arthrectomy, arthrodesis,repair of cruciate ligaments, replacement of cruciate ligaments, reconstruction of cruciate ligaments, arthroscopic surgery for meniscectomy, chondroplasty, removal of loose body or removal of foreign body-- one procedure (AU 9) 08090 01FEB1984 31DEC9999 Y Knee-- operation comprising two or more procedures covered by Item 8082, 8085 or 8088, but not covered by Item 8092 (AU 11) 08092 01FEB1984 31DEC9999 Y Knee-- three or more procedures for correction of rotary instability involving injury to cruciate ligaments, comprising as a minimum, medial, lateral and intra-articular procedures (AU 12) 08105 01FEB1984 31DEC9999 Y Joint or other synovial cavity-- aspiration of, injection into, or both of these procedures (AU 5) 08113 01FEB1984 31DEC9999 Y Joint, repair of capsule or ligament of, or internal fixation of to stabilize joint (AU 7) 08116 01FEB1984 31DEC9999 Y Foot or ankle region-- triple arthrodesis (AU 9) 08120 01FEB1984 31DEC9999 Y Calcanean spur, removal of (AU 6) 08131 01FEB1984 31DEC9999 Y Hallux valgus or rigidus, correction of, with osteotomy or osteectomy of phalanx or metatarsal (Keller's arthroplasty); or total replacement of the first metatarsophalangeal joint (AU 7) 08135 01FEB1984 31DEC9999 Y Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal and transplantation of adductor hallucis tendon (AU 8) 08151 01FEB1984 31DEC9999 Y Hammer toe, correction of (G) (AU 6) 08153 01FEB1984 31DEC9999 Y Hammer toe, correction of (S) (AU 6) 08158 01FEB1984 31DEC9999 Y Cervical rib, removal of (AU 11) 08159 01JUL1985 31AUG1989 N REMOVAL OF FIRST RIB by axillary approach ANAESTHETIC 13 UNITS - ITEM NOS 457G / 5248 08159 01SEP1989 31DEC9999 Y Removal of the first rib by axillary approach (AU 13) 08161 01FEB1984 31DEC9999 Y Scalenotomy (AU 8) 08166 01FEB1984 31DEC9999 Y Acromion or coraco-acromion ligament, removal of (AU 7) 08169 01FEB1984 31DEC9999 Y Excision of exostosis of small bone including simple removal of bunion (G) (AU 6) 08173 01FEB1984 31DEC9999 Y Excision of exostosis of small bone including simple removal of bunion (S) (AU 6) 08175 01FEB1984 31DEC9999 Y Excision of exostosis of small bone (D) (AU 6) 08179 01FEB1984 31AUG1989 N Excision of exostosis of large bone (G) (AU 6) 08179 01SEP1989 31DEC9999 Y Excision of exostosis of large bone or excision of osteoma of palate (G) (AU 6) 08182 01FEB1984 31AUG1989 N Excision of exostosis of large bone (S) (AU 6) 08182 01SEP1989 31DEC9999 Y Excision of exostosis of large bone or excision of osteoma of palate (S) (AU 6) 08185 01FEB1984 31DEC9999 Y Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (AU 6) 08187 01FEB1984 31DEC9999 Y Osteotomy of phalanx, metacarpal or metatarsal, with internal fixation (AU 6) 08190 01FEB1984 31DEC9999 Y Osteotomy or osteectomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus (AU 7) 08193 01FEB1984 31DEC9999 Y Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, with internal fixation (AU 7) 08195 01FEB1984 31DEC9999 Y Osteotomy or osteectomy of tibia or humerus (AU 7) 08198 01FEB1984 31DEC9999 Y Osteotomy or osteectomy of femur or pelvic bone (AU 8) 08201 01FEB1984 31DEC9999 Y Osteotomy of tibia, humerus, femur or pelvic bone, with internal fixation (AU 11) 08206 01FEB1984 31DEC9999 Y Osteotomy of femur-- sub-trochanteric (AU 11) 08209 01FEB1984 31AUG1989 N Osteectomy of vertebral bodies (AU 10) 08209 01SEP1989 31DEC9999 Y Vertebral body, total or sub-total excision of, including bone graft or other form of fixation (AU 26) 08211 01FEB1984 31DEC9999 Y Osteotomy and distraction for lengthening of limb (AU 8) 08214 01FEB1984 31DEC9999 Y Removal of distracting apparatus from limb, without internal fixation (AU 6) 08217 01FEB1984 31DEC9999 Y Removal of distracting apparatus from limb, with internal fixation (AU 7) 08219 01FEB1984 31DEC9999 Y Flexor tendon of hand, primary suture of (G) (AU 8) 08222 01FEB1984 31DEC9999 Y Flexor tendon of hand, primary suture of (S) (AU 8) 08225 01FEB1984 31DEC9999 Y Flexor tendon of hand, secondary suture of (AU 9) 08227 01FEB1984 31DEC9999 Y Extensor tendon of hand, primary suture of (G) (AU 8) 08230 01FEB1984 31DEC9999 Y Extensor tendon of hand, primary suture of (S) (AU 8) 08233 01FEB1984 31DEC9999 Y Extensor tendon of hand, secondary suture of (AU 9) 08235 01FEB1984 31DEC9999 Y Achilles tendon or other large tendon, suture of (G) (AU 9) 08238 01FEB1984 31DEC9999 Y Achilles tendon or other large tendon, suture of (S) (AU 9) 08241 01FEB1984 31DEC9999 Y Tendon of foot, primary suture of (AU 8) 08243 01FEB1984 31DEC9999 Y Tendon of foot, secondary suture of (AU 8) 08246 01FEB1984 31DEC9999 Y Tenotomy, subcutaneous, one or more tendons (AU 4) 08249 01FEB1984 31DEC9999 Y Tenotomy, open, with or without tenoplasty (AU 7) 08251 01FEB1984 31DEC9999 Y Tendon or ligament transplantation, not covered by any other item in this Part (AU 8) 08257 01FEB1984 31DEC9999 Y Tendon graft (AU 8) 08259 01FEB1984 31DEC9999 Y Insertion of artificial tendon prosthesis in preparation for tendon grafting (AU 10) 08262 01FEB1984 31DEC9999 Y Achilles tendon or other large tendon-- operation for lengthening (AU 9) 08267 01FEB1984 31DEC9999 Y Tendon sheath, incision of, or open operation for stenosing tendovaginitis (AU 6) 08275 01FEB1984 31DEC9999 Y Tenolysis of flexor tendon following tendon injury, repair or graft (AU 8) 08279 01FEB1984 31DEC9999 Y Tenolysis of extensor tendon following tendon injury, repair or graft (AU 7) 08282 01FEB1984 31DEC9999 Y Tendon sheath of finger or thumb, synovectomy of (AU 8) 08283 01FEB1984 31AUG1989 N Synovectomy of metacarpophalangeal joint (AU 8) 08283 01SEP1989 31DEC9999 Y Synovectomy of metacarpophalangeal or metatarsophalangeal joint (AU 8) 08287 01FEB1984 31DEC9999 Y Synovectomy of interphalangeal joint (AU 8) 08290 01FEB1984 31DEC9999 Y Synovectomy of wrist, extensor or flexor tendon of wrist, carpometacarpal joint or inferior radio ulnar joint (AU 11) 08294 01FEB1984 31DEC9999 Y Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 9) 08296 01FEB1984 31DEC9999 Y Dupuytren's contracture, subcutaneous fasciotomy (AU 8) 08298 01FEB1984 31DEC9999 Y Dupuytren's contracture, radical operation for (AU 9) 08302 01FEB1984 31DEC9999 Y Fragmentation and rodding in fragilitas ossium-- humerus, radius or ulna (AU 11) 08304 01FEB1984 31DEC9999 Y Fragmentation and rodding in fragilitas ossium-- tibia (AU 10) 08306 01FEB1984 31DEC9999 Y Fragmentation and rodding in fragilitas ossium-- femur (AU 12) 08310 01FEB1984 31DEC9999 Y Epiphyseodesis-- femur (AU 7) 08312 01FEB1984 31DEC9999 Y Epiphyseodesis-- tibia and fibula (AU 7) 08314 01FEB1984 31DEC9999 Y Epiphyseodesis-- femur, tibia and fibula (AU 10) 08316 01FEB1984 31DEC9999 Y Staple arrest of hemi-epiphysis (AU 7) 08318 01FEB1984 31DEC9999 Y Operation for the prevention of closure of epiphysial plate (AU 8) 08320 01FEB1984 31DEC9999 Y Radical plantar fasciotomy (Steindler's operation) (AU 7) 08322 01FEB1984 31DEC9999 Y Talipes equinovarus-- posterior release procedure (AU 7) 08324 01FEB1984 31DEC9999 Y Talipes equinovarus-- medial release procedure (AU 7) 08326 01FEB1984 31DEC9999 Y Subtalar arthrodesis (extra-articular) (AU 10) 08328 01FEB1984 31DEC9999 Y Calcaneal osteotomy (AU 8) 08330 01FEB1984 31DEC9999 Y Calcaneal osteotomy with bone graft (AU 10) 08332 01FEB1984 31DEC9999 Y Congenital dislocation of hip-- manipulation and plaster (one hip) (AU 6) 08334 01FEB1984 31DEC9999 Y Talipes equinovarus, calcaneus valgus, pes planus, metatarsus varus, genu varum or genu valgum-- manipulation under general anaesthesia (AU 5) 08336 01FEB1984 31DEC9999 Y Talipes equinovarus, calcaneus valgus, pes planus, metatarsus varus, genu varum or genu valgum-- manipulation and plaster under general anaesthesia (AU 6) 08349 01FEB1984 31DEC9999 Y Epiphysitis (Perthes' Calve's or Scheuermann's) plaster for (AU 5) 08351 01FEB1984 31DEC9999 Y Epiphysitis (Sever's, Kohler's, Keinbock's or Schlatter's) plaster for (AU 5) 08352 01FEB1984 31DEC9999 Y Contractures, manipulation under general anaesthesia, not covered by any other item in this Part (AU 5) 08354 01FEB1984 31DEC9999 Y Contractures, manipulation and plaster under general anaesthesia, not covered by any other item in this Part (AU 5) 08356 01FEB1984 31DEC9999 Y Spastic paralysis-- manipulation and plaster (one limb) (AU 5) 08378 01FEB1984 31DEC9999 Y Hypertelorism, correction of (AU 14) 08380 01FEB1984 31DEC9999 Y Choanal atresia, plastic repair of (AU 16) 08382 01FEB1984 31DEC9999 Y Choanal atresia, repair of by puncture and dilatation (AU 11) 08384 01FEB1984 31DEC9999 Y Macrocheilia, macroglossia or macrostomia, operation for (AU 13) 08386 01FEB1984 31DEC9999 Y Torticollis, operation for (AU 7) 08388 01FEB1984 31DEC9999 Y Oesophagus, correction of congenital stenosis by oesophagectomy and anastomosis (AU 21) 08390 01FEB1984 31DEC9999 Y Tracheo-oesophageal fistula (with or without atresia), ligation and division of (AU 20) 08392 01FEB1984 31DEC9999 Y Oesophageal atresia, with or without fistula, correction of (AU 23) 08394 01FEB1984 31DEC9999 Y Neonatal alimentary obstruction, laparotomy for, with or without resection, including reduction of volvulus (AU 15) 08397 01NOV1990 31DEC9999 Y Anal sphincterotomy as an independent procedure for Hirchsprung's disease (AU 6) 08398 01FEB1984 31DEC9999 Y Hirschsprung's disease, rectosigmoidectomy for (AU 22) 08400 01FEB1984 31DEC9999 Y Exomphalos or gastroschisis, operation for (AU 13) 08402 01FEB1984 29FEB1984 N Exomphalos or gastroschisis, operaation for, by plastic flap (AU 14) 08402 01MAR1984 31DEC9999 Y Exomphalos or gastroschisis, operation for, by plastic flap(AU 14) 08406 01FEB1984 31DEC9999 Y Ano-rectal malformation, perineal anoplasty, primary or secondary repair (AU 10) 08408 01FEB1984 31DEC9999 Y Ano-rectal malformation, rectoplasty, primary or secondary repair, not covered by Item 8406 (AU 18) 08410 01FEB1984 31DEC9999 Y Contracted bladder neck (congenital) , wedge excision or perurethral resection of (AU 11) 08412 01FEB1984 31DEC9999 Y Urachal fistula, operation for (AU 11) 08414 01FEB1984 31DEC9999 Y Sphincter reconstruction for ectopia vesicae, ectopia cloacae or congenital incontinence (AU 12) 08418 01FEB1984 31DEC9999 Y Urethral valves or urethral membrane, open removal of (AU 12) 08422 01FEB1984 31DEC9999 Y Lymphangiectasis of limb (Milroy's disease)-- limited excision of (AU 14) 08424 01FEB1984 31DEC9999 Y Lymphangiectasis of limb (Milroy's disease)-- radical excision of (AU 18) 08428 01FEB1984 31DEC9999 Y Extra digit, ligation of pedicle (AU 4) 08430 01FEB1984 31DEC9999 Y Extra digit, amputation of (AU 6) 08432 01FEB1984 31DEC9999 Y Dermoid, periorbital or superficial nasal, excision of (G) (AU 8) 08434 01FEB1984 31DEC9999 Y Dermoid, periorbital or superficial nasal, excision of (S) (AU 8) 08436 01FEB1984 31DEC9999 Y Dermoid, orbital, excision of (AU 8) 08440 01FEB1984 31DEC9999 Y Dermoid of nose, excision of, with intranasal extension (AU 8) 08442 01FEB1984 31DEC9999 Y Myelomeningocele-- excision of sac (AU 13) 08444 01FEB1984 29FEB1984 N Myelomeningocele, extensive, requiing formal repair with skin flaps or Z plasty (AU 15) 08444 01MAR1984 31DEC9999 Y Myelomeningocele, extensive, requiring formal repair with skin flaps or Z plasty(AU 15) 08445 01MAY1991 31DEC9999 Y METICULOUS REPAIR DESIGNED TO OBTAIN MAXIMUM FUNCTIONAL AND AESTHETIC RESULTS INCLUDING THE PREPARATION OF THE DEFECT REQUIRING REPAIR SINGLE STAGE LOCAL MUSCLE FLAP REP AIR, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 7 - 408/514) 08446 01MAY1991 31DEC9999 Y SINGLE STAGE LOCAL MYOCUT ANEOUS FLAP REP AIR to one defect, simple and small (AU 11 - 453/522) 08447 01MAY1991 31DEC9999 Y SINGLE STAGE LARGE MYOCUT ANEOUS FLAP REP AIR to one defect, (pectoralis major, latissimus dorsi, or similar large muscle) (AU 16 - 460/527) 08448 01FEB1984 31DEC9999 Y Single stage local muscle flap repair, simple, small (AU 11) 08449 01FEB1984 31DEC9999 Y Single stage large muscle flap repair, (pectoralis major, gastrocnemius, gracilis or similar large muscle) (AU 17) 08450 01FEB1984 31DEC9999 Y Dermo-fat or fascia graft (including transplant or muscle flap) (AU 12) 08451 01MAY1991 31DEC9999 Y MUSCLE OR MYOCUTANEOUS FLAP, delay of (AU 8 - 409/517) 08452 01FEB1984 31DEC9999 Y Abrasive therapy, limited area (AU 6) 08453 01MAY1991 31DEC9999 Y DERMIS, DERMOFAT OR FASCIA GRAFT (excluding transfer of fat by injection) (AU 12 - 454/523) 08454 01FEB1984 31DEC9999 Y Abrasive therapy, extensive area (AU 7) 08455 01MAY1991 31DEC9999 Y ABRASIVE THERAPY, limited to one aesthetic area (AU 6 - 407/513) 08456 01MAY1991 31DEC9999 Y ABRASIVE THERAPY to more than one aesthetic area (AU 7 - 408/514) 08458 01FEB1984 31DEC9999 Y Angioma, cauterisation of or injection into, under general anaesthetic (AU 7) 08460 01FEB1984 31DEC9999 Y Angioma, cauterisation of or injection into, under general anaesthetic (D) (AU 7) 08462 01FEB1984 31DEC9999 Y Angioma of skin, and subcutaneous tissue or mucous surface, small, excision and repair of (AU 7) 08464 01FEB1984 31DEC9999 Y Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of (D) (AU 7) 08466 01FEB1984 31DEC9999 Y Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (AU 9) 08467 01MAY1991 31DEC9999 Y ANGIOMA OF NECK, deep, excision of (AU 10 - 450/521) 08468 01FEB1984 31DEC9999 Y Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (D) (AU 9) 08470 01FEB1984 31DEC9999 Y Angioma, involving deeper tissue, small, excision and repair of (AU 9) 08471 01MAY1991 31DEC9999 Y ARTERIOVENOUS MALFORMATION (3 centimetres or less) of superficial tissue, excision of (AU 11 - 453/522) 08472 01FEB1984 31DEC9999 Y Angioma, involving deeper tissue, large, excision and repair of (AU 10) 08473 01MAY1991 31DEC9999 Y ARTERIOVENOUS MALFORMATION, (greater than 3 centimetres), excision of (AU 16 - 460/527) 08474 01FEB1984 31DEC9999 Y Haemangioma of neck, deep-seated, excision of (AU 10) 08475 01MAY1991 31DEC9999 Y ARTERIOVENOUS MALFORMATION on eyelid, nose, lip, neck,hand, thumb, finger or genitals, excision of (AU 16 - 460/527) 08476 01FEB1984 31DEC9999 Y Major excision and grafting for lymphoedema (AU 15) 08478 01FEB1984 31AUG1989 N Foreign implants for contour reconstruction (AU 10) 08478 01SEP1989 31DEC9999 Y Foreign implants, insertion of, for contour reconstruction (AU 10) 08479 01FEB1984 31AUG1989 N Foreign implants for contour reconstruction (D) (AU 10) 08479 01SEP1989 31DEC9999 Y Foreign implants, insertion of, for contour reconstruction (D) (AU 10) 08480 01FEB1984 31DEC9999 Y Single stage local flap repair, simple, small, excluding flap for male pattern baldness (AU 7) 08481 01MAY1991 31DEC9999 Y SINGLE STAGE LOCAL FLAP, where indicated to repair one defect, complicated or large, excluding flap for male pattern baldness (AU 10 - 450/521) 08482 01FEB1984 31DEC9999 Y Single stage local flap repair, simple, small (D) (AU 7) 08483 01MAY1991 31DEC9999 Y SINGLE STAGE LOCAL FLAP where indicated to repair one defect, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 12 - 454/523) 08484 01FEB1984 31DEC9999 Y Single stage local flap repair, complicated or large, excluding flap for male pattern baldness (AU 10) 08485 01FEB1984 31DEC9999 Y Direct flap repair (cross arm, abdominal or similar), first stage (AU 11) 08486 01FEB1984 31DEC9999 Y Direct flap repair (cross arm, abdominal or similar), second stage (AU 9) 08487 01FEB1984 31DEC9999 Y Direct flap repair, cross leg, first stage (AU 13) 08488 01FEB1984 31DEC9999 Y Direct flap repair, cross leg, second stage (AU 10) 08490 01FEB1984 31DEC9999 Y Direct flap repair, small (cross finger or similar), first stage (AU 7) 08492 01FEB1984 31DEC9999 Y Direct flap repair, small (cross finger or similar), second stage (AU 7) 08494 01FEB1984 31DEC9999 Y Indirect flap or tubed pedicle, formation of (AU 10) 08496 01FEB1984 31DEC9999 Y Indirect flap or tubed pedicle, delay of (AU 8) 08498 01FEB1984 31DEC9999 Y Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (AU 10) 08500 01FEB1984 31DEC9999 Y Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (AU 8) 08502 01FEB1984 31DEC9999 Y Direct, indirect or local flap repair, revision of graft (AU 7) 08504 01FEB1984 31DEC9999 Y Free grafts (split skin or pinch grafts) on granulating areas, small (AU 7) 08506 01FEB1984 31DEC9999 Y Free grafts (split skin or pinch grafts) on granulating areas, small (D) (AU 7) 08508 01FEB1984 31DEC9999 Y Free grafts (split skin) on granulating areas, extensive (AU 11) 08509 01FEB1984 31DEC9999 Y Free grafts (split skin) to burns, including excision of burned tissue-- involving not more than 2.5 per centum of total body surface (AU 8) 08510 01FEB1984 31DEC9999 Y Free grafts (split skin) to burns, including excision of burned tissue-- involving more than 2.5 per centum of total body surface (AU 14) 08511 01FEB1984 31DEC9999 Y Free grafts (homograft split skin) to burns, including excision of burned tissue-- involving more than 2.5 per centum of total body surface (AU 13) 08512 01FEB1984 31DEC9999 Y Free grafts (split skin) including elective dissection, small (AU 8) 08514 01FEB1984 31DEC9999 Y Free grafts (split skin) including elective dissection, small (D) (AU 8) 08515 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to one defect, including elective dissection, extensive (AU 11 - 453/522) 08516 01FEB1984 31DEC9999 Y Free grafts (split skin) including elective dissection, extensive; or inlay graft using a mould, insertion of and removal of mould (AU 11) 08517 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to one defect, including elective dissection on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not covered by Items 8515 or 8516 (AU 8 - 409/517) 08518 01FEB1984 31DEC9999 Y Free full thickness grafts, excluding grafts for male pattern baldness (AU 9) 08519 01MAY1991 31DEC9999 Y MICROVASCULAR REPAIR using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (AU 14 - 458/525) 08520 01FEB1984 31DEC9999 Y Free full thickness grafts (D) (AU 9) 08521 01MAY1991 31DEC9999 Y MICRO-ARTERIAL OR MICRO-VENOUS GRAFf using microsurgical techniques (AU 22 - 466/537) 08522 01FEB1984 31DEC9999 Y Revision under general anaesthesia of facial or neck scar not more than 3 cm. in length (AU 8) 08523 01MAY1991 31DEC9999 Y MICROVASCULAR ANASTOMOSIS of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue (AU 38 - 477/548) 08524 01FEB1984 31DEC9999 Y Revision under general anaesthesia of facial or neck scar more than 3 cm. in length (AU 9) 08525 01MAY1991 31DEC9999 Y SCAR, other than on face or neck, not more than 7 centimetres in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure (AU 10 - 450/521) 08526 01MAY1991 31DEC9999 Y SCAR, other than on face or neck, more than 7 centimetres in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure (AU 12 - 454/523) 08527 01MAY1991 31DEC9999 Y BREAST PROSTHESIS, removal of, as an independent procedure (AU 11 - 453/522) 08528 01FEB1984 29FEB1984 N Mammaplasty, reduction including repositioning of nipple (unilateral) (AU 10) 08528 01MAR1984 31DEC9999 Y Mammaplasty, reduction (unilateral) , with or without repositioning of nipple (AU 10) 08529 01MAY1991 31DEC9999 Y FIBROUS CAPSULE SURROUNDING BREAST PROSTHESIS, excision or multiple incisions to, as an independent procedure (AU 10 - 450/521) 08530 01FEB1984 29FEB1984 N Augumentation mammaplasty for significant breast asymmetry or following mastectomy, where the mammaplasty is limited to one breast (AU 10) 08530 01MAR1984 31AUG1989 N Augmentation mammaplasty for significant breast asymmetry or following mastectomy, where the mammaplasty is limited to one breast (AU 10) 08530 01SEP1989 31DEC9999 Y Augmentation mammaplasty for significant breast asymmetry where the augmentation is limited to one breast (AU 10) 08531 01NOV1986 31AUG1989 N Augmentation mammoplasty following mastectomy-unilateral (AU 9) 08531 01SEP1989 31DEC9999 Y Augmentation mammaplasty (unilateral), following mastectomy (AU 9) 08532 01NOV1986 31AUG1989 N Breast reconstruction using a latissimus dorsi or other large myocutaneous flap,including repair of secondary skin defect (AU 20) 08532 01SEP1989 31DEC9999 Y Breast reconstruction (unilateral), using a latissimus dorsi or other large myocutaneous flap, including repair of secondary skin defect (AU 20) 08533 01FEB1987 31DEC9999 Y Breast reconstruction using breast sharing technique(first stage)including breast reduction, transfer of complex skin and breast tissue flap,split skin graft to pedicle of flap or other similar procedure (AU 15) 08534 01NOV1986 31DEC9999 Y Breast reconstruction using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure (AU 12) 08535 01FEB1984 31DEC9999 Y Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not covered by any other item in this Part (AU 11) 08536 01NOV1986 31AUG1989 N Breast reconstruction using tissue expansion-insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 9) 08536 01SEP1989 31DEC9999 Y Breast reconstruction (unilateral), following mastectomy, using tissue expansion -insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 9) 08537 01NOV1986 31AUG1989 N Breast reconstruction using tissue expansion-removal of tissue expansion unit and insertion of permanent prosthesis (AU 9) 08537 01SEP1989 31DEC9999 Y Breast reconstruction (unilateral), following mastectomy, using tissue expansion-removal of tissue expansion unit and insertion of permanent prosthesis (AU 9) 08538 01NOV1986 31DEC9999 Y Nipple or areola or both,reconstruction of by any technique (AU 10) 08539 01MAY1991 31DEC9999 Y BREAST PROSTHESIS, replacement of, following medical complications, (including rupture, migration, or capsule formation) where new pocket is formed (AU 15 - 459/526) 08540 01FEB1984 31DEC9999 Y Digit, transplantation of-- complete procedure (AU 16) 08541 01MAY1991 31DEC9999 Y HAIR TRANSPLANTATION for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not covered by any other item in this Part (AU 11 - 453/522) 08542 01FEB1984 31AUG1989 N Neurovascular island flap, including repair of secondary defect, excluding flap for male pattern baldness (AU 15) 08542 01SEP1989 31DEC9999 Y Neurovascular island flap, or free transfer of tissue with vascular or neurovascular pedicle, including repair of secondary defect excluding flap for male pattern baldness (AU 15) 08543 01NOV1986 31DEC9999 Y Tissue expansion not covered by Items 8536/8537-insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 10) 08544 01FEB1984 31DEC9999 Y Macrodactyly, plastic reduction of, each finger (AU 8) 08545 01MAY1991 31DEC9999 Y INTRA OPERATIVE TISSUE EXPANSION performed during an operation when combined with any other Item in Part 10 including expansion injections and excluding treatment of male pattern baldness (AU 13 - 457/524) 08546 01FEB1984 31DEC9999 Y Facial nerve paralysis, free fascia graft for (AU 12) 08548 01FEB1984 31DEC9999 Y Facial nerve paralysis, muscle transfer or graft for (AU 13) 08549 01MAY1991 31DEC9999 Y FACIAL NERVE PALSY, excision of tissue for (AU 12 - 454/523) 08550 01MAY1991 31DEC9999 Y LIPOSUCTION (suction assisted lipolysis) to one regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma (AU 13 - 457/524) 08551 01FEB1984 31DEC9999 Y Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to one side of the face (AU 14) 08552 01FEB1984 31AUG1989 N Orbital cavity, reconstruction of floor or roof of (AU 12) 08552 01SEP1989 31DEC9999 Y Orbital cavity, reconstruction of walls or floor or both walls and floor with or without foreign implant (AU 12) 08553 01AUG1987 31DEC9999 Y Orbital cavity, bone or cartilage graft to orbital walls or floor or both walls and floor including reduction of prolapsed or entrapped orbital contents (AU 14) 08554 01FEB1984 31DEC9999 Y Maxilla, resection of (AU 17) 08556 01FEB1984 31DEC9999 Y Mandible, resection of (AU 15) 08557 01MAY1991 31DEC9999 Y MANDIBLE, including lower border, OR MAXILLA, sub-total resection of (AU 19 - 463/531) 08558 01FEB1984 31DEC9999 Y Mandible, resection of (D) (AU 15) 08560 01FEB1984 31DEC9999 Y Mandible, segmental resection of, for tumours (AU 13) 08562 01FEB1984 31DEC9999 Y Mandible, segmental resection of, for tumours (D) (AU 13) 08564 01NOV1979 31DEC9999 Y Mandible, section-fixation for prognathism or retrognathism (AU 14) 08566 01NOV1979 31DEC9999 Y Mandible, section-fixation for prognathism or retrognathism (D) (AU 14) 08568 01FEB1984 31DEC9999 Y Mandible, hemi-mandibular reconstruction with bone graft, not associated with Item 8556 (AU 15) 08570 01FEB1984 31DEC9999 Y Mandible, condylectomy (AU 11) 08572 01FEB1984 31DEC9999 Y Mandible, condylectomy (D) (AU 11) 08574 01NOV1979 31DEC9999 Y Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation, not covered by any other item in this Part (AU 11) 08576 01NOV1979 31DEC9999 Y Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation, not covered by any other item in this Part (D) (AU 11) 08578 01NOV1979 31DEC9999 Y Osteotomy or osteectomy of maxilla (other than alveolar margins) or zygoma or both for congenital or post-traumatic malformation, not covered by any other item in this Part (AU 11) 08580 01NOV1979 31DEC9999 Y Osteotomy or osteectomy of maxilla (other than alveolar margins) or zygoma or both for congenital or post-traumatic malformation, not covered by any other item in this Part (D) (AU 11) 08582 01FEB1984 31DEC9999 Y Whole thickness reconstruction of eyelid other than by direct suture only (AU 10) 08584 01FEB1984 31DEC9999 Y Reduction of upper eyelid for skin redundancy obscuring vision, herniation of orbital fat in exophthalmos, facial nerve palsy or post traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral upper eyelid (AU 7) 08585 01FEB1984 31DEC9999 Y Reduction of lower eyelid for herniation of orbital fat in exophthalmos, facial nerve palsy or post traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral lower eyelid (AU 8) 08586 01FEB1984 31DEC9999 Y Correction of ptosis (unilateral) (AU 12) 08588 01FEB1984 31DEC9999 Y Ectropion or entropion, correction of (unilateral) (AU 9) 08592 01FEB1984 31DEC9999 Y Symblepharon, grafting for (AU 8) 08594 01FEB1984 31AUG1989 N Rhinoplasty, correction of lateral or alar cartilages or both (AU 10) 08594 01SEP1989 31DEC9999 Y Rhinoplasty, correction of lateral or alar cartilages or columella, one or more (AU 10) 08596 01FEB1984 31DEC9999 Y Rhinoplasty, correction of bony vault only (AU 10) 08598 01FEB1984 31DEC9999 Y Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose (AU 12) 08599 01MAY1991 31DEC9999 Y RHINOPLASTY involving nasal or septal cartilage graft (AU 14 - 458/525) 08600 01FEB1984 31AUG1989 N Rhinoplasty or similar contour restoration of the face, involving autogenous bone or costal cartilage graft (AU 13) 08600 01SEP1989 31DEC9999 Y Rhinoplasty involving autogenous bone or cartilage graft (excluding nasal or septal cartilage) (AU 13) 08601 01NOV1986 31DEC9999 Y Contour restoration of one region of face using autogenous bone or cartilage graft (not covered by item 8600) (AU 18) 08602 01FEB1984 31DEC9999 Y Rhinoplasty, secondary revision of (AU 10) 08604 01FEB1984 31DEC9999 Y Rhinophyma, correction of (AU 9) 08605 01MAY1991 31DEC9999 Y FACE, contour restoration of one region, using autogenous bone or cartilage graft (not covered by Item 8600) (AU 18 - 462/529) 08606 01FEB1984 31DEC9999 Y Composite graft (chondrocutaneous or chondro-mucosal) to nose, ear or eyelid (AU 11) 08608 01FEB1984 31DEC9999 Y Lop ear, bat ear or similar deformity, correction of (AU 8) 08612 01FEB1984 31DEC9999 Y Congenital atresia, reconstruction of external auditory canal (AU 11) 08614 01FEB1984 31DEC9999 Y Full thickness wedge excision of lip or eyelid, with repair by direct sutures (AU 8) 08616 01FEB1984 31DEC9999 Y Vermilionectomy (AU 8) 08618 01FEB1984 31DEC9999 Y Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (AU 11) 08620 01FEB1984 31DEC9999 Y Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (AU 4) 08622 01FEB1984 31DEC9999 Y Cleft lip, unilateral-- primary repair, (AU 12) 08623 01MAY1991 31DEC9999 Y CLEFT LIP, unilateral - primary repair, one stage, with anterior palate repair (AU 14 - 458/525) 08624 01FEB1984 31DEC9999 Y Cleft lip, complete primary repair, one stage, bilateral (AU 14) 08625 01MAY1991 31DEC9999 Y CLEFT LIP, bilateral - primary repair, one stage, with anterior palate repair (AU 16 - 460/527) 08627 01MAY1991 31DEC9999 Y CLEFT LIP, lip adhesion procedure, unilateral or bilateral (AU 10 - 450/521) 08628 01FEB1984 31DEC9999 Y Cleft lip, secondary correction, partial or incomplete (AU 10) 08630 01FEB1984 31DEC9999 Y Cleft lip, secondary correction, complete revision (AU 12) 08631 01MAY1991 31DEC9999 Y CLEFT LIP, primary columella lengthening procedure, bilateral (AU 10 - 450/521) 08632 01FEB1984 31DEC9999 Y Cleft lip, secondary correction, Abbe flap (AU 12) 08633 01MAY1991 31DEC9999 Y CLEFT LIP reconstruction using full thickness flap (Abbe or similar), second stage (AU 8 - 409/517) 08634 01FEB1984 31DEC9999 Y Cleft lip, secondary correction of nostril or nasal tip (AU 10) 08636 01FEB1984 31DEC9999 Y Cleft palate, primary repair, partial cleft (AU 13) 08638 01FEB1984 31DEC9999 Y Cleft palate, primary repair, partial cleft (D) (AU 13) 08640 01FEB1984 31DEC9999 Y Cleft palate, primary repair, complete cleft or cleft requiring major repair (AU 14) 08642 01FEB1984 31DEC9999 Y Cleft palate, primary repair, complete cleft or cleft requiring major repair (D) (AU 14) 08644 01FEB1984 31DEC9999 Y Cleft palate, secondary repair, closure of fistula (AU 13) 08646 01FEB1984 31DEC9999 Y Cleft palate, secondary repair, closure of fistula (D) (AU 13) 08648 01FEB1984 31DEC9999 Y Cleft palate, secondary repair, lengthening procedure (AU 12) 08650 01FEB1984 31DEC9999 Y Cleft palate, secondary repair, lengthening procedure (D) (AU 12) 08652 01FEB1984 31DEC9999 Y Cleft palate, partial repair, complex cleft (AU 13) 08654 01FEB1984 31DEC9999 Y Cleft palate, partial repair, complex cleft (D) (AU 13) 08655 01MAY1991 31DEC9999 Y MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 16 - 460/527) 08656 01FEB1984 31AUG1989 N Pharyngeal flap or pharyngoplasty (AU 15) 08656 01SEP1989 31DEC9999 Y Pharyngeal flap or pharyngoplasty, with or without tonsillectomy (AU 15) 08657 01MAY1991 31DEC9999 Y MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 20 - 464/533) 08658 01NOV1984 31DEC9999 Y Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14) 08659 01NOV1984 31DEC9999 Y Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 14) 08660 01NOV1984 31DEC9999 Y Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 18) 08661 01NOV1984 31DEC9999 Y Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 18) 08662 01DEC1984 31DEC9999 Y Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 22) 08663 01NOV1984 31DEC9999 Y Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 22) 08664 01DEC1984 31DEC9999 Y Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (AU 26) 08665 01NOV1984 31DEC9999 Y Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 26) 08666 01APR1985 31DEC9999 Y Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 32) 08667 01NOV1984 31DEC9999 Y Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 32) 08668 01DEC1984 31DEC9999 Y Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 34) 08669 01NOV1984 31DEC9999 Y Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 34) 08670 01NOV1984 31DEC9999 Y Genioplasty not associated with item 8658, 8660, 8662, 8664, 8666, or 8668 including transposition of nerves and vessels and bone grafts taken from the site (AU 10) 08671 01NOV1984 31DEC9999 Y Genioplasty not associated with item 8659, 8661, 8663, 8665, 8667 or 8669 including transposition of nerves and vessels and bone grafts taken from the site (D) (AU 10) 08672 01DEC1984 31DEC9999 Y Genioplasty associated with item 8658, 8660, 8662 or 8664 (AU 8) 08673 01NOV1984 31DEC9999 Y Genioplasty associated with item 8659, 8661, 8663 or 8665 (D) (AU 8) 08674 01MAY1991 31DEC9999 Y MANDIBLE OR MAXILLA, osteotomies or osteectomies of, involving three or more such procedures on the ONE JAW, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 24 - 468/539) 08675 01NOV1984 31DEC9999 Y Hypertelorism, correction of, intra-cranial (AU 47) 08676 01MAY1985 31DEC9999 Y Hypertelorism, correction of, sub-cranial (AU 26) 08677 01APR1986 31DEC9999 Y Peri-orbital correction of Treacher Collins Syndrome, with rib and iliac bone grafts (AU 30) 08678 01MAR1985 31DEC9999 Y Correction of unilateral orbital dystopia - total repositioning of one orbit intra-cranial (AU 35) 08679 01NOV1984 31DEC9999 Y Correction of unilateral orbital dystopia-sub-total repositioning of one orbit, extra-cranial (AU 18) 08680 01NOV1984 31DEC9999 Y Unilateral fronto-orbital advancement (AU 19) 08681 01DEC1984 31DEC9999 Y Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition-(bilateral frontoorbital advancement) (AU 39) 08682 01APR1985 31DEC9999 Y Reconstruction of glenoid fossa, zygomatic arch and temporal bone (Obwegeser technique) (AU 19) 08683 01MAR1987 31DEC9999 Y Construction of absent condyle and ascending ramus in hemifacial microsomia (AU 15) 08684 01MAY1991 31DEC9999 Y OSSEO-INTEGRA TION PROCEDURE - extra oral, implantation of titanium fixture (AU 20 - 464/533) 08685 01MAY1991 31DEC9999 Y OSSEO-INTEGRATION PROCEDURE, fixation of transcutaneous abutment (AU 16- 460/527) 08686 01MAY1991 31DEC9999 Y MANDIBLE OR MAXILLA, osteotomies or oteectomies of, involving TWO such procedures of EACH JAW, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 28 - 472/543) 08687 01MAY1991 31DEC9999 Y MANDIBLE OR MAXILLA, complex bilateral osteotomies or osteectomies of, involving THREE or MORE such procedures of ONE JAW and TWO such procedures of the OTHER JAW, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid screws or both (AU 34 - 492/563)fixation by bone plates, 08688 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to bums, including excision of burnt tissue - involving not more than 3 per cent of total body surface (AU 8 - 409/517) 08689 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 3 per cent or more but less than 6 per cent of total body surface (AU 10 - 450/521) 08690 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to bums, including excision of burnt tissue - involving 6 per cent or more but less than 9 per cent of total body surface (AU 12 - 454/523) 08691 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to bums, including excision of burnt tissue - involving 9 per cent or more but less than 12 per cent of total body surface (AU 14 - 458/525) 08692 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 12 per cent or more of total body surface (AU 16 - 460/527) 08693 01MAY1991 31DEC9999 Y FREE GRAFTING (split skin) to bums, including excision of burnt tissue, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 18 - 462/529) 08694 01MAY1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to bums including excision of burnt tissue - involving not more than 3 per cent of total body surface (AU 13 - 457/524) 08695 01MAY1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to bums including excision of burnt tissue - involving 3 per cent or more but less than 6 per cent Qf total body surface (AU 15 - 459/526) 08696 01MAY1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to bums including excision of burnt tissue - involving 6 per cent or more but less than 9 per cent of total body surface (AU 17 - 461/528) 08697 01MAY1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to bums including excision of burnt tissue - involving 9 per cent or more but less than 12 per cent of total body surface (AU 19 - 463/531) 08698 01MAY1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to bums including excision of burnt tissue - involving 12 per cent or more of total body surface (AU 21 - 465/535) 08699 01MAY1991 31DEC9999 Y MANDIBLE OR MAXILLA, complex bilateral osteotomies or osteectomies of, involving THREE or MORE such procedures of EACH JAW, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 36 - 476/547) 08700 01FEB1984 31DEC9999 Y Erythrocyte radioactive uptake survival time test 08701 01SEP1989 31DEC9999 Y Blood volume estimation 08702 01FEB1984 31DEC9999 Y Blood volume estimation using radioactive chromium 08703 01SEP1989 31DEC9999 Y Erythrocyte radioactive uptake survival time test or iron kinetic test 08704 01FEB1984 31DEC9999 Y Gastrointestinal blood loss estimation with radioactive chromium involving serial examinations of stool specimens 08705 01SEP1989 31DEC9999 Y Gastrointestinal blood loss estimation involving examination of stool specimens 08706 01FEB1984 31DEC9999 Y Radioiodine, urinary estimation 08707 01SEP1989 31DEC9999 Y Gastrointestinal protein loss 08708 01FEB1984 31DEC9999 Y Protein bound radioactive iodine test 08710 01FEB1984 31DEC9999 Y Radioactive B12 absorption test (Schilling test)-- one isotope 08711 01FEB1984 31DEC9999 Y Radioactive B12 absorption test (Schilling test)-- two isotopes 08712 01FEB1984 31DEC9999 Y Thallium myocardial study or thallium myocardial redistribution study (C) 08713 01FEB1984 31DEC9999 Y Thallium myocardial study or thallium myocardial redistribution study (NC) 08714 01SEP1989 31DEC9999 Y Radioactive B12 absorption test-one isotope 08715 01SEP1989 31DEC9999 Y Radioactive B12 absorption test-two isotopes 08716 01FEB1984 31DEC9999 Y Myocardial infarct avid imaging study, cardiac blood pool study or cardiac output estimation (C) 08717 01FEB1984 31DEC9999 Y Myocardial infarct avid imaging study, cardiac blood pool study or cardiac output estimation (NC) 08718 01SEP1989 31DEC9999 Y Thyroid uptake (using probe) 08719 01SEP1989 31DEC9999 Y Perchlorate discharge study 08720 01FEB1984 31DEC9999 Y Gated cardiac blood pool (equilibrium) study (C) 08721 01FEB1984 31DEC9999 Y Gated cardiac blood pool (equilibrium) study (NC) 08722 01SEP1989 31DEC9999 Y Renal function test (without imaging procedure) 08723 01FEB1984 31DEC9999 Y Gated cardiac blood pool study with intervention (C) 08724 01FEB1984 31DEC9999 Y Cardiac first pass blood flow study (gated or ungated) or cardiac shunt study (C) 08725 01SEP1989 31DEC9999 Y Renal function test (associated with imaging and at least 2 blood samples) 08726 01SEP1989 31DEC9999 Y Whole body count-not associated with any other item 08727 01SEP1989 31DEC9999 Y Myocardial perfusion study using thallium-single study for stress OR reperfusion (C) 08728 01SEP1989 31DEC9999 Y Myocardial perfusion study using thallium-single study for stress OR reperfusion (NC) 08730 01FEB1984 31DEC9999 Y Lung perfusion study, lung ventilation study or lung aerosol study (C) 08731 01FEB1984 31DEC9999 Y Lung perfusion study, lung ventilation study or lung aerosol study (NC) 08732 01SEP1989 31DEC9999 Y Myocardial perfusion study using thallium-combined study for stress AND reperfusion (C) 08733 01SEP1989 31DEC9999 Y Myocardial perfusion study using thallium-combined study for stress AND reperfusion (NC) 08734 01SEP1989 31DEC9999 Y Myocardial infarct-avid imaging study (C) 08735 01SEP1989 31DEC9999 Y Myocardial infarct-avid imaging study (NC) 08736 01FEB1984 31DEC9999 Y Liver and spleen study, hepato biliary study or Meckel's diverticulum study (C) 08737 01FEB1984 31DEC9999 Y Liver and spleen study, hepato biliary study or Meckel's diverticulum study (NC) 08738 01FEB1984 31DEC9999 Y Spleen study, red blood cell spleen study, pancreas study, gastrooesophageal reflux study, salivary study or bowel haemorrhage study (C) 08739 01FEB1984 31DEC9999 Y Spleen study, red blood cell spleen study, pancreas study, gastrooesophageal reflux study, salivary study or bowel haemorrhage study (NC) 08740 01SEP1989 31DEC9999 Y Gated cardiac blood pool (equilibrium) study (C) 08741 01SEP1989 31DEC9999 Y Gated cardiac blood pool study with intervention (C) 08742 01FEB1984 31DEC9999 Y Liver and lung study (C) 08743 01FEB1984 31DEC9999 Y Liver and lung study (NC) 08744 01SEP1989 31DEC9999 Y Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (C) 08745 01SEP1989 31DEC9999 Y Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (NC) 08746 01FEB1984 31DEC9999 Y Le Veen shunt study (C) 08747 01FEB1984 31DEC9999 Y Le Veen shunt study (NC) 08748 01SEP1989 31DEC9999 Y Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (C) 08749 01SEP1989 31DEC9999 Y Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (NC) 08750 01FEB1984 31DEC9999 Y Gastric emptying study 08751 01SEP1989 31DEC9999 Y Lung perfusion study (C) 08752 01SEP1989 31DEC9999 Y Lung perfusion study (NC) 08753 01SEP1989 31DEC9999 Y Lung ventilation study using Xe127 gas (C) 08754 01SEP1989 31DEC9999 Y Lung ventilation study using Xe127 gas (NC) 08755 01FEB1984 31DEC9999 Y Renal study (static) or placental study (C) 08756 01FEB1984 31DEC9999 Y Renal study (static) or placental study (NC) 08757 01SEP1989 31DEC9999 Y Lung ventilation study using Xe133 gas (C) 08758 01SEP1989 31DEC9999 Y Lung ventilation study using Xe133 gas (NC) 08759 01FEB1984 31DEC9999 Y Cystoureterogram or quantitative renogram (C) 08760 01FEB1984 31DEC9999 Y Cystoureterogram or quantitative renogram (NC) 08761 01SEP1989 31DEC9999 Y Lung ventilation study using aerosol (C) 08762 01SEP1989 31DEC9999 Y Lung ventilation study using aerosol (NC) 08763 01FEB1984 31DEC9999 Y Testicular study (C) 08764 01FEB1984 31DEC9999 Y Testicular study (NC) 08765 01SEP1989 31DEC9999 Y Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (C) 08766 01SEP1989 31DEC9999 Y Lung perfusion study and lung ventilation study using either Xe127 or Xe133 gas (NC) 08767 01SEP1989 31DEC9999 Y Lung perfusion study and lung ventilation study using aerosol (C) 08768 01SEP1989 31DEC9999 Y Lung perfusion study and lung ventilation study using aerosol (NC) 08769 01FEB1984 31DEC9999 Y Brain study (static) or cerebro spinal fluid study (static) (C) 08770 01FEB1984 31DEC9999 Y Brain study (static) or cerebro spinal fluid study (static) (NC) 08771 01SEP1989 31DEC9999 Y Liver and spleen study (colloid) (C) 08772 01SEP1989 31DEC9999 Y Liver and spleen study (colloid) (NC) 08773 01FEB1984 31DEC9999 Y Shunt patency study (C) 08774 01FEB1984 31DEC9999 Y Shunt patency study (NC) 08775 01SEP1989 31DEC9999 Y Red blood cell spleen study (C) 08776 01SEP1989 31DEC9999 Y Red blood cell spleen study (NC) 08777 01SEP1989 31DEC9999 Y Hepatobiliary study (C) 08778 01SEP1989 31DEC9999 Y Hepatobiliary study (NC) 08779 01FEB1984 31DEC9999 Y Dynamic flow study or regional blood volume quantitative study (C) 08780 01FEB1984 31DEC9999 Y Dynamic flow study or regional blood volume quantitative study (NC) 08781 01SEP1989 31DEC9999 Y Bowel haemorrhage study (C) 08782 01SEP1989 31DEC9999 Y Bowel haemorrhage study (NC) 08783 01FEB1984 31DEC9999 Y Venography, lymphoscintigraphy, labelled platelets thrombus study or labelled white cell study (C) 08784 01FEB1984 31DEC9999 Y Venography, lymphoscintigraphy, labelled platelets thrombus study or labelled white cell study (NC) 08785 01SEP1989 31DEC9999 Y Meckel's diverticulum study (C) 08786 01SEP1989 31DEC9999 Y Meckel's diverticulum study (NC) 08787 01FEB1984 31DEC9999 Y Peripheral perfusion study (C) 08788 01FEB1984 31DEC9999 Y Peripheral perfusion study (NC) 08789 01SEP1989 31DEC9999 Y Salivary study (C) 08790 01SEP1989 31DEC9999 Y Salivary study (NC) 08791 01SEP1989 31DEC9999 Y Gastro-oesophageal reflux study (C) 08792 01SEP1989 31DEC9999 Y Gastro-oesophageal reflux study (NC) 08793 01FEB1984 31DEC9999 Y Bone study-- 4 or more areas (C) 08794 01FEB1984 31DEC9999 Y Bone study-- 4 or more areas (NC) 08795 01SEP1989 31DEC9999 Y Oesophageal clearance study (C) 08796 01SEP1989 31DEC9999 Y Oesophageal clearance study (NC) 08797 01FEB1984 31DEC9999 Y Bone study-- less than 4 areas (C) 08798 01FEB1984 31DEC9999 Y Bone study-- less than 4 areas (NC) 08799 01FEB1984 31DEC9999 Y Joint study of two or more joints (C) 08800 01FEB1984 31DEC9999 Y Joint study of two or more joints (NC) 08801 01SEP1989 31DEC9999 Y Gastric emptying study using single tracer (C) 08802 01SEP1989 31DEC9999 Y Gastric emptying study using dual tracer (C) 08803 01FEB1984 31DEC9999 Y Tumour seeking study-- 3 or more areas (C) 08804 01FEB1984 31DEC9999 Y Tumour seeking study-- 3 or more areas (NC) 08805 01SEP1989 31DEC9999 Y Renal study involving dynamic flow study and computer extraction of functional parameters (C) 08807 01FEB1984 31DEC9999 Y Tumour seeking study-- less than 3 areas (C) 08808 01FEB1984 31DEC9999 Y Tumour seeking study-- less than 3 areas (NC) 08809 01SEP1989 31DEC9999 Y Renal study with intervention (C) 08810 01SEP1989 31DEC9999 Y Renal study with intervention (NC) 08811 01SEP1989 31DEC9999 Y Cystoureterogram (C) 08812 01SEP1989 31DEC9999 Y Cystoureterogram (NC) 08813 01FEB1984 29FEB1984 N Thyroid study (using technetium, iodine or caesium) perchlorate discharge study (C) 08813 01MAR1984 31DEC9999 Y Thyroid study (using technetium, iodine or caesium) or perchlorate discharge study (C) 08814 01FEB1984 29FEB1984 N Thyroid study (using technetium, iodine or caesium) perchlorate discharge study (NC) 08814 01MAR1984 31DEC9999 Y Thyroid study (using technetium, iodine or caesium) or perchlorate discharge study (NC) 08815 01SEP1989 31DEC9999 Y Testicular study (C) 08816 01SEP1989 31DEC9999 Y Testicular study (NC) 08817 01FEB1984 31DEC9999 Y Thyroid uptake study (C) 08818 01FEB1984 31DEC9999 Y Thyroid uptake study (NC) 08819 01SEP1989 31DEC9999 Y Brain study with blood brain barrier agent (C) 08820 01SEP1989 31DEC9999 Y Brain study with blood brain barrier agent (NC) 08821 01FEB1984 31DEC9999 Y Parathyroid study 08822 01SEP1989 31DEC9999 Y Cerebro-spinal fluid transport study (C) 08823 01SEP1989 31DEC9999 Y Cerebro-spinal fluid transport study (NC) 08824 01FEB1984 31DEC9999 Y Adrenal study (C) 08825 01FEB1984 31DEC9999 Y Adrenal study (NC) 08826 01SEP1989 31DEC9999 Y Cerebro-spinal fluid shunt patency study (C) 08827 01SEP1989 31DEC9999 Y Cerebro-spinal fluid shunt patency study (NC) 08828 01FEB1984 31DEC9999 Y Study of region or organ not covered by any other item in this Part (C) 08829 01FEB1984 31DEC9999 Y Study of region or organ not covered by any other item in this Part (NC) 08830 01SEP1989 31DEC9999 Y Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (C) 08831 01SEP1989 31DEC9999 Y Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (NC) 08832 01SEP1989 31DEC9999 Y Bone study-whole body (C) 08833 01SEP1989 31DEC9999 Y Bone study-whole body (NC) 08834 01SEP1989 31DEC9999 Y Bone study-whole body and dynamic blood flow or regional blood volume quantitative study (C) 08835 01SEP1989 31DEC9999 Y Bone study-whole body and dynamic blood flow or regional blood volume quantitative study (NC) 08836 01SEP1989 31DEC9999 Y Whole body study using iodine (C) 08837 01SEP1989 31DEC9999 Y Whole body study using iodine (NC) 08838 01SEP1989 31DEC9999 Y Whole body study using gallium (C) 08839 01SEP1989 31DEC9999 Y Whole body study using gallium (NC) 08840 01SEP1989 31DEC9999 Y Whole body study using cells labelled with technetium (C) 08841 01SEP1989 31DEC9999 Y Whole body study using cells labelled with technetium (NC) 08842 01SEP1989 31DEC9999 Y Bone marrow study-whole body (C) 08843 01SEP1989 31DEC9999 Y Bone marrow study-whole body (NC) 08844 01SEP1989 31DEC9999 Y Repeat whole body study on different occasion using same administration of radiopharmaceutical (C) 08845 01SEP1989 31DEC9999 Y Repeat whole body study on different occasion using same administration of radiopharmaceutical (NC) 08846 01SEP1989 31DEC9999 Y Localised bone or joint study including flow and blood pool studies (C) 08847 01SEP1989 31DEC9999 Y Localised bone or joint study including flow and blood pool studies (NC) 08848 01SEP1989 31DEC9999 Y Localised bone, joint, tumour, infection or inflammation seeking study using gallium (C) 08849 01SEP1989 31DEC9999 Y Localised bone, joint, tumour, infection or inflammation seeking study using gallium (NC) 08850 01NOV1984 31DEC9999 Y Procedure service associated with the administration of a radionucletide in relation to a service covered by an item in Part 8A or Part 11. 08851 01SEP1989 31DEC9999 Y Localised bone, joint, tumour, infection or inflammation seeking study using technetium (C) 08852 01SEP1989 31DEC9999 Y Localised bone, joint, tumour, infection or inflammation seeking study using technetium (NC) 08853 01SEP1989 31DEC9999 Y Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (C) 08854 01SEP1989 31DEC9999 Y Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (NC) 08855 01SEP1989 31DEC9999 Y Venography (including blood pool study, active uptake study or dynamic blood flow study) (C) 08856 01SEP1989 31DEC9999 Y Venography (including blood pool study, active uptake study or dynamic blood flow study) (NC) 08857 01SEP1989 31DEC9999 Y Lymphoscintigraphy (C) 08858 01SEP1989 31DEC9999 Y Lymphoscintigraphy (NC) 08859 01SEP1989 31DEC9999 Y Thyroid Study (C) 08860 01SEP1989 31DEC9999 Y Thyroid Study (NC) 08861 01SEP1989 31DEC9999 Y Thyroid uptake study performed on gamma camera (C) 08862 01SEP1989 31DEC9999 Y Thyroid uptake study performed on gamma camera (NC) 08863 01SEP1989 31DEC9999 Y Parathyroid (C) 08864 01SEP1989 31DEC9999 Y Adrenal Study using Selenocholesterol (C) 08865 01SEP1989 31DEC9999 Y Adrenal Study using Selenocholesterol (NC) 08866 01SEP1989 31DEC9999 Y Adrenal Study (not covered by Item 8864/8865) (C) 08867 01SEP1989 31DEC9999 Y Adrenal Study (not covered by Item 8864/8865) (NC) 08868 01SEP1989 31DEC9999 Y Single photon emission tomography when associated with another item in this Part (C) 08869 01SEP1989 31DEC9999 Y Tear Duct Study (C) 08870 01SEP1989 31DEC9999 Y Tear Duct Study (NC) 08871 01SEP1989 31DEC9999 Y Particle perfusion study (intra-arterial) or Le Veen Shunt study (C) 08872 01SEP1989 31DEC9999 Y Particle perfusion study (intra-arterial) or Le Veen Shunt study (NC) 08873 01SEP1989 31DEC9999 Y Study of region or organ not covered by any other item in this Part (C) 08874 01SEP1989 31DEC9999 Y Study of region or organ not covered by any other item in this Part (NC) 08875 01SEP1989 31DEC9999 Y Procedural service associated with the administration of a radionuclide in relation to a service covered by any item in Part 8A or Part 11 08878 01NOV1990 31DEC9999 Y Administration of a therapeutic dose of a radioisotope - not covered by any other item in this Part 08880 01NOV1990 31DEC9999 Y Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (AU 5) 08882 01NOV1990 31DEC9999 Y Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique 08884 01NOV1990 31DEC9999 Y Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique 08886 01NOV1990 31DEC9999 Y Intravenous administration of a therapeutic dose of Phosphorous 32 08901 01FEB1984 31DEC9999 Y Professional attendance not covered by Item 8902 (AO) 08902 01FEB1984 31DEC9999 Y Professional attendance and treatmentplanning where treatment is deferred (AO) 08903 01FEB1984 31DEC9999 Y Production of dental study models not associated with Item 8902 or with a service covered by Item 8914, 8915, 8917, 8918, 8919, 8922, 8923, 8924, 8925, or 8928 (AO) 08905 01FEB1984 31DEC9999 Y Orthodontic radiography-- orthopantomography (AO) 08906 01FEB1984 31DEC9999 Y Orthodontic radiography-- anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO) 08907 01FEB1984 31DEC9999 Y Orthodontic radiography-- anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO) 08908 01FEB1984 31DEC9999 Y Orthodontic radiography-- anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO) 08909 01FEB1984 31DEC9999 Y Orthodontic radiography-- anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) (AO) 08914 01FEB1984 31DEC9999 Y Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations-- where one appliance is used (AO) 08915 01FEB1984 31DEC9999 Y Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations-- where two appliances are used (AO) 08917 01FEB1984 31DEC9999 Y Deciduous dentition treatment-- maxillary arch expansion, including supply of appliances and all associated consultations, treatmentplanning and retention services beyond the period of active treatment (AO) 08918 01FEB1984 31DEC9999 Y Deciduous and permanent dentition treatment-incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO) 08919 01FEB1984 31DEC9999 Y Deciduous and permanent dentition treatment (not being treatment associated with treatment covered by Item 8918)-- lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated attendances, treatment-planning and retention services beyond the period of active treatment (AO) 08922 01FEB1984 31DEC9999 Y Permanent dentition treatment (not being treatment associated with treatment covered by Item 8924 or 8925)-- single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-- initial three months of active treatment (AO) 08923 01FEB1984 31DEC9999 Y Permanent dentition treatment (not being treatment associated with treatment covered by Item 8924 or 8925)-- single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-- each three months of active treatment after the first for a maximum of a further 33 months (AO) 08924 01FEB1984 31DEC9999 Y Permanent dentition treatment (not being treatment associated with treatment covered by Item 8922 or 8923)-- two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-- initial three months of active treatment (AO) 08925 01FEB1984 31DEC9999 Y Permanent dentition treatment (not being treatment associated with treatment covered by Item 8922 or 8923)-- two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-- each three months of active treatment after the first for a maximum of a further 33 months (AO) 08928 01FEB1984 29FEB1984 N Pre-sugical or post-sugrical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO) 08928 01MAR1984 31DEC9999 Y Pre-surgical or post-surgical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO) 08931 01FEB1984 29FEB1984 N Removal of tooth or tooth fragment (not being treatment covered by Item 8936, 8937, 8938, 8939, 8940 or 8941), where the patient is referred by a recognized orthodontist (AD) 08931 01MAR1984 31DEC9999 Y Removal of tooth or tooth fragment (not being treatment covered by Item 8936, 8937, 8938, 8939, 8940 or 8941), where the patient is referred by a recognized orthodonist (AD) 08932 01FEB1984 31DEC9999 Y Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by a recognized orthodontist (AD) 08933 01FEB1984 31DEC9999 Y Removal of each additional tooth or tooth fragment at the same attendance at which a service referred to in Item 8931 or 8932 is rendered (AD) 08936 01FEB1984 31DEC9999 Y Surgical removal of erupted tooth, where the patient is referred by a recognized orthodontist (AOS) 08937 01FEB1984 31DEC9999 Y Surgical removal of tooth with soft tissue impaction, where the patient is referred by a recognized orthodontist (AOS) 08938 01FEB1984 31DEC9999 Y Surgical removal of tooth with partial bone impaction, where the patient is referred by a recognized orthodontist (AOS) 08939 01FEB1984 31DEC9999 Y Surgical removal of tooth with complete bone impaction, where the patient is referred by a recognized orthodontist (AOS) 08940 01FEB1984 31DEC9999 Y Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by a recognized orthodontist (AOS) 08941 01FEB1984 31DEC9999 Y Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by a recognized orthodontist (AOS) 08945 01FEB1984 31DEC9999 Y Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) 08946 01FEB1984 31DEC9999 Y Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by a recognized orthodontist (AOS) 08947 01FEB1984 31DEC9999 Y Surgical repositioning of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) 08948 01FEB1984 31DEC9999 Y Transplantation of tooth bud, where the patient is referred by a recognized orthodontist (AOS) 08960 01FEB1984 31AUG1989 N Attendance comprising consultation, preventive treatment and prophylaxis, of not more than thirty minutes duration-- each attendance to a maximum of three attendances in any period of twelve months (AD) 08960 01SEP1989 31DEC9999 Y Attendance comprising consultation, preventive treatment and prophylaxis, of not less than thirty minutes duration-each attendance to a maximum of three attendances in any period of twelve months (AD) 08961 01FEB1984 31DEC9999 Y Provision and fitting of acrylic base partial denture, including retainers-- one tooth (AD) 08962 01FEB1984 31DEC9999 Y Provision and fitting of acrylic base partial denture, including retainers-- two teeth (AD) 08963 01FEB1984 31DEC9999 Y Provision and fitting of acrylic base partial denture, including retainers-- three teeth (AD) 08964 01FEB1984 31DEC9999 Y Provision and fitting of acrylic base partial denture, including retainers-- four teeth (AD) 08965 01FEB1984 31DEC9999 Y Provision and fitting of acrylic base partial denture, including retainers-- five to nine teeth (AD) 08966 01FEB1984 31DEC9999 Y Provision and fitting of acrylic base partial denture, including retainers-- ten to twelve teeth (AD) 08971 01FEB1984 31DEC9999 Y Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-- one tooth (AD) 08972 01FEB1984 31DEC9999 Y Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-- two teeth (AD) 08973 01FEB1984 31DEC9999 Y Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-three teeth (AD) 08974 01FEB1984 31DEC9999 Y Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-four teeth (AD) 08975 01FEB1984 31DEC9999 Y Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-five to nine teeth (AD) 08976 01FEB1984 31DEC9999 Y Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-ten to twelve teeth (AD) 08980 01FEB1984 31DEC9999 Y Provision and fitting of retainers (not being treatment associated with treatment covered by Item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976)-each retainer (AD) 08982 01FEB1984 31DEC9999 Y Adjustment of partial denture (not being treatment associated with treatment covered by Item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976) (AD) 08984 01FEB1984 29FEB1984 N Relining of partial denture by laboratory process and associated fitting (AD) 08984 01MAR1984 31DEC9999 Y Reclining of partial denture by laboratory process and associated fitting (AD) 08986 01FEB1984 31DEC9999 Y Remodelling and fitting of partial denture of more than four teeth (AD) 08988 01FEB1984 31DEC9999 Y Repair to cast metal base of partial denture-one or more points (AD) 08990 01FEB1984 31DEC9999 Y Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) 09011 01JUL1985 31DEC9999 Y ANTENATAL CARDIOTOCOGRAPHY in the management of high risk pregnancy (for services from 1 July 1985 to 31 July 1986) 09021 01NOV1986 31DEC9999 Y ANAESTHETICS ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with removal of phaeochromocytoma - SIXTEEN UNITS (G) 09022 01NOV1986 31DEC9999 Y ANAESTHETICS ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with removal of phaeochromocytoma - SIXTEEN UNITS (S) 09023 01NOV1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with insertion of peripheral venous cannula - FOUR UNITS (G) 09024 01NOV1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with insertion of peripheral venous cannula - FOUR UNITS (S) 09025 01NOV1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with peripheral venous cannulation by open exposure - FIVE UNITS (G) 09026 01NOV1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with peripheral venous cannulation by open exposure - FIVE UNITS (S) 09027 01SEP1986 31OCT1986 N ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with percutaneous central venous cannulation - FIVE UNITS (G) 09027 01NOV1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with percutaneous central venous cannulation — FIVE UNITS (G) 09028 01OCT1986 31OCT1986 N ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with percutaneous central venous cannulation - FIVE UNITS (S) 09028 01NOV1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with percutaneous central venous cannulation — FIVE UNITS (S) 09029 01MAR1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with open exposure central venous cannulation OVER TWELVE YEARS of age - EIGHT UNITS (G) 09030 01MAR1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with open exposure central venous cannulation OVER TWELVE YEARS of age - EIGHT UNITS (S) 09031 01OCT1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with open exposure central venous cannulation UNDER TWELVE YEARS of age - TWELVE UNITS (G) 09032 01NOV1986 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with open exposure central venous cannulation UNDER TWELVE YEARS of age - TWELVE UNITS (S) 09033 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with electrocochleography (insertion of electrodes and brain stem evoked response audiometry) - ELEVEN UNITS (G) 09034 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with electrocochleography (insertion of electrodes and brain stem evoked response audiometry) - ELEVEN UNITS (S) 09035 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear - SEVEN UNITS (G) 09036 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear - SEVEN UNITS (S) 09037 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with manipulative correction of acute inversion of uterus - EIGHT UNITS (G) 09038 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with manipulative correction of acute inversion of uterus - EIGHT UNITS (S) 09039 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with caesarean section - TEN UNITS (G) 09040 01AUG1987 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with caesarean section - TEN UNITS (S) 09041 01AUG1988 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with repair of episiotomy - FIVE UNITS (G) 09042 01AUG1988 31DEC9999 Y ADMINISTRATION OF AN ANAESTHETIC ASSOCIATED with repair of episiotomy - FIVE UNITS (S) 09061 01JUL1985 31DEC9999 Y ADMINISTRATION OF CYTOTOXIC AGENT by intravenous drip infusion (for services from 1 July 1985 to 31 July 1986) 09062 01AUG1988 31DEC9999 Y MISCELLANEOUS PROCEDURES PULMONARY ARTERY pressure monitoring during open heart surgery, in a person under 12 years of age 09063 01AUG1988 31DEC9999 Y PULMONARY ARTERY pressure monitoring during open heart surgery, in a person over 12 years of age 09065 01AUG1989 31DEC9999 Y ASSISTED REPRODUCTIVE TECHNOLOGIES involving handling of both human ova and sperm including invitro fertilisation or gamete intra-faiIopian transfer or similar techniques, when rendered in conjunction with 09066 01DEC1989 31DEC9999 Y M-MODE AND TWO DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION OF THE HEART FROM AT LEAST TWO THORACIC WINDOWS, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, with recordings on video tape, not associated with Items 791, 793 or 913 09067 01DEC1989 31DEC9999 Y OVERNIGHT INVESTIGATION FOR SLEEP APNOEA FOR A PERIOD OF AT LEAST EIGHT HOURS DURATION, involving continuous morutoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG, EOG, submental EMG, anterior tibial EMG, respiratory movement, airflow, oxygen saturation and ECG, with continuous technician attendance, under the supervision of a consultant physician in the practice of his or her specialty of thoracic medicine, where the patient is referred to him or her by a medical practitioner, including interpretation by physician of recordings; payable not more than three times in any twelve month period 09341 01AUG1988 31DEC9999 Y ORTHOPANTOMOGRAPHY and report 09342 01AUG1988 31DEC9999 Y PREPARATION FOR DISCOGRAPHY using Metrizarnide contrast medium 09343 01AUG1988 31DEC9999 Y PREPARATION FOR CONTRAST ARTHROGRAPHY or double contrast arthrography excluding arthrography of the joints between articular processes of the vertebrae 09344 01AUG1988 31DEC9999 Y PREPARATION FOR SIALOGRAPHY 09381 01FEB1988 31DEC9999 Y RADIATION FIELD SETTING using a simulator or isocentric x-ray or megavoliage machine of a single area for treatment by a single field or parallel opposed fields (not associated with Item 9384) 09382 01FEB1988 31DEC9999 Y RADIATION FIELD SETTING using a simulator or isocentric x-ray or megavolt age machine of a single area, where views in more than one plane are required for treatment by multiple fields, or of two areas (not associated with Item 9385) 09383 01MAR1988 31DEC9999 Y RADIATION FIELD SETTING usining simulator or isocentric x-ray or megavoltage machine of three or more areas, or of total body or half body irradiatigrt, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with Item 9386) 09384 01FEB1988 31DEC9999 Y RADIATION FIELD SETTING using a diagnostic x-ray unit of a single area for treatment by a single field or parallel opposed fields (not associated with Item 9381) 09385 01FEB1988 31DEC9999 Y RADIATION FIELD SETTING using a diagnostic x-ray unit of a single area, where views in more than one plane are required for treatment by multiple fields, or of two areas (not associated with Item 9382) 09386 01FEB1988 31DEC9999 Y RADIATION FIELD SETTING using a diagnostic x-ray unit of three or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with Item 9383) 09387 01FEB1988 31DEC9999 Y "RADIATION DOSIMETRY by a CT interfacing computer for ""megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to one area with up to two shielding blocks, or for brachytherapy with isodose calculations in a single plane" 09388 01FEB1988 31DEC9999 Y RADIATION DOSIMETRY by a CT interfacing planning computer for megavoltage or teletherapy adiotherapy to a single area by three or more fields, or by a single field or parallel opposed fields to two areas, or here wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons 09389 01FEB1988 31DEC9999 Y RADIATION DOSIMETRY by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy o three or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane implants of more than 10 sources or ribbons 09390 01FEB1988 31DEC9999 Y RADIATION DOSIMETRY by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to one area with up to two shielding blocks, or for brachytherapy with isodose calculations in a single plane 09391 01FEB1988 31DEC9999 Y RADIATION DOSIMETRY by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single Ii area by three or more fields, or by a single field or parallel opposed fields to two areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons 09392 01FEB1988 31DEC9999 Y RADIATION DOSIMETRY by a non-CT interfac planning computer for megavoltage or teletherapy radiotherapy to three or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane of more than 10 sources or ribbons 09401 01SEP1986 31DEC9999 Y OPERATIONS HAEMORRHAGE, arrest of, following circumcision requiring general anaes-thesia 09402 01MAR1987 31DEC9999 Y AMPUTATION STUMP, reamputation of, to provide adequate skin and muscle cover. ANAESTHETIC - ITEM NOS 488G/560S (for services from 31 July 1986 to 31 October 1986) 09403 01OCT1986 31DEC9999 Y NASAL SEPTUM BUTTON, insertion of 09404 01AUG1988 31DEC9999 Y PERCUTANEOUS NEEDLE BIOPSY of lung ANAESTHETIC 7 UNITS - ITEM NOS 408G / 514S 09405 01AUG1988 31DEC9999 Y NASAL TURBINATES, cryotherapy to ANAESTHETIC 6 UNIT - ITEM NOS 407G / 5I3S 09406 01AUG1988 31DEC9999 Y PERCUTANEOUS EPIDURAL IMPLANCT FOR CHRONIC PAIN -insertion of (one or two stages), not involving laminectomy ANAESTHETIC 8 ITS - ITEM NOS 409G / 5l7S 09407 01AUG1988 31DEC9999 Y PERCUTANEOUS EPIDURAL IMPLANCT FOR CHRONIC PAIN - removal of ANAESTHETIC 7 UNITS - ITEM NOS 408G / 514S 09408 01AUG1988 31DEC9999 Y POSTERIOR MOBILISATION (release), operaiion for scoliosis ANAESTHETIC 21 UNITS - ITEM NOS 4650 / 535S 09409 01AUG1988 31DEC9999 Y FINGER JOINT, prosthetic replacement of ANAETHETIC 5 UNITS - ITEM NOS 406G / 510S 09410 01AUG1988 31DEC9999 Y ARGON LASER THERAPY for vascular lesions of the Skin - session up to one half hour 09411 01AUG1988 31DEC9999 Y ARGON LASER THERAPY for vascular lesions of the skin - session taking more than one half hour but less than one hour 09412 01AUG1988 31DEC9999 Y ARGON LASER THERAPY for vascular lesions of the skin - session taking more than one hour but less than two hours 09413 01AUG1988 31DEC9999 Y ARGON LASER THERAPY for vascular lesions of the skin - session taking more than two hours but less than three hours 09414 01AUG1988 31DEC9999 Y ARGON LASER THERAPY for vascular lesions of the skin - session taking more than three hours 09415 01AUG1988 31DEC9999 Y CRYOSURGERY to haemorrhoids ANAESTHETIC 5 UNITS - ITEM NOS 406G / 510S 09416 01AUG1988 31DEC9999 Y WRIST, total replacement ANAESTHETIC 13 UNITS - ITEM NOS 457G / 524S 09417 01AUG1988 31DEC9999 Y CARPAL SCAPHOID, internal fixation of ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 09418 01AUG1988 31DEC9999 Y HYPERTHERMIC ISOLATED LIMB PERFUSION including vascular cannulation by operation and subsequent removal of catheteters ANAESTHETIC 30 UNITS - ITEM NOS 474G / 545S 09419 01AUG1988 31DEC9999 Y ARTERIAL BYPASS GRAFT USING SYNTHETIC GRAFT,with or without local endarterectomy ANAESTHETIC 16 UNITS - ITEM NOS 460G / 527S 09420 01AUG1988 31DEC9999 Y LAPAROTOMY WITH INSERTION OF PORTACATH for administration of cytotoxic therapy including placement of reservoir ' ANAESTHETIC II UNITS - ITEM NOS 4530 / 522S 09421 01AUG1988 31DEC9999 Y NAIL BED, excision or wedge resection of ANAETHETIC 5 UNITS - ITEM NOS 406G / 510S (G) 09422 01AUG1988 31DEC9999 Y NAIL BED, excision or wedge resection of ANAETHETIC 5 UNITS - ITEM NOS 406G / 510S (S) 09423 01AUG1988 31DEC9999 Y TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOANAL ANASTOMOSIS WITH ILEAL RESERVOIR, with or without creation of temporary ileostomy: one surgeon ANAESTHETIC 36 UNITS - ITEM NOS 4760 / 547S 09424 01AUG1988 31DEC9999 Y TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOANAL ANASTOMOSIS WITH ILEAL RESERVOIR, with or without creation of temporary ileostomy: conjoint surgery abdominal surgeon (including after-care) ANAESTHETIC 30 UNITS - ITEM NOS 4740 / 545S 09425 01AUG1988 31DEC9999 Y TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOANAL ANASTOMOSIS WITH ILEAL RESERVOIR: conjoint surgery perineal surgeon 09426 01AUG1988 31DEC9999 Y ILEOSTOMY closure with rectal resection and mucosectomy and ileoanal anastomosis with ileal reservoir, with or without temporary loop ileostomy: one surgeon ANAESTHETIC 30 UNITS - ITEM NOS 4740 / 545S 09427 01AUG1988 31DEC9999 Y ILEOSTOMY closure with rectal resection and mucoscctomy and ileoanal anastomosis with ileal reservoir, with or without temporary loop ileostomy: abdominal surgeon (including aftercare) ANAESTHETIC 26 UNITS - ITEM NOS 4700 /541S 09428 01AUG1988 31DEC9999 Y ILEOSTOMY closure with rectal resection and mucoscctomy and ileoanal anastomosis with ileal reservoir, with or without temporary loop ileostomy: conjoint surgery perineal surgeon 09429 01AUG1988 31DEC9999 Y ILEOSTOMY reservoir, continent type, creation of including conversion of existing ileostomy where appropriate ANAESTHETIC 30 UNITS - ITEM NOS 4740 / 545S 09430 01AUG1988 31DEC9999 Y RECTOSIGMOIDECTOMY, anterior (Hartman's peration) ANAESTHETIC 15 UNITS - ITEM NOS 459G 526S 09431 01AUG1988 31DEC9999 Y Restoration of bowel continuity following Hartman's procedure, including dismantling of colostomy ANAESTHETIC 15 UNITS - ITEM NO 459G / 526S 09432 01AUG1988 31DEC9999 Y RECTAL PROLAPSE - Delorme procedure for ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 09433 01AUG1988 31DEC9999 Y COLOSTOMY, refashioning of ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 09434 01AUG1988 31DEC9999 Y Injection of botulinus toxin fo blepharospasm or strabismus 09435 01AUG1988 31DEC9999 Y LAPAROTOMY with division of bowel adhesions and introduction of Dennis tube ANAESTHETIC 14 UNITS - ITEM NOS 4580 / 525S 09436 01AUG1988 31DEC9999 Y CENTRAL VEIN ATHETERISATION (via jugular or subclavian vein) or by open exposure in a person under 12 years of age ANAESTHETI 12 UNITS - ITEM NOS 454G / 523S 09437 01AUG1988 31DEC9999 Y CENTRAL VEIN CATHETERISATION (via jugular or subclavian vein) by percutaneous or open exposure, not covered by item 9430 ANAESTHETIC 6 UNITS - ITEM NOS 407G / 5l3S 09438 19OCT1988 31DEC9999 Y TEMPORO-MANDIBULAR JOINT, arthroplasty ANAESTHETIC 6 UNITS - ITEM NOS 4070 / 513S 09439 19OCT1988 31DEC9999 Y TEMPORO-MANDIBULAR JOINT, arthroplasty (D) ANAESTHETIC 6 UNITS - ITEM NOS 407G /513S 09441 01FEB1989 31DEC9999 Y NEPHROSTOMY, percutaneous, including associated imaging ANAESTHETIC 9 UNITS - ITEM NOS 443G / 518S 09442 01FEB1989 31DEC9999 Y NEPHROSCOPY, percutaneous, with or without anyone or more of; stone extraction, biopsy or diathermy, not covered by Items 9446, 9447, 9448 or 9449 ANAESTHETIC II UNITS - ITEM NOS 453G / 522S 09443 01FEB1989 31DEC9999 Y The services covered by Item 9442 where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding ANAESTHETIC 10 UNITS - ITEM NOS 450G / 521S 09444 01FEB1989 31DEC9999 Y NEPHROSCOPY, percutaneous, with incision of anyone or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not in association with Items 9442,9446, 9447, 9448 or 9449 ANAESTHETIC II UNITS - ITEM NOS 453G / 522S 09445 01FEB1989 31AUG1989 N NEPHROSCOPY, percutaneous, with incision of anyone or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, in association with Items 9442, 9446, 9447, 9448 or 9449 ANAESTHETIC 13 UNITS - ITEM N 09445 01SEP1989 31DEC9999 Y NEPHROSCOPY, percutaneous, with incision of anyone or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, in association with Items 9442, 9446, 9447, 9448 or 9449 ANAESTHETIC 13 UNITS - ITEM N 500mls) 21100 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the anterior pelvic region (anterior to iliac crest), except external genitalia 21110 01MAY2001 31OCT2001 N INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin, its derivatives or subcutaneous tissue of the pelvic region (posterior to iliac crest), except perineum 21110 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin, its derivatives or subcutaneous tissue of the pelvic region (posterior to iliac crest), except perineum 21112 01MAY2003 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the anterior iliac crest 21114 01MAY2003 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the posterior iliac crest 21116 01MAY2003 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow harvesting from the pelvis 21120 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the bony pelvis 21130 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for body cast application or revision when performed in the operating theatre of a hospital 21140 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for interpelviabdominal (hind-quarter) amputation 21150 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures for tumour of the pelvis, except hind-quarter amputation 21155 01JUL2008 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior pelvis 21160 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures involving symphysis pubis or sacroiliac joint when performed in the operating theatre of a hospital 21170 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures involving symphysis pubis or sacroiliac joint 21195 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper leg 21199 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of the upper leg 21200 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures involving hip joint when performed in the operating theatre of a hospital 21202 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of the hip joint 21210 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures involving hip joint, not being a service to which another item in this Subgroup applies 21212 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for hip disarticulation 21214 01NOV2001 28FEB2022 N INITIATION OF MANAGEMENT OF ANAESTHESIA for total hip replacement or revision 21214 01MAR2022 31DEC9999 Y Initiation of management of anaesthesia for primary total hip replacement. 21215 01MAR2022 31DEC9999 Y Initiation of management of anaesthesia for revision total hip replacement 21216 01NOV2005 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for bilateral total hip replacement 21220 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures involving upper 2/3 of femur when performed in the operating theatre of a hospital 21230 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures involving upper 2/3 of femur, not being a service to which another item in this Subgroup applies 21232 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for above knee amputation 21234 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection of the upper 2/3 of femur 21260 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures involving veins of upper leg, including exploration 21270 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures involving arteries of upper leg, including bypass graft, not being a service to which another item in this Subgroup applies 21272 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for femoral artery ligation 21274 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for femoral artery embolectomy 21275 01JUL2008 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the upper leg 21280 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of upper leg 21300 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the knee and/or popliteal area 21321 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of knee and/or popliteal area 21340 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on lower 1/3 of femur when performed in the operating theatre of a hospital 21360 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on lower 1/3 of femur 21380 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on knee joint when performed in the operating theatre of a hospital 21382 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of knee joint 21390 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on upper ends of tibia, fibula, and/or patella when performed in the operating theatre of a hospital 21392 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on upper ends of tibia, fibula, and/or patella 21400 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on knee joint, not being a service to which another item in this Subgroup applies 21402 01NOV2001 30APR2002 N INITIATION OF MANAGEMENT OF ANAESTHESIA for total knee replacement 21402 01MAY2002 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for knee replacement 21403 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for bilateral knee replacement 21404 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for disarticulation of knee 21420 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for cast application, removal, or repair involving knee joint, undertaken in a hospital 21430 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of knee or popliteal area, not being a service to which another item in this Subgroup applies 21432 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of arteriovenous fistula of knee or popliteal area 21440 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of knee or popliteal area, not being a service to which another item in this Subgroup applies 21445 01JUL2008 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the knee and/or popliteal area 21460 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of lower leg, ankle, or foot 21461 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, or fascia of lower leg, ankle, or foot, not being a service to which another item in this Subgroup applies 21462 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on lower leg, ankle, or foot 21464 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedure of ankle joint 21472 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of Achilles tendon 21474 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for gastrocnemius recession 21480 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on bones of lower leg, ankle, or foot, including amputation, not being a service to which another item in this Subgroup applies 21482 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection of bone involving lower leg, ankle or foot 21484 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for osteotomy or osteoplasty of tibia or fibula 21486 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for total ankle replacement 21490 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for lower leg cast application, removal or repair, undertaken in a hospital 21500 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of lower leg, including bypass graft, not being a service to which another item in this Subgroup applies 21502 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of the lower leg 21520 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of lower leg, not being a service to which another item in this Subgroup applies 21522 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for venous thrombectomy of the lower leg 21530 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of lower leg, ankle or foot 21532 01MAY2001 31OCT2001 N INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of toe 21532 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of toe 21535 01JUL2008 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the lower leg 21600 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the shoulder or axilla 21610 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of shoulder or axilla including axillary dissection 21620 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, or shoulder joint when performed in the operating theatre of a hospital 21622 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of shoulder joint 21630 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint, not being a service to which another item in this Subgroup applies 21632 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection involving humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint 21634 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder disarticulation 21636 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for interthoracoscapular (forequarter) amputation 21638 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for total shoulder replacement 21650 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of shoulder or axilla, not being a service to which another item in this Subgroup applies 21652 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures for axillary-brachial aneurysm 21654 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for bypass graft of arteries of shoulder or axilla 21656 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for axillary-femoral bypass graft 21670 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of shoulder or axilla 21680 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder cast application, removal or repair, not being a service to which another item in this Subgroup applies, when undertaken in a hospital 21682 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder spica application when undertaken in a hospital 21685 01JUL2008 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the shoulder or the axilla 21700 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper arm or elbow 21710 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of upper arm or elbow, not being a service to which another item in this Subgroup applies 21712 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open tenotomy of the upper arm or elbow 21714 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for tenoplasty of the upper arm or elbow 21716 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for tenodesis for rupture of long tendon of biceps 21730 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on the upper arm or elbow when performed in the operating theatre of a hospital 21732 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of elbow joint 21740 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on the upper arm or elbow, not being a service to which another item in this Subgroup applies 21756 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures on the upper arm or elbow 21760 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for total elbow replacement 21770 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of upper arm, not being a service to which another item in this Subgroup applies 21772 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of arteries of the upper arm 21780 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of upper arm, not being a service to which another item in this Subgroup applies 21785 01JUL2008 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the upper arm or elbow 21790 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of upper arm 21800 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the forearm, wrist or hand 21810 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the nerves, muscles, tendons, fascia, or bursae of the forearm, wrist or hand 21820 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on the radius, ulna, wrist, or hand bones when performed in the operating theatre of a hospital 21830 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on the radius, ulna, wrist, or hand bones, not being a service to which another item in this Subgroup applies 21832 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for total wrist replacement 21834 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of the wrist joint 21840 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the arteries of forearm, wrist or hand, not being a service to which another item in this Subgroup applies 21842 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of artery of forearm, wrist or hand 21850 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the veins of forearm, wrist or hand, not being a service to which another item in this Subgroup applies 21860 01NOV2001 30NOV2007 N INITIATION OF MANAGEMENT OF ANAESTHESIA for forearm, wrist, or hand cast application, removal, or repair when undertaken in a hospital or approved day hospital facility 21860 01DEC2007 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for forearm, wrist, or hand cast application, removal, or repair when rendered to a patient as part of an episode of hospital treatment 21865 01JUL2008 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the forearm, wrist or hand 21870 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of forearm, wrist or hand 21872 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of a finger 21878 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting where the area of burn involves not more than 3% of total body surface 21879 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting,where the area of burn involves more than 3% but less than 10% of total body surface 21880 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 10% or more but less than 20% of total body surface 21881 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 20% or more but less than 30% of total body surface 21882 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 30% or more but less than 40% of total body surface 21883 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 40% or more but less than 50% of total body surface 21884 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 50% or more but less than 60% of total body surface 21885 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 60% or more but less than 70% of total body surface 21886 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 70% or more but less than 80% of total body surface 21887 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 80% or more of total body surface 21900 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for hysterosalpingography 21906 01MAY2001 31OCT2001 N INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: lumbar or thoracic 21906 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: lumbar or thoracic 21908 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: cervical 21910 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: posterior fossa 21912 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for discography: lumbar or thoracic 21914 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for discography: cervical 21915 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for peripheral arteriogram 21916 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for arteriograms: cerebral, carotid or vertebral 21918 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for retrograde arteriogram: brachial or femoral 21922 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for computerised axial tomography scanning, magnetic resonance scanning, digital subtraction angiography scanning 21925 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for retrograde cystography, retrograde urethrography or retrograde cystourethrography 21926 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for fluoroscopy 21927 01NOV2001 31OCT2012 N INITIATION OF MANAGEMENT OF ANAESTHESIA forl barium enema or other opaque study of the small bowel 21927 01NOV2012 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for barium enema or other opaque study of the small bowel 21930 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for bronchography 21935 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for phlebography 21936 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for heart, 2 dimensional real time transoesophageal examination 21939 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for peripheral venous cannulation 21941 01NOV2001 30APR2002 N INITIATION OF MANAGEMENT OF ANAESTHESIA for cardiac catheterisation including coronary arteriography, ventriculography, or cardiac mapping 21941 01MAY2002 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for cardiac catheterisation including coronary arteriography, ventriculography, cardiac mapping, insertion of automatic defibrillator or transvenous pacemaker 21942 01MAY2002 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for cardiac electrophysiological procedures including radio frequency ablation 21943 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for central vein catheterisation or insertion of right heart balloon catheter (via jugular, subclavian or femoral vein) by percutaneous or open exposure 21945 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for lumbar puncture, cisternal puncture, or epidural injection 21949 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for harvesting of bone marrow for the purpose of transplantation 21952 01NOV2001 31OCT2019 N INITIATION OF MANAGEMENT OF ANAESTHESIA for muscle biopsy for malignant hyperpyrexia 21952 01NOV2019 31DEC9999 Y Initiation of the management of anaesthesia for diagnostic muscle biopsy to assess for malignant hyperpyrexia 21955 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for electroencephalography 21959 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for brain stem evoked response audiometry 21962 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for electrocochleography by extratympanic method or transtympanic membrane insertion method 21965 01NOV2001 31OCT2005 N INITIATION OF MANAGEMENT OF ANAESTHESIA as a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia 21965 01NOV2005 31OCT2018 N INITIATION OF MANAGEMENT OF ANAESTHESIA as a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia, not for the treatment of headache of any etiology 21965 01NOV2018 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA as a therapeutic procedure if there is a clinical need for anaesthesia, not for headache of any etiology 21969 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA during hyperbaric therapy where the medical practitioner is not confined in the chamber (including the administration of oxygen) 21970 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA during hyperbaric therapy where the medical practitioner is confined in the chamber (including the administration of oxygen) 21973 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for brachytherapy using radioactive sealed sources 21976 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for therapeutic nuclear medicine 21980 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for radiotherapy 21981 01JUL2008 30JUN2011 N ANAESTHETIC AGENT ALLERGY TESTING, using skin sensitivity methods in a patient with a history of prior anaphylactic or anaphylactoid reaction or cardiovascular collapse in association with the administration of anaesthesia agents 21981 01JUL2011 31DEC9999 Y ANAESTHETIC AGENT ALLERGY TESTING, using skin sensitivity methods in a patient with a history of prior anaphylactic or anaphylactoid reaction or cardiovascular collapse associated with the management of anaesthesia agents 21990 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA when no procedure ensues 21992 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA performed on a person under the age of 10 years in connection with a procedure covered by an item which has not been identified as attracting an anaesthetic 21997 01NOV2001 31OCT2018 N INITIATION OF MANAGEMENT OF ANAESTHESIA in connection with a procedure covered by an item which has not been identified as attracting an anaesthetic rebate, not being a service to which item 21992 or 21965 applies where it can be demonstrated that there is a clinical need for anaesthesia 21997 01NOV2018 31DEC9999 Y "INITIATION OF MANAGEMENT OF ANAESTHESIA in connection with a procedure covered by an item that does not include the word ""(Anaes.)"", other than a service to which item 21965 or 21992 applies, if there is a clinical need for anaesthesia" 22001 01NOV2001 31DEC9999 Y COLLECTION OF BLOOD FOR AUTOLOGOUS TRANSFUSION or when homologous blood is required for immediate transfusion in an emergency situation, when performed in association with the administration of anaesthesia 22002 01NOV2001 31OCT2019 N ADMINISTRATION OF BLOOD or bone marrow already collected when performed in association with the administration of anaesthesia 22002 01NOV2019 31DEC9999 Y Administration of homologous blood or bone marrow already collected, when performed in association with the management of anaesthesia 22007 01NOV2001 30JUN2008 N AWAKE ENDOTRACHEAL INTUBATION with flexible fibreoptic scope associated with difficult airway when performed in association with the administration of anaesthesia 22007 01JUL2008 31DEC9999 Y ENDOTRACHEAL INTUBATION with flexible fibreoptic scope associated with difficult airway when performed in association with the administration of anaesthesia 22008 01NOV2001 31DEC9999 Y DOUBLE LUMEN ENDOBRONCHIAL TUBE OR BRONCHIAL BLOCKER, insertion of when performed in association with the administration of anaesthesia 22012 01NOV2001 30APR2002 N BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter - each day of monitoring for each type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) when performed in association with the administration of anaesthesia 22012 01MAY2002 31OCT2008 N BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter - for each type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) when performed in association with the administration of anaesthesia 22012 01NOV2008 31OCT2019 N BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter - once only for each type of pressure on any calendar day, up to a maximum of 4 pressures (not being a service to which item 13876 applies) when performed in association with the administration of anaesthesia 22012 01NOV2019 31DEC9999 Y Central venous, pulmonary arterial, systemic arterial or cardiac intracavity blood pressure monitoring by indwelling catheter-once per day for each type of pressure for a patient:(a) when performed in association with the management of anaesthesia for the patient; and(b) other than a service to which item 13876 applies(c) is categorised as having a high risk of complications or during the procedure develops either complications or a high risk of complications 22014 01NOV2001 31OCT2008 N BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter - for each type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) when performed in association with the administration of anaesthesia relating to another discrete operation on the same day 22014 01NOV2008 31OCT2019 N BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter - once only for each type of pressure on any calendar day, up to a maximum of 4 pressures (not being a service to which item 13876 applies) when performed in association with the administration of anaesthesia relating to another discrete operation on the same day 22014 01NOV2019 31DEC9999 Y Central venous, pulmonary arterial, systemic arterial or cardiac intracavity blood pressure monitoring by indwelling catheter-once per day for each type of pressure for a patient:(a) when performed in association with the management of anaesthesia for the patient; and(b) relating to another discrete operation on the same day for the patient; and(c) other than a service to which item 13876 applies(d) who is categorised as having a high risk of complications or develops during the current procedure either complications or a high risk of complications 22015 01NOV2001 31DEC9999 Y RIGHT HEART BALLOON CATHETER, insertion of, including pulmonary wedge pressure and cardiac output measurement, when performed in association with the administration of anaesthesia 22018 01NOV2005 31DEC9999 Y MEASUREMENT OF THE MECHANICAL OR GAS EXCHANGE FUNCTION OF THE RESPIRATORY SYSTEM, using measurements of parameters, including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood and incorporating serial arterial blood gas analysis and a written record of the results, when performed in association with the administration of anaesthesia, not being a service associated with a service to which item 11503 applies 22020 01NOV2001 30JUN2012 N CENTRAL VEIN CATHETERISATION (via jugular, subclavian or femoral vein) by percutaneous or open exposure, not being a service to which item 13318 applies, when performed in association with the administration of anaesthesia 22020 01JUL2012 31DEC9999 Y CENTRAL VEIN CATHETERISATION by percutaneous or open exposure, not being a service to which item 13318 applies, when performed in association with the administration of anaesthesia 22025 01NOV2001 31OCT2019 N INTRAARTERIAL CANNULATION when performed in association with the administration of anaesthesia 22025 01NOV2019 31DEC9999 Y Intra-arterial cannulation when performed in association with the management of anaesthesia in a patient who:(a) is categorised as having a high risk of complications; or(b) develops a high risk of complications during the procedure 22030 01NOV2001 31DEC9999 Y INTRODUCTION OF A NARCOTIC, for the control of postoperative pain, into the epidural or intrathecal space in conjunction with an operation 22031 01NOV2005 31OCT2019 N INTRATHECAL or EPIDURAL INJECTION (initial) of a therapeutic substance or substances, with or without insertion of a catheter, in association with anaesthesia and surgery, for postoperative pain management, not being a service associated with a service to which 22036 applies 22031 01NOV2019 31DEC9999 Y Intrathecal or epidural injection (initial) of a therapeutic substance or substances, with or without insertion of a catheter, in association with anaesthesia and surgery, for post-operative pain management, not being a service to which 22036 applies 22035 01NOV2001 31DEC9999 Y INTRODUCTION OF A LOCAL ANAESTHETIC, for control of postoperative pain, into the epidural or intrathecal space, in conjunction with an operation 22036 01NOV2005 31DEC9999 Y INTRATHECAL or EPIDURAL INJECTION (subsequent) of a therapeutic substance or substances, using an in-situ catheter, in association with anaesthesia and surgery, for postoperative pain management, not being a service associated with a service to which 22031 applies 22040 01NOV2001 31OCT2003 N INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room theatre or recovery room for the control of post operative pain via the femoral OR sciatic nerves, in conjunction with knee, ankle or foot surgery 22040 01NOV2003 31DEC9999 Y INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room theatre or recovery room for the control of post operative pain via the femoral OR sciatic nerves, in conjunction with hip, knee, ankle or foot surgery 22041 01NOV2019 31DEC9999 Y Perioperative introduction of a plexus or nerve block proximal to the lower leg or forearm for post operative pain management 22042 01NOV2019 31DEC9999 Y Introduction of a nerve block performed via a retrobulbar, peribulbar, or sub Tenon's approach, or other complex eye block, when administered by an anaesthetist perioperatively 22045 01NOV2001 31OCT2003 N INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral AND sciatic nerves, in conjunction with knee, ankle or foot surgery 22045 01NOV2003 31DEC9999 Y INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral AND sciatic nerves, in conjunction with hip, knee, ankle or foot surgery 22050 01NOV2001 31DEC9999 Y INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the brachial plexus in conjunction with shoulder surgery 22051 01NOV2008 31DEC9999 Y INTRA-OPERATIVE TRANSOESOPHAGEAL ECHOCARDIOGRAPHY - Monitoring in real time of the structure and function of the heart chambers, valves and surrounding structures, including assessment of blood flow, with appropriate permanent recording during procedures on the heart, pericardium or great vessels of the chest (not in association with items 55130, 55135 or 21936) 22052 01MAR2024 31DEC9999 Y Transfusion of blood by an anaesthetist, including collection from donor, when used for intra-operative normovolaemic haemodilution, where the service is provided on the same occasion as the administration of anaesthesia by the same anaesthetist, other than a service associated with a service to which item 13703 applies 22053 01MAR2024 31DEC9999 Y Insertion of lumbar cerebrospinal fluid drain, by an anaesthetist at the request of the treating specialist, where the service is provided on the same occasion as the administration of anaesthesia by the same anaesthetist, other than a service associated with a service to which item 40018 applies 22054 01MAR2024 31DEC9999 Y Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography by an anaesthetist, where the service: (a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and (b) includes Doppler techniques with colour flow mapping and recordings on digital media; and (c) is performed during cardiac valve surgery (replacement or repair); and (d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and (e) is not associated with a service to which item 21936, 22051, 55118, 55130 or 55135 applies; and (f) is provided on the same occasion as the administration of anaesthesia by the same anaesthetist 22055 01NOV2001 30APR2009 N PERFUSION OF LIMB OR ORGAN using heart-lung machine or equivalent 22055 01MAY2009 30JUN2009 N PERFUSION OF LIMB OR ORGAN using heart-lung machine or equivalent, not being a service associated with a service to which an item in Subgroup 21 applies 22055 01JUL2009 31DEC9999 Y PERFUSION OF LIMB OR ORGAN using heart-lung machine or equivalent, not being a service associated with anaesthesia to which an item in Subgroup 21 applies 22060 01NOV2001 30APR2009 N WHOLE BODY PERFUSION, CARDIAC BYPASS, using heart-lung machine or equivalent 22060 01MAY2009 31OCT2015 N WHOLE BODY PERFUSION, CARDIAC BYPASS, using heart-lung machine or equivalent, not being a service associated with anaesthesia to which an item in Subgroup 21 applies 22060 01NOV2015 28FEB2021 N WHOLE BODY PERFUSION, CARDIAC BYPASS, where the heart-lung machine or equivalent is continuously operated by a medical perfusionist, other than a service associated with anaesthesia to which an item in Subgroup 21 applies. (20 basic units) 22060 01MAR2021 31DEC9999 Y WHOLE BODY PERFUSION, CARDIAC BYPASS, where the heart-lung machine or equivalent is continuously operated by a medical perfusionist, other than a service associated with anaesthesia to which an item in Subgroup 21 applies 22065 01NOV2001 30APR2009 N INDUCED CONTROLLED HYPOTHERMIA total body 22065 01MAY2009 30JUN2009 N INDUCED CONTROLLED HYPOTHERMIA total body, not being a service associated with a service to which an item in Subgroup 21 applies 22065 01JUL2009 31DEC9999 Y INDUCED CONTROLLED HYPOTHERMIA total body, being a service to which item 22060 applies, not being a service associated with anaesthesia to which an item in Subgroup 21 applies 22070 01NOV2001 30APR2009 N CARDIOPLEGIA, blood or crystalloid, administration by any route 22070 01MAY2009 30JUN2009 N CARDIOPLEGIA, blood or crystalloid, administration by any route, not being a service associated with a service to which an item in Subgroup 21 applies 22070 01JUL2009 31DEC9999 Y CARDIOPLEGIA, blood or crystalloid, administration by any route, being a service to which item 22060 applies, not being a service associated with anaesthesia to which an item in Subgroup 21 applies 22075 01NOV2001 30APR2009 N DEEP HYPOTHERMIC CIRCULATORY ARREST, with core temperature less than 22°c, including management of retrograde cerebral perfusion if performed 22075 01MAY2009 30JUN2009 N DEEP HYPOTHERMIC CIRCULATORY ARREST, with core temperature less than 22°c, including management of retrograde cerebral perfusion if performed, not being a service associated with a service to which an item in Subgroup 21 applies 22075 01JUL2009 31DEC9999 Y DEEP HYPOTHERMIC CIRCULATORY ARREST, with core temperature less than 22°c, including management of retrograde cerebral perfusion if performed, not being a service associated with anaesthesia to which an item in Subgroup 21 applies 22900 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT BY A MEDICAL PRACTITIONER OF ANAESTHESIA for extraction of tooth or teeth with or without incision of soft tissue or removal of bone 22905 01NOV2001 31DEC9999 Y INITIATION OF MANAGEMENT OF ANAESTHESIA for restorative dental work 23010 01MAY2001 31OCT2001 N ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA (a) administration of anaesthesia performed in association with an item in the range 20100 to 21997 or 22900 to 22905; or (b) perfusion performed in association with item 22060; or (c) for assistance at anaesthesia performed in association with items 25200 to 25205 For a period of: (FIFTEEN MINUTES OR LESS) 23010 01NOV2001 30JUN2008 N ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA (a) administration of anaesthesia performed in association with an item in the range 20100 to 21997 or 22900 to 22905; or (b) perfusion performed in association with item 22060; or (c) for assistance at anaesthesia performed in association with items 25200 to 25205 For a period of: (FIFTEEN MINUTES OR LESS) 23010 01JUL2008 31DEC9999 Y ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA (a) administration of anaesthesia performed in association with an item in the range 20100 to 21997 or 22900 to 22905; or (b) perfusion performed in association with item 22060; or (c) for assistance at anaesthesia performed in association with items 25200 to 25205 For a period of: (FIFTEEN MINUTES OR LESS) 23021 01MAY2001 31OCT2001 N 16 MINUTES TO 20 MINUTES 23021 01NOV2001 31DEC9999 Y 16 MINUTES TO 20 MINUTES 23022 01MAY2001 31OCT2001 N 21 MINUTES TO 25 MINUTES 23022 01NOV2001 31DEC9999 Y 21 MINUTES TO 25 MINUTES 23023 01MAY2001 31OCT2001 N 26 MINUTES TO 30 MINUTES 23023 01NOV2001 31DEC9999 Y 26 MINUTES TO 30 MINUTES 23025 01NOV2019 31DEC9999 Y 16 MINUTES TO 30 MINUTES 23031 01MAY2001 31OCT2001 N 31 MINUTES TO 35 MINUTES 23031 01NOV2001 31DEC9999 Y 31 MINUTES TO 35 MINUTES 23032 01MAY2001 31OCT2001 N 36 MINUTES TO 40 MINUTES 23032 01NOV2001 31DEC9999 Y 36 MINUTES TO 40 MINUTES 23033 01MAY2001 31OCT2001 N 41 MINUTES TO 45 MINUTES 23033 01NOV2001 31DEC9999 Y 41 MINUTES TO 45 MINUTES 23035 01NOV2019 31DEC9999 Y 31 MINUTES to 45 MINUTES 23041 01MAY2001 31OCT2001 N 46 MINUTES TO 50 MINUTES 23041 01NOV2001 31DEC9999 Y 46 MINUTES TO 50 MINUTES 23042 01MAY2001 31OCT2001 N 51 MINUTES TO 55 MINUTES 23042 01NOV2001 31DEC9999 Y 51 MINUTES TO 55 MINUTES 23043 01MAY2001 31OCT2001 N 56 MINUTES TO 1:00 HOUR 23043 01NOV2001 31DEC9999 Y 56 MINUTES TO 1:00 HOUR 23045 01NOV2019 31DEC9999 Y 46 MINUTES to 1:00 HOUR 23051 01MAY2001 31OCT2001 N 1:01 HOURS TO 1:05 HOURS 23051 01NOV2001 31DEC9999 Y 1:01 HOURS TO 1:05 HOURS 23052 01MAY2001 31OCT2001 N 1:06 HOURS TO 1:10 HOURS 23052 01NOV2001 31DEC9999 Y 1:06 HOURS TO 1:10 HOURS 23053 01MAY2001 31OCT2001 N 1:11 HOURS TO 1:15 HOURS 23053 01NOV2001 31DEC9999 Y 1:11 HOURS TO 1:15 HOURS 23055 01NOV2019 31DEC9999 Y 1:01 HOURS to 1:15 HOURS 23061 01MAY2001 31OCT2001 N 1:16 HOURS TO 1:20 HOURS 23061 01NOV2001 31DEC9999 Y 1:16 HOURS TO 1:20 HOURS 23062 01MAY2001 31OCT2001 N 1:21 HOURS TO 1:25 HOURS 23062 01NOV2001 31DEC9999 Y 1:21 HOURS TO 1:25 HOURS 23063 01MAY2001 31OCT2001 N 1:26 HOURS TO 1:30 HOURS 23063 01NOV2001 31DEC9999 Y 1:26 HOURS TO 1:30 HOURS 23065 01NOV2019 31DEC9999 Y 1:16 HOURS to 1:30 HOURS 23071 01MAY2001 31OCT2001 N 1:31 HOURS TO 1:35 HOURS 23071 01NOV2001 31DEC9999 Y 1:31 HOURS TO 1:35 HOURS 23072 01MAY2001 31OCT2001 N 1:36 HOURS TO 1:40 HOURS 23072 01NOV2001 31DEC9999 Y 1:36 HOURS TO 1:40 HOURS 23073 01MAY2001 31OCT2001 N 1:41 HOURS TO 1:45 HOURS 23073 01NOV2001 31DEC9999 Y 1:41 HOURS TO 1:45 HOURS 23075 01NOV2019 31DEC9999 Y 1:31 HOURS to 1:45 HOURS 23081 01MAY2001 31OCT2001 N 1:46 HOURS TO 1:50 HOURS 23081 01NOV2001 31DEC9999 Y 1:46 HOURS TO 1:50 HOURS 23082 01MAY2001 31OCT2001 N 1:51 HOURS TO 1:55 HOURS 23082 01NOV2001 31DEC9999 Y 1:51 HOURS TO 1:55 HOURS 23083 01MAY2001 31OCT2001 N 1:56 HOURS TO 2:00 HOURS 23083 01NOV2001 31DEC9999 Y 1:56 HOURS TO 2:00 HOURS 23085 01NOV2019 31DEC9999 Y 1:46 HOURS to 2:00 HOURS 23090 01MAY2001 31OCT2001 N 2:01 HOURS TO 2:15 HOURS 23090 01NOV2001 31DEC9999 Y 2:01 HOURS TO 2:15 HOURS 23091 01NOV2005 31DEC9999 Y 2:01 HOURS TO 2:10 HOURS 23100 01MAY2001 31OCT2001 N 2:16 HOURS TO 2:30 HOURS 23100 01NOV2001 31DEC9999 Y 2:16 HOURS TO 2:30 HOURS 23101 01NOV2005 31DEC9999 Y 2:11 HOURS TO 2:20 HOURS 23110 01MAY2001 31OCT2001 N 2:31 HOURS TO 2:45 HOURS 23110 01NOV2001 31DEC9999 Y 2:31 HOURS TO 2:45 HOURS 23111 01NOV2005 31DEC9999 Y 2:21 HOURS TO 2:30 HOURS 23112 01NOV2005 31DEC9999 Y 2:31 HOURS TO 2:40 HOURS 23113 01NOV2005 31DEC9999 Y 2:41 HOURS TO 2:50 HOURS 23114 01NOV2005 31DEC9999 Y 2:51 HOURS TO 3:00 HOURS 23115 01NOV2005 31DEC9999 Y 3:01 HOURS TO 3:10 HOURS 23116 01NOV2005 31DEC9999 Y 3:11 HOURS TO 3:20 HOURS 23117 01NOV2005 31DEC9999 Y 3:21 HOURS TO 3:30 HOURS 23118 01NOV2005 31DEC9999 Y 3:31 HOURS TO 3:40 HOURS 23119 01NOV2005 31DEC9999 Y 3:41 HOURS TO 3:50 HOURS 23120 01MAY2001 31OCT2001 N 2:46 HOURS TO 3:00 HOURS 23120 01NOV2001 31DEC9999 Y 2:46 HOURS TO 3:00 HOURS 23121 01NOV2005 31DEC9999 Y 3:51 HOURS TO 4:00 HOURS 23130 01MAY2001 31OCT2001 N 3:01 HOURS TO 3:15 HOURS 23130 01NOV2001 31DEC9999 Y 3:01 HOURS TO 3:15 HOURS 23140 01MAY2001 31OCT2001 N 3:16 HOURS TO 3:30 HOURS 23140 01NOV2001 31DEC9999 Y 3:16 HOURS TO 3:30 HOURS 23150 01MAY2001 31OCT2001 N 3:31 HOURS TO 3:45 HOURS 23150 01NOV2001 31DEC9999 Y 3:31 HOURS TO 3:45 HOURS 23160 01MAY2001 31OCT2001 N 3:46 HOURS TO 4:00 HOURS 23160 01NOV2001 31DEC9999 Y 3:46 HOURS TO 4:00 HOURS 23170 01MAY2001 31OCT2001 N 4:01 HOURS TO 4:10 HOURS 23170 01NOV2001 31DEC9999 Y 4:01 HOURS TO 4:10 HOURS 23180 01MAY2001 31OCT2001 N 4:11 HOURS TO 4:20 HOURS 23180 01NOV2001 31DEC9999 Y 4:11 HOURS TO 4:20 HOURS 23190 01MAY2001 31OCT2001 N 4:21 HOURS TO 4:30 HOURS 23190 01NOV2001 31DEC9999 Y 4:21 HOURS TO 4:30 HOURS 23200 01MAY2001 31OCT2001 N 4:31 HOURS TO 4:40 HOURS 23200 01NOV2001 31DEC9999 Y 4:31 HOURS TO 4:40 HOURS 23210 01MAY2001 31OCT2001 N 4:41 HOURS TO 4:50 HOURS 23210 01NOV2001 31DEC9999 Y 4:41 HOURS TO 4:50 HOURS 23220 01MAY2001 31OCT2001 N 4:51 HOURS TO 5:00 HOURS 23220 01NOV2001 31DEC9999 Y 4:51 HOURS TO 5:00 HOURS 23230 01MAY2001 31OCT2001 N 5:01 HOURS TO 5:10 HOURS 23230 01NOV2001 31DEC9999 Y 5:01 HOURS TO 5:10 HOURS 23240 01MAY2001 31OCT2001 N 5:11 HOURS TO 5:20 HOURS 23240 01NOV2001 31DEC9999 Y 5:11 HOURS TO 5:20 HOURS 23250 01MAY2001 31OCT2001 N 5:21 HOURS TO 5:30 HOURS 23250 01NOV2001 31DEC9999 Y 5:21 HOURS TO 5:30 HOURS 23260 01MAY2001 31OCT2001 N 5:31 HOURS TO 5:40 HOURS 23260 01NOV2001 31DEC9999 Y 5:31 HOURS TO 5:40 HOURS 23270 01MAY2001 31OCT2001 N 5:41 HOURS TO 5:50 HOURS 23270 01NOV2001 31DEC9999 Y 5:41 HOURS TO 5:50 HOURS 23280 01MAY2001 31OCT2001 N (5:51 HOURS TO 6:00 HOURS 23280 01NOV2001 31DEC9999 Y (5:51 HOURS TO 6:00 HOURS 23290 01MAY2001 31OCT2001 N 6:01 HOURS TO 6:10 HOURS 23290 01NOV2001 31DEC9999 Y 6:01 HOURS TO 6:10 HOURS 23300 01MAY2001 31OCT2001 N 6:11 HOURS TO 6:20 HOURS 23300 01NOV2001 31DEC9999 Y 6:11 HOURS TO 6:20 HOURS 23310 01MAY2001 31OCT2001 N 6:21 HOURS TO 6:30 HOURS 23310 01NOV2001 31DEC9999 Y 6:21 HOURS TO 6:30 HOURS 23320 01MAY2001 31OCT2001 N 6:31 HOURS TO 6:40 HOURS 23320 01NOV2001 31DEC9999 Y 6:31 HOURS TO 6:40 HOURS 23330 01MAY2001 31OCT2001 N 6:41 HOURS TO 6:50 HOURS 23330 01NOV2001 31DEC9999 Y 6:41 HOURS TO 6:50 HOURS 23340 01MAY2001 31OCT2001 N 6:51 HOURS TO 7:00 HOURS 23340 01NOV2001 31DEC9999 Y 6:51 HOURS TO 7:00 HOURS 23350 01MAY2001 31OCT2001 N 7:01 HOURS TO 7:10 HOURS 23350 01NOV2001 31DEC9999 Y 7:01 HOURS TO 7:10 HOURS 23360 01MAY2001 31OCT2001 N 7:11 HOURS TO 7:20 HOURS 23360 01NOV2001 31DEC9999 Y 7:11 HOURS TO 7:20 HOURS 23370 01MAY2001 31OCT2001 N 7:21 HOURS TO 7:30 HOURS 23370 01NOV2001 31DEC9999 Y 7:21 HOURS TO 7:30 HOURS 23380 01MAY2001 31OCT2001 N 7:31 HOURS TO 7:40 HOURS 23380 01NOV2001 31DEC9999 Y 7:31 HOURS TO 7:40 HOURS 23390 01MAY2001 31OCT2001 N 7:41 HOURS TO 7:50 HOURS 23390 01NOV2001 31DEC9999 Y 7:41 HOURS TO 7:50 HOURS 23400 01MAY2001 31OCT2001 N 7:51 HOURS TO 8:00 HOURS 23400 01NOV2001 31DEC9999 Y 7:51 HOURS TO 8:00 HOURS 23410 01MAY2001 31OCT2001 N 8:01 HOURS TO 8:10 HOURS 23410 01NOV2001 31DEC9999 Y 8:01 HOURS TO 8:10 HOURS 23420 01MAY2001 31OCT2001 N 8:11 HOURS TO 8:20 HOURS 23420 01NOV2001 31DEC9999 Y 8:11 HOURS TO 8:20 HOURS 23430 01MAY2001 31OCT2001 N 8:21 HOURS TO 8:30 HOURS 23430 01NOV2001 31DEC9999 Y 8:21 HOURS TO 8:30 HOURS 23440 01MAY2001 31OCT2001 N 8:31 HOURS TO 8:40 HOURS 23440 01NOV2001 31DEC9999 Y 8:31 HOURS TO 8:40 HOURS 23450 26JAN2001 31OCT2001 N 8:41 HOURS TO 8:50 HOURS 23450 01NOV2001 31DEC9999 Y 8:41 HOURS TO 8:50 HOURS 23460 01MAY2001 31OCT2001 N 8:51 HOURS TO 9:00 HOURS 23460 01NOV2001 31DEC9999 Y 8:51 HOURS TO 9:00 HOURS 23470 01MAY2001 31OCT2001 N 9:01 HOURS TO 9:10 HOURS 23470 01NOV2001 31DEC9999 Y 9:01 HOURS TO 9:10 HOURS 23480 01MAY2001 31OCT2001 N 9:11 HOURS TO 9:20 HOURS 23480 01NOV2001 31DEC9999 Y 9:11 HOURS TO 9:20 HOURS 23490 01MAY2001 31OCT2001 N 9:21 HOURS TO 9:30 HOURS 23490 01NOV2001 31DEC9999 Y 9:21 HOURS TO 9:30 HOURS 23500 01MAY2001 31OCT2001 N 9:31 HOURS TO 9:40 HOURS 23500 01NOV2001 31DEC9999 Y 9:31 HOURS TO 9:40 HOURS 23510 01MAY2001 31OCT2001 N 9:41 HOURS TO 9:50 HOURS 23510 01NOV2001 31DEC9999 Y 9:41 HOURS TO 9:50 HOURS 23520 01MAY2001 31OCT2001 N 9:51 HOURS TO 10:00 HOURS 23520 01NOV2001 31DEC9999 Y 9:51 HOURS TO 10:00 HOURS 23530 01MAY2001 31OCT2001 N 10:01 HOURS TO 10:10 HOURS 23530 01NOV2001 31DEC9999 Y 10:01 HOURS TO 10:10 HOURS 23540 01MAY2001 31OCT2001 N 10:11 HOURS TO 10:20 HOURS 23540 01NOV2001 31DEC9999 Y 10:11 HOURS TO 10:20 HOURS 23550 01JAN2001 31OCT2001 N 10:21 HOURS TO 10:30 HOURS 23550 01NOV2001 31DEC9999 Y 10:21 HOURS TO 10:30 HOURS 23560 01MAY2001 31OCT2001 N 10:31 HOURS TO 10:40 HOURS 23560 01NOV2001 31DEC9999 Y 10:31 HOURS TO 10:40 HOURS 23570 01MAY2001 31OCT2001 N 10:41 HOURS TO 10:50 HOURS 23570 01NOV2001 31DEC9999 Y 10:41 HOURS TO 10:50 HOURS 23580 01JAN2001 31OCT2001 N 10:51 HOURS TO 11:00 HOURS 23580 01NOV2001 31DEC9999 Y 10:51 HOURS TO 11:00 HOURS 23590 01JAN2001 31OCT2001 N 11:01 HOURS TO 11:10 HOURS 23590 01NOV2001 31DEC9999 Y 11:01 HOURS TO 11:10 HOURS 23600 01MAY2001 31OCT2001 N 11:11 HOURS TO 11:20 HOURS 23600 01NOV2001 31DEC9999 Y 11:11 HOURS TO 11:20 HOURS 23610 01MAY2001 31OCT2001 N 11:21 HOURS TO 11:30 HOURS 23610 01NOV2001 31DEC9999 Y 11:21 HOURS TO 11:30 HOURS 23620 01MAY2001 31OCT2001 N 11:31 HOURS TO 11:40 HOURS 23620 01NOV2001 31DEC9999 Y 11:31 HOURS TO 11:40 HOURS 23630 01MAY2001 31OCT2001 N 11:41 HOURS TO 11:50 HOURS 23630 01NOV2001 31DEC9999 Y 11:41 HOURS TO 11:50 HOURS 23640 01MAY2001 31OCT2001 N 11:51 HOURS TO 12:00 HOURS 23640 01NOV2001 31DEC9999 Y 11:51 HOURS TO 12:00 HOURS 23650 01MAY2001 31OCT2001 N 12:01 HOURS TO 12:10 HOURS 23650 01NOV2001 31DEC9999 Y 12:01 HOURS TO 12:10 HOURS 23660 01MAY2001 31OCT2001 N 12:11 HOURS TO 12:20 HOURS 23660 01NOV2001 31DEC9999 Y 12:11 HOURS TO 12:20 HOURS 23670 01MAY2001 31OCT2001 N 12:21 HOURS TO 12:30 HOURS 23670 01NOV2001 31DEC9999 Y 12:21 HOURS TO 12:30 HOURS 23680 01MAY2001 31OCT2001 N 12:31 HOURS TO 12:40 HOURS 23680 01NOV2001 31DEC9999 Y 12:31 HOURS TO 12:40 HOURS 23690 01MAY2001 31OCT2001 N 12:41 HOURS TO 12:50 HOURS 23690 01NOV2001 31DEC9999 Y 12:41 HOURS TO 12:50 HOURS 23700 01MAY2001 31OCT2001 N 12:51 HOURS TO 13:00 HOURS 23700 01NOV2001 31DEC9999 Y 12:51 HOURS TO 13:00 HOURS 23710 01MAY2001 31OCT2001 N 13:01 HOURS TO 13:10 HOURS 23710 01NOV2001 31DEC9999 Y 13:01 HOURS TO 13:10 HOURS 23720 01MAY2001 31OCT2001 N 13:11 HOURS TO 13:20 HOURS 23720 01NOV2001 31DEC9999 Y 13:11 HOURS TO 13:20 HOURS 23730 01MAY2001 31OCT2001 N 13:21 HOURS TO 13:30 HOURS 23730 01NOV2001 31DEC9999 Y 13:21 HOURS TO 13:30 HOURS 23740 01MAY2001 31OCT2001 N 13:31 HOURS TO 13:40 HOURS 23740 01NOV2001 31DEC9999 Y 13:31 HOURS TO 13:40 HOURS 23750 01MAY2001 31OCT2001 N 13:41 HOURS TO 13:50 HOURS 23750 01NOV2001 31DEC9999 Y 13:41 HOURS TO 13:50 HOURS 23760 01MAY2001 31OCT2001 N 13:51 HOURS TO 14:00 HOURS 23760 01NOV2001 31DEC9999 Y 13:51 HOURS TO 14:00 HOURS 23770 01MAY2001 31OCT2001 N 14:01 HOURS TO 14:10 HOURS 23770 01NOV2001 31DEC9999 Y 14:01 HOURS TO 14:10 HOURS 23780 01MAY2001 31OCT2001 N 14:11 HOURS TO 14:20 HOURS 23780 01NOV2001 31DEC9999 Y 14:11 HOURS TO 14:20 HOURS 23790 01MAY2001 31OCT2001 N 14:21 HOURS TO 14:30 HOURS 23790 01NOV2001 31DEC9999 Y 14:21 HOURS TO 14:30 HOURS 23800 01MAY2001 31OCT2001 N 14:31 HOURS TO 14:40 HOURS 23800 01NOV2001 31DEC9999 Y 14:31 HOURS TO 14:40 HOURS 23810 01MAY2001 31OCT2001 N 14:41 HOURS TO 14:50 HOURS 23810 01NOV2001 31DEC9999 Y 14:41 HOURS TO 14:50 HOURS 23820 01MAY2001 31OCT2001 N 14:51 HOURS TO 15:00 HOURS 23820 01NOV2001 31DEC9999 Y 14:51 HOURS TO 15:00 HOURS 23830 01MAY2001 31OCT2001 N 15:01 HOURS TO 15:10 HOURS 23830 01NOV2001 31DEC9999 Y 15:01 HOURS TO 15:10 HOURS 23840 01MAY2001 31OCT2001 N 15:11 HOURS TO 15:20 HOURS 23840 01NOV2001 31DEC9999 Y 15:11 HOURS TO 15:20 HOURS 23850 01MAY2001 31OCT2001 N 15:21 HOURS TO 15:30 HOURS 23850 01NOV2001 31DEC9999 Y 15:21 HOURS TO 15:30 HOURS 23860 01MAY2001 31OCT2001 N 15:31 HOURS TO 15:40 HOURS 23860 01NOV2001 31DEC9999 Y 15:31 HOURS TO 15:40 HOURS 23870 01MAY2001 31OCT2001 N 15:41 HOURS TO 15:50 HOURS 23870 01NOV2001 31DEC9999 Y 15:41 HOURS TO 15:50 HOURS 23880 01MAY2001 31OCT2001 N 15:51 HOURS TO 16:00 HOURS 23880 01NOV2001 31DEC9999 Y 15:51 HOURS TO 16:00 HOURS 23890 01MAY2001 31OCT2001 N 16:01 HOURS TO 16:10 HOURS 23890 01NOV2001 31DEC9999 Y 16:01 HOURS TO 16:10 HOURS 23900 01MAY2001 31OCT2001 N 16:11 HOURS TO 16:20 HOURS 23900 01NOV2001 31DEC9999 Y 16:11 HOURS TO 16:20 HOURS 23910 01MAY2001 31OCT2001 N 16:21 HOURS TO 16:30 HOURS 23910 01NOV2001 31DEC9999 Y 16:21 HOURS TO 16:30 HOURS 23920 01MAY2001 31OCT2001 N 16:31 HOURS TO 16:40 HOURS 23920 01NOV2001 31DEC9999 Y 16:31 HOURS TO 16:40 HOURS 23930 01MAY2001 31OCT2001 N 16:41 HOURS TO 16:50 HOURS 23930 01NOV2001 31DEC9999 Y 16:41 HOURS TO 16:50 HOURS 23940 01MAY2001 31OCT2001 N 16:51 HOURS TO 17:00 HOURS 23940 01NOV2001 31DEC9999 Y 16:51 HOURS TO 17:00 HOURS 23950 01MAY2001 31OCT2001 N 17:01 HOURS TO 17:10 HOURS 23950 01NOV2001 31DEC9999 Y 17:01 HOURS TO 17:10 HOURS 23960 01MAY2001 31OCT2001 N 17:11 HOURS TO 17:20 HOURS 23960 01NOV2001 31DEC9999 Y 17:11 HOURS TO 17:20 HOURS 23970 01MAY2001 31OCT2001 N 17:21 HOURS TO 17:30 HOURS 23970 01NOV2001 31DEC9999 Y 17:21 HOURS TO 17:30 HOURS 23980 01MAY2001 31OCT2001 N 17:31 HOURS TO 17:40 HOURS 23980 01NOV2001 31DEC9999 Y 17:31 HOURS TO 17:40 HOURS 23990 01MAY2001 31OCT2001 N 17:41 HOURS TO 17:50 HOURS 23990 01NOV2001 31DEC9999 Y 17:41 HOURS TO 17:50 HOURS 24100 01MAY2001 31OCT2001 N 17:51 HOURS TO 18:00 HOURS 24100 01NOV2001 31DEC9999 Y 17:51 HOURS TO 18:00 HOURS 24101 01MAY2001 31OCT2001 N 18:01 HOURS TO 18:10 HOURS 24101 01NOV2001 31DEC9999 Y 18:01 HOURS TO 18:10 HOURS 24102 01MAY2001 31OCT2001 N 18:11 HOURS TO 18:20 HOURS 24102 01NOV2001 31DEC9999 Y 18:11 HOURS TO 18:20 HOURS 24103 01MAY2001 31OCT2001 N 18:21 HOURS TO 18:30 HOURS 24103 01NOV2001 31DEC9999 Y 18:21 HOURS TO 18:30 HOURS 24104 01MAY2001 31OCT2001 N 18:31 HOURS TO 18:40 HOURS 24104 01NOV2001 31DEC9999 Y 18:31 HOURS TO 18:40 HOURS 24105 01MAY2001 31OCT2001 N 18:41 HOURS TO 18:50 HOURS 24105 01NOV2001 31DEC9999 Y 18:41 HOURS TO 18:50 HOURS 24106 01MAY2001 31OCT2001 N 18:51 HOURS TO 19:00 HOURS 24106 01NOV2001 31DEC9999 Y 18:51 HOURS TO 19:00 HOURS 24107 01MAY2001 31OCT2001 N 19:01 HOURS TO 19:10 HOURS 24107 01NOV2001 31DEC9999 Y 19:01 HOURS TO 19:10 HOURS 24108 01MAY2001 31OCT2001 N 19:11 HOURS TO 19:20 HOURS 24108 01NOV2001 31DEC9999 Y 19:11 HOURS TO 19:20 HOURS 24109 01MAY2001 31OCT2001 N 19:21 HOURS TO 19:30 HOURS 24109 01NOV2001 31DEC9999 Y 19:21 HOURS TO 19:30 HOURS 24110 01MAY2001 31OCT2001 N 19:31 HOURS TO 19:40 HOURS 24110 01NOV2001 31DEC9999 Y 19:31 HOURS TO 19:40 HOURS 24111 01MAY2001 31OCT2001 N 19:41 HOURS TO 19:50 HOURS 24111 01NOV2001 31DEC9999 Y 19:41 HOURS TO 19:50 HOURS 24112 01MAY2001 31OCT2001 N 19:51 HOURS TO 20:00 HOURS 24112 01NOV2001 31DEC9999 Y 19:51 HOURS TO 20:00 HOURS 24113 01MAY2001 31OCT2001 N 20:01 HOURS TO 20:10 HOURS 24113 01NOV2001 31DEC9999 Y 20:01 HOURS TO 20:10 HOURS 24114 01MAY2001 31OCT2001 N 20:11 HOURS TO 20:20 HOURS 24114 01NOV2001 31DEC9999 Y 20:11 HOURS TO 20:20 HOURS 24115 01MAY2001 31OCT2001 N 20:21 HOURS TO 20:30 HOURS 24115 01NOV2001 31DEC9999 Y 20:21 HOURS TO 20:30 HOURS 24116 01MAY2001 31OCT2001 N 20:31 HOURS TO 20:40 HOURS 24116 01NOV2001 31DEC9999 Y 20:31 HOURS TO 20:40 HOURS 24117 01MAY2001 31OCT2001 N 20:41 HOURS TO 20:50 HOURS 24117 01NOV2001 31DEC9999 Y 20:41 HOURS TO 20:50 HOURS 24118 01MAY2001 31OCT2001 N 20:51 HOURS TO 21:00 HOURS 24118 01NOV2001 31DEC9999 Y 20:51 HOURS TO 21:00 HOURS 24119 01MAY2001 31OCT2001 N 21:01 HOURS TO 21:10 HOURS 24119 01NOV2001 31DEC9999 Y 21:01 HOURS TO 21:10 HOURS 24120 01MAY2001 31OCT2001 N 21:11 HOURS TO 21:20 HOURS 24120 01NOV2001 31DEC9999 Y 21:11 HOURS TO 21:20 HOURS 24121 01MAY2001 31OCT2001 N 21:21 HOURS TO 21:30 HOURS 24121 01NOV2001 31DEC9999 Y 21:21 HOURS TO 21:30 HOURS 24122 01MAY2001 31OCT2001 N 21:31 HOURS TO 21:40 HOURS 24122 01NOV2001 31DEC9999 Y 21:31 HOURS TO 21:40 HOURS 24123 01MAY2001 31OCT2001 N 21:41 HOURS TO 21:50 HOURS 24123 01NOV2001 31DEC9999 Y 21:41 HOURS TO 21:50 HOURS 24124 01MAY2001 31OCT2001 N 21:51 HOURS TO 22:00 HOURS 24124 01NOV2001 31DEC9999 Y 21:51 HOURS TO 22:00 HOURS 24125 01MAY2001 31OCT2001 N 22:01 HOURS TO 22:10 HOURS 24125 01NOV2001 31DEC9999 Y 22:01 HOURS TO 22:10 HOURS 24126 01MAY2001 31OCT2001 N 22:11 HOURS TO 22:20 HOURS 24126 01NOV2001 31DEC9999 Y 22:11 HOURS TO 22:20 HOURS 24127 01MAY2001 31OCT2001 N 22:21 HOURS TO 22:30 HOURS 24127 01NOV2001 31DEC9999 Y 22:21 HOURS TO 22:30 HOURS 24128 01MAY2001 31OCT2001 N 22:31 HOURS TO 22:40 HOURS 24128 01NOV2001 31DEC9999 Y 22:31 HOURS TO 22:40 HOURS 24129 01MAY2001 31OCT2001 N 22:41 HOURS TO 22:50 HOURS 24129 01NOV2001 31DEC9999 Y 22:41 HOURS TO 22:50 HOURS 24130 01MAY2001 31OCT2001 N 22:51 HOURS TO 23:00 HOURS 24130 01NOV2001 31DEC9999 Y 22:51 HOURS TO 23:00 HOURS 24131 01MAY2001 31OCT2001 N 23:01 HOURS TO 23:10 HOURS 24131 01NOV2001 31DEC9999 Y 23:01 HOURS TO 23:10 HOURS 24132 01MAY2001 31OCT2001 N 23:11 HOURS TO 23:20 HOURS 24132 01NOV2001 31DEC9999 Y 23:11 HOURS TO 23:20 HOURS 24133 01MAY2001 31OCT2001 N 23:21 HOURS TO 23:30 HOURS 24133 01NOV2001 31DEC9999 Y 23:21 HOURS TO 23:30 HOURS 24134 01MAY2001 31OCT2001 N 23:31 HOURS TO 23:40 HOURS 24134 01NOV2001 31DEC9999 Y 23:31 HOURS TO 23:40 HOURS 24135 01MAY2001 31OCT2001 N 23:41 HOURS TO 23:50 HOURS 24135 01NOV2001 31DEC9999 Y 23:41 HOURS TO 23:50 HOURS 24136 01MAY2001 31OCT2001 N 23:51 HOURS TO 24:00 HOURS 24136 01NOV2001 31DEC9999 Y 23:51 HOURS TO 24:00 HOURS 25000 01NOV2001 31DEC9999 Y ANAESTHESIA, PERFUSION or ASSISTANCE AT ANAESTHESIA (a) for anaesthesia performed in association with an item in the range 20100 to 21997 or 22900 to 22905; or (b) for perfusion performed in association with item 22060; or (c) for assistance at anaesthesia performed in association with items 25200 to 25205 Where the patient has severe systemic disease equivalent to ASA physical status indicator 3 25005 01NOV2001 31DEC9999 Y Where the patient has severe systemic disease which is a constant threat to life equivalent to ASA physical status indicator 4 25010 01MAY2001 31OCT2001 N For a patient who is not expected to survive for 24 hours with or without the operation, equivalent to ASA physical status indicator 5 25010 01NOV2001 31DEC9999 Y For a patient who is not expected to survive for 24 hours with or without the operation, equivalent to ASA physical status indicator 5 25012 01NOV2019 31DEC9999 Y Anaesthesia, perfusion or assistance in the management of anaesthesia, if the patient is over 3 years of age but under 4 years of age 25013 01MAY2020 31DEC9999 Y Anaesthesia, perfusion or assistance in the management of anaesthesia, if the patient is aged under 4 years 25014 01MAY2020 31DEC9999 Y Anaesthesia, perfusion or assistance in the management of anaesthesia, if the patient is aged 75 years or more 25015 01NOV2001 30APR2002 N ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA - where the patient's age is one year or less or 70 years or greater 25015 01MAY2002 31OCT2019 N ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA - where the patient is less than 12 months of age or 70 years or greater 25015 01NOV2019 31DEC9999 Y Anaesthesia, perfusion or assistance in the management of anaesthesia, if the patient is aged not more than 3 years or at least 75 years 25020 01NOV2001 31DEC9999 Y ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA - where the patient requires immediate treatment without which there would be significant threat to life or body part - not being a service associated with a service to which item 25025 or 25030 or 25050 applies 25025 01MAY2001 31OCT2001 N EMERGENCY ANAESTHESIA performed in the after hours period where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for the emergency anaesthesia service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25030 or 25050 applies Derived Fee: An additional amount of 50% of the fee for the anaesthetic service. That is: (a) an anaesthesia item/s in the range 20100 - 21997 or 22900, plus (b) an item in the range 23010 - 24136, plus (c) where applicable, an item in the range 25000-25015, plus (d) where performed, any associated therapeutic or diagnostic service/s in the range 22001-22050 25025 01NOV2001 31OCT2007 N EMERGENCY ANAESTHESIA performed in the after hours period where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for the emergency anaesthesia service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25030 or 25050 applies Derived Fee: An additional amount of 50% of the fee for the anaesthetic service. That is: (a) an anaesthesia item/s in the range 20100 - 21997 or 22900, plus (b) an item in the range 23010 - 24136, plus (c) where applicable, an item in the range 25000-25015, plus (d) where performed, any associated therapeutic or diagnostic service/s in the range 22001-22050 25025 01NOV2007 30JUN2020 N EMERGENCY ANAESTHESIA performed in the after hours period where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for the emergency anaesthesia service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25030 or 25050 applies 25025 01JUL2020 31DEC9999 Y Anaesthesia, if the patient requires immediate treatment without which there would be significant threat to life or body part and if more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday 25030 01MAY2001 31OCT2001 N ASSISTANCE AT AFTER HOURS EMERGENCY ANAESTHESIA where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for which the assistant is in professional attendance on the patient is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25050 applies 25030 01NOV2001 31OCT2007 N ASSISTANCE AT AFTER HOURS EMERGENCY ANAESTHESIA where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for which the assistant is in professional attendance on the patient is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25050 applies 25030 01NOV2007 30JUN2020 N ASSISTANCE AT AFTER HOURS EMERGENCY ANAESTHESIA where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for which the assistant is in professional attendance on the patient is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25050 applies 25030 01JUL2020 31DEC9999 Y Assistance in the management of anaesthesia, if the patient requires immediate treatment without which there would be significant threat to life or body part and if more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday 25050 01NOV2001 31OCT2007 N AFTER HOURS EMERGENCY PERFUSION where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the perfusion service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25030 applies 25050 01NOV2007 30JUN2020 N AFTER HOURS EMERGENCY PERFUSION where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the perfusion service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25030 applies 25050 01JUL2020 31DEC9999 Y Perfusion, if the patient requires immediate treatment without which there would be significant threat to life or body part and if more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday. 25200 01NOV2001 31OCT2023 N ASSISTANCE IN THE ADMINISTRATION OF ANAESTHESIA on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of all other patients 25200 01NOV2023 31DEC9999 Y Assistance in the management of anaesthesia requiring continuous anaesthesia on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of attendance on all other patients 25205 01NOV2001 31OCT2023 N ASSISTANCE IN THE ADMINISTRATION OF ELECTIVE ANAESTHESIA where: (i) the patient has complex airway problems; or (ii) the patient is a neonate or a complex paediatric case; or (iii) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or (iv) the patient is critically ill, with multiple organ failure; or (v) where the anaesthesia time exceeds 6 hours and the assistance is provided to the exclusion of all other patients 25205 01NOV2023 31DEC9999 Y Assistance in the management of elective anaesthesia, if: (a) the patient has complex airway problems; or (b) the patient is a neonate; or (c) the patient is a paediatric patient and is receiving one or more of the following services: (i) invasive monitoring, either intravascular or transoesophageal; (ii) organ transplantation; (iii) craniofacial surgery; (iv) major tumour resection; (v) separation of conjoint twins; or (d) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or (e) the patient is critically ill, with multiple organ failure; or (f) the service time of the management of anaesthesia exceeds 6 hours and the assistance is provided to the exclusion of attendance on all other patients 30000 01DEC1991 31DEC9999 Y Operative procedure on tissue, organ or region not being a service to which another item in this Group applies, including any consultation on the same occasion 30001 01NOV1997 31DEC9999 Y OPERATIVE PROCEDURE, not being a service to which any other item in this Group applies, being a service to which an item in this Group would have applied had the procedure not been discontinued on medical grounds 30003 01DEC1991 31OCT1995 N DRESSING OF LOCALISED BURNS (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30003 01NOV1995 30JUN2023 N LOCALISED BURNS, dressing of, (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30003 01JUL2023 31DEC9999 Y Burns, involving 1% or more but less than 3% of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, if medical practitioner is present-each attendance at which the procedure is performedNot applicable for skin reactions secondary to radiotherapy 30006 01DEC1991 31OCT1995 N DRESSING OF BURNS, EXTENSIVE, without anaesthesia (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30006 01NOV1995 30JUN2023 N EXTENSIVE BURNS, dressing of, without anaesthesia (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30006 01JUL2023 31DEC9999 Y Burns, involving 3% or more but less than 10% of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, if medical practitioner is present-each attendance at which the procedure is performedNot applicable for skin reactions secondary to radiotherapy 30007 01JUL2023 31DEC9999 Y Burns, involving 10% or more of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, if medical practitioner is present-each attendance at which the procedure is performedNot applicable for skin reactions secondary to radiotherapy 30009 01DEC1991 31OCT1995 N DRESSING OF LOCALISED BURNS UNDER GENERAL ANAESTHESIA (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30009 01NOV1995 31DEC9999 Y LOCALISED BURNS, dressing of, under general anaesthesia (not involving grafting) 30010 01DEC1991 31OCT1995 N DRESSING OF LOCALISED BURNS UNDER GENERAL ANAESTHESIA (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30010 01NOV1995 30JUN2023 N LOCALISED BURNS, dressing of, under general anaesthesia (not involving grafting) 30010 01JUL2023 31DEC9999 Y Burns, involving not more than 3% of total body surface, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) 30013 01DEC1991 31OCT1995 N DRESSING OF BURNS, EXTENSIVE, UNDER GENERAL ANAESTHESIA (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30013 01NOV1995 31DEC9999 Y EXTENSIVE BURNS, dressing of, under general anaesthesia (not involving grafting) 30014 01DEC1991 31OCT1995 N DRESSING OF BURNS, EXTENSIVE, UNDER GENERAL ANAESTHESIA (not involving grafting) each attendance at which the procedure is performed, including any associated consultation 30014 01NOV1995 30JUN2023 N EXTENSIVE BURNS, dressing of, under general anaesthesia (not involving grafting) 30014 01JUL2023 31DEC9999 Y Burns, involving 3% or more but less than 20% of total body surface, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) 30015 01JUL2023 31DEC9999 Y Burns, involving 20% or more but less than 50% of total body surface, or burns of less than 20% of total body surface involving 1% or more of total body surface within the hands or face, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) 30016 01JUL2023 31DEC9999 Y Burns, involving 50% or more of total body surface, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) 30017 01DEC1991 31OCT1995 N EXCISION, under general anaesthesia, OF BURNS involving not more than 10 per cent of body surface, where grafting is not carried out during the same operation 30017 01NOV1995 31DEC9999 Y BURNS, excision of, under general anaesthesia, involving not more than 10 per cent of body surface, where grafting is not carried out during the same operation 30020 01DEC1991 31OCT1995 N EXCISION, under general anaesthesia, OF BURNS involving more than 10 per cent of body surface, where grafting is not carried out during the same operation 30020 01NOV1995 31DEC9999 Y BURNS, excision of, under general anaesthesia, involving more than 10 per cent of body surface, where grafting is not carried out during the same operation 30023 01DEC1991 31OCT1995 N DEBRIDEMENT, under general anaesthesia or major regional or field block, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed 30023 01NOV1995 31OCT2005 N WOUND OF SOFT TISSUE, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed 30023 01NOV2005 31DEC9999 Y WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed 30024 01NOV2005 31DEC9999 Y WOUND OF SOFT TISSUE, debridement of extensively infected post-surgical incision or Fournier's Gangrene, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed 30026 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, other than on face or neck, small (NOT MORE THAN 7 CENTIMETRES LONG), superficial, not being a service to which another item in Group T4 applies 30026 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies 30029 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, other than on face or neck, small (NOT MORE THAN 7 CENTIMETRES LONG), involving deeper tissue, not being a service to which another item in Group T4 applies 30029 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue, not being a service to which another item in Group T4 applies 30032 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CENTIMETRES LONG), superficial 30032 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial 30035 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CENTIMETRES LONG), involving deeper tissue 30035 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue 30038 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, other than on face or neck, large (MORE THAN 7 CENTIMETRES LONG), superficial, not being a service to which another item in Group T4 applies 30038 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, large (MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies 30041 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, other than on face or neck, large (MORE THAN 7 CENTIMETRES LONG), involving deeper tissue, not being a service to which another item in Group T4 applies 30041 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue, not being a service to which another item in Group T4 applies 30042 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, other than on face or neck, large (MORE THAN 7 CENTIMETRES LONG), involving deeper tissue, not being a service to which another item in Group T4 applies 30042 01JUL1998 31OCT2017 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, other than on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue, not being a service to which another item in Group T4 applies 30042 01NOV2017 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, other than on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue, other than a service to which another item in Group T4 applies 30045 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CENTIMETRES LONG), superficial 30045 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), superficial 30048 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CENTIMETRES LONG), involving deeper tissue 30048 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue 30049 01DEC1991 30JUN1998 N SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CENTIMETRES LONG), involving deeper tissue 30049 01JUL1998 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue 30052 01DEC1991 31OCT1995 N REPAIR OF FULL THICKNESS LACERATION OF EAR, EYELID OR NOSE with accurate apposition of each layer of tissue 30052 01NOV1995 31DEC9999 Y FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue 30055 01DEC1991 31OCT1995 N DRESSING AND REMOVAL OF SUTURES requiring a general anaesthetic, not being a service associated with a service to which another item in this Group applies 30055 01NOV1995 30JUN2021 N WOUNDS, DRESSING OF, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in this Group applies 30055 01JUL2021 31DEC9999 Y Wounds, dressing of, under general, regional or intravenous sedation, with or without removal of sutures, other than a service associated with a service to which another item in this Group applies 30058 01DEC1991 31OCT1995 N CONTROL OF POSTOPERATIVE HAEMORRHAGE, under general anaesthesia following perineal or vaginal operations 30058 01NOV1995 31DEC9999 Y POSTOPERATIVE HAEMORRHAGE, control of, under general anaesthesia, as an independent procedure 30061 01DEC1991 31DEC9999 Y SUPERFICIAL FOREIGN BODY, REMOVAL OF, (including from cornea or sclera), as an independent procedure 30062 01MAY2007 31DEC9999 Y Etonogestrel subcutaneous implant, removal of, as an independent procedure 30064 01DEC1991 31OCT1995 N SUBCUTANEOUS FOREIGN BODY, REMOVAL OF, requiring incision and suture, as an independent procedure 30064 01NOV1995 31DEC9999 Y SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure 30067 01DEC1991 31DEC9999 Y FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure 30068 01DEC1991 31DEC9999 Y FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure 30071 01DEC1991 31OCT2003 N BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure 30071 01NOV2003 31OCT2016 N DIAGNOSTIC BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure, where the biopsy specimen is sent for pathological examination 30071 01NOV2016 31DEC9999 Y Diagnostic biopsy of skin, as an independent procedure, if the biopsy specimen is sent for pathological examination 30072 01NOV2016 31DEC9999 Y Diagnostic biopsy of mucous membrane, as an independent procedure, if the biopsy specimen is sent for pathological examination 30074 01DEC1991 31OCT2003 N BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure 30074 01NOV2003 31DEC9999 Y DIAGNOSTIC BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination 30075 01DEC1991 31OCT2003 N BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure 30075 01NOV2003 31OCT2017 N DIAGNOSTIC BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination 30075 01NOV2017 31OCT2019 N DIAGNOSTIC BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure, if the biopsy specimen is sent for pathological examination 30075 01NOV2019 31DEC9999 Y DIAGNOSTIC BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure, if the biopsy specimen is sent for pathological examination 30078 01DEC1991 31OCT2003 N DRILL BIOPSY OF LYMPH GLAND, DEEP TISSUE OR ORGAN, as an independent procedure 30078 01NOV2003 31OCT2019 N DIAGNOSTIC DRILL BIOPSY OF LYMPH GLAND, DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination 30078 01NOV2019 31DEC9999 Y DIAGNOSTIC DRILL BIOPSY OF LYMPH NODE, DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination 30081 01DEC1991 31OCT2003 N BIOPSY OF BONE MARROW by trephine using open approach 30081 01NOV2003 31DEC9999 Y DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using open approach, where the biopsy specimen is sent for pathological examination 30084 01DEC1991 31OCT2003 N BIOPSY OF BONE MARROW by trephine using percutaneous approach with a Jamshidi needle or similar device 30084 01NOV2003 31DEC2013 N DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using percutaneous approach with a Jamshidi needle or similar device, where the biopsy is sent for pathological examination 30084 01JAN2014 31DEC9999 Y DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using percutaneous approach where the biopsy is sent for pathological examination 30087 01DEC1991 31OCT2003 N BIOPSY OF BONE MARROW by aspiration or PUNCH BIOPSY OF SYNOVIAL MEMBRANE 30087 01NOV2003 31DEC9999 Y DIAGNOSTIC BIOPSY OF BONE MARROW by aspiration or PUNCH BIOPSY OF SYNOVIAL MEMBRANE, where the biopsy is sent for pathological examination 30090 01DEC1991 31OCT2003 N BIOPSY OF PLEURA, PERCUTANEOUS 1 or more biopsies on any 1 occasion 30090 01NOV2003 31DEC9999 Y DIAGNOSTIC BIOPSY OF PLEURA, PERCUTANEOUS 1 or more biopsies on any 1 occasion, where the biopsy is sent for pathological examination 30093 01DEC1991 31OCT2003 N NEEDLE BIOPSY OF VERTEBRA 30093 01NOV2003 31DEC9999 Y DIAGNOSTIC NEEDLE BIOPSY OF VERTEBRA, where the biopsy is sent for pathological examination 30094 01APR1992 31OCT2003 N PERCUTANEOUS ASPIRATION BIOPSY of deep organ using interventional imaging techniques - but not including imaging 30094 01NOV2003 31DEC9999 Y DIAGNOSTIC PERCUTANEOUS ASPIRATION BIOPSY of deep organ using interventional imaging techniques - but not including imaging, where the biopsy is sent for pathological examination 30096 01DEC1991 30APR2004 N SCALENE NODE BIOPSY 30096 01MAY2004 31DEC9999 Y DIAGNOSTIC SCALENE NODE BIOPSY, by open procedure, where the specimen excised is sent for pathological examination 30097 01NOV2006 31OCT2018 N Personal performance of a Synacthen Stimulation Test, including associated consultation; by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented. 30097 01NOV2018 31DEC9999 Y Personal performance of a Synacthen Stimulation Test, including associated consultation; by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented, if: serum cortisol at 0830-0930 hours on any day in the preceding month has been measured at greater than 100 nmol/L but less than 400 nmol/L; or in a patient who is acutely unwell and adrenal insufficiency is suspected. 30099 01DEC1991 31DEC9999 Y SINUS, excision of, involving superficial tissue only 30102 01DEC1991 31DEC9999 Y SINUS, excision of, involving muscle and deep tissue 30103 01DEC1991 31DEC9999 Y SINUS, excision of, involving muscle and deep tissue 30104 01NOV1995 31AUG2015 N PRE-AURICULAR SINUS, excision of 30104 01SEP2015 30JUN2021 N PRE-AURICULAR SINUS, on a person 10 years of age or over. Excision of, 30104 01JUL2021 31DEC9999 Y Pre-auricular sinus, excision of, on a patient 10 years of age or over 30105 01SEP2015 30JUN2021 N PRE-AURICULAR SINUS, on a person under 10 years of age. Excision of, 30105 01JUL2021 31DEC9999 Y Pre-auricular sinus, excision of, on a patient under 10 years of age 30106 01DEC1991 31OCT1995 N GANGLION OR SMALL BURSA, excision of 30106 01NOV1995 31DEC9999 Y GANGLION OR SMALL BURSA, excision of, not being a service associated with a service to which another item in this Group applies 30107 01DEC1991 31OCT1995 N GANGLION OR SMALL BURSA, excision of 30107 01NOV1995 31OCT2017 N GANGLION OR SMALL BURSA, excision of, not being a service associated with a service to which another item in this Group applies 30107 01NOV2017 30JUN2021 N GANGLION OR SMALL BURSA, excision of, other than a service associated with a service to which another item in this Group applies 30107 01JUL2021 31DEC9999 Y Excision of ganglion, other than a service associated with a service to which another item in this Group applies 30110 01DEC1991 31DEC9999 Y BURSA (LARGE), INCLUDING OLECRANON, CALCANEUM OR PATELLA, excision of 30111 01DEC1991 31DEC9999 Y BURSA (LARGE), INCLUDING OLECRANON, CALCANEUM OR PATELLA, excision of 30114 01DEC1991 31DEC9999 Y BURSA, SEMIMEMBRANOSUS (Baker's cyst), excision of 30116 01NOV1996 31DEC9999 Y TUMOUR,(other than viral verrucae[common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where removal is by surgical excision and suture (not being a service to which items 30127, 30128, 30130, 30134, 30138, 30145, 30149, 30152, 30157 or 30195 apply) 30117 01DEC1991 31DEC9999 Y TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 30121/30122, 30125/30126, 30129, 30132 or 30195 applies 30118 01DEC1991 31DEC9999 Y TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removalis by surgical excision and suture, not being a service to which item 30121/30122, 30125/30126, 30129, 30132 or 30195 applies 30119 01NOV1996 31DEC9999 Y TUMOUR,(other than viral verrucae[common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 10mm and up to 20mm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where removal is by surgical excision and suture (not being a service to which items 30127, 30130, 30137, 30141, 30146, 30151, 30154, 30158 or 30195 apply) 30120 01NOV1996 31DEC9999 Y TUMOUR,(other than viral verrucae[common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 20mm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where removal is by surgical excision and suture (not being a service to which items 30127, 30130, 30137, 30142, 30148, 30151, 30155, 30160 or 30195 apply) 30121 01DEC1991 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on MORE THAN 3 BUT NOT MORE THAN 10 LESIONS, not being a service to which item 30195 applies 30122 01DEC1991 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on MORE THAN 3 BUT NOT MORE THAN 10 LESIONS, not being a service to which item 30195 applies 30123 01NOV1996 31DEC9999 Y TUMOURS,(other than viral verrucae[common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of 4 to 10 lesions from cutaneous or subcutaneous tissue or from mucous membrane, where removal is by surgical excision and suture (not being a service to which item 30195 applies) 30124 01NOV1996 31DEC9999 Y TUMOURS,(other than viral verrucae[common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of more than 10 lesions from cutaneous or subcutaneous tissue or from mucous membrane, where removal is by surgical excision and suture (not being a service to which item 30195 applies) 30125 01DEC1991 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on MORE THAN 10 BUT NOT MORE THAN 20 LESIONS, not being a service to which item 30195 applies 30126 01DEC1991 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on MORE THAN 10 BUT NOT MORE THAN 20 LESIONS, not being a service to which item 30195 applies 30127 01NOV1996 31DEC9999 Y TUMOUR,(other than viral verrucae[common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal from nose, eyelid, lip, ear, digit or genitalia - where removal is by surgical excision and suture (not being a service to which items 30134, 30137, 30149, 30151 or 30195 apply) 30128 01NOV1996 31DEC9999 Y TUMOUR,(other than viral verrucae[common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal from hand, foot, lower leg (mid calf to ankle) or areas of the head and neck not covered by item 30127, lesion size up to 10mm in diameter - where removal is by surgical excision and suture (not being a service to which items 30138, 30141, 30142, 30152, 30154, 30155 or 30195 apply) 30129 01DEC1991 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on MORE THAN 20 BUT NOT MORE THAN 50 LESIONS, not being a service to which item 30195 applies 30130 01NOV1996 31DEC9999 Y TUMOUR,(other than viral verrucae[common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal from hand, foot, lower leg (mid calf to ankle) or areas of the head and neck not covered by item 30127, lesion size more than 10mm in diameter - where removal is by surgical excision and suture (not being a service to which items 30138, 30141, 30142, 30152, 30154, 30155 or 30195 apply) 30131 01NOV1996 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE, extensive excision of, in the treatment of suppurative hydradenitis (excision from axilla, groin or natal cleft) or sycosis barbae or nuchae (excision from face or neck) 30132 01DEC1991 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on MORE THAN 50 LESIONS, not being a service to which item 30195 applies 30133 01NOV1996 31DEC9999 Y GIANT HAIRY OR CONGENITAL PIGMENTED NAEVUS, excision of an area at least 1 percent of body surface where the specimen is sent for histological confirmation of diagnosis 30134 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, lesion size up to 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30135 01DEC1991 31DEC9999 Y TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane 30136 01DEC1991 31DEC9999 Y TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane 30137 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, lesion size more than 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30138 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from hand, lower leg (mid calf to ankle), foot or areas of the head and neck not covered by item 30134, lesion size up to 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30139 01DEC1991 31DEC9999 Y TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in this Group applies, involving muscle, bone or other deep tissue 30140 01DEC1991 31DEC9999 Y TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in this Group applies, involving muscle, bone or other deep tissue 30141 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from hand, lower leg (mid calf to ankle), foot or areas of the head and neck not covered by item 30137, lesion size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30142 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from hand, lower leg (mid calf to ankle), foot or areas of the head and neck not covered by item 30137, lesion size more than 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30143 01DEC1991 31DEC9999 Y TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which another item in this Group applies 30144 01DEC1991 31DEC9999 Y TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which another item in this Group applies 30145 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 30134 and 30138, lesion size up to 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30146 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 30137 and 30141, lesion size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30147 01DEC1991 31DEC9999 Y MALIGNANT TUMOUR, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma 30148 01NOV1996 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 30137 and 30142, lesion size more than 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30149 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, lesion size up to 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30150 01DEC1991 31DEC9999 Y MALIGNANT TUMOUR, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands 30151 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, lesion size more than 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30152 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from hand, foot, lower leg (mid calf to ankle) or areas of the head and neck not covered by item 30149, lesion size up to 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30153 01DEC1991 31DEC9999 Y TUMOUR, removal of, from SOFT TISSUE (INCLUDING MUSCLE, FASCIA AND CONNECTIVE TISSUE), EXTENSIVE EXCISION OF, WITHOUT SKIN GRAFT 30154 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from hand, foot, lower leg (mid calf to ankle) or areas of the head and neck not covered by item 30151, lesion size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30155 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from hand, foot, lower leg (mid calf to ankle) or areas of the head and neck not covered by item 30151, lesion size more than 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30156 01DEC1991 31DEC9999 Y TUMOUR, removal of, from SOFT TISSUE (INCLUDING MUSCLE, FASCIA AND CONNECTIVE TISSUE), EXTENSIVE EXCISION OF, WITH SKIN GRAFT 30157 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 30149 and 30151 - lesion size up to 10mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30158 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 30149 and 30151 - lesion size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30159 01DEC1991 31DEC9999 Y MALIGNANT TUMOUR, removal of, from any region involving a RADICAL OPERATION (not being an operation to which another item in this Group applies) 30160 01NOV1996 31DEC9999 Y MALIGNANT MELANOMA, RESIDUAL OR RECURRENT BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen cryotherapy), APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 30149 and 30151 - lesion size more than 20mm in diameter - where removal is by surgical excision and suture and specimen is sent for histological confirmation of diagnosis 30161 01NOV1996 31DEC9999 Y NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item. MUSCLE, BONE OR CARTILAGE, excision of one or more of, where clinically indicated, performed in association with excision of malignant tumour of skin covered by items 30134, 30137, 30138, 30141, 30142, 30145, 30146, 30148, 30149, 30151, 30152, 30154, 30155, 30157, 30158 or 30160 30162 01DEC1991 31DEC9999 Y MALIGNANT TUMOUR, removal of, from any region involving a LIMITED OPERATION, other than removal of basal cell carcinoma (not being an operation to which another item in this Group applies) 30165 01DEC1991 31OCT2003 N LIPECTOMY transverse wedge excision of abdominal apron 30165 01NOV2003 31OCT2004 N LIPECTOMY transverse wedge excision of abdominal apron, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45533 applies 30165 01NOV2004 31DEC2014 N LIPECTOMY transverse wedge excision of abdominal apron, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45530 applies 30165 01JAN2015 31DEC2015 N LIPECTOMY transverse wedge excision of abdominal apron, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45530 applies (H) 30165 01JAN2016 31DEC9999 Y Lipectomy, wedge excision of abdominal apron that is a direct consequence of significant weight loss, not being a service associated with a service to which item 30168, 30171, 30172, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the abdominal apron interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) 30166 01JUL2023 31DEC9999 Y Removal of redundant abdominal skin and lipectomy, as a wedge excision, for functional problems following significant weight loss equivalent to at least 5 body mass index points and if there has been a stable weight for a period of at least 6 months prior to surgery, other than a service associated with a service to which item 30175, 30176, 30177, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies (H) 30168 01DEC1991 31OCT2003 N LIPECTOMY wedge excision of skin or fat not being a service to which item 30165 applies 1 EXCISION 30168 01NOV2003 31OCT2004 N LIPECTOMY wedge excision of skin or fat, not being a service associated with items 45564, 45565 or 45533 and not being a service to which item 30165 applies, 1 EXCISION 30168 01NOV2004 30JUN2009 N LIPECTOMY wedge excision of skin or fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 1 EXCISION 30168 01JUL2009 31DEC2014 N LIPECTOMY wedge excision of skin and fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 1 EXCISION 30168 01JAN2015 31DEC2015 N LIPECTOMY wedge excision of skin and fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 1 EXCISION (H) 30168 01JAN2016 31DEC9999 Y Lipectomy, wedge excision of redundant non abdominal skin and fat that is a direct consequence of significant weight loss, not being a service associated with a service to which item 30165, 30171, 30172, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy; and (d) the procedure involves 1 excision only (H) 30169 01JUL2023 31DEC9999 Y Removal of redundant non-abdominal skin and lipectomy for functional problems following significant weight loss equivalent to at least 5 body mass index points and if there has been a stable weight for a period of at least 6 months prior to surgery, one or 2 non-abdominal areas, other than a service associated with a service to which item 30175, 30176, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies (H) 30171 01DEC1991 31OCT2003 N LIPECTOMY wedge excision of skin or fat not being a service to which item 30165 applies 2 OR MORE EXCISIONS 30171 01NOV2003 31OCT2004 N LIPECTOMY wedge excision of skin or fat, not being a service associated with items 45564, 45565 or 45533 and not being a service to which item 30165 applies, 2 OR MORE EXCISIONS 30171 01NOV2004 30JUN2009 N LIPECTOMY wedge excision of skin or fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 2 OR MORE EXCISIONS 30171 01JUL2009 31DEC2014 N LIPECTOMY wedge excision of skin and fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 2 OR MORE EXCISIONS 30171 01JAN2015 31DEC2015 N LIPECTOMY wedge excision of skin and fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 2 OR MORE EXCISIONS (H) 30171 01JAN2016 31DEC9999 Y Lipectomy, wedge excision of redundant non abdominal skin and fat that is a direct consequence of significant weight loss, not being a service associated with a service to which item 30165, 30168, 30172, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy; and (d) the procedure involves 2 excisions only (H) 30172 01JAN2016 31DEC9999 Y Lipectomy, wedge excision of redundant non abdominal skin and fat that is a direct consequence of significant weight loss, not being a service associated with a service to which item 30165, 30168, 30171, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy; and (d) the procedure involves 3 or more excisions (H) 30174 01DEC1991 31OCT2003 N LIPECTOMY subumbilical excision with undermining of skin edges and strengthening of musculoaponeurotic wall 30174 01NOV2003 31OCT2004 N LIPECTOMY subumbilical excision with undermining of skin edges and strengthening of musculoaponeurotic wall, not being a service associated with items 45564 or 45565 or 45533 30174 01NOV2004 31DEC2014 N LIPECTOMY subumbilical excision with undermining of skin edges and strengthening of musculoaponeurotic wall, not being a service associated with items 45564 or 45565 or 45530 30174 01JAN2015 31DEC9999 Y LIPECTOMY subumbilical excision with undermining of skin edges and strengthening of musculoaponeurotic wall, not being a service associated with items 45564 or 45565 or 45530 (H) 30175 01JUL2022 30JUN2023 N Radical abdominoplasty, with repair of rectus diastasis, excision of skin and subcutaneous tissue, and transposition of umbilicus, not being a laparoscopic procedure, where the patient has an abdominal wall defect as a consequence of pregnancy, if: (a) the patient:(i) has a diastasis of at least 3cm measured by diagnostic imaging prior to this service; and(ii) has symptoms of at least moderate severity of pain or discomfort at the site of the diastasis in the abdominal wall during functional use and/or low back pain or urinary symptoms likely due to rectus diastasis that have been documented in the patient's records by the practitioner providing this service; and(iii) has failed to respond to non-surgical conservative treatment including physiotherapy; and(iv) has not been pregnant in the last 12 months (b) the service is not a service associated with a service to which item 30165, 30651, 30655, 30168, 30171, 30172, 30176, 30177, 30179, 45530, 45564 or 45565 applies Applicable once per lifetime (H) 30175 01JUL2023 31DEC9999 Y Radical abdominoplasty, with repair of rectus diastasis, excision of skin and subcutaneous tissue, and transposition of umbilicus, not being a laparoscopic procedure, if:(a) the patient has an abdominal wall defect as a consequence of pregnancy; and(b) the patient: (i) has a diastasis of at least 3cm measured by diagnostic imaging prior to this service; and(ii) has either or both of the following: (A) at least moderately severe pain or discomfort at the site of the diastasis in the abdominal wall during functional use and the pain or discomfort has been documented in the patient's records by the practitioner providing the service;(B) low back pain or urinary symptoms likely due to rectus diastasis and the pain or symptoms have been documented in the patient's records by the practitioner providing the service; and (iii) has failed to respond to non-surgical conservative treatment, that must have included physiotherapy; and(iv) has not been pregnant in the last 12 months; and (c) the service is not a service associated with a service to which item 30166, 30169, 30176, 30177, 30179, 30651, 30655, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 appliesApplicable once per lifetime (H) 30176 01JAN2016 31OCT2018 N Lipectomy, radical abdominoplasty (Pitanguy type or similar), with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30165, 30168, 30171, 30172, 30177, 30179, 45530, 45564 or 45565 applies, if it can be demonstrated that there is an anterior abdominal wall defect that is a consequence of the surgical removal of large intra abdominal or pelvic tumours (H) 30176 01NOV2018 30JUN2023 N Lipectomy, radical abdominoplasty (Pitanguy type or similar), with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30165, 30168, 30171, 30172, 30177, 30179, 45530, 45564 or 45565 applies, if the patient has previously had a massive intra-abdominal or pelvic tumour surgically removed 30176 01JUL2023 31DEC9999 Y Radical abdominoplasty, with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30166, 30169, 30175, 30177, 30179, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies, if the patient has previously had a massive intra-abdominal or pelvic tumour surgically removed (H) 30177 01DEC1991 31OCT2003 N LIPECTOMY radical abdominoplasty (Pitanguy type or similar), with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus 30177 01NOV2003 31OCT2004 N LIPECTOMY radical abdominoplasty (Pitanguy type or similar), with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45533 applies 30177 01NOV2004 31DEC2015 N LIPECTOMY radical abdominoplasty (Pitanguy type or similar), with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45530 applies 30177 01JAN2016 30JUN2023 N Lipectomy, excision of skin and subcutaneous tissue associated with redundant abdominal skin and fat that is a direct consequence of significant weight loss, in conjunction with a radical abdominoplasty (Pitanguy type or similar), with or without repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) 30177 01JUL2023 31DEC9999 Y Lipectomy, excision of skin and subcutaneous tissue associated with redundant abdominal skin and fat that is a direct consequence of significant weight loss, in conjunction with a radical abdominoplasty, with or without repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30166, 30175, 30176, 30179, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) 30178 01NOV2003 31OCT2004 N CLOSURE OF ABDOMEN WITH RECONSTRUCTION OF UMBILICUS, with or without lipectomy, being a service associated with items 45564, 45565 or 45533 30178 01NOV2004 31DEC9999 Y CLOSURE OF ABDOMEN WITH RECONSTRUCTION OF UMBILICUS, with or without lipectomy, being a service associated with items 45564, 45565 or 45530 30179 01JAN2016 30JUN2023 N Circumferential lipectomy, as an independent procedure, to correct circumferential excess of redundant skin and fat that is a direct consequence of significant weight loss, with or without a radical abdominoplasty (Pitanguy type or similar), not being a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177, 45530, 45564 or 45565 applies, if: (a) the circumferential excess of redundant skin and fat is complicated by intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the circumferential excess of redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) 30179 01JUL2023 31DEC9999 Y Circumferential lipectomy, as an independent procedure, to correct circumferential excess of redundant skin and fat that is a direct consequence of significant weight loss, with or without a radical abdominoplasty, not being a service associated with a service to which item 30175, 30176, 30177, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies, if: (a) the circumferential excess of redundant skin and fat is complicated by intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and (b) the circumferential excess of redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) 30180 01DEC1991 31OCT2003 N AXILLARY HYPERHIDROSIS, wedge excision for 30180 01NOV2003 31DEC9999 Y AXILLARY HYPERHIDROSIS, partial excision for 30183 01DEC1991 31DEC9999 Y AXILLARY HYPERHIDROSIS, total excision of sweat gland bearing area 30185 01NOV2003 31DEC9999 Y PALMAR OR PLANTAR WARTS (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies 30186 01DEC1991 31OCT1995 N PLANTAR WART, removal of 30186 01NOV1995 31OCT2003 N PALMAR OR PLANTAR WARTS, removal of, not being a service to which item 30187 applies 30186 01NOV2003 31DEC9999 Y PALMAR OR PLANTAR WARTS (less than 10), definitive removal of, excluding ablative methods alone, not being a service to which item 30185 or 30187 applies 30187 01NOV1995 30APR2001 N PALMAR OR PLANTAR WARTS, removal of, by carbon dioxide laser, requiring admission to a hospital or day-hospital facility, or when performed by a specialist in the practice of his/her specialty, where the time taken is greater than 45 minutes (5 or more warts) 30187 01MAY2001 31DEC9999 Y PALMAR OR PLANTAR WARTS, removal of, by carbon dioxide laser or erbium laser, requiring admission to a hospital, or when performed by a specialist in the practice of his/her specialty, (5 or more warts) 30189 01DEC1991 31OCT2003 N WARTS or MOLLUSCUM CONTAGIOSUM, removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which another item in this Group applies 30189 01NOV2003 31DEC2014 N WARTS or MOLLUSCUM CONTAGIOSUM (one or more), removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital, not being a service associated with a service to which another item in this Group applies 30189 01JAN2015 31DEC9999 Y WARTS or MOLLUSCUM CONTAGIOSUM (one or more), removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital, not being a service associated with a service to which another item in this Group applies (H) 30190 01NOV1995 30APR2001 N ANGIOFIBROMAS, TRICHOEPITHELIOMAS or other severely disfiguring tumours suitable for laser excision as confirmed by specialist opinion, of the face or neck, removal of, by carbon dioxide laser excision-ablation including associated resurfacing (10 or more tumours) 30190 01MAY2001 31OCT2018 N ANGIOFIBROMAS, TRICHOEPITHELIOMAS or other severely disfiguring tumours suitable for laser excision as confirmed by specialist opinion, of the face or neck, removal of, by carbon dioxide laser or erbium laser excision-ablation including associated resurfacing (10 or more tumours) 30190 01NOV2018 31DEC9999 Y Angiofibromas, trichoepitheliomas or other severely disfiguring tumours of the face or neck (excluding melanocytic naevi, sebaceous hyperplasia, dermatosis papulosa nigra, Campbell De Morgan angiomas and seborrheic or viral warts), suitable for laser ablation as confirmed by the opinion of a specialist in the specialty of dermatology-removal of, by carbon dioxide laser or erbium laser ablation, including associated resurfacing (10 or more tumours) 30191 01NOV2018 31DEC9999 Y Angiofibromas, trichoepithelioma, epidermal naevi, xanthelasma, pyogenic granuloma, genital angiokeratomas, hereditary haemorrhagic telangiectasia and other severely disfiguring or recurrently bleeding tumours (excluding melanocytic naevi, sebaceous hyperplasia, dermatosis papulosa nigra, Campbell De Morgan angiomas and seborrheic or viral warts), treatment of, with carbon dioxide/erbium or other appropriate laser (or curettage and fine point diathermy for pyogenic granuloma only), if confirmed by the opinion of a specialist in the specialty of dermatology, one or more lesions. 30192 01DEC1991 31OCT2003 N PREMALIGNANT SKIN LESIONS, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) 30192 01NOV2003 31DEC9999 Y PREMALIGNANT SKIN LESIONS (including solar keratoses), treatment of, by ablative technique (10 or more lesions) 30195 01DEC1991 31OCT1993 N NEOPLASTIC SKIN LESIONS, other than viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, not being a service to which item 30198, 30201 or 30204 applies (1 or more lesions) 30195 01NOV1993 31OCT1995 N NEOPLASTIC SKIN LESIONS, other than viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, not being a service associated with a service to which item 30196, 30197, 30202, 30203 or 30205 applies (1 or more lesions) 30195 01NOV1995 30APR2003 N NEOPLASTIC SKIN LESIONS, other than viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, or laser photocoagulation, not being a service to which items 30196, 30197, 30202, 30203 or 30205 apply (1 or more lesions) 30195 01MAY2003 31OCT2003 N BENIGN NEOPLASM OF SKIN, other than viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, or laser photocoagulation, not being a service to which items 30196, 30197, 30202, 30203 or 30205 apply (1 or more lesions) 30195 01NOV2003 31OCT2004 N BENIGN NEOPLASM OF SKIN, other than viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, or laser photocoagulation, not being a service to which item 30196, 30197, 30202, 30203 or 30205 applies (1 or more lesions) 30195 01NOV2004 30APR2005 N BENIGN NEOPLASM OF SKIN, other than viral verrucae (common warts) seborrheic keratoses and skin tags, treatment by electrosurgical destruction, simple curettage or shave excision, or laser photocoagulation, not being a service to which item 30196, 30197, 30202, 30203 or 30205 applies (1 or more lesions) 30195 01MAY2005 31DEC9999 Y BENIGN NEOPLASM OF SKIN, other than viral verrucae (common warts) seborrheic keratoses, cysts and skin tags, treatment by electrosurgical destruction, simple curettage or shave excision, or laser photocoagulation, not being a service to which item 30196, 30197, 30202, 30203 or 30205 applies (1 or more lesions) 30196 01NOV1993 31OCT1995 N CANCER OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by a specialist opinion, removal of, BY SERIAL CURETTAGE, including any associated cryotherapy or diathermy, not being a service to which item 30197 applies 30196 01NOV1995 30APR2001 N CANCER OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser excision-ablation, including any associated cryotherapy or diathermy, not being a service to which item 30197 applies 30196 01MAY2001 30APR2003 N CANCER OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser or erbium laser excision-ablation, including any associated cryotherapy or diathermy, not being a service to which item 30197 applies 30196 01MAY2003 31OCT2018 N MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser or erbium laser excision-ablation, including any associated cryotherapy or diathermy, not being a service to which item 30197 applies 30196 01NOV2018 28FEB2021 N Malignant neoplasm of skin or mucous membrane that has been:(a) proven by histopathology; or (b) confirmed by the opinion of a specialist in the specialty of dermatology where a specimen has been submitted for histologic confirmation; removal of, by serial curettage, or carbon dioxide laser or erbium laser excision-ablation, including any associated cryotherapy or diathermy 30196 01MAR2021 31DEC9999 Y Malignant neoplasm of skin or mucous membrane that has been: (a) proven by histopathology; or (b) confirmed by the opinion of a specialist in the specialty of dermatology or plastic surgery where a specimen has been submitted for histologic confirmation; removal of, by serial curettage, or carbon dioxide laser or erbium laser excision-ablation, including any associated cryotherapy or diathermy 30197 01NOV1993 31OCT1995 N CANCER OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by a specialist opinion, removal of, BY SERIAL CURETTAGE, including any associated cryotherapy or diathermy, (10 OR MORE LESIONS) 30197 01NOV1995 30APR2003 N CANCER OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser excision-ablation, including any associated cryotherapy or diathermy, (10 or more lesions) 30197 01MAY2003 31DEC9999 Y MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser excision-ablation, including any associated cryotherapy or diathermy, (10 OR MORE LESIONS) 30198 01DEC1991 31DEC9999 Y CANCER OF SKIN OR MUCOUS MEMBRANE, removal by serial curettage or liquid nitrogen cryosurgery using repeat freezethaw cycles, not being a service to which item 30201 or 30204 applies 30201 01DEC1991 31DEC9999 Y CANCER OF SKIN OR MUCOUS MEMBRANE, removal by serial curettage or liquid nitrogen cryosurgery using repeat freezethaw cycles (more than 3 but not more than 10 lesions) 30202 01NOV1993 30APR2003 N CANCER OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles, not being a service to which item 30203 applies 30202 01MAY2003 31OCT2018 N MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles, not being a service to which item 30203 applies 30202 01NOV2018 28FEB2021 N Malignant neoplasm of skin or mucous membrane proven by histopathology or confirmed by the opinion of a specialist in the specialty of dermatology-removal of, by liquid nitrogen cryotherapy using repeat freeze thaw cycles 30202 01MAR2021 31DEC9999 Y Malignant neoplasm of skin or mucous membrane proven by histopathology or confirmed by the opinion of a specialist in the specialty of dermatology or plastic surgery-removal of, by liquid nitrogen cryotherapy using repeat freeze thaw cycles 30203 01NOV1993 30APR2003 N CANCER OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles (10 OR MORE LESIONS) 30203 01MAY2003 31DEC9999 Y MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles (10 OR MORE LESIONS) 30204 01DEC1991 31DEC9999 Y CANCER OF SKIN OR MUCOUS MEMBRANE, removal by serial curettage or liquid nitrogen cryosurgery using repeat freezethaw cycles (more than 10 lesions) 30205 01NOV1993 30APR2003 N CANCER OF SKIN proven by histopathology, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles WHERE CANCER EXTENDS INTO CARTILAGE 30205 01MAY2003 31DEC9999 Y MALIGNANT NEOPLASM OF SKIN proven by histopathology, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles WHERE THE MALIGNANT NEOPLASM EXTENDS INTO CARTILAGE 30207 01DEC1991 31OCT2018 N SKIN LESIONS, multiple injections with hydrocortisone or similar preparations 30207 01NOV2018 31DEC9999 Y Skin lesions, multiple injections with glucocorticoid preparations 30210 01DEC1991 31OCT2018 N KELOID and other SKIN LESIONS, EXTENSIVE, MULTIPLE INJECTIONS OF HYDROCORTISONE or similar preparations where undertaken in the operating theatre of a hospital 30210 01NOV2018 31OCT2021 N Keloid and other skin lesions, extensive, multiple injections of glucocorticoid preparations, if undertaken in the operating theatre of a hospital on a patient less than 16 years of age 30210 01NOV2021 31DEC9999 Y Keloid and other skin lesions, extensive, multiple injections of glucocorticoid preparations, if undertaken in the operating theatre of a hospital (H) 30213 01DEC1991 30JUN1993 N TELANGIECTASES OR STARBURST VESSELS, diathermy or sclerosant injection of, including associated consultation - for a session of at least 20 minutes 30213 01JUL1993 31OCT1995 N TELANGIECTASES OR STARBURST VESSELS on the head or neck, diathermy or sclerosant injection of, including associated consultation - for a session of at least 20 minutes duration 30213 01NOV1995 31OCT1996 N TELANGIECTASES OR STARBURST VESSELS on the head or neck where lesions are visible from 3 metres, diathermy or sclerosant injection of, including associated consultation - limited to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - for a session of at least 20 minutes duration 30213 01NOV1996 31DEC9999 Y TELANGIECTASES OR STARBURST VESSELS on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation - limited to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - for a session of at least 20 minutes duration 30214 19JUN1997 31OCT1997 N TELANGIECTASES OR STARBURST VESSELS on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation - session of at least 20 minutes duration - where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period 30214 01NOV1997 31DEC9999 Y TELANGIECTASES OR STARBURST VESSELS on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation - session of at least 20 minutes duration - where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period 30216 01DEC1991 31DEC9999 Y HAEMATOMA, aspiration of 30219 01DEC1991 30APR2000 N HAEMATOMA, FURUNCLE, SMALL ABSCESS OR SIMILAR LESION not requiring a general anaesthetic, INCISION WITH DRAINAGE OF (excluding aftercare) 30219 01MAY2000 31DEC9999 Y HAEMATOMA, FURUNCLE, SMALL ABSCESS OR SIMILAR LESION not requiring admission to a hospital - INCISION WITH DRAINAGE OF (excluding aftercare) 30222 01DEC1991 31DEC9999 Y LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion requiring a general anaesthetic, INCISION WITH DRAINAGE OF (excluding aftercare) 30223 01DEC1991 30APR2000 N LARGE HAEMATOMA, LARGE ABSCESS (including ischiorectal abscess), CARBUNCLE, CELLULITIS or similar lesionrequiring a general anaesthetic, INCISION WITH DRAINAGE OF (excluding aftercare) 30223 01MAY2000 31DEC9999 Y LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding aftercare) 30224 01APR1992 31OCT1992 N PERCUTANEOUS DRAINAGE OF DEEP ABSCESS - but not including imaging 30224 01NOV1992 31DEC9999 Y PERCUTANEOUS DRAINAGE OF DEEP ABSCESS using interventional imaging techniques - but not including imaging 30225 01APR1992 31OCT1992 N ABSCESS DRAINAGE TUBE, exchange of - but not including imaging 30225 01NOV1992 31DEC9999 Y ABSCESS DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging 30226 01DEC1991 31DEC9999 Y MUSCLE, excision of (LIMITED), or fasciotomy 30229 01DEC1991 31DEC9999 Y MUSCLE, excision of (EXTENSIVE) 30232 01DEC1991 31DEC9999 Y MUSCLE, RUPTURED, repair of (limited), not associated with external wound 30235 01DEC1991 31DEC9999 Y MUSCLE, RUPTURED, repair of (extensive), not associated with external wound 30238 01DEC1991 31DEC9999 Y FASCIA, DEEP, repair of, FOR HERNIATED MUSCLE 30241 01DEC1991 31DEC9999 Y BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in this Group applies 30244 01DEC1991 31DEC9999 Y STYLOID PROCESS OF TEMPORAL BONE, removal of 30246 01JUL1998 31DEC9999 Y PAROTID DUCT, repair of, using micro-surgical techniques 30247 01DEC1991 28FEB2023 N PAROTID GLAND, total extirpation of 30247 01MAR2023 31DEC9999 Y Parotid gland, total extirpation of, including removal of tumour, other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) 30250 01DEC1991 28FEB2023 N PAROTID GLAND, total extirpation of, with preservation of facial nerve 30250 01MAR2023 31DEC9999 Y Parotid gland, total extirpation of, with preservation of facial nerve, including: (a) removal of tumour; and (b) exposure or mobilisation of facial nerve; other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) 30251 01JUL1998 28FEB2023 N RECURRENT PAROTID TUMOUR, excision of, with preservation of facial nerve 30251 01MAR2023 31DEC9999 Y Recurrent parotid tumour, excision of, with preservation of facial nerve, including: (a) removal of tumour; and (b) exposure or mobilisation of facial nerve; other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) 30253 01DEC1991 30JUN1998 N PAROTID GLAND, SUPERFICIAL LOBECTOMY OR REMOVAL OF TUMOUR FROM, with exposure of facial nerve 30253 01JUL1998 28FEB2023 N PAROTID GLAND, SUPERFICIAL LOBECTOMY OF, with exposure of facial nerve 30253 01MAR2023 31DEC9999 Y Parotid gland, superficial lobectomy of, with exposure of facial nerve, including: (a) removal of tumour; and (b) exposure or mobilisation of facial nerve; other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) 30255 01MAY1997 30JUN1998 N SUBMANDIBULAR DUCTS, removal of, for surgical control of drooling 30255 01JUL1998 31DEC9999 Y SUBMANDIBULAR DUCTS, relocation of, for surgical control of drooling 30256 01DEC1991 28FEB2023 N SUBMANDIBULAR GLAND, extirpation of 30256 01MAR2023 31DEC9999 Y Submandibular gland, extirpation of, other than a service associated with a service to which item 31423, 31426, 31429, 31432, 31435 or 31438 applies on the same side (H) 30257 01MAR2023 31DEC9999 Y Sialendoscopy, of submandibular or parotid duct, with or without removal of calculus or treatment of stricture 30259 01DEC1991 31DEC9999 Y SUBLINGUAL GLAND, extirpation of 30262 01DEC1991 31DEC9999 Y SALIVARY GLAND, DILATATION OR DIATHERMY of duct 30265 01DEC1991 31DEC9999 Y SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures. 30266 01DEC1991 31DEC9999 Y Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures. 30269 01DEC1991 31DEC9999 Y SALIVARY GLAND, repair of CUTANEOUS FISTULA OF 30272 01DEC1991 31DEC9999 Y TONGUE, partial excision of 30275 01DEC1991 31OCT2019 N RADICAL EXCISION OF INTRAORAL TUMOUR INVOLVING RESECTION OF MANDIBLE AND LYMPH GLANDS OF NECK (commandotype operation) 30275 01NOV2019 28FEB2023 N RADICAL EXCISION OF INTRAORAL TUMOUR INVOLVING RESECTION OF MANDIBLE AND LYMPH NODES OF NECK (commandotype operation) 30275 01MAR2023 31DEC9999 Y Radical excision of intra oral tumour, with or without resection of mandible, including dissection of lymph glands of neck, unilateral, other than a service associated with a service to which item 31423, 31426, 31429, 31432, 31435 or 31438 applies on the same side (H) 30278 01DEC1991 28FEB2023 N TONGUE TIE, repair of, not being a service to which another item in this Group applies 30278 01MAR2023 31DEC9999 Y Tongue tie, repair of, other than: (a) a service to which another item in this Subgroup applies; or (b) a service associated with a service to which item 45009 applies 30281 01DEC1991 30JUN2021 N TONGUE TIE, MANDIBULAR FRENULUM or MAXILLARY FRENULUM, repair of, in a person aged 2 years and over, under general anaesthesia 30281 01JUL2021 28FEB2023 N Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a patient aged 2 years and over, under general anaesthesia 30281 01MAR2023 31DEC9999 Y Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged 2 years and over, under general anaesthesia, other than a service associated with a service to which item 45009 applies 30282 01DEC1991 31DEC9999 Y RANULA OR MUCOUS CYST OF MOUTH, removal of 30283 01DEC1991 31DEC9999 Y RANULA OR MUCOUS CYST OF MOUTH, removal of 30286 01DEC1991 31AUG2015 N BRANCHIAL CYST, removal of 30286 01SEP2015 30JUN2021 N BRANCHIAL CYST, on a person 10 years of age or over. Removal of, 30286 01JUL2021 31DEC9999 Y Branchial cyst, removal of, on a patient 10 years of age or over 30287 01SEP2015 30JUN2021 N BRANCHIAL CYST, on a person under 10 years of age. Removal of, 30287 01JUL2021 31DEC9999 Y Branchial cyst, removal of, on a patient under 10 years of age 30289 01DEC1991 31AUG2015 N BRANCHIAL FISTULA, removal of 30289 01SEP2015 30JUN2021 N BRANCHIAL FISTULA, on a person 10 years of age or over. Removal of, 30289 01JUL2021 31DEC9999 Y Branchial fistula, removal of, on a patient 10 years of age or over 30292 01DEC1991 31DEC9999 Y CYSTIC HYGROMA, removal of massive lesion requiring extensive excision with or without thoracotomy 30293 01NOV1992 31DEC9999 Y CERVICAL OESOPHAGOSTOMY or CLOSURE OF CERVICAL OESOPHAGOSTOMY with or without plastic repair 30294 01NOV1992 31DEC9999 Y CERVICAL OESOPHAGECTOMY with tracheostomy and oesophagostomy, with or without plastic reconstruction; or LARYNGOPHARYNGECTOMY with tracheostomy and plastic reconstruction 30295 01DEC1991 31DEC9999 Y THYROIDECTOMY, total, or THYROIDECTOMY following previous total hemithyroidectomy or following previous unilateral or bilateral subtotal thyroidectomy 30296 01NOV1992 31DEC9999 Y THYROIDECTOMY, total 30297 01NOV1992 31DEC9999 Y THYROIDECTOMY following previous thyroid surgery 30298 01DEC1991 31DEC9999 Y PARATHYROID TUMOUR, removal of 30299 01NOV2005 30JUN2023 N SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level I axilla, using preoperative lymphoscintigraphy and lymphotropic dye injection, not being a service associated with a service to which item 30300, 30302 or 30303 applies 30299 01JUL2023 31DEC9999 Y Sentinel lymph node biopsy or biopsies for breast cancer, involving dissection in an axilla, using preoperative lymphoscintigraphy and/or lymphotropic dye injection (H) 30300 01NOV2005 31DEC9999 Y SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level II/III axilla, using preoperative lymphoscintigraphy and lymphotropic dye injection, not being a service associated with a service to which item 30299, 30302 or 30303 applies 30301 01DEC1991 31DEC9999 Y PARATHYROID GLANDS, removal of, other than for tumour 30302 01NOV2005 31DEC9999 Y SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level I axilla, using lymphotropic dye injection, not being a service associated with a service to which item 30299, 30300 or 30303 applies 30303 01NOV2005 31DEC9999 Y SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level II/III axilla, using lymphotropic dye injection, not being a service associated with a service to which item 30299, 30300 or 30302 applies 30304 01DEC1991 31DEC9999 Y CERVICAL REEXPLORATION for recurrent or persistent hyperparathyroidism 30305 01JUL2023 31DEC9999 Y Sentinel lymph node biopsy or biopsies for breast cancer, involving dissection along internal mammary chain (H) 30306 01NOV1992 31DEC9999 Y TOTAL HEMITHYROIDECTOMY 30307 01DEC1991 31DEC9999 Y TOTAL HEMITHYROIDECTOMY or BILATERAL SUBTOTAL THYROIDECTOMY, with or without exposure of recurrent laryngeal nerve 30308 01NOV1992 31DEC9999 Y BILATERAL SUBTOTAL THYROIDECTOMY 30309 01NOV1992 31DEC9999 Y THYROIDECTOMY, SUBTOTAL for THYROTOXICOSIS 30310 01DEC1991 31OCT1992 N THYROID, excision of localised tumour of, or unilateral subtotal thyroidectomy 30310 01NOV1992 31OCT2018 N THYROID, unilateral subtotal thyroidectomy or equivalent partial thyroidectomy 30310 01NOV2018 31DEC9999 Y Partial or subtotal thyroidectomy 30311 01NOV2021 30JUN2023 N SENTINEL LYMPH NODE BIOPSY or biopsies for cutaneous melanoma, using preoperative lymphoscintigraphy and lymphotropic dye injection, if: (a) the primary lesion is greater than 1.0 mm in depth (or at least 0.8 mm in depth in the presence of ulceration); and (b) appropriate excision of the primary melanoma has occurred; and (c) the service is not associated with a service to which item 30075, 30078, 30299, 30300, 30302, 30303, 30329, 30332, 30618, 30820,31423, 52025 or 52027 applies. Applicable to only one lesion per occasion on which the service is provided (H) 30311 01JUL2023 31DEC9999 Y Sentinel lymph node biopsy or biopsies for cutaneous melanoma, using preoperative lymphoscintigraphy and/or lymphotropic dye injection, if: (a) the primary lesion is greater than 1.0 mm in depth (or at least 0.8 mm in depth in the presence of ulceration); and (b) appropriate excision of the primary melanoma has occurred; and (c) the service is not associated with a service to which item 30075, 30078, 30299, 30305, 30329, 30332, 30618, 30820, 31423, 52025 or 52027 appliesApplicable to only one lesion per occasion on which the service is provided (H) 30313 01DEC1991 31DEC9999 Y THYROGLOSSAL CYST, removal of 30314 01NOV1992 31AUG2015 N THYROGLOSSAL CYST or FISTULA or both, radical removal of, including thyroglossal duct and portion of hyoid bone 30314 01SEP2015 30JUN2021 N THYROGLOSSAL CYST or FISTULA or both, on a person 10 years of age or over. Radical removal of, including thyroglossal duct and portion of hyoid bone 30314 01JUL2021 31DEC9999 Y Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone, on a patient 10 years of age or over 30315 01NOV1992 31OCT2018 N PARATHYROID operation for hyperparathyroidism 30315 01NOV2018 31DEC9999 Y Minimally invasive parathyroidectomy. Removal of 1 or more parathyroid adenoma through a small cervical incision for an image localised adenoma, including thymectomy. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30318, 30317 or 30320 applies. 30316 01DEC1991 31DEC9999 Y THYROGLOSSAL CYST AND FISTULA, removal of 30317 01NOV1992 31OCT2018 N CERVICAL REEXPLORATION for recurrent or persistent hyperparathyroidism 30317 01NOV2018 31DEC9999 Y Redo parathyroidectomy. Cervical re-exploration for persistent or recurrent hyperparathyroidism, including thymectomy and cervical exploration of the mediastinum. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30318 or 30320 applies. 30318 01NOV1992 31OCT2018 N MEDIASTINUM, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) 30318 01NOV2018 31DEC9999 Y Open parathyroidectomy, exploration and removal of 1 or more adenoma or hyperplastic glands via a cervical incision including thymectomy and cervical exploration of the mediastinum when performed. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30317 or 30320 applies. 30319 01DEC1991 31DEC9999 Y CERVICAL OESOPHAGOSTOMY or CLOSURE OF CERVICAL OESOPHAGOSTOMY with or without plastic repair 30320 01NOV1992 31OCT2018 N MEDIASTINUM, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) 30320 01NOV2018 31DEC9999 Y Removal of a mediastinal parathyroid adenoma via sternotomy or mediastinal thorascopic approach. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30317 or 30318 applies. 30321 01NOV1992 31DEC9999 Y RETROPERITONEAL NEUROENDOCRINE TUMOUR, removal of 30322 01DEC1991 31DEC9999 Y CERVICAL OESOPHAGECTOMY with tracheostomy and oesophagostomy, with or without plastic reconstruction; or LARYNGOPHARYNGECTOMY with tracheostomy and plastic reconstruction 30323 01NOV1992 31OCT2018 N RETROPERITONEAL NEUROENDOCRINE TUMOUR, removal of, requiring complex and extensive dissection 30323 01NOV2018 31DEC9999 Y Excision of phaeochromocytoma or extraadrenal paraganglioma via endoscopic or open approach. 30324 01NOV1992 31OCT2018 N ADRENAL GLAND TUMOUR, excision of 30324 01NOV2018 31DEC9999 Y Excision of an adrenocortical tumour or hyperplasia via endoscopic or open approach. 30325 01DEC1991 31DEC9999 Y LYMPH GLANDS of NECK, limited excision of 30326 01SEP2015 30JUN2021 N THYROGLOSSAL CYST or FISTULA or both, radical removal of, including thyroglossal duct and portion of hyoid bone, on a person under 10 years of age 30326 01JUL2021 31DEC9999 Y Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone, on a patient under 10 years of age 30328 01DEC1991 31DEC9999 Y LYMPH GLANDS of NECK, radical excision of 30329 01NOV1992 31OCT2019 N LYMPH GLANDS of GROIN, limited excision of 30329 01NOV2019 31DEC9999 Y LYMPH NODES of GROIN, limited excision of 30330 01NOV1992 31OCT2019 N LYMPH GLANDS of GROIN, radical excision of 30330 01NOV2019 31DEC9999 Y LYMPH NODES of GROIN, radical excision of 30331 01DEC1991 31DEC9999 Y LYMPH GLANDS OF GROIN OR AXILLA, limited excision of 30332 01NOV1992 30APR2000 N LYMPH GLANDS of AXILLA, limited excision of 30332 01MAY2000 30JUN2023 N LYMPH NODES of AXILLA, limited excision of (sampling) 30332 01JUL2023 31DEC9999 Y Lymph nodes of axilla, limited excision of (H) 30333 01NOV1992 31DEC9999 Y LYMPH GLANDS of AXILLA, radical excision of 30334 01DEC1991 31DEC9999 Y LYMPH GLANDS OF GROIN OR AXILLA, radical excision of 30335 01MAY2000 31DEC9999 Y LYMPH NODES of AXILLA, complete excision of, to level I 30336 01MAY2000 30JUN2023 N LYMPH NODES of AXILLA, complete excision of, to level II or level III 30336 01JUL2023 31DEC9999 Y Lymph nodes of axilla, complete excision of (H) 30337 01DEC1991 31DEC9999 Y SIMPLE MASTECTOMY with or without frozen section biopsy 30338 01DEC1991 31DEC9999 Y SIMPLE MASTECTOMY with or without frozen section biopsy 30339 01MAY2000 31DEC9999 Y BREAST, BENIGN LESION up to and including 50mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology 30340 01MAY2000 31DEC9999 Y BREAST, BENIGN LESION more than 50mm in diameter, excision of 30341 01DEC1991 31DEC9999 Y BREAST, excision of CYST, fibro adenoma or other local lesion or segmental resection for any other reason 30342 01DEC1991 31DEC9999 Y BREAST, excision of CYST, fibro adenoma or other local lesion or segmental resection for any other reason 30343 01MAY2000 31DEC9999 Y BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of 30344 01MAY2000 31DEC9999 Y BREAST, MALIGNANT TUMOUR, open surgical biopsy of, with or without frozen section histology 30345 01DEC1991 31DEC9999 Y BREAST, excision of CYST, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used 30346 01DEC1991 31DEC9999 Y BREAST, excision of CYST, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used 30347 01MAY2000 31DEC9999 Y BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology 30348 01MAY2000 31DEC9999 Y BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour 30349 01DEC1991 31DEC9999 Y PARTIAL MASTECTOMY, involving more than 25% of the breast tissue, with or without frozen section biopsy 30350 01DEC1991 31DEC9999 Y PARTIAL MASTECTOMY, involving more than 25% of the breast tissue, with or without frozen section biopsy 30351 01MAY2000 31DEC9999 Y BREAST (female), total mastectomy 30352 01MAY2000 31DEC9999 Y BREAST (male), total mastectomy 30353 01DEC1991 31DEC9999 Y BREAST, extended simple mastectomy with or without frozen section biopsy 30354 01MAY2000 31DEC9999 Y BREAST (female), subcutaneous mastectomy 30355 01MAY2000 31DEC9999 Y BREAST (male), subcutaneous mastectomy 30356 01DEC1991 31DEC9999 Y SUBCUTANEOUS MASTECTOMY with or without frozen section biopsy 30358 01NOV2000 31DEC9999 Y BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, where imaging has demonstrated: (a) microcalcification of lesion; or (b) impalpable lesion less than 1cm in diameter including pre-operative localisation of lesion where performed, not being a service to which item 30363 applies 30359 01DEC1991 31DEC9999 Y BREAST, radical or modified radical mastectomy with or without frozen section biopsy 30360 01APR1992 30APR2000 N FINE NEEDLE ASPIRATION of an impalpable breast lesion defected by mammography or ultrasound, imaging guided - but not including imaging 30360 01MAY2000 31DEC9999 Y FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging 30361 01APR1992 31OCT1992 N BREAST, preoperative localisation of lesion by hookwire or similar device - but not including imaging 30361 01NOV1992 31DEC9999 Y BREAST, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques - but not including imaging 30362 01DEC1991 31OCT1992 N NIPPLE, INVERTED, surgical eversion of 30362 01NOV1992 31DEC9999 Y INVERTED NIPPLE, surgical eversion of 30363 01NOV1992 31OCT2000 N BREAST, core biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination 30363 01NOV2000 31DEC9999 Y BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using mechanical biopsy device, for histological examination, not being a service to which item 30358 applies 30364 01NOV1992 30APR2000 N BREAST, haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital or day-hospital facility, excluding aftercare 30364 01MAY2000 31DEC9999 Y BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital or day-hospital facility, excluding aftercare 30365 01DEC1991 31DEC9999 Y LAPAROTOMY (exploratory), including associated biopsies, where no other intraabdominal procedure is performed 30366 01NOV1992 31DEC9999 Y BREAST, microdochotomy of, for benign or malignant condition 30367 01NOV1992 31DEC9999 Y BREAST CENTRAL DUCTS, excision of, for benign condition 30368 01DEC1991 31DEC9999 Y LAPAROTOMY involving Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy, Cholecystostomy, Gastrostomy, Gastrotomy, Reduction of intussusception, Removal of Meckel's diverticulum, Suture of perforated peptic ulcer, Simple repair of ruptured viscus, Reduction of volvulus, Pyloroplasty (adult) or Drainage of pancreas 30369 01NOV1992 31DEC9999 Y ACCESSORY BREAST TISSUE, excision of 30370 01NOV1992 31DEC9999 Y INVERTED NIPPLE, surgical eversion of 30371 01DEC1991 31DEC9999 Y LAPAROTOMY INVOLVING DIVISION OF PERITONEAL ADHESIONS (where no other intraabdominal procedure is performed) 30372 01NOV1992 31DEC9999 Y ACCESSORY NIPPLE, excision of 30373 01NOV1992 31DEC9999 Y LAPAROTOMY (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed 30374 01DEC1991 31DEC9999 Y LAPAROTOMY INVOLVING DIVISION OF ADHESIONS in association with another intraabdominal procedure where the time taken to divide the adhesions exceeds 45 minutes 30375 01NOV1992 30APR2005 N LAPAROTOMY involving Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy, Cholecystostomy, Gastrostomy, Gastrotomy, Reduction of intussusception, Removal of Meckel's diverticulum, Suture of perforated peptic ulcer, Simple repair of ruptured viscus, Reduction of volvulus, Pyloroplasty (adult) or Drainage of pancreas 30375 01MAY2005 31AUG2015 N Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy, Cholecystostomy, Gastrostomy, Gastrotomy, Reduction of intussusception, Removal of Meckel's diverticulum, Suture of perforated peptic ulcer, Simple repair of ruptured viscus, Reduction of volvulus, Pyloroplasty (adult) or Drainage of pancreas 30375 01SEP2015 31DEC9999 Y Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy, Cholecystostomy, Gastrostomy, Gastrotomy, on a person 10 years of age or over. Reduction of intussusception, Removal of Meckel's diverticulum, Suture of perforated peptic ulcer, Simple repair of ruptured viscus, Reduction of volvulus, Pyloroplasty (adult) or Drainage of pancreas 30376 01NOV1992 31AUG2015 N LAPAROTOMY INVOLVING DIVISION OF PERITONEAL ADHESIONS (where no other intraabdominal procedure is performed) 30376 01SEP2015 31DEC9999 Y LAPAROTOMY INVOLVING DIVISION OF PERITONEAL ADHESIONS (where no other intraabdominal procedure is performed) on a person 10 years of age or over 30377 01DEC1991 31DEC9999 Y LAPAROTOMY WITH DIVISION OF EXTENSIVE ADHESIONS (duration greater than 2 hours) with or without insertion of long intestinal tube 30378 01NOV1992 30JUN1996 N LAPAROTOMY INVOLVING DIVISION OF ADHESIONS in conjunction with another intraabdominal procedure where the time taken to divide the adhesions exceeds 45 minutes 30378 01JUL1996 31AUG2015 N LAPAROTOMY involving division of adhesions in conjunction with another intraabdominal procedure where the time taken to divide the adhesions is between 45 minutes and 2 hours 30378 01SEP2015 31DEC9999 Y LAPAROTOMY involving division of adhesions in conjunction with another intraabdominal procedure where the time taken to divide the adhesions is between 45 minutes and 2 hours, on a person 10 years of age or over 30379 01NOV1992 31DEC9999 Y LAPAROTOMY WITH DIVISION OF EXTENSIVE ADHESIONS (duration greater than 2 hours) with or without insertion of long intestinal tube 30380 01DEC1991 31DEC9999 Y LAPAROTOMY FOR GRADING OF LYMPHOMA, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy 30381 01NOV1992 31DEC9999 Y FAECAL FISTULA, abdominal repair of, by simple excision of bowel 30382 01NOV1992 30JUN1995 N ENTEROCUTANEOUS FISTULA, radical repair of involving extensive dissection and resection of bowel (Ministerial Determination) 30382 01JUL1995 30JUN2021 N ENTEROCUTANEOUS FISTULA, radical repair of, involving extensive dissection and resection of bowel 30382 01JUL2021 31DEC9999 Y Enterocutaneous fistula, repair of, if dissection and resection of bowel is performed, with or without anastomosis or formation of a stoma (H) 30383 01DEC1991 31DEC9999 Y LAPAROTOMY FOR CONTROL OF POSTOPERATIVE HAEMORRHAGE, where no other procedure is performed 30384 01NOV1992 30JUN2021 N LAPAROTOMY FOR GRADING OF LYMPHOMA, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy 30384 01JUL2021 31DEC9999 Y Open or minimally invasive excision of a retroperitoneal mass, 4 cm or greater in largest dimension, lasting more than 3 hours, other than a service to which another item in this Group applies (H) 30385 01NOV1992 30JUN2021 N LAPAROTOMY FOR CONTROL OF POSTOPERATIVE HAEMORRHAGE, where no other procedure is performed 30385 01JUL2021 31DEC9999 Y Unplanned return to theatre for laparotomy or laparoscopy for control or drainage of intra-abdominal haemorrhage following abdominal surgery (H) 30386 01DEC1991 31DEC9999 Y LAPAROTOMY for drainage of pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause; with or without appendicectomy 30387 01NOV1992 30JUN2021 N LAPAROTOMY INVOLVING OPERATION ON ABDOMINAL VISCERA (including pelvic viscera), not being a service to which another item in this Group applies 30387 01JUL2021 31DEC9999 Y Laparoscopy or laparotomy when an operation is performed on abdominal, retroperitoneal or pelvic viscera, excluding lymph node biopsy, other than a service to which another item in this Group applies (H) 30388 01NOV1992 30JUN1995 N LAPAROTOMY for trauma involving 3 or more organs (Ministerial Determination) 30388 01JUL1995 30JUN2021 N LAPAROTOMY for trauma involving 3 or more organs 30388 01JUL2021 31DEC9999 Y Laparotomy for abdominal trauma, including control of haemorrhage (with or without packing) and containment of contamination (H) 30389 01DEC1991 31DEC9999 Y LAPAROTOMY INVOLVING OPERATION ON ABDOMINAL VISCERA (including pelvic viscera), not covered by any other Item in this Group 30390 01NOV1992 31OCT2010 N LAPAROSCOPY, diagnostic 30390 01NOV2010 31AUG2015 N LAPAROSCOPY, diagnostic, not being a service associated with any other laparoscopic procedure 30390 01SEP2015 30JUN2021 N LAPAROSCOPY, diagnostic, not being a service associated with any other laparoscopic procedure, on a person 10 years of age or over 30390 01JUL2021 31DEC9999 Y Laparoscopy, diagnostic, with or without aspiration of fluid, on a patient 10 years of age or over, if no other intra-abdominal procedure is performed (H) 30391 01NOV1992 31DEC9999 Y LAPAROSCOPY with biopsy 30392 01DEC1991 31OCT1997 N RADICAL OR DEBULKING OPERATION for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure 30392 01NOV1997 31DEC9999 Y RADICAL OR DEBULKING OPERATION for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure 30393 01MAY1997 31DEC9999 Y LAPAROSCOPIC DIVISION OF ADHESIONS in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes 30394 01NOV1992 31DEC9999 Y LAPAROTOMY for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy 30395 01DEC1991 31DEC9999 Y SUBPHRENIC ABSCESS, drainage of 30396 01NOV1992 30JUN1995 N LAPAROTOMY for gross intra peritoneal sepsis requiring debridement of fibrin, with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity via a major abdominal incision, with or without closure of abdomen and with or without mesh or zipper insertion (Ministerial Determination) 30396 01JUL1995 30JUN2021 N LAPAROTOMY for gross intra peritoneal sepsis requiring debridement of fibrin, with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity via a major abdominal incision, with or without closure of abdomen and with or without mesh or zipper insertion 30396 01JUL2021 31DEC9999 Y Laparotomy or laparoscopy for generalised intra-peritoneal sepsis (also known as peritonitis), with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity, with or without closure of the abdomen when performed by laparotomy (H) 30397 01NOV1992 30JUN1995 N LAPAROSTOMY, via wound previously made and left open or closed with zipper, involving change of dressings or packs, and with or without drainage of loculated collections (Ministerial Determination) 30397 01JUL1995 30JUN2021 N LAPAROSTOMY, via wound previously made and left open or closed with zipper, involving change of dressings or packs, and with or without drainage of loculated collections 30397 01JUL2021 31DEC9999 Y Laparostomy, via wound previously made and left open or closed, including change of dressings or packs, with or without drainage of loculated collections (H) 30398 01DEC1991 31DEC9999 Y LIVER BIOPSY, percutaneous 30399 01NOV1992 30JUN1995 N LAPAROSTOMY, final closure of wound made at previous operation, after removal of dressings or packs and removal of mesh or zipper if previously inserted(Ministerial Determination) 30399 01JUL1995 30JUN2021 N LAPAROSTOMY, final closure of wound made at previous operation, after removal of dressings or packs and removal of mesh or zipper if previously inserted 30399 01JUL2021 31DEC9999 Y Laparostomy, final closure of wound made at previous operation, after removal of dressings or packs 30400 01NOV1992 31DEC9999 Y LAPAROTOMY WITH INSERTION OF PORTACATH for administration of cytotoxic therapy including placement of reservoir 30401 01DEC1991 31DEC9999 Y LIVER BIOPSY by wedge excision when performed in association with another intraabdominal procedure 30402 01NOV1992 31DEC9999 Y RETROPERITONEAL ABSCESS, drainage of, not involving laparotomy 30403 01NOV1992 30APR2005 N VENTRAL, INCISIONAL, OR RECURRENT HERNIA OR BURST ABDOMEN, repair of 30403 01MAY2005 31DEC9999 Y VENTRAL, INCISIONAL, OR RECURRENT HERNIA OR BURST ABDOMEN, repair of with or without mesh 30404 01DEC1991 31DEC9999 Y LIVER TUMOUR, removal of other than by biopsy 30405 01NOV1992 30JUN1995 N VENTRAL, or incisional hernia, repair of, requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel (Ministerial Determination) 30405 01JUL1995 30APR2005 N VENTRAL OR INCISIONAL HERNIA, repair of, requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel 30405 01MAY2005 31DEC9999 Y VENTRAL OR INCISIONAL HERNIA, (excluding recurrent inguinal or femoral hernia), repair of, requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel 30406 01NOV1992 31DEC9999 Y PARACENTESIS ABDOMINIS 30407 01DEC1991 31DEC9999 Y LIVER, MASSIVE RESECTION OF, or LOBECTOMY 30408 01NOV1992 30JUN1995 N PERITONEO venous (Leveen) shunt, insertion of (Ministerial Determination) 30408 01JUL1995 31OCT2010 N PERITONEO venous (Leveen) shunt, insertion of 30408 01NOV2010 31DEC9999 Y PERITONEOVENOUS shunt, insertion of 30409 01NOV1992 31DEC9999 Y LIVER BIOPSY, percutaneous 30410 01DEC1991 31DEC9999 Y LIVER ABSCESS, ABDOMINAL, drainage of 30411 01NOV1992 31DEC9999 Y LIVER BIOPSY by wedge excision when performed in conjunction with another intraabdominal procedure 30412 01NOV1992 30JUN1995 N LIVER BIOPSY by core needle, when performed in conjunction with another intra-abdominal procedure (Ministerial Determination) 30412 01JUL1995 31DEC9999 Y LIVER BIOPSY by core needle, when performed in conjunction with another intra-abdominal procedure 30413 01DEC1991 31DEC9999 Y HYDATID CYST OF LIVER, PERITONEUM OR VISCUS, drainage procedure for 30414 01NOV1992 30JUN1995 N LIVER, subsegmental resection of, (local excision), other than for trauma (Ministerial Determination) 30414 01JUL1995 31DEC9999 Y LIVER, subsegmental resection of, (local excision), other than for trauma 30415 01NOV1992 30JUN1995 N LIVER, segmental resection of, other than for trauma (Ministerial Determination) 30415 01JUL1995 31DEC9999 Y LIVER, segmental resection of, other than for trauma 30416 01DEC1991 31OCT1996 N LIVER CYST, laparoscopic marsupialisation of, where the size of the cyst is greater than 5cm in diameter 30416 01NOV1996 30JUN2021 N LIVER CYST, laparoscopic marsupialisation of, where the size of the cyst is greater than 5cm in diameter 30416 01JUL2021 31DEC9999 Y Liver cysts, greater than 5 cm in diameter, marsupialisation of 4 or less 30417 01APR1992 31OCT1996 N LIVER CYSTS, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5cm in diameter 30417 01NOV1996 30JUN2021 N LIVER CYSTS, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5cm in diameter 30417 01JUL2021 31DEC9999 Y Liver cysts, greater than 5 cm in diameter, marsupialisation of 5 or more 30418 01NOV1992 30JUN1995 N LIVER, lobectomy of, other than for trauma (Ministerial Determination) 30418 01JUL1995 31DEC9999 Y LIVER, lobectomy of, other than for trauma 30419 01DEC1991 30APR1997 N LIVER TUMOURS, destruction of, by hepatic cryotherapy 30419 01MAY1997 30APR2004 N LIVER TUMOURS, destruction of, by hepatic cryotherapy 30419 01MAY2004 30JUN2021 N LIVER TUMOURS, destruction of, by hepatic cryotherapy, not being a service associated with a service to which item 50950 or 50952 applies 30419 01JUL2021 31DEC9999 Y Liver tumour, other than a hepatocellular carcinoma, destruction of one or more, by local ablation, other than a service associated with a service to which item 50950 or 50952 applies 30420 01DEC1991 31DEC9999 Y CHOLECYSTECTOMY 30421 01NOV1992 30JUN1995 N LIVER, TRI-SEGMENTAL RESECTION (extended lobectomy) of, other than for trauma (Ministerial Determination) 30421 01JUL1995 30JUN2021 N LIVER, TRI-SEGMENTAL RESECTION (extended lobectomy) of, other than for trauma 30421 01JUL2021 31DEC9999 Y Liver, extended lobectomy of, or central resections of segments 4, 5 and 8, other than for trauma 30422 01NOV1992 30JUN1995 N LIVER, repair of superficial laceration of, for trauma (Ministerial Determination) 30422 01JUL1995 31DEC9999 Y LIVER, repair of superficial laceration of, for trauma 30423 01DEC1991 31DEC9999 Y CHOLEDOCHOSCOPY 30424 01APR1992 31DEC9999 Y BILIARY DRAINAGE TUBE, exchange of - but not including imaging 30425 01NOV1992 30JUN1995 N LIVER, repair of deep multiple lacerations of, or requiring debridement, for trauma (Ministerial Determination) 30425 01JUL1995 31DEC9999 Y LIVER, repair of deep multiple lacerations of, or debridement of, for trauma 30426 01DEC1991 31DEC9999 Y CHOLEDOCHOTOMY (WITH OR WITHOUT CHOLECYSTECTOMY), including dilatation of sphincter of Oddi and removal of calculi 30427 01NOV1992 30JUN1995 N LIVER, segmental resection of, for trauma (Ministerial Determination) 30427 01JUL1995 31DEC9999 Y LIVER, segmental resection of, for trauma 30428 01NOV1992 30JUN1995 N LIVER, lobectomy of, for trauma (Ministerial Determination) 30428 01JUL1995 31DEC9999 Y LIVER, lobectomy of, for trauma 30429 01DEC1991 31DEC9999 Y CHOLEDOCHOTOMY (WITH OR WITHOUT CHOLECYSTECTOMY), including dilatation of sphincter of Oddi and removal of calculi WITH CHOLEDOCHODUODENOSTOMY, CHOLEDOCHOGASTROSTOMY OR CHOLEDOCHOENTEROSTOMY 30430 01NOV1992 30JUN1995 N LIVER, extended lobectomy (tri-segmental resection) of, for trauma (Ministerial Determination) 30430 01JUL1995 30JUN2021 N LIVER, extended lobectomy (tri-segmental resection) of, for trauma 30430 01JUL2021 31DEC9999 Y Liver, extended lobectomy of, or central resections of segments 4, 5 and 8, for trauma 30431 01NOV1992 30JUN2021 N LIVER ABSCESS, open abdominal drainage of 30431 01JUL2021 31DEC9999 Y Liver abscess, single, open or minimally invasive abdominal drainage of, excluding aftercare 30432 01DEC1991 31DEC9999 Y TRANSDUODENAL OPERATION ON SPHINCTER OF ODDI, including dilatation, removal of calculi, sphincterotomy and sphincteroplasty with or without choledochotomy, with or without cholecystectomy 30433 01NOV1992 30JUN1995 N LIVER ABSCESS (multiple), open abdominal drainage of (Ministerial Determination) 30433 01JUL1995 30JUN2021 N LIVER ABSCESS (multiple), open abdominal drainage of 30433 01JUL2021 31DEC9999 Y Liver abscess, multiple, open or minimally invasive abdominal drainage of, excluding aftercare 30434 01NOV1992 30JUN1995 N HYDATID CYST OF LIVER, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles (Ministerial Determination) 30434 01JUL1995 31DEC9999 Y HYDATID CYST OF LIVER, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles 30435 01DEC1991 31DEC9999 Y CHOLECYSTODUODENOSTOMY, CHOLECYSTOGASTROSTOMY or CHOLECYSTOENTEROSTOMY with or without enteroenterostomy 30436 01NOV1992 30JUN1995 N HYDATID CYST OF LIVER, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty (Ministerial Determination) 30436 01JUL1995 31DEC9999 Y HYDATID CYST OF LIVER, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty 30437 01NOV1992 30JUN1995 N HYDATID CYST OF LIVER, total excision of, by cysto-pericystectomy (membrane plus fibrous wall) (Ministerial Determination) 30437 01JUL1995 31DEC9999 Y HYDATID CYST OF LIVER, total excision of, by cysto-pericystectomy (membrane plus fibrous wall) 30438 01DEC1991 31OCT1996 N HYDATID CYST OF LIVER, excision of, with drainage and excision of liver tissue 30438 01NOV1996 31DEC9999 Y HYDATID CYST OF LIVER, excision of, with drainage and excision of liver tissue 30439 01NOV1992 31OCT1996 N OPERATIVE CHOLANGIOGRAPHY or operative pancreatography or intra operative ultrasound (including 1 or more examinations performed during the 1 operation) 30439 01NOV1996 30JUN2021 N OPERATIVE CHOLANGIOGRAPHY OR OPERATIVE PANCREATOGRAPHY OR INTRA OPERATIVE ULTRASOUND of the biliary tract (including 1 or more examinations performed during the 1 operation) 30439 01JUL2021 31DEC9999 Y Intraoperative ultrasound of biliary tract, or operative cholangiography, if the service: (a) is performed in association with an intra-abdominal procedure; and (b) is not associated with a service to which item 30442 or 30445 applies 30440 01NOV1992 30APR2005 N CHOLANGIOGRAM, percutaneous transhepatic, and biliary drainage, using interventional imaging techniques - but not including imaging 30440 01MAY2005 31DEC9999 Y CHOLANGIOGRAM, percutaneous transhepatic, and insertion of biliary drainage tube, using interventional imaging techniques - but not including imaging, not being a service associated with a service to which item 30451 applies 30441 01DEC1991 31OCT1996 N INTRA OPERATIVE ULTRASOUND for staging of intra abdominal tumours 30441 01NOV1996 30JUN2021 N INTRA OPERATIVE ULTRASOUND for staging of intra abdominal tumours 30441 01JUL2021 31DEC9999 Y Intraoperative ultrasound for staging of intra-abdominal tumours 30442 01NOV1992 31DEC9999 Y CHOLEDOCHOSCOPY in conjunction with another procedure 30443 01NOV1992 30JUN2021 N CHOLECYSTECTOMY 30443 01JUL2021 31DEC9999 Y Cholecystectomy, by any approach, without cholangiogram 30444 01DEC1991 31DEC9999 Y OESOPHAGOSCOPY (not covered by Item 41816 or 41822), GASTROSCOPY, DUODENOSCOPY or PANENDOSCOPY (one or more such procedures), with endoscopic sclerosing injection of oesophageal or gastric varices, not associated with Item 30441 or 30447 30445 01NOV1992 30JUN1995 N LAPAROSCOPIC CHOLECYSTECTOMY (Ministerial Determination) 30445 01JUL1995 30JUN2021 N LAPAROSCOPIC CHOLECYSTECTOMY 30445 01JUL2021 31DEC9999 Y Cholecystectomy, by any approach, with attempted or completed cholangiogram or intraoperative ultrasound of the biliary system, when performed via laparoscopic or open approach or when conversion from laparoscopic to open approach is required 30446 01NOV1992 30JUN1995 N LAPAROSCOPIC CHOLECYSTECTOMY when procedure is completed by laparotomy (Ministerial Determination) 30446 01JUL1995 31DEC9999 Y LAPAROSCOPIC CHOLECYSTECTOMY when procedure is completed by laparotomy 30447 01DEC1991 31DEC9999 Y OESOPHAGOSCOPY (not covered by Item 41816, 41822 or 41825), GASTROSCOPY, DUODENOSCOPY or PANENDOSCOPY (one or more such procedures), with one or more of the following procedures polypectomy, removal of foreign body, diathermy coagulation of bleeding upper gastrointestinal lesions, not associated with Item 30441 or 30444 30448 01NOV1992 30JUN1995 N LAPAROSCOPIC CHOLECYSTECTOMY, involving removal of common duct calculi via the cystic duct (Ministerial Determination) 30448 01JUL1995 30JUN2021 N LAPAROSCOPIC CHOLECYSTECTOMY, involving removal of common duct calculi via the cystic duct 30448 01JUL2021 31DEC9999 Y Cholecystectomy, by any approach, involving removal of common duct calculi via the cystic duct, with or without stent insertion 30449 01NOV1992 30JUN1995 N LAPAROSCOPIC CHOLECYSTECTOMY with removal of common duct calculi via laparoscopic choledochotomy (Ministerial Determination) 30449 01JUL1995 30JUN2021 N LAPAROSCOPIC CHOLECYSTECTOMY with removal of common duct calculi via laparoscopic choledochotomy 30449 01JUL2021 31DEC9999 Y Cholecystectomy with removal of common duct calculi via choledochotomy, by any approach, with or without insertion of a stent 30450 01DEC1991 31OCT1996 N CALCULUS OF BILIARY OR RENAL TRACT, extraction of, using interventional imaging techniques - not being a service associated with a service to which items 36627, 36630, 36645 or 36648 applies 30450 01NOV1996 31OCT2020 N CALCULUS OF BILIARY OR RENAL TRACT, extraction of, using interventional imaging techniques - not being a service associated with a service to which items 36627, 36630, 36645 or 36648 applies 30450 01NOV2020 30JUN2021 N Calculus of biliary or renal tract, extraction of, using interventional imaging techniques - other than a service associated with a service to which items 36627 or 36645 applies 30450 01JUL2021 31DEC9999 Y Calculus of biliary tract, extraction of, using interventional imaging techniques 30451 01NOV1992 30APR2005 N BILIARY DRAINAGE TUBE, exchange of, using interventional imaging techniques - but not including imaging 30451 01MAY2005 31DEC9999 Y BILIARY DRAINAGE TUBE, exchange of, using interventional imaging techniques - but not including imaging, not being a service associated with a service to which item 30440 applies 30452 01NOV1992 30JUN1995 N CHOLEDOCHOSCOPY with balloon dilation of a stricture or passage of stent or extraction of calculi (Ministerial Determination) 30452 01JUL1995 31DEC9999 Y CHOLEDOCHOSCOPY with balloon dilation of a stricture or passage of stent or extraction of calculi 30453 01DEC1991 31DEC9999 Y ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY 30454 01NOV1992 30JUN2021 N CHOLEDOCHOTOMY (with or without cholecystectomy), with or without removal of calculi 30454 01JUL2021 31DEC9999 Y Choledochotomy without cholecystectomy, with or without removal of calculi 30455 01NOV1992 30JUN2021 N CHOLEDOCHOTOMY (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis 30455 01JUL2021 31DEC9999 Y Choledochotomy with cholecystectomy, with removal of calculi, including biliary intestinal anastomosis 30456 01DEC1991 31DEC9999 Y ENDOSCOPIC SPHINCTEROTOMY with or without extraction of stones from common bile duct 30457 01NOV1992 30JUN1995 N CHOLEDOCHOTOMY, intrahepatic, involving removal of intrahepatic bile duct calculi (Ministerial Determination) 30457 01JUL1995 31DEC9999 Y CHOLEDOCHOTOMY, intrahepatic, involving removal of intrahepatic bile duct calculi 30458 01NOV1992 31DEC9999 Y TRANSDUODENAL OPERATION ON SPHINCTER OF ODDI, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy 30459 01DEC1991 31DEC9999 Y BILIARY MANOMETRY 30460 01NOV1992 31DEC9999 Y CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, CHOLEDOCHOJEJUNOSTOMY or Roux-en-Y as a bypass procedure when no prior biliary surgery performed 30461 01NOV1992 31OCT2000 N RADICAL RESECTION of porta hepatis for gall bladder or common bile duct carcinoma with biliary-enteric anastomoses, not being a service associated with a service to which item 30443, 30454, 30455, 30458 or 30460 applies 30461 01NOV2000 30JUN2021 N RADICAL RESECTION of porta hepatis with biliary-enteric anastomoses, not being a service associated with a service to which item 30443, 30454, 30455, 30458 or 30460 applies 30461 01JUL2021 31DEC9999 Y Radical resection of porta hepatis (including associated neuro-lymphatic tissue), for cancer, suspected cancer or choledochal cyst, including bile duct excision and biliary-enteric anastomoses, other than a service associated with a service to which item 30440, 30451 or 31454 applies 30462 01DEC1991 31DEC9999 Y ENDOSCOPIC BILIARY DILATATION 30463 01NOV1992 30JUN1995 N RADICAL RESECTION of common hepatic duct and right and left hepatic ducts for carcinoma, with 2 duct anastomoses (Ministerial Determination) 30463 01JUL1995 31OCT2000 N RADICAL RESECTION of common hepatic duct and right and left hepatic ducts for carcinoma, with 2 duct anastomoses 30463 01NOV2000 30JUN2021 N RADICAL RESECTION of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses 30463 01JUL2021 31DEC9999 Y Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses, for cancer, suspected cancer or choledochal cyst 30464 01NOV1991 30OCT1992 N RADICAL RESECTION of common hepatic duct and right and left hepatic ducts for carcinoma, involving more than 2 anastomoses or resection of segment or major portion of segment of liver (Ministerial Determination) 30464 31OCT1992 30JUN1995 N RADICAL RESECTION of common hepatic duct and right and left hepatic ducts for carcinoma, involving more than 2 anastomoses or resection of segment or major portion of segment of liver (Ministerial Determination) 30464 01JUL1995 31OCT2000 N RADICAL RESECTION of common hepatic duct and right and left hepatic ducts, involving more than 2 anastomoses or resection of segment or major portion of segment of liver 30464 01NOV2000 30JUN2021 N RADICAL RESECTION of common hepatic duct and right and left hepatic ducts, involving more than 2 anastomoses or resection of segment or major portion of segment of liver 30464 01JUL2021 31DEC9999 Y Radical resection of common hepatic duct and right and left hepatic ducts, for cancer, suspected cancer or choledochal cyst, involving either or both of the following:(a) more than 2 anastomoses;(b) resection of segment (or major portion of segment) of liver; 30465 01DEC1991 31DEC9999 Y BILE DUCT, ENDOSCOPIC STENTING OF (including endoscopy and dilatation) 30466 01NOV1992 30JUN1995 N INTRAHEPATIC biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Ministerial Determination) 30466 01JUL1995 31DEC9999 Y INTRAHEPATIC biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system 30467 01NOV1992 30JUN1995 N INTRAHEPATIC BYPASS of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Ministerial Determination) 30467 01JUL1995 31DEC9999 Y INTRAHEPATIC BYPASS of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system 30468 01DEC1991 31DEC9999 Y PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (initial procedure) 30469 01NOV1992 30JUN1995 N BILIARY STRICTURE, repair of, after 1 or more operations on the biliary tree (Ministerial Determination) 30469 01JUL1995 31DEC9999 Y BILIARY STRICTURE, repair of, after 1 or more operations on the biliary tree 30470 01NOV1992 30JUN1995 N BILE DUCT FISTULA, repair of, following previous bile duct surgery (Ministerial Determination) 30470 01JUL1995 31DEC9999 Y BILE DUCT FISTULA, repair of, following previous bile duct surgery 30471 01DEC1991 31DEC9999 Y PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (repeat procedure) 30472 01NOV1992 30JUN1995 N HEPATIC OR COMMON BILE DUCT, repair of, as the primary procedure subsequent to transection of bile duct or ducts (Ministerial Determination) 30472 01JUL1995 31OCT2000 N HEPATIC OR COMMON BILE DUCT, repair of, as the primary procedure subsequent to transection of bile duct or ducts 30472 01NOV2000 30JUN2021 N HEPATIC OR COMMON BILE DUCT, repair of, as the primary procedure subsequent to partial or total transection of bile duct or ducts 30472 01JUL2021 31DEC9999 Y Repair of bile duct injury, including immediate reconstruction, other than a service associated with a service to which item 30584 applies 30473 01NOV1992 31OCT2017 N OESOPHAGOSCOPY (not being a service to which item 41816 or 41822 applies), GASTROSCOPY, DUODENOSCOPY or PANENDOSCOPY (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30476 or 30478 applies 30473 01NOV2017 28FEB2023 N Oesophagoscopy (not being a service to which item 41816 or 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30478 or 30479 applies. 30473 01MAR2023 31DEC9999 Y Oesophagoscopy (not being a service associated with a service to which item 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30478 or 30479 applies. 30474 01DEC1991 31DEC9999 Y ENDOSCOPIC LASER THERAPY for malignancy of upper or lower gastrointestinal tract 30475 01NOV1992 31OCT2017 N ENDOSCOPY with balloon dilatation of gastric or gastroduodenal stricture 30475 01NOV2017 31DEC9999 Y Endoscopic dilatation of stricture of upper gastrointestinal tract (including the use of imaging intensification where clinically indicated) 30476 01NOV1992 31OCT1995 N OESOPHAGOSCOPY (not being a service to which item 41816 or 41822 applies), GASTROSCOPY, DUODENOSCOPY or PANENDOSCOPY (1 or more such procedures), with endoscopic sclerosing injection of oesophageal or gastric varices, not being a service associated with a service to which item 30473 or 30478 applies 30476 01NOV1995 31DEC9999 Y OESOPHAGOSCOPY (not being a service to which item 41816 or 41822 applies), GASTROSCOPY, DUODENOSCOPY or PANENDOSCOPY (1 or more such procedures), with endoscopic sclerosing injection or banding of oesophageal or gastric varices, not being a service associated with a service to which item 30473 or 30478 applies 30477 01DEC1991 31DEC9999 Y VAGOTOMY - TRUNKAL 30478 01NOV1992 31OCT2017 N OESOPHAGOSCOPY (not being a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more of the following endoscopic procedures - polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastrointestinal lesions, not being a service associated with a service to which item 30473 or 30476 applies 30478 01NOV2017 28FEB2023 N Oesophagoscopy (other than a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy, panendoscopy or push enteroscopy, one or more such procedures, if: (a) the procedures are performed using one or more of the following endoscopic procedures: (i) polypectomy; (ii) sclerosing or adrenalin injections; (iii) banding; (iv) endoscopic clips; (v) haemostatic powders; (vi) diathermy; (vii) argon plasma coagulation; and (b) the procedures are for the treatment of one or more of the following: (i) upper gastrointestinal tract bleeding; (ii) polyps; (iii) removal of foreign body; (iv) oesophageal or gastric varices; (v) peptic ulcers; (vi) neoplasia; (vii) benign vascular lesions; (viii) strictures of the gastrointestinal tract; (ix) tumorous overgrowth through or over oesophageal stents; other than a service associated with a service to which item 30473 or 30479 applies 30478 01MAR2023 31DEC9999 Y Oesophagoscopy (other than a service associated with a service to which item 41822 or 41825 applies), gastroscopy, duodenoscopy, panendoscopy or push enteroscopy, one or more such procedures, if: (a) the procedures are performed using one or more of the following endoscopic procedures: (i) polypectomy; (ii) sclerosing or adrenalin injections; (iii) banding; (iv) endoscopic clips; (v) haemostatic powders; (vi) diathermy; (vii) argon plasma coagulation; and (b) the procedures are for the treatment of one or more of the following: (i) upper gastrointestinal tract bleeding; (ii) polyps; (iii) removal of foreign body; (iv) oesophageal or gastric varices; (v) peptic ulcers; (vi) neoplasia; (vii) benign vascular lesions; (viii) strictures of the gastrointestinal tract; (ix) tumorous overgrowth through or over oesophageal stents; other than a service associated with a service to which item 30473 or 30479 applies 30479 01NOV1992 30JUN1993 N ENDOSCOPIC LASER THERAPY for malignancy of upper or lower gastrointestinal tract 30479 01JUL1993 30APR2010 N ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract 30479 01MAY2010 31OCT2017 N ENDOSCOPY with LASER THERAPY or ARGON PLASMA COAGULATION, for the treatment of neoplasia, benign vascular lesions, strictures of the gastrointestinal tract, tumorous overgrowth through or over oesophageal stents, peptic ulcers, angiodysplasia, gastric antral vascular ectasia (GAVE) or post-polypectomy bleeding, 1 or more of 30479 01NOV2017 31DEC9999 Y Endoscopy with laser therapy, for the treatment of one or more of the following: (a) neoplasia; (b) benign vascular lesions; (c) strictures of the gastrointestinal tract; (d) tumorous overgrowth through or over oesophageal stents; (e) peptic ulcers; (f) angiodysplasia; (g) gastric antral vascular ectasia; (h) post-polypectomy bleeding; other than a service associated with a service to which item 30473 or 30478 applies 30480 01DEC1991 31DEC9999 Y VAGOTOMY SELECTIVE 30481 01NOV1992 31OCT1997 N PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (initial procedure) 30481 01NOV1997 30APR2018 N PERCUTANEOUS GASTROSTOMY (initial procedure), including any associated imaging services 30481 01MAY2018 31DEC9999 Y PERCUTANEOUS GASTROSTOMY (initial procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss 30482 01NOV1992 31OCT1997 N PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (repeat procedure) 30482 01NOV1997 30APR2018 N PERCUTANEOUS GASTROSTOMY (repeat procedure), including any associated imaging services 30482 01MAY2018 31DEC9999 Y PERCUTANEOUS GASTROSTOMY (repeat procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss 30483 01DEC1991 31OCT1996 N GASTROSTOMY BUTTON, non-endoscopic insertion of, or non-endoscopic replacement of 30483 01NOV1996 31AUG2015 N GASTROSTOMY BUTTON, non-endoscopic insertion of, or non-endoscopic replacement of 30483 01SEP2015 30APR2018 N GASTROSTOMY BUTTON, CAECOSTOMY ANTEGRADE ENEMA DEVICE (CHAIT etc) or STOMAL INDWELLING DEVICE non-endoscopic insertion of, or non-endoscopic replacement of, on a person 10 years of age or over 30483 01MAY2018 30JUN2021 N GASTROSTOMY BUTTON, CAECOSTOMY ANTEGRADE ENEMA DEVICE (CHAIT etc.) or STOMAL INDWELLING DEVICE: (a) non-endoscopic insertion of; or (b) non-endoscopic replacement of; on a person 10 years of age or over, excluding the insertion of a device for the purpose of facilitating weight loss 30483 01JUL2021 31DEC9999 Y Gastrostomy button, caecostomy antegrade enema device (chait etc.) or stomal indwelling device: (a) non-endoscopic insertion of; or (b) non-endoscopic replacement of; on a patient 10 years of age or over, excluding the insertion of a device for the purpose of facilitating weight loss 30484 01NOV1992 29FEB2024 N ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY 30484 01MAR2024 31DEC9999 Y Endoscopic retrograde cholangiopancreatography, other than a service to which item 30664 or 30665 applies 30485 01NOV1992 31DEC9999 Y ENDOSCOPIC SPHINCTEROTOMY with or without extraction of stones from common bile duct 30486 01DEC1991 31DEC9999 Y VAGOTOMY, HIGHLY SELECTIVE with pyloroplasty or gastroenterostomy or dilatation of pylorus 30487 01NOV1992 30JUN2008 N SMALL BOWEL INTUBATION with biopsy 30487 01JUL2008 31DEC9999 Y SMALL BOWEL INTUBATION with biopsy, as an independent procedure 30488 01NOV1992 31DEC9999 Y SMALL BOWEL INTUBATION as an independent procedure 30489 01DEC1991 31DEC9999 Y GASTRIC REDUCTION OR GASTROPLASTY for obesity, by any method 30490 01NOV1992 31DEC9999 Y OESOPHAGEAL PROSTHESIS, insertion of, including endoscopy and dilatation 30491 01NOV1992 31DEC9999 Y BILE DUCT, ENDOSCOPIC STENTING OF (including endoscopy and dilatation) 30492 01DEC1991 30APR2005 N GASTRIC BYPASS FOR OBESITY, including anastomosis, by any method 30492 01MAY2005 31DEC9999 Y BILE DUCT, PERCUTANEOUS STENTING OF (including dilatation when performed), using interventional imaging techniques - but not including imaging 30493 01NOV1992 31DEC9999 Y BILIARY MANOMETRY 30494 01NOV1992 31DEC9999 Y ENDOSCOPIC BILIARY DILATATION 30495 01DEC1991 30APR2005 N GASTROENTEROSTOMY (INCLUDING GASTRODUODENOSTOMY) OR ENTEROCOLOSTOMY OR ENTEROENTEROSTOMY 30495 01MAY2005 31DEC9999 Y PERCUTANEOUS BILIARY DILATATION for biliary stricture, using interventional imaging techniques - but not including imaging 30496 01NOV1992 31DEC9999 Y VAGOTOMY, truncal or selective, with or without pyloroplasty or gastroenterostomy 30497 01NOV1992 31DEC9999 Y VAGOTOMY and ANTRECTOMY 30498 01DEC1991 31DEC9999 Y GASTROENTEROSTOMY or GASTRODUODENOSTOMY, reconstruction of 30499 01NOV1992 31DEC9999 Y VAGOTOMY, highly selective 30500 01NOV1992 31DEC9999 Y VAGOTOMY, highly selective with duodenoplasty for peptic stricture 30501 01DEC1991 31DEC9999 Y PANCREATIC CYST ANASTOMOSIS TO STOMACH OR DUODENUM 30502 01NOV1992 31DEC9999 Y VAGOTOMY, highly selective, with dilatation of pylorus 30503 01NOV1992 31DEC9999 Y VAGOTOMY or ANTRECTOMY, or both, for peptic ulcer following previous operation for peptic ulcer 30504 01DEC1991 31DEC9999 Y PARTIAL GASTRECTOMY, with or without gastrojejunostomy 30505 01NOV1992 31DEC9999 Y BLEEDING PEPTIC ULCER, control of, involving suture of bleeding point or wedge excision 30506 01NOV1992 31DEC9999 Y BLEEDING PEPTIC ULCER, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy 30507 01DEC1991 31DEC9999 Y GASTRECTOMY, TOTAL, FOR BENIGN DISEASE 30508 01NOV1992 31DEC9999 Y BLEEDING PEPTIC ULCER, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy 30509 01NOV1992 31DEC9999 Y BLEEDING PEPTIC ULCER, control of, involving gastric resection (other than wedge resection) 30510 01DEC1991 31DEC9999 Y GASTRECTOMY, RADICAL SUBTOTAL, for carcinoma 30511 01NOV1992 31DEC9999 Y (see Item 31441 for repair, revision or replacement of implanted reservoir associated with adjustable gastric band) (see Item 14215 for adding or removing fluid via the implanted reservoir to adjust the tightness of the gastric band) MORBID OBESITY, gastric reduction or gastroplasty for, by any method 30512 01NOV1992 31DEC9999 Y MORBID OBESITY, gastric bypass for, by any method including anastomosis 30513 01DEC1991 31DEC9999 Y GASTRECTOMY, RADICAL TOTAL, for carcinoma 30514 01NOV1992 30JUN1993 N MORBID OBESITY, reversal surgical procedure 30514 01JUL1993 30APR2005 N MORBID OBESITY, surgical reversal of procedure to which item 30511 or 30512 applies 30514 01MAY2005 31DEC9999 Y MORBID OBESITY, surgical reversal, by any method, of procedure to which item 30511 or 30512 applies 30515 01NOV1992 30JUN2013 N GASTROENTEROSTOMY (INCLUDING GASTRODUODENOSTOMY) OR ENTEROCOLOSTOMY OR ENTEROENTEROSTOMY 30515 01JUL2013 30JUN2021 N Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy, not being a service to which any of items 31569 to 31581 apply 30515 01JUL2021 31DEC9999 Y Gastroenterostomy (including gastroduodenostomy), enterocolostomy or enteroenterostomy, as an independent procedure or in combination with another procedure, only if required for irresectable obstruction, other than a service to which any of items 31569 to 31581 apply 30516 01DEC1991 31DEC9999 Y PYLOROPLASTY, INFANT, OR PYLOROMYOTOMY (RAMSTEDT'S operation) 30517 01NOV1992 30JUN2021 N GASTROENTEROSTOMY, PYLOROPLASTY or GASTRODUODENOSTOMY, reconstruction of 30517 01JUL2021 31DEC9999 Y Revision of gastroenterostomy, pyloroplasty or gastroduodenostomy 30518 01NOV1992 30JUN2013 N PARTIAL GASTRECTOMY 30518 01JUL2013 31DEC9999 Y Partial gastrectomy, not being a service associated with a service to which any of items 31569 to 31581 apply 30519 01DEC1991 31DEC9999 Y ENTEROSTOMY or COLOSTOMY, closure of not involving resection of bowel 30520 01NOV1992 30JUN2021 N GASTRIC TUMOUR, removal of, by local excision, not being a service to which item 30518 applies 30520 01JUL2021 31DEC9999 Y Gastric tumour, 2 cm or greater in diameter, removal of, by local excision, by laparoscopic or open approach, including any associated anastomosis, excluding polypectomy, other than a service to which item 30518 applies 30521 01NOV1992 31DEC9999 Y GASTRECTOMY, TOTAL, for benign disease 30522 01DEC1991 31DEC9999 Y COLOSTOMY OR ILEOSTOMY, refashioning of 30523 01NOV1992 31DEC9999 Y GASTRECTOMY, SUBTOTAL RADICAL, for carcinoma, (including splenectomy when performed) 30524 01NOV1992 31DEC9999 Y GASTRECTOMY, TOTAL RADICAL, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) 30525 01DEC1991 31DEC9999 Y INTUSSUSCEPTION, reduction of, by fluid 30526 01NOV1992 30JUN2021 N GASTRECTOMY, TOTAL, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaphragmatic hiatus, (including splenectomy when performed) 30526 01JUL2021 31DEC9999 Y Gastrectomy, total, and removal of lower oesophagus, performed by open or minimally invasive approach, with anastomosis in the mediastinum, including any of the following (if performed):(a) distal pancreatectomy;(b) nodal dissection;(c) splenectomy 30527 01NOV1992 31DEC9999 Y ANTIREFLUX OPERATION by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus not being a service to which item 30601 applies 30528 01DEC1991 31DEC9999 Y INTUSSUSCEPTION, LAPAROTOMY and resection of 30529 01NOV1992 31DEC9999 Y ANTIREFLUX operation by fundoplasty, with OESOPHAGOPLASTY for stricture or short oesophagus 30530 01NOV1992 31DEC9999 Y ANTIREFLUX operation by cardiopexy, with or without fundoplasty 30531 01DEC1991 31DEC9999 Y SMALL INTESTINE, resection of, without anastomosis (including formation of stoma) 30532 01NOV1992 31OCT2000 N OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus 30532 01NOV2000 30JUN2021 N OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation 30532 01JUL2021 31DEC9999 Y Oesophagogastric myotomy (Heller's operation) by endoscopic, abdominal or thoracic approach, whether performed by open or minimally invasive approach, including fundoplication when performed laparoscopically 30533 01NOV1992 31OCT2000 N OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, WITH FUNDOPLASTY, with or without closure of the diaphragmatic hiatus 30533 01NOV2000 31DEC9999 Y OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, WITH FUNDOPLASTY, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation 30534 01DEC1991 31DEC9999 Y SMALL INTESTINE, resection of, with anastomosis 30535 01NOV1992 30JUN1993 N OESOPHAGECTOMY with gastric reconstruction by abdominal mobilisation and right thoracotomy 30535 01JUL1993 31DEC9999 Y OESOPHAGECTOMY with gastric reconstruction by abdominal mobilisation and thoracotomy 30536 01NOV1992 30JUN1993 N OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck - 1 surgeon 30536 01JUL1993 31OCT2000 N OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck - 1 surgeon 30536 01NOV2000 31DEC9999 Y OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest - 1 surgeon 30537 01DEC1991 31DEC9999 Y APPENDICECTOMY, not covered by Item 30543 30538 01NOV1992 30JUN1993 N OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck - conjoint surgery, principal surgeon (including aftercare) 30538 01JUL1993 31OCT2000 N OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck - conjoint surgery, principal surgeon (including aftercare) 30538 01NOV2000 31DEC9999 Y OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest- conjoint surgery, principal surgeon (including aftercare) 30539 01NOV1992 30JUN1993 N OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck - conjoint surgery, co-surgeon 30539 01JUL1993 31OCT2000 N OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck - conjoint surgery, co-surgeon 30539 01NOV2000 31DEC9999 Y OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest - conjoint surgery, co-surgeon 30540 01DEC1991 31DEC9999 Y APPENDICECTOMY, not covered by Item 30543 30541 01NOV1992 31DEC9999 Y OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - 1 surgeon 30542 01NOV1992 31DEC9999 Y OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - conjoint surgery, principal surgeon (including aftercare) 30543 01DEC1991 31DEC9999 Y APPENDICECTOMY, when performed in conjunction with any other intraabdominal procedure through the same incision 30544 01NOV1992 31DEC9999 Y OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - conjoint surgery, co-surgeon 30545 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - 1 surgeon 30546 01DEC1991 31DEC9999 Y SMALL BOWEL INTUBATION with biopsy 30547 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - conjoint surgery, principal surgeon (including aftercare) 30548 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - conjoint surgery, co-surgeon 30549 01DEC1991 31DEC9999 Y SMALL BOWEL INTUBATION as an independent procedure 30550 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - 1 surgeon 30551 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint surgery, principal surgeon (including aftercare) 30552 01DEC1991 31DEC9999 Y PANCREATECTOMY, PARTIAL 30553 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint surgery, co-surgeon 30554 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with reconstruction by free jejunal graft - 1 surgeon 30555 01DEC1991 31DEC9999 Y PANCREATICODUODENECTOMY, WHIPPLE'S OPERATION 30556 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with reconstruction by free jejunal graft - conjoint surgery, principal surgeon (including aftercare) 30557 01NOV1992 31DEC9999 Y OESOPHAGECTOMY with reconstruction by free jejunal graft - conjoint surgery, co-surgeon 30558 01DEC1991 31DEC9999 Y PANCREATIC ABSCESS, drainage of, excluding aftercare 30559 01NOV1992 31DEC9999 Y OESOPHAGUS, local excision for tumour of 30560 01NOV1992 30JUN2021 N OESOPHAGEAL PERFORATION, repair of, by thoracotomy 30560 01JUL2021 31DEC9999 Y Oesophageal perforation, repair of, by abdominal or thoracic approach, including thoracic drainage 30561 01DEC1991 31DEC9999 Y ANASTOMOSIS OF PANCREATIC DUCT TO BOWEL 30562 01NOV1992 31AUG2015 N ENTEROSTOMY or COLOSTOMY, closure of not involving resection of bowel 30562 01SEP2015 30JUN2021 N ENTEROSTOMY or COLOSTOMY, closure of (not involving resection of bowel), on a person 10 years of age or over 30562 01JUL2021 31DEC9999 Y Enterostomy or colostomy, closure of (not involving resection of bowel), on a patient 10 years of age or over 30563 01NOV1992 31AUG2015 N COLOSTOMY OR ILEOSTOMY, refashioning of 30563 01SEP2015 31DEC9999 Y COLOSTOMY OR ILEOSTOMY, refashioning of, on a person 10 years of age or over 30564 01DEC1991 30APR1994 N SPLENORRHAPHY OR PARTIAL SPLENECTOMY FOR TRAUMA 30564 01MAY1994 31DEC9999 Y SMALL BOWEL STRICTUREPLASTY for chronic inflammatory bowel disease 30565 01NOV1992 31DEC9999 Y SMALL INTESTINE, resection of, without anastomosis (including formation of stoma) 30566 01NOV1992 31AUG2015 N SMALL INTESTINE, resection of, with anastomosis 30566 01SEP2015 31DEC9999 Y SMALL INTESTINE, resection of, with anastomosis, on a person 10 years of age or over 30567 01DEC1991 31DEC9999 Y SPLENECTOMY FOR TRAUMA 30568 01NOV1992 31DEC9999 Y INTRAOPERATIVE ENTEROTOMY for visualisation of the small intestine by endoscopy 30569 01NOV1992 31DEC9999 Y ENDOSCOPIC EXAMINATION of SMALL BOWEL with flexible endoscope passed at laparotomy, with or without biopsies 30570 01DEC1991 31DEC9999 Y SPLENECTOMY, OTHER THAN FOR TRAUMA 30571 01NOV1992 31AUG2015 N APPENDICECTOMY, not being a service to which item 30574 applies 30571 01SEP2015 31DEC9999 Y APPENDICECTOMY, not being a service to which item 30574 applies on a person 10 years of age or over 30572 01NOV1992 31AUG2015 N LAPAROSCOPIC APPENDICECTOMY 30572 01SEP2015 31DEC9999 Y LAPAROSCOPIC APPENDICECTOMY, on a person 10 years of age or over 30573 01DEC1991 31DEC9999 Y RETROPERITONEAL TUMOUR, removal of 30574 01NOV1992 30JUN2021 N NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item APPENDICECTOMY, when performed in conjunction with any other intraabdominal procedure through the same incision 30574 01JUL2021 31DEC9999 Y NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item Appendicectomy, when performed in conjunction with another intra-abdominal procedure and during which a specimen is collected and sent for pathological testing 30575 01NOV1992 31DEC9999 Y PANCREATIC ABSCESS, laparotomy and external drainage of, not requiring retro-pancreatic dissection 30576 01DEC1991 31DEC9999 Y RETROPERITONEAL ABSCESS, drainage of, not involving laparotomy 30577 01NOV1992 30JUN2021 N PANCREATIC NECROSECTOMY for PANCREATIC NECROSIS or ABSCESS FORMATION requiring major pancreatic or retro-pancreatic dissection, excluding aftercare 30577 01JUL2021 31DEC9999 Y Initial pancreatic necrosectomy by open, laparoscopic or endoscopic approach, excluding aftercare 30578 01NOV1992 31DEC9999 Y ENDOCRINE TUMOUR, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour 30579 01DEC1991 31DEC9999 Y LAPAROSCOPY, diagnostic 30580 01NOV1992 31DEC9999 Y ENDOCRINE TUMOUR, exploration of pancreas or duodenum, followed by local excision of duodenal tumour 30581 01NOV1992 31DEC9999 Y ENDOCRINE TUMOUR, exploration of pancreas or duodenum for, but no tumour found 30582 01DEC1991 31DEC9999 Y LAPAROSCOPY with biopsy 30583 01NOV1992 30JUN2021 N DISTAL PANCREATECTOMY 30583 01JUL2021 31DEC9999 Y Distal pancreatectomy with splenic preservation, by open or minimally invasive approach 30584 01NOV1992 30JUN2021 N PANCREATICO-DUODENECTOMY, WHIPPLE'S OPERATION, with or without preservation of pylorus 30584 01JUL2021 31DEC9999 Y Pancreatico duodenectomy (Whipple's procedure), with or without preservation of pylorus, including any of the following (if performed):(a) cholecystectomy;(b) pancreatico-biliary anastomosis;(c) gastro-jejunal anastomosis 30585 01DEC1991 31DEC9999 Y LAPAROSCOPY, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or any other procedure one or more procedures with or without biopsy not associated with Item 30582, 35687 or 35688 30586 01NOV1992 31OCT1996 N PANCREATIC CYST ANASTOMOSIS TO STOMACH OR DUODENUM 30586 01NOV1996 31DEC9999 Y PANCREATIC CYST ANASTOMOSIS TO STOMACH OR DUODENUM - by open or endoscopic means 30587 01NOV1992 31DEC9999 Y PANCREATIC CYST, anastomosis to Roux loop of jejunum 30588 01DEC1991 31DEC9999 Y PARACENTESIS ABDOMINIS 30589 01NOV1992 31DEC9999 Y PANCREATICO-JEJUNOSTOMY for pancreatitis or trauma 30590 01NOV1992 31DEC9999 Y PANCREATICO-JEJUNOSTOMY following previous pancreatic surgery 30591 01DEC1991 31DEC9999 Y FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not covered by Items 30595, 30624 or 30625 30592 01DEC1991 31DEC9999 Y FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not covered by Items 30595, 30624 or 30625 30593 01NOV1992 31DEC9999 Y PANCREATECTOMY, near total or total (including duodenum), with or without splenectomy 30594 01NOV1992 31DEC9999 Y PANCREATECTOMY for pancreatitis following previously attempted drainage procedure or partial resection 30595 01DEC1991 31DEC9999 Y STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection 30596 01NOV1992 31OCT2000 N SPLENORRHAPHY OR PARTIAL SPLENECTOMY FOR TRAUMA 30596 01NOV2000 31DEC9999 Y SPLENORRHAPHY OR PARTIAL SPLENECTOMY 30597 01NOV1992 31DEC9999 Y SPLENECTOMY 30598 01DEC1991 31DEC9999 Y DIAPHRAGMATIC HERNIA, TRAUMATIC, repair of 30599 01NOV1992 31DEC9999 Y SPLENECTOMY, for massive spleen (weighing more than 1500 grams) or involving thoraco-abdominal incision 30600 01NOV1992 30JUN2021 N DIAPHRAGMATIC HERNIA, TRAUMATIC, repair of 30600 01JUL2021 31DEC9999 Y Emergency repair of diaphragmatic laceration or hernia, following recent trauma, by any approach, including when performed in conjunction with another procedure indicated as a result of abdominal or chest trauma 30601 01DEC1991 30JUN2013 N DIAPHRAGMATIC HERNIA, CONGENITAL repair of, by thoracic or abdominal approach 30601 01JUL2013 31AUG2015 N Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply 30601 01SEP2015 30JUN2021 N Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a person 10 years of age or over 30601 01JUL2021 31DEC9999 Y Diaphragmatic hernia, congenital, or delayed presentation of traumatic rupture, repair of, by thoracic or abdominal approach, on a patient 10 years of age or over, other than a service to which any of items 31569 to 31581 apply 30602 01NOV1992 31DEC9999 Y PORTAL HYPERTENSION, porto-caval shunt for 30603 01NOV1992 31DEC9999 Y PORTAL HYPERTENSION, meso-caval shunt for 30604 01DEC1991 31DEC9999 Y ANTIREFLUX OPERATION involving insertion of prosthetic device - not associated with Item 30601, 30607, 30610 or 30613 30605 01NOV1992 31DEC9999 Y PORTAL HYPERTENSION, selective spleno-renal shunt for 30606 01NOV1992 31DEC9999 Y PORTAL HYPERTENSION, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation 30607 01DEC1991 31DEC9999 Y ANTIREFLUX OPERATION by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus not covered by Item 30601 or 30604 30608 01SEP2015 30JUN2021 N SMALL INTESTINE, resection of, with anastomosis, on a person under 10 years of age 30608 01JUL2021 31DEC9999 Y Small intestine, resection of, with anastomosis, on a patient under 10 years of age 30609 01NOV1993 31AUG2015 N FEMORAL OR INGUINAL HERNIA, laparoscopic repair of, not being a service associated with a service to which item 30612 or 30614 applies 30609 01SEP2015 31DEC9999 Y FEMORAL OR INGUINAL HERNIA, laparoscopic repair of, not being a service associated with a service to which item 30614 applies 30610 01DEC1991 31DEC9999 Y OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus 30611 01SEP2015 30JUN2021 N BENIGN TUMOUR of SOFT TISSUE, excluding tumours of skin, cartilage, and bone, simple lipomas covered by item 31345 and lipomata - removal of by surgical excision, where the specimen excised is sent for histological confirmation of diagnosis, on a person under 10 years of age , not being a service to which another item in this Group applies 30611 01JUL2021 31DEC9999 Y Benign tumour of soft tissue (other than tumours of skin, cartilage and bone, simple lipomas covered by item 31345 and lipomata), removal of, by surgical excision, on a patient under 10 years of age, if the specimen excised is sent for histological confirmation of diagnosis, other than a service to which another item in this Group applies 30612 01NOV1992 31DEC9999 Y FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not being a service to which item 30403 or 30615 applies 30613 01DEC1991 31DEC9999 Y OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, WITH FUNDOPLASTY, with or without closure of the diaphragmatic hiatus 30614 01NOV1992 31AUG2015 N FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not being a service to which items 30403 or 30615 applies 30614 01SEP2015 31DEC9999 Y FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not being a service to which item 30403 or 30615 applies, on a person 10 years of age or over 30615 01NOV1992 31AUG2015 N STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection 30615 01SEP2015 30JUN2021 N STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection, on a person 10 years of age or over 30615 01JUL2021 31DEC9999 Y Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection, on a patient 10 years of age or over 30616 01DEC1991 31DEC9999 Y UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, in a person under 10 years of age 30617 01DEC1991 31DEC9999 Y UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, in a person under 10 years of age 30618 01SEP2015 30JUN2021 N LYMPH NODES OF NECK, selective dissection of 1 or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a person under 10 years of age 30618 01JUL2021 31DEC9999 Y Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient under 10 years of age 30619 01SEP2015 30JUN2021 N LAPAROSCOPIC SPLENECTOMY, on a person under 10 years of age 30619 01JUL2021 31DEC9999 Y Laparoscopic splenectomy, on a patient under 10 years of age 30620 01DEC1991 30APR2016 N UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, in a person 10 years of age or over 30620 01MAY2016 31DEC9999 Y Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other formal repair of, in a person 10 years of age or over, other than a service to which item 30403 or 30405 applies (G) 30621 01DEC1991 30APR2016 N UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, in a person 10 years of age or over 30621 01MAY2016 31OCT2017 N Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other fromal repair of, in a person 10 years of age or over, other than a service to which item 30403 or 30405 applies (S) 30621 01NOV2017 30NOV2018 N Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other fromal repair of, in a person 10 years of age or over, other than a service to which item 30403 or 30405 applies 30621 01DEC2018 30JUN2021 N Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other formal repair of, in a person 10 years of age or over, other than a service to which item 30403 or 30405 applies 30621 01JUL2021 31DEC9999 Y Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other repair, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30651 or 30655 applies 30622 01SEP2015 30JUN2021 N Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy, Cholecystostomy, Gastrostomy, Gastrotomy, Reduction of intussusception, Removal of Meckel's diverticulum, Suture of perforated peptic ulcer, Simple repair of ruptured viscus, Reduction of volvulus, Pyloroplasty or Drainage of pancreas on a person under 10 years of age 30622 01JUL2021 31DEC9999 Y Caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty or drainage of pancreas, on a patient under 10 years of age 30623 01SEP2015 30JUN2021 N LAPAROTOMY INVOLVING DIVISION OF PERITONEAL ADHESIONS (where no other intraabdominal procedure is performed) on a person under 10 years of age 30623 01JUL2021 31DEC9999 Y Laparotomy involving division of peritoneal adhesions (if no other intra-abdominal procedure is performed), on a patient under 10 years of age 30624 01DEC1991 31DEC9999 Y VENTRAL, INCISIONAL, LUMBAR OR RECURRENT HERNIA OR BURST ABDOMEN, repair of 30625 01DEC1991 31DEC9999 Y VENTRAL, INCISIONAL, LUMBAR OR RECURRENT HERNIA OR BURST ABDOMEN, repair of 30626 01SEP2015 30JUN2021 N LAPAROTOMY involving division of adhesions in conjunction with another intraabdominal procedure where the time taken to divide the adhesions is between 45 minutes and 2 hours, on a person under 10 years of age 30626 01JUL2021 31DEC9999 Y Laparotomy involving division of adhesions in association with another intra-abdominal procedure if the time taken to divide the adhesions is between 45 minutes and 2 hours, on a patient under 10 years of age 30627 01SEP2015 30JUN2021 N LAPAROSCOPY, diagnostic, not being a service associated with any other laparoscopic procedure, on a person under 10 years of age 30627 01JUL2021 31DEC9999 Y Laparoscopy, diagnostic, if no other intra-abdominal procedure is performed, on a patient under 10 years of age (H) 30628 01DEC1991 31DEC9999 Y HYDROCELE, tapping of 30629 01NOV2020 31DEC9999 Y Orchidectomy, radical, including spermatic cord, unilateral, for tumour, inguinal approach, without insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30635, 30641, 30643 or 30644 applies 30630 01NOV2020 30JUN2023 N Insertion of testicular prosthesis, at least 6 months following orchidectomy 30630 01JUL2023 31DEC9999 Y Insertion of testicular prosthesis, at least 6 months following orchidectomy (H) 30631 01DEC1991 30APR2017 N HYDROCELE, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply 30631 01MAY2017 31OCT2017 N Hydrocele, removal of, other than a service associated with a service to which item 30638, 30641, 30642 or 30644 applies 30631 01NOV2017 31DEC9999 Y Hydrocele, removal of, other than a service associated with a service to which item 30641, 30642 or 30644 applies 30632 01NOV1992 31DEC9999 Y PYLOROPLASTY, INFANT, OR PYLOROMYOTOMY (RAMSTEDT'S operation) 30633 01NOV1992 31DEC9999 Y INTUSSUSCEPTION, reduction of, by fluid 30634 01DEC1991 30APR2017 N VARICOCELE, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure 30634 01MAY2017 31DEC9999 Y Varicocele, surgical correction of, other than a service associated with a service to which item 30638, 30641, 30642 or 30644 applies-one procedure 30635 01DEC1991 30APR2017 N VARICOCELE, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure 30635 01MAY2017 31OCT2017 N Varicocele, surgical correction of, other than a service associated with a service to which item 30638, 30641, 30642 or 30644 applies-one procedure 30635 01NOV2017 31OCT2020 N Varicocele, surgical correction of, other than a service associated with a service to which item 30641, 30642 or 30644 applies-one procedure 30635 01NOV2020 31DEC9999 Y Varicocele, surgical correction of, including microsurgical techniques, other than a service associated with a service to which item 30390, 30627, 30641, 30642 or 30644 applies-one procedure 30636 01SEP2015 30JUN2021 N GASTROSTOMY BUTTON, caecostomy antegrade enema device (chait etc) and/or stomal indwelling device, non-endoscopic insertion of, or non-endoscopic replacement of, on a person under 10 years of age 30636 01JUL2021 31DEC9999 Y Gastrostomy button, caecostomy antegrade enema device (chait etc.) or stomal indwelling device, non-endoscopic insertion of, or non-endoscopic replacement of, on a patient under 10 years of age 30637 01SEP2015 30JUN2021 N ENTEROSTOMY or COLOSTOMY, closure of not involving resection of bowel, on a person under 10 years of age 30637 01JUL2021 31DEC9999 Y Enterostomy or colostomy, closure of (not involving resection of bowel), on a patient under 10 years of age 30638 01DEC1991 31DEC9999 Y ORCHIDECTOMY, simple or subscapsular, unilateral with or without insertion of testicular prosthesis 30639 01SEP2015 30JUN2021 N COLOSTOMY OR ILEOSTOMY, refashioning of, on a person under 10 years of age 30639 01JUL2021 31DEC9999 Y Colostomy or ileostomy, refashioning of, on a patient under 10 years of age 30640 01MAY2016 31OCT2017 N Repair of large and irreducible scrotal hernia, where duration of surgery exceeds 2 hours, in a person 10 years of age or over, other than a service to which item 30403, 30405, 30614, 30615, 30620 or 30621 applies 30640 01NOV2017 30JUN2021 N Repair of large and irreducible scrotal hernia, where duration of surgery exceeds 2 hours, in a person 10 years of age or over, other than a service to which item 30403, 30405, 30614, 30615 or 30621 applies 30640 01JUL2021 31DEC9999 Y Repair of large and irreducible scrotal hernia, if surgery exceeds 2 hours, in a patient 10 years of age or over, other than a service to which item 30615, 30621, 30648, 30651 or 30655 applies 30641 01DEC1991 31OCT2021 N ORCHIDECTOMY, simple or subscapsular, unilateral with or without insertion of testicular prosthesis 30641 01NOV2021 31DEC9999 Y Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (H) 30642 01MAY2017 31OCT2017 N Orchidectomy, radical, unilateral, with or without insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30634, 30635, 30638, 30641, 30643 or 30644 applies 30642 01NOV2017 31OCT2020 N Orchidectomy, radical, unilateral, with or without insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30635, 30641, 30643 or 30644 applies 30642 01NOV2020 31DEC9999 Y Orchidectomy, radical, including spermatic cord, unilateral, for tumour, inguinal approach, with insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30635, 30641, 30643, 30644 or 45051 applies 30643 01SEP2015 31OCT2020 N EXPLORATION OF SPERMATIC CORD, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis on a person under 10 years of age 30643 01NOV2020 31DEC9999 Y Exploration of spermatic cord, inguinal approach, with or without testicular biopsy, with or without excision of spermatic cord lesion, for a patient under 10 years of age, other than a service associated with a service to which item 30629, 30630 or 30642 applies 30644 01DEC1991 31AUG2015 N EXPLORATION OF SPERMATIC CORD, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis 30644 01SEP2015 31OCT2020 N EXPLORATION OF SPERMATIC CORD, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis on a person 10 years of age or over 30644 01NOV2020 31DEC9999 Y Exploration of spermatic cord, inguinal approach, with or without testicular biopsy, with or without excision of spermatic cord lesion, for a patient at least 10 years of age, other than a service associated with a service to which item 30629, 30630 or 30642 applies 30645 01SEP2015 30JUN2021 N APPENDICECTOMY, not being a service to which item 30574 applies, on a person under 10 years of age 30645 01JUL2021 31DEC9999 Y Appendicectomy, on a patient under 10 years of age, other than a service to which item 30574 applies 30646 01SEP2015 30JUN2021 N LAPAROSCOPIC APPENDICECTOMY, on a person under 10 years of age 30646 01JUL2021 31DEC9999 Y Laparoscopic appendicectomy, on a patient under 10 years of age 30647 01DEC1991 31DEC9999 Y UNDESCENDED TESTIS, orchidopexy or transplantation of, with or without associated hernial repair 30648 01JUL2021 31DEC9999 Y Femoral or inguinal hernia or infantile hydrocele, repair of, by open or minimally invasive approach, on a patient 10 years of age or over, other than a service to which item 30615 or 30651 applies 30649 01SEP2015 30JUN2021 N HAEMORRHAGE, arrest of, following circumcision requiring general anaesthesia on a person under 10 years of age 30649 01JUL2021 31DEC9999 Y Haemorrhage, arrest of, following circumcision requiring general anaesthesia, on a patient under 10 years of age 30650 01DEC1991 31DEC9999 Y SECONDARY DETACHMENT OF TESTIS FROM THIGH 30651 01JUL2021 30JUN2023 N Ventral hernia repair involving primary fascial closure by suture, with or without onlay mesh or insertion of intraperitoneal onlay mesh repair, without closure of the defect or advancement of the rectus muscle toward the midline, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30621, 30655 or 30657 applies 30651 01JUL2023 31DEC9999 Y Ventral hernia repair involving primary fascial closure by suture, with or without onlay mesh or insertion of intraperitoneal onlay mesh repair, without closure of the defect or advancement of the rectus muscle toward the midline, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service associated with a service to which item 30175, 30621, 30655 or 30657 applies (H) 30652 01JUL2021 31DEC9999 Y Recurrent groin hernia regardless of size of defect, repair of, with or without mesh, by open or minimally invasive approach, in a patient 10 years of age or over 30653 01DEC1991 30JUN1995 N CIRCUMCISION of person UNDER 6 MONTHS of age 30653 01JUL1995 30JUN2013 N CIRCUMCISION of person UNDER 6 MONTHS of age 30653 01JUL2013 31DEC9999 Y Circumcision of the penis, on a person under 6 months of age 30654 01NOV2016 31OCT2020 N Circumcision of the penis (other than a service to which item 30658 applies) 30654 01NOV2020 31DEC9999 Y Circumcision of the penis, with topical or local analgesia, other than a service to which item 30658 applies 30655 01JUL2021 30JUN2023 N Ventral hernia, repair of, with advancement of the rectus muscles to the midline using a retro-rectus, pre-peritoneal or sublay technique, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30621 or 30651 applies 30655 01JUL2023 31DEC9999 Y Ventral hernia, repair of, with advancement of the rectus muscles to the midline using a retro-rectus, pre-peritoneal or sublay technique, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service associated with a service to which item 30175, 30621 or 30651 applies (H) 30656 01DEC1991 30JUN1995 N CIRCUMCISION of person UNDER 10 YEARS of age but not less than 6 months of age 30656 01JUL1995 30JUN2013 N CIRCUMCISION of a male UNDER 10 YEARS of age but not less than 6 months of age 30656 01JUL2013 31DEC9999 Y Circumcision of the penis, on a person under 10 years of age but not less than 6 months of age 30657 01JUL2021 31DEC9999 Y Unilateral abdominal wall reconstruction with component separation, including transversus abdominus release and external oblique release for abdominal wall closure by mobilising the rectus abdominis muscles to the midline, by open or minimally invasive approach 30658 01NOV2016 31OCT2020 N Circumcision of the penis, when performed in conjunction with a service to which an item in Group T7 or Group T10 applies 30658 01NOV2020 31DEC9999 Y Circumcision of the penis, when performed under general or regional anaesthesia and in conjunction with a service to which an item in Group T7 or Group T10 applies 30659 01DEC1991 30JUN1995 N CIRCUMCISION of person 10 YEARS OF AGE OR OVER 30659 01JUL1995 30JUN2013 N CIRCUMCISION of a male 10 YEARS OF AGE OR OVER 30659 01JUL2013 31DEC9999 Y Circumcision of the penis, on a person 10 years of age or over 30660 01DEC1991 30JUN1995 N CIRCUMCISION of person 10 YEARS OF AGE OR OVER 30660 01JUL1995 30JUN2013 N CIRCUMCISION of a male 10 YEARS OF AGE OR OVER 30660 01JUL2013 31DEC9999 Y Circumcision of the penis, on a person 10 years of age or over. 30661 01NOV2022 31DEC9999 Y Minor surgical repair following a complication from the circumcision of a penis, when performed in conjunction with a service to which an item in Group T7 or Group T10 applies, other than a service associated with a service to which item 45206 applies (H) 30662 01NOV2022 31DEC9999 Y Complex surgical repair following a complication from the circumcision of a penis, including single stage local flap, if indicated, to repair one defect, on genitals (other than a service associated with a service to which item 37819, 37822, 45200, 45201, 45202, 45203 or 45206 applies) (H) 30663 01DEC1991 31AUG2015 N HAEMORRHAGE, arrest of, following circumcision requiring general anaesthesia 30663 01SEP2015 30JUN2021 N HAEMORRHAGE, arrest of, following circumcision requiring general anaesthesia on a person 10 years of age or over 30663 01JUL2021 31DEC9999 Y Haemorrhage, arrest of, following circumcision requiring general anaesthesia, on a patient 10 years of age or over 30664 01MAR2024 31DEC9999 Y Endoscopic retrograde cholangiopancreatography (ERCP), with single operator, single use peroral cholangiopancreatoscopy (POCPS) and biopsy, for the diagnosis of biliary strictures for a patient for whom: (a) a previous ERCP service has been provided; and (b) results from guided brush cytology or intraductal biopsy (or both) are indeterminate Applicable not more than 2 times in a 12 month period, or not more than 3 times in a 12 month period if the patient has been diagnosed with primary sclerosing cholangitis (PSC) (H) 30665 01MAR2024 31DEC9999 Y Endoscopic retrograde cholangiopancreatography (ERCP), with single operator, single use peroral cholangiopancreatoscopy (POCPS) and electrohydraulic or laser lithotripsy for the removal of biliary stones that are: (a) greater than 10mm in diameter; or (b) proximal to a stricture; for a patient for whom there has been at least one failed attempt at removal via ERCP extraction techniques Applicable not more than 2 times per treatment cycle (H) 30666 01DEC1991 31AUG2015 N PARAPHIMOSIS, reduction of, under general anaesthesia, with or without dorsal incision, not being a service associated with a service to which another item in this Group applies 30666 01SEP2015 31DEC9999 Y PARAPHIMOSIS or PHIMOSIS, reduction of, under general anaesthesia, with or without dorsal incision, not being a service associated with a service to which another item in this Group applies 30669 01DEC1991 31DEC9999 Y FAECAL FISTULA, repair of 30672 01DEC1991 31DEC9999 Y COCCYX, excision of 30675 01DEC1991 31MAR1992 N PILONIDAL SINUS OR CYST, OR SACRAL SINUS OR CYST, excision of, in a person ten years of age or over 30675 01APR1992 31DEC9999 Y PILONIDAL SINUS OR CYST, OR SACRAL SINUS OR CYST, excision of 30676 01DEC1991 31MAR1992 N PILONIDAL SINUS OR CYST, OR SACRAL SINUS OR CYST, excision of, in a person ten years of age or over 30676 01APR1992 30JUN2021 N PILONIDAL SINUS OR CYST, OR SACRAL SINUS OR CYST, excision of 30676 01JUL2021 31DEC9999 Y Pilonidal sinus or cyst, or sacral sinus or cyst, definitive excision of 30679 01DEC1991 31DEC9999 Y PILONIDAL SINUS, injection of sclerosant fluid under anaesthesia 30680 01JUL2007 28FEB2014 N DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (oral approach), with or without biopsy, WITHOUT intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30682 or 30686) The patient to whom the service is provided must: (i) have recurrent or persistent bleeding; and (ii) be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30680 01MAR2014 31DEC9999 Y Balloon enteroscopy, examination of the small bowel (oral approach), with or without biopsy, WITHOUT intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30682 or 30686) The patient to whom the service is provided must: (i) have recurrent or persistent bleeding; and (ii) be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30682 01JUL2007 28FEB2014 N DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (anal approach), with or without biopsy, WITHOUT intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30680 or 30684) The patient to whom the service is provided must: () have recurrent or persistent bleeding; and () be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30682 01MAR2014 31DEC9999 Y Balloon enteroscopy, examination of the small bowel (anal approach), with or without biopsy, WITHOUT intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30680 or 30684) The patient to whom the service is provided must: (i) have recurrent or persistent bleeding; and (ii) be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30684 01JUL2007 30JUN2009 N DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (oral approach), with or without biopsy, WITH 1 or more of the following procedures (polypectomy, snares, removal of foreign body, diathermy, heater probe or laser coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30682 or 30686) The patient to whom the service is provided must: () have recurrent or persistent bleeding; and () be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30684 01JUL2009 28FEB2014 N DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (oral approach), with or without biopsy, WITH 1 or more of the following procedures (snare polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30682 or 30686) The patient to whom the service is provided must: l have recurrent or persistent bleeding; and l be anaemic or have active bleeding; and l have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30684 01MAR2014 31DEC9999 Y Balloon enteroscopy, examination of the small bowel (oral approach), with or without biopsy, WITH 1 or more of the following procedures (snare polypectomy, removal of foreign body, diathermy, heater probe, laser coagulation or argon plasma coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30682 or 30686) The patient to whom the service is provided must: (i) have recurrent or persistent bleeding; and (ii) be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30686 01JUL2007 30JUN2009 N DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (anal approach), with or without biopsy, WITH 1 or more of the following procedures (polypectomy, snares, removal of foreign body, diathermy, heater probe or laser coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30680 or 30684) The patient to whom the service is provided must: () have recurrent or persistent bleeding; and () be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30686 01JUL2009 28FEB2014 N DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (anal approach), with or without biopsy, WITH 1 or more of the following procedures (snare polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30680 or 30684) The patient to whom the service is provided must: (i) have recurrent or persistent bleeding; and (ii) be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30686 01MAR2014 31DEC9999 Y Balloon enteroscopy, examination of the small bowel (anal approach), with or without biopsy, WITH 1 or more of the following procedures (snare polypectomy, removal of foreign body, diathermy, heater probe, laser coagulation or argon plasma coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30680 or 30684) The patient to whom the service is provided must: (i) have recurrent or persistent bleeding; and (ii) be anaemic or have active bleeding; and (iii) have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding. 30687 01NOV2012 31DEC9999 Y ENDOSCOPY with RADIOFREQUENCY ABLATION of mucosal metaplasia for the treatment of Barrett's Oesophagus in a single course of treatment, following diagnosis of high grade dysplasia confirmed by histological examination 30688 01JUL2007 31OCT2017 N ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy, for the staging of 1 or more of oesophageal, gastric or pancreatic cancer, not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. 30688 01NOV2017 31DEC9999 Y Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, for the staging of 1 or more of oesophageal, gastric or pancreatic cancer, not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis. 30690 01JUL2007 31OCT2017 N ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy, WITH FINE NEEDLE ASPIRATION, including aspiration of the locoregional lymph nodes if performed, for the staging of 1 or more of oesophageal, gastric or pancreatic cancer, not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. 30690 01NOV2017 31DEC9999 Y Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, with fine needle aspiration, including aspiration of the locoregional lymph nodes if performed, for the staging of 1 or more of oesophageal, gastric or pancreatic cancer, not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis. 30692 01JUL2007 31OCT2017 N ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy, for the diagnosis of 1 or more of pancreatic, biliary or gastric submucosal tumours, not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. 30692 01NOV2017 31DEC9999 Y Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, for the diagnosis of 1 or more of pancreatic, biliary or gastric submucosal tumours, not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis. 30694 01JUL2007 31OCT2017 N ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy, WITH FINE NEEDLE ASPIRATION for the diagnosis of 1 or more of pancreatic, biliary or gastric submucosal tumours, not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. 30694 01NOV2017 31DEC9999 Y Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, with fine needle aspiration, for the diagnosis of 1 or more of pancreatic, biliary or gastric submucosal tumours, not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis. 30696 01JUL2009 31DEC9999 Y ENDOSCOPIC ULTRASOUND GUIDED FINE NEEDLE ASPIRATION BIOPSY(S) (endoscopy with ultrasound imaging) to obtain one or more specimens from either: (a) mediastinal mass(es) or (b) locoregional nodes to stage non-small cell lung carcinoma not being a service associated with another item in this subgroup or to which items 30710 and 55054 apply 30710 01JUL2009 31DEC9999 Y ENDOBRONCHIAL ULTRASOUND GUIDED BIOPSY(S) (bronchoscopy with ultrasound imaging, with or without associated fluoroscopic imaging) to obtain one or more specimens by either: (a) transbronchial biopsy(s) of peripheral lung lesions; or (b) fine needle aspiration(s) of a mediastinal mass(es); or (c) fine needle aspiration(s) of locoregional nodes to stage non-small cell lung carcinoma not being a service associated with another item in this subgroup or to which items 30696, 41892, 41898, and 60500 to 60509 applies 30720 01JUL2021 31DEC9999 Y Appendicectomy, on a patient 10 years of age or over, whether performed by:(a) laparoscopy or right iliac fossa open incision; or(b) conversion of a laparoscopy to an open right iliac fossa incision;other than a service to which item 30574 applies 30721 01JUL2021 31DEC9999 Y Laparotomy or laparoscopy, or laparoscopy converted to laparotomy, with or without associated biopsies, including the division of adhesions (if performed, but only if the time taken to divide adhesions is 45 minutes or less), if no other intra-abdominal procedure is performed 30722 01JUL2021 31DEC9999 Y Laparotomy or laparoscopy, on a patient 10 years of age or over, including any of the following procedures (if performed, and including division of one or more adhesions, but only if the time taken to divide the adhesions is 45 minutes or less): (a) colostomy; (b) colotomy; (c) cholecystostomy; (d) enterostomy; (e) enterotomy; (f) gastrostomy; (g) gastrotomy; (h) caecostomy; (i) gastric fixation by cardiopexy; (j) reduction of intussusception; (k) simple repair of ruptured viscus (including perforated peptic ulcer); (l) reduction of volvulus; (m) drainage of pancreas 30723 01JUL2021 31DEC9999 Y Laparotomy, laparoscopy or extra-peritoneal approach, for drainage of an intra-abdominal, pancreatic or retroperitoneal collection or abscess 30724 01JUL2021 31DEC9999 Y Laparotomy or laparoscopy with division of adhesions, lasting more than 45 minutes but less than 2 hours, performed either:(a) as a primary procedure; or(b) when the division of adhesions is performed in conjunction with another primary procedure-to provide access to a surgical field (but excluding mobilisation or normal anatomical dissection of the organ or structure for which the primary procedure is being carried out) 30725 01JUL2021 31DEC9999 Y Laparotomy or laparoscopy for intestinal obstruction or division of extensive, complex adhesions, lasting 2 hours or more, performed either:a) as a primary procedure; orb) when the division of adhesions is performed in conjunction with another procedure-to provide access to a surgical field, but excluding mobilisation or normal anatomical dissection of the organ or structure for which the other procedure is being carried out 30730 01JUL2021 31DEC9999 Y Small intestine, resection of, including either of the following:(a) a small bowel diverticulum (such as Meckel's procedure) with anastomosis;(b) stricturoplasty 30731 01JUL2021 31DEC9999 Y Intraoperative enterotomy for visualisation of the small intestine by endoscopy, including endoscopic examination using a flexible endoscope, with or without biopsies 30732 01JUL2021 31DEC9999 Y Peritonectomy, lasting more than 5 hours, including hyperthermic intra-peritoneal chemotherapy 30750 01JUL2021 31DEC9999 Y Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)One surgeon 30751 01JUL2021 31DEC9999 Y Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)Conjoint surgery, principal surgeon 30752 01JUL2021 31DEC9999 Y Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)Conjoint surgery, co-surgeon 30753 01JUL2021 31DEC9999 Y Oesophagectomy, by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestOne surgeon 30754 01JUL2021 31DEC9999 Y Oesophagectomy, by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestConjoint surgery, principal surgeon 30755 01JUL2021 31DEC9999 Y Oesophagectomy by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestConjoint surgery, co-surgeon 30756 01JUL2021 31DEC9999 Y Antireflux operation by fundoplasty, with or without cardiopexy, by any approach, with or without closure of the diaphragmatic hiatus, other than a service to which item 30601 applies 30760 01JUL2021 31DEC9999 Y Vagotomy, with or without gastroenterostomy, pyloroplasty or other drainage procedure 30761 01JUL2021 31DEC9999 Y Bleeding peptic ulcer, control of, by laparoscopy or laparotomy, involving suture of bleeding point or wedge excision (with or without gastric resection), including either of the following (if performed):(a) vagotomy and pyloroplasty;(b) gastroenterostomy 30762 01JUL2021 31DEC9999 Y Gastrectomy, subtotal or total radical, for carcinoma, by open or minimally invasive approach, including all necessary anastomoses, including either or both of the following (if performed):(a) extended lymph node dissection;(b) splenectomy 30763 01JUL2021 31DEC9999 Y Gastric tumour, 2cm or greater in diameter, removal of, by local excision, by endoscopic approach, including any required anastomosis, excluding polypectomy, other than a service to which item 30518 applies 30770 01JUL2021 31DEC9999 Y Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty 30771 01JUL2021 31DEC9999 Y Portal hypertension, porto-caval, meso-caval or selective spleno-renal shunt for 30780 01JUL2021 31DEC9999 Y Intrahepatic biliary bypass of left or right hepatic ductal system by Roux-en-Y loop to peripheral ductal system 30790 01JUL2021 31DEC9999 Y Pancreatic cyst anastomosis to stomach, duodenum or small intestine, by endoscopic, open or minimally invasive approach, with or without the use of endoscopic or intraoperative ultrasound 30791 01JUL2021 31DEC9999 Y Pancreatic necrosectomy, by open, laparoscopic or endoscopic approach, excluding aftercare, subsequent procedure 30792 01JUL2021 31DEC9999 Y Distal pancreatectomy with splenectomy, by open or minimally invasive approach 30800 01JUL2021 31DEC9999 Y Splenectomy, by open or minimally invasive approach, other than a service to which item 30792 applies 30810 01JUL2021 31DEC9999 Y Exploration of pancreas or duodenum for endocrine tumour, including associated imaging, either: (a) followed by local excision of tumour; or (b) when, after extensive exploration, no tumour is found 30820 01JUL2021 31DEC9999 Y Lymph node of neck, biopsy of, by open procedure, if the specimen excised is sent for pathological examination 31000 01MAR1992 30JUN1995 N MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 6 or fewer sections (Ministerial Determination) 31000 01JUL1995 31OCT2018 N MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 6 or fewer sections 31000 01NOV2018 31DEC9999 Y Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon-6 or fewer sections 31001 01MAR1992 30JUN1995 N MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 7 to 12 sections (Ministerial Determination) 31001 01JUL1995 31OCT2018 N MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 7 to 12 sections (inclusive) 31001 01NOV2018 31DEC9999 Y Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon-7 to 12 sections (inclusive) 31002 01MAR1992 30JUN1995 N MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 13 or more sections (Ministerial Determination) 31002 01JUL1995 31OCT2018 N MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 13 or more sections 31002 01NOV2018 31DEC9999 Y Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon-13 or more sections 31003 01NOV2018 31DEC9999 Y Mohs surgery of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon-6 or fewer sections Not applicable to a service performed in association with a service to which item 31000 applies 31004 01NOV2018 31DEC9999 Y Mohs surgery of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon-7 to 12 sections (inclusive) Not applicable to a service performed in association with a service to which item 31001 applies 31005 01NOV2018 31DEC9999 Y Mohs surgery of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon-13 or more sections Not applicable to a service performed in association with a service to which item 31002 applies 31200 01MAY1997 30APR2004 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach to an operation), removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service to which another item in this Group applies 31200 01MAY2004 30APR2006 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach to an operation), removal by surgical excision (other than shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service to which another item in this Group applies 31200 01MAY2006 31DEC9999 Y TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach to an operation), removal by surgical excision (other than shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service associated with a service to which item 45200, 45203 or 45206 applies and not being a service to which another item in this Group applies 31205 01MAY1997 30APR2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) 31205 01MAY2003 31OCT2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31205 01NOV2003 31OCT2005 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31205 01NOV2005 31DEC9999 Y TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size up to and including 10mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31206 01NOV2016 31DEC9999 Y Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is not more than 10 mm in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination 31210 01MAY1997 30APR2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 10mm and up to 20mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) 31210 01MAY2003 31OCT2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 10mm and up to 20mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31210 01NOV2003 31OCT2005 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 10mm and up to 20mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31210 01NOV2005 31DEC9999 Y TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 10mm and up to and including 20mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31211 01NOV2016 31DEC9999 Y Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is more than 10 mm, but not more than 20 mm, in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination 31215 01MAY1997 30APR2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 20mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) 31215 01MAY2003 31OCT2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 20mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31215 01NOV2003 31DEC9999 Y TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 20mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31216 01NOV2016 31DEC9999 Y Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is more than 20 mm in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination 31220 01MAY1997 30APR2003 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of 4 to 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) 31220 01MAY2003 31OCT2003 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of 4 to 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31220 01NOV2003 31OCT2005 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of 4 to 10 lesions by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimens excised are sent for histological examination (not being a service to which item 30195 applies) 31220 01NOV2005 31OCT2016 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to and including 10mm in diameter, removal of 4 to 10 lesions by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimens excised are sent for histological examination (not being a service to which item 30195 applies) 31220 01NOV2016 30JUN2023 N Tumours (other than viral verrucae (common warts) and seborrheic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of 4 to 10 lesions and suture, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue by surgical excision (other than by shave excision); and (c) all of the specimens excised are sent for histological examination 31220 01JUL2023 31DEC9999 Y Tumours (other than viral verrucae (common warts) and seborrheic keratoses), lipomas, cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of 4 to 10 lesions and suture, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue by surgical excision (other than by shave excision); and (c) all of the specimens excised are sent for histological examination 31221 01NOV2016 31DEC9999 Y Tumours, cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of 4 to 10 lesions, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) each site of excision is closed by suture; and (d) all of the specimens excised are sent for histological examination 31225 01MAY1997 30APR2003 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of more than 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where specimen sent for histological examination (not being a service to which item 30195 applies) 31225 01MAY2003 31OCT2003 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of more than 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31225 01NOV2003 31OCT2005 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of more than 10 lesions by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimens excised are sent for histological examination (not being a service to which item 30195 applies) 31225 01NOV2005 31OCT2016 N TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to and including 10mm in diameter, removal of more than 10 lesions by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimens excised are sent for histological examination (not being a service to which item 30195 applies) 31225 01NOV2016 30JUN2023 N Tumours (other than viral verrucae (common warts) and seborrheic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of more than 10 lesions, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) each site of excision is closed by suture; and (d) all of the specimens excised are sent for histological examination 31225 01JUL2023 31DEC9999 Y Tumours (other than viral verrucae (common warts) and seborrheic keratoses), lipomas, cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of more than 10 lesions, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) each site of excision is closed by suture; and (d) all of the specimens excised are sent for histological examination 31227 01JUL2023 31DEC9999 Y Tumour, lipoma or cyst, removal of single lesion by excision and suture, where removal is from subcutaneous tissue and the specimen excised is sent for histological examination 31230 01MAY1997 30APR2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from nose, eyelid, lip, ear, digit or genitalia, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where specimen sent for histological examination (not being a service to which item 30195 applies) 31230 01MAY2003 31OCT2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from nose, eyelid, lip, ear, digit or genitalia, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31230 01NOV2003 31DEC9999 Y TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision (other than by shave excision) and suture from nose, eyelid, lip, ear, digit or genitalia, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31235 01MAY1997 30APR2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size up to 10mm in diameter - where specimen sent for histological examination (not being a service to which item 30195 applies) 31235 01MAY2003 31OCT2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size up to 10mm in diameter - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31235 01NOV2003 31OCT2005 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision (other than by shave excision) and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size up to 10mm in diameter - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31235 01NOV2005 31DEC9999 Y TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision (other than by shave excision) and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size up to and including 10mm in diameter - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31240 01MAY1997 30APR2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size more than 10mm in diameter - where specimen sent for histological examination (not being a service to which item 30195 applies) 31240 01MAY2003 31OCT2003 N TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size more than 10mm in diameter - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31240 01NOV2003 31DEC9999 Y TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision (other than by shave excision) and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size more than 10mm in diameter - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) 31245 01MAY1997 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE, extensive excision of, in the treatment of SUPPURATIVE HIDRADENITIS (excision from axilla, groin or natal cleft) or SYCOSIS BARBAE or NUCHAE (excision from face or neck) 31250 01MAY1997 30APR2003 N GIANT HAIRY or COMPOUND NAEVUS, excision of an area at least 1 percent of body surface where the specimen is sent for histological confirmation of diagnosis 31250 01MAY2003 31DEC9999 Y GIANT HAIRY or COMPOUND NAEVUS, excision of an area at least 1 percent of body surface where the specimen excised is sent for histological confirmation of diagnosis 31255 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31255 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31255 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter - where removal is by surgical excision and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31255 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter - where removal is by surgical excision (other than shave excision) and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31255 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to and including 10mm in diameter - where removal is by therapeutic surgical excision (other than by shave excision) and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31256 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where previous excision was performed by the same practitioner, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31257 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31258 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from nose, eyelid, lip, ear, digit or genitalia, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies 31260 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31260 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31260 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by surgical excision and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31260 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by surgical excision (other than shave excision) and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31260 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by therapeutic surgical excision (other than shave excision) and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31261 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where previous excision was performed by the same practitioner, where the original tumour size was more than 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31262 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31263 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from nose, eyelid, lip, ear, digit or genitalia, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies 31265 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size up to 10mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31265 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size up to 10mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31265 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size up to 10mm in diameter and where removal is by surgical excision and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31265 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size up to 10mm in diameter and where removal is by surgical excision (other than shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31265 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck, (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), tumour size up to and including 10mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31266 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where previous excision was performed by the same practitioner, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31267 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31268 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies 31270 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31270 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31270 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to 20mm in diameter and where removal is by surgical excision and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31270 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31270 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck, (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to and including 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31271 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where previous excision was performed by the same practitioner, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31272 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31273 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies 31275 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31275 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31275 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter and where removal is by surgical excision and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31275 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31275 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31276 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where previous excision was performed by the same practitioner, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31277 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31278 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies 31280 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to 10mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31280 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to 10mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31280 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to 10mm in diameter and where removal is by surgical excision and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31280 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31280 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to and including 10mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31281 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31255 and 31265, where previous excision was performed by the same practitioner, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31282 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31255 and 31265, performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31283 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from areas of the body not covered by items 31255 and 31265, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31285 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31285 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 10mm and up to 20mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31285 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 10mm and up to 20mm in diameter and where removal is by surgical excision and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31285 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 10mm and up to 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31285 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 10mm and up to and including 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31286 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31270, where previous excision was performed by the same practitioner, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31287 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31270, performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31288 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from areas of the body not covered by items 31260 and 31270, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31290 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31275, tumour size more than 20mm in diameter - where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31290 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31275, tumour size more than 20mm in diameter - where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31290 01NOV2003 31OCT2004 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31275, tumour size more than 20mm in diameter and where removal is by surgical excision and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31290 01NOV2004 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31275, tumour size more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31290 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31275, tumour size more than 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination 31291 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31275, where previous excision was performed by the same practitioner, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31292 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31275, performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination 31293 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from areas of the body not covered by items 31260 and 31275, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31295 01MAY1997 30APR2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, residual or recurrent ( where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen therapy), performed by a specialist in the practice of his or her specialty or by a practitioner other than the practitioner who provided the previous treatment, removal from the head or neck (anterior to the sternomastoid muscles), where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained 31295 01MAY2003 31OCT2003 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, residual or recurrent ( where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen therapy), performed by a specialist in the practice of his or her specialty or by a practitioner other than the practitioner who provided the previous treatment, removal from the head or neck (anterior to the sternomastoid muscles), where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31295 01NOV2003 30APR2005 N BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, residual or recurrent (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen therapy), performed by a specialist in the practice of his or her specialty or by a practitioner other than the practitioner who provided the previous treatment, removal from the head or neck (anterior to the sternomastoid muscles), where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31295 01MAY2005 31DEC9999 Y BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT (where lesion was treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen therapy), performed by a specialist in the practice of his or her specialty or by a practitioner other than the practitioner who provided the previous treatment, removal from the head or neck (anterior to the sternomastoid muscles), where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31300 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31300 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31300 01NOV2003 31OCT2005 N "TREATMENT OF MALIGNANT MELANOMA AND LOCALLY AGGRESSIVE SKIN TUMOURS Definitive surgical excision for items 31300-31335 is defined as ""surgical removal with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour"". MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter and where removal is by definitive surgical excision (as defined above and in para T8.21.7 of the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained" 31300 01NOV2005 30APR2007 N "TREATMENT OF MALIGNANT MELANOMA AND LOCALLY AGGRESSIVE SKIN TUMOURS Definitive surgical excision for items 31300-31335 is defined as ""surgical removal with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour"". MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to and including 10mm in diameter and where removal is by definitive surgical excision (as defined above and in para T8.21.7 of the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained" 31300 01MAY2007 31DEC9999 Y "TREATMENT OF MALIGNANT MELANOMA AND LOCALLY AGGRESSIVE SKIN TUMOURS Definitive surgical excision for items 31300-31335 is defined as ""surgical removal with an adequate margin and as a result, no further surgery is indicated at that site of excision"". MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to and including 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained" 31305 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31305 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31305 01NOV2003 31DEC9999 Y MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE and removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31310 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size up to 10mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31310 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size up to 10mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31310 01NOV2003 31OCT2005 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size up to 10mm in diameter and where removal is by definitive surgical excision (as defined above in para T8.21.7 of the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31310 01NOV2005 31DEC9999 Y MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size up to and including 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31315 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 10mm and up to 20mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31315 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 10mm and up to 20mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31315 01NOV2003 31OCT2005 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 10mm and up to 20mm in diameter and where removal is by definitive surgical excision (as defined above in para T8.21.7 of the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31315 01NOV2005 31DEC9999 Y MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 10mm and up to and including 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31320 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 20mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31320 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 20mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31320 01NOV2003 31DEC9999 Y MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31325 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31300 and 31310 - tumour size up to 10mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31325 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31300 and 31310 - tumour size up to 10mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31325 01NOV2003 31OCT2005 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31300 and 31310 - tumour size up to 10mm in diameter and where removal is by definitive surgical excision (as defined above and in para T8.21.7 of the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31325 01NOV2005 31DEC9999 Y MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31300 and 31310 - tumour size up to and including 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31330 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31310 - tumour size more than 10mm and up to 20mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31330 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31310 - tumour size more than 10mm and up to 20mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31330 01NOV2003 31OCT2005 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31310 - tumour size more than 10mm and up to 20mm in diameter and where removal is by definitive surgical excision (as defined above and in para T8.21.7 of the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31330 01NOV2005 31DEC9999 Y MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31310 - tumour size more than 10mm and up to and including 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31335 01MAY1997 30APR2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31320 - tumour size more than 20mm in diameter - where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained 31335 01MAY2003 31OCT2003 N MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31320 - tumour size more than 20mm in diameter - where removal is by definitive surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy obtained 31335 01NOV2003 31DEC9999 Y MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31320 - tumour size more than 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained 31340 01MAY1997 30APR2004 N NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item. MUSCLE, BONE OR CARTILAGE, excision of one or more of, where clinically indicated, performed in association with excision of malignant tumour of skin covered by item 31255, 31260, 31265, 31270, 31275, 31280, 31285, 31290, 31295, 31300, 31305, 31310, 31315, 31320, 31325, 31330 or 31335 31340 01MAY2004 31OCT2005 N NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item. MUSCLE, BONE OR CARTILAGE, excision of one or more of, where clinically indicated, where the specimen excised is sent for histological confirmation, performed in association with excision of malignant tumour of skin covered by item 31255, 31260, 31265, 31270, 31275, 31280, 31285, 31290, 31295, 31300, 31305, 31310, 31315, 31320, 31325, 31330 or 31335 31340 01NOV2005 31OCT2016 N NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item. MUSCLE, BONE OR CARTILAGE, excision of one or more of, where clinically indicated, where the specimen excised is sent for histological confirmation, performed in association with excision of malignant tumour of skin covered by item 31255, 31256, 31257, 31258, 31260, 31261, 31262, 31263, 31265, 31266, 31267, 31268, 31270, 31271, 31272, 31273, 31275, 31276, 31277, 31278, 31280, 31281, 31282, 31283, 31285, 31286, 31287, 31288, 31290, 31291, 31292, 31293, 31295, 31300, 31305, 31310, 31315, 31320, 31325, 31330 or 31335 31340 01NOV2016 30APR2017 N Muscle, bone or cartilage, excision of one or more of, if clinically indicated, and if: (a) the specimen excised is sent for histological confirmation; and (b) a malignant tumour of skin covered by item 31356, 31358, 31359, 31361, 31363, 31365, 31367, 31369, 31371, 31372, 31373, 31374, 31375 or 31376 is excised 31340 01MAY2017 31OCT2018 N Muscle, bone or cartilage, excision of one or more of, if clinically indicated, and if:(a) the specimen excised is sent for histological confirmation; and (b) a malignant tumour of skin covered by item 31000, 31001, 31002, 31356, 31358, 31359, 31361, 31363, 31365, 31367, 31369, 31371, 31372, 31373, 31374, 31375 or 31376 is excised 31340 01NOV2018 30JUN2023 N Muscle, bone or cartilage, excision of one or more of, if clinically indicated, and if: (a) the specimen excised is sent for histological confirmation; and (b) a malignant tumour of skin covered by item 31000, 31001, 31002, 31003, 31004, 31005, 31356, 31358, 31359, 31361, 31363, 31365, 31367, 31369, 31371, 31372, 31373, 31374, 31375 or 31376 is excised 31340 01JUL2023 31DEC9999 Y Muscle, bone or cartilage, excision of one or more of, if clinically indicated, and if: (a) the specimen excised is sent for histological confirmation; and (b) a malignant tumour of skin covered by item 31000, 31001, 31002, 31003, 31004, 31005, 31356, 31358, 31359, 31361, 31363, 31365, 31367, 31369, 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383 is excised 31344 01JUL2023 29FEB2024 N Lipoma, removal of, by surgical excision or liposuction, if:(a) the lesion:(i) is subcutaneous and 150mm or more in diameter; or(ii) is submuscular, intramuscular or involves dissection of a named nerve or vessel and is 50 mm or more in diameter; and(b) a specimen of the excised lipoma is sent for histological confirmation of diagnosis 31344 01MAR2024 31DEC9999 Y Lipoma, removal of, by surgical excision or liposuction, if:(a) the lesion:(i) is subcutaneous and 150mm or more in diameter; or(ii) is submuscular, intramuscular or involves dissection of a named nerve or vessel and is 50 mm or more in diameter; and(b) a specimen of the excised lipoma is sent for histological confirmation of diagnosis (H) 31345 01MAY1997 31OCT1997 N LIPOMA, excision of, where lesion is subcutaneous and greater than 50mm in diameter, or is sub-fascial 31345 01NOV1997 30APR2003 N LIPOMA, removal of by surgical excision or liposuction, where lesion is subcutaneous and greater than 50mm in diameter, or is sub-fascial, where specimen is sent for histological confirmation of diagnosis 31345 01MAY2003 31OCT2005 N LIPOMA, removal of by surgical excision or liposuction, where lesion is subcutaneous and greater than 50mm in diameter, or is sub-fascial, where the specimen is sent for histological confirmation of diagnosis 31345 01NOV2005 30JUN2023 N LIPOMA, removal of by surgical excision or liposuction, where lesion is subcutaneous and 50mm or more in diameter, or is sub-fascial, where the specimen is sent for histological confirmation of diagnosis 31345 01JUL2023 31DEC9999 Y Lipoma, removal of, by surgical excision or liposuction, if:(a) the lesion is: (i) subcutaneous and 50 mm or more in diameter but less than 150 mm in diameter; or(ii) sub fascial; and (b) the specimen excised is sent for histological confirmation of diagnosis 31346 01MAY2003 31OCT2004 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area for treatment of contour problems of abdominal fat due to repeated insulin injections, where the lesion is subcutaneous and greater than 50mm in diameter 31346 01NOV2004 31OCT2005 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area for treatment of contour problems of abdominal or upper arm or thigh fat due to repeated insulin injections, where the lesion is subcutaneous and greater than 50mm in diameter 31346 01NOV2005 31OCT2018 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area for treatment of contour problems of abdominal or upper arm or thigh fat due to repeated insulin injections, where the lesion is subcutaneous and 50mm or more in diameter 31346 01NOV2018 31DEC9999 Y Liposuction (suction assisted lipolysis) to one regional area for contour problems of abdominal, upper arm or thigh fat because of repeated insulin injections, if: (a) the lesion is subcutaneous; and (b) the lesion is 50 mm or more in diameter; and (c) photographic and/or diagnostic imaging evidence demonstrating the need for this service is documented in the patient notes 31350 01MAY1997 30APR2003 N BENIGN TUMOUR of SOFT TISSUE, removal of by surgical excision, where specimen is sent for histological confirmation of diagnosis, not being a service to which another item in this Group applies 31350 01MAY2003 31OCT2005 N BENIGN TUMOUR of SOFT TISSUE, removal of by surgical excision, where the specimen excised is sent for histological confirmation of diagnosis, not being a service to which another item in this Group applies 31350 01NOV2005 31AUG2015 N BENIGN TUMOUR of SOFT TISSUE, excluding tumours of skin, cartilage, and bone, simple lipomas covered by item 31345 and lipomata, removal of by surgical excision, where the specimen excised is sent for histological confirmation of diagnosis, not being a service to which another item in this Group applies 31350 01SEP2015 30JUN2021 N BENIGN TUMOUR of SOFT TISSUE, excluding tumours of skin, cartilage, and bone, simple lipomas covered by item 31345 and lipomata, removal of by surgical excision, where the specimen excised is sent for histological confirmation of diagnosis, on a person 10 years of age or over, not being a service to which another item in this Group applies 31350 01JUL2021 31DEC9999 Y Benign tumour of soft tissue (other than tumours of skin, cartilage and bone, simple lipomas covered by item 31345 and lipomata), removal of, by surgical excision, on a patient 10 years of age or over, if the specimen excised is sent for histological confirmation of diagnosis, other than a service to which another item in this Group applies 31355 01MAY1997 31OCT2005 N MALIGNANT TUMOUR of SOFT TISSUE, removal of by surgical excision, where histological proof of malignancy has been obtained, not being a service to which another item in this Group applies 31355 01NOV2005 31DEC9999 Y MALIGNANT TUMOUR of SOFT TISSUE, excluding tumours of skin, cartilage and bone, removal of by surgical excision, where histological proof of malignancy has been obtained, not being a service to which another item in this Group applies 31356 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31356 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31357 01NOV2016 31DEC9999 Y Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 31358 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31358 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31359 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia (the applicable site); and (b) the necessary excision area is at least one third of the surface area of the applicable site; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (H) 31359 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia (the applicable site); and (b) the necessary excision area is at least one third of the surface area of the applicable site; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (H) 31360 01NOV2016 31DEC9999 Y Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination 31361 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31361 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31362 01NOV2016 31DEC9999 Y Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 31363 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31363 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31364 01NOV2016 31DEC9999 Y Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination 31365 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31369, 31370, 31371, 31372 or 31373), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31365 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31369, 31370, 31371, 31372, 31373, 31377, 31378 or 31379), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31366 01NOV2016 31DEC9999 Y Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 31367 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31367 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31368 01NOV2016 31DEC9999 Y Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is at least 15 mm but not more than 30mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 31369 01NOV2016 30JUN2023 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31369 01JUL2023 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31370 01NOV2016 31DEC9999 Y Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination 31371 01NOV2016 31OCT2022 N Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31371 01NOV2022 31DEC9999 Y Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31372 01NOV2016 31OCT2022 N Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31372 01NOV2022 31DEC9999 Y Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with a service to which item 45201 applies 31373 01NOV2016 31OCT2022 N Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31373 01NOV2022 31DEC9999 Y Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31374 01NOV2016 31OCT2022 N Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31374 01NOV2022 31DEC9999 Y Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with a service to which item 45201 applies 31375 01NOV2016 31OCT2022 N Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 31375 01NOV2022 31DEC9999 Y Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with a service to which item 45201 applies 31376 01NOV2016 31OCT2022 N Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31376 01NOV2022 31DEC9999 Y Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy 31377 01NOV2022 31DEC9999 Y Clinically suspected melanoma, surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies 31378 01NOV2022 31DEC9999 Y Clinically suspected melanoma, surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination 31379 01NOV2022 31DEC9999 Y Clinically suspected melanoma, surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies 31380 01NOV2022 31DEC9999 Y Clinically suspected melanoma, surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination 31381 01NOV2022 31DEC9999 Y Clinically suspected melanoma, surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies 31382 01NOV2022 31DEC9999 Y Clinically suspected melanoma, surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies 31383 01NOV2022 31DEC9999 Y Clinically suspected melanoma, surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination 31386 01JUL2023 29FEB2024 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 50 mm; and(c) the excision involves at least 2 critical areas (eyelid, nose, ear, mouth); and(d) the excised specimen is sent for histological examination; and(e) malignancy is confirmed from the excised specimen or previous biopsy; and(f) the service is not covered by item 31387 31386 01MAR2024 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 50 mm; and(c) the excision involves at least 2 critical areas (eyelid, nose, ear, mouth); and(d) the excised specimen is sent for histological examination; and(e) malignancy is confirmed from the excised specimen or previous biopsy; and(f) the service is not covered by item 31387 (H) 31387 01JUL2023 29FEB2024 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 70 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy; and(e) the service is not covered by item 31386 31387 01MAR2024 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 70 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy; and(e) the service is not covered by item 31386 (H) 31388 01JUL2023 29FEB2024 N Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the trunk or limbs; and(b) the necessary excision diameter is more than 120 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy 31388 01MAR2024 31DEC9999 Y Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the trunk or limbs; and(b) the necessary excision diameter is more than 120 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy (H) 31400 01JUL1998 31OCT2005 N MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR up to 20mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained 31400 01NOV2005 31DEC9999 Y MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR up to and including 20mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained 31403 01JUL1998 31OCT2005 N MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 20mm and up to 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained 31403 01NOV2005 31DEC9999 Y MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 20mm and up to and including 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained 31406 01JUL1998 31DEC9999 Y MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained 31409 01JUL1998 31DEC9999 Y PARAPHARYNGEAL TUMOUR, excision of, by cervical approach 31412 01JUL1998 31DEC9999 Y RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach 31420 01JUL1998 31DEC9999 Y LYMPH NODE OF NECK, biopsy of 31423 01JUL1998 31AUG2015 N LYMPH NODES OF NECK, selective dissection of 1 or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck 31423 01SEP2015 30JUN2021 N LYMPH NODES OF NECK, selective dissection of 1 or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a person 10 years of age or over 31423 01JUL2021 28FEB2023 N Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over 31423 01MAR2023 31DEC9999 Y Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side 31426 01JUL1998 28FEB2023 N LYMPH NODES OF NECK, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck 31426 01MAR2023 31DEC9999 Y Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) 31429 01JUL1998 28FEB2023 N LYMPH NODES OF NECK, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve 31429 01MAR2023 31DEC9999 Y Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) 31432 01JUL1998 28FEB2023 N LYMPH NODES OF NECK, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections) 31432 01MAR2023 31DEC9999 Y Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) 31435 01JUL1998 28FEB2023 N LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph node levels on one side of the neck 31435 01MAR2023 31DEC9999 Y Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) 31438 01JUL1998 28FEB2023 N LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve 31438 01MAR2023 31DEC9999 Y Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) 31441 01MAR1999 31DEC9999 Y (see Item 14215 for adding or removing fluid via the implanted reservoir to adjust the tightness of the gastric band) LONG-TERM IMPLANTED RESERVOIR associated with the adjustable gastric band, repair, revision or replacement of 31450 01NOV1999 31DEC9999 Y LAPAROSCOPIC DIVISION OF ADHESIONS, as an independent procedure, where the time taken is 1 hour or less 31452 01NOV1999 31DEC9999 Y LAPAROSCOPIC DIVISION OF ADHESIONS, as an independent procedure, where the time taken in more than 1 hour 31454 01NOV2000 30JUN2021 N LAPAROSCOPY with drainage of pus, bile or blood, as an independent procedure 31454 01JUL2021 31DEC9999 Y Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) 31456 01NOV2000 31DEC9999 Y GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition 31458 01NOV2000 31DEC9999 Y GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated 31460 01NOV2000 31DEC9999 Y PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services 31462 01NOV2000 31DEC9999 Y OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection 31464 01NOV2000 31DEC9999 Y ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopic technique - not being a service to which item 30601 applies 31466 01NOV2000 31DEC9999 Y ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation 31468 01NOV2000 30JUN2021 N PARA-OESOPHAGEAL HIATUS HERNIA, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication 31468 01JUL2021 31DEC9999 Y Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies 31470 01NOV2000 31AUG2015 N LAPAROSCOPIC SPLENECTOMY 31470 01SEP2015 31DEC9999 Y LAPAROSCOPIC SPLENECTOMY, on a person 10 years of age or over 31472 01NOV2000 30JUN2021 N CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, CHOLEDOCHOJEJUNOSTOMY OR ROUX-EN-Y as a bypass procedure where prior biliary surgery has been performed 31472 01JUL2021 31DEC9999 Y Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies 31500 01NOV2002 30APR2003 N BREAST, BENIGN LESION up to and including 50mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histolog, not being a service to which items 31539, 31542 or 31545 apply 31500 01MAY2003 31DEC9999 Y BREAST, BENIGN LESION up to and including 50mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology 31503 01NOV2002 30APR2003 N BREAST, BENIGN LESION more than 50mm in diameter, excision of, not being a service to which items 31539, 31542 or 31545 apply 31503 01MAY2003 31DEC9999 Y BREAST, BENIGN LESION more than 50mm in diameter, excision of 31506 01NOV2002 30APR2003 N BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of, not being a service to which items 31539, 31542 or 31545 apply 31506 01MAY2003 31DEC9999 Y BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of 31509 01NOV2002 30APR2003 N BREAST, MALIGNANT TUMOUR, open surgical biopsy of, with or without frozen section histology, not being a service to which items 31539, 31542 or 31545 apply 31509 01MAY2003 31DEC9999 Y BREAST, MALIGNANT TUMOUR, open surgical biopsy of, with or without frozen section histology 31512 01NOV2002 30APR2003 N BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology, not being a service to which items 31539, 31542 or 31545 apply 31512 01MAY2003 30JUN2023 N BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology 31512 01JUL2023 31DEC9999 Y Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)(H) 31513 01JUL2023 31DEC9999 Y Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side(H) 31514 01JUL2023 31DEC9999 Y Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side(H) 31515 01NOV2002 30APR2003 N BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour, not being a service to which items 31539, 31542 or 31545 apply 31515 01MAY2003 31DEC9999 Y BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour 31516 01SEP2015 28FEB2021 N BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiotherapy (using an Intrabeam® device) is performed concurrently, if the requirements of item 15900 are met for the patient 31516 01MAR2021 31DEC9999 Y BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy (using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs (a) to (g) of item 15900 Applicable only once per breast per lifetime (H) 31518 01NOV2002 31DEC9999 Y BREAST (female), total mastectomy 31519 01JUL2014 30JUN2023 N BREAST, total mastectomy (H) 31519 01JUL2023 31DEC9999 Y Total mastectomy (unilateral) (H) 31520 01JUL2023 31DEC9999 Y Total mastectomy (bilateral) (H) 31521 01NOV2002 31OCT2003 N BREAST (male), total mastectomy 31521 01NOV2003 31DEC9999 Y BREAST (male), total mastectomy, not being a service associated with a service to which item 45585 applies 31522 01JUL2023 31DEC9999 Y Skin sparing mastectomy (unilateral) (H) 31523 01JUL2023 31DEC9999 Y Skin sparing mastectomy (bilateral) (H) 31524 01NOV2002 30JUN2014 N BREAST (female), subcutaneous mastectomy 31524 01JUL2014 31DEC9999 Y BREAST, subcutaneous mastectomy (H) 31525 01JUL2014 30JUN2023 N BREAST, mastectomy for gynecomastia, with or without liposuction (suction assisted lipolysis), not being a service associated with a service to which item 45585 applies (H) 31525 01JUL2023 31DEC9999 Y Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) 31526 01JUL2023 31DEC9999 Y Mastectomy for gynaecomastia (bilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) 31527 01NOV2002 31OCT2003 N BREAST (male), subcutaneous mastectomy 31527 01NOV2003 31OCT2012 N BREAST (male), subcutaneous mastectomy, not being a service associated with a service to which item 45585 applies 31527 01NOV2012 31DEC9999 Y BREAST (male), SUBCUTANEOUS MASTECTOMY, with or without liposuction (suction assisted lipolysis), not being a service associated with a service to which 45585 applies 31528 01JUL2023 31DEC9999 Y Nipple sparing mastectomy (unilateral) (H) 31529 01JUL2023 31DEC9999 Y Nipple sparing mastectomy (bilateral) (H) 31530 01NOV2002 30APR2020 N BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, where imaging has demonstrated: (a) microcalcification of lesion; or (b) impalpable lesion less than 1cm in diameter including pre-operative localisation of lesion where performed, not being a service to which items 31539, 31545 or 31548 apply 31530 01MAY2020 31DEC9999 Y Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies 31533 01NOV2002 31DEC9999 Y FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging 31536 01NOV2002 30APR2003 N BREAST, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques - but not including imaging, not being a service to which item 31542 applies 31536 01MAY2003 30APR2020 N BREAST, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques - but not including imaging, not being a service to which item 31539, 31542 or 31545 applies 31536 01MAY2020 31DEC9999 Y Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.) 31537 01MAR2024 31DEC9999 Y Insertion of a marker clip into a breast, including axilla, following a breast biopsy and using imaging (but not including the associated imaging), if additional surgery, neoadjuvant systemic therapy, follow up imaging or radiation may be required and the insertion is for any of the following reasons: (a) to mark the site of a lesion that has been totally or almost completely removed; (b) to confirm biopsy site if multiple lesions are present; (c) to confirm biopsy site of an ill-defined lesion; (d) future surgery or preoperative localisation is considered to be potentially difficult due to lesion conspicuity; (e) preoperative localisation is likely to be carried out using a modality different from the biopsy modality; (f) for correlation across modalities for diagnostic reasons 31539 01NOV2002 30APR2003 N BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using Advanced Breast Biopsy Instrumentation (ABBI), for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons, and where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, not being a service to which items 31530 or 31536 apply 31539 01MAY2003 31DEC2013 N BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using advanced breast biopsy instrumentation (ABBI), for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons, and where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, not being a service to which item 31530, 31536 or 31548 applies 31539 01JAN2014 31DEC9999 Y BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a bore-enbloc stereotactic biopsy, for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons, and where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, not being a service to which item 31530, 31536 or 31548 applies 31542 01NOV2002 30APR2003 N BREAST, initial guidewire localisation of lesion, by hookwire, when conducted by a radiologist as determined by the Royal Australian and New Zealand College of Radiologists, using interventional imaging techniques prior to Advanced Breast Biopsy Instrumentation (ABBI), - including imaging not being a service to which item 31536 applies 31542 01MAY2003 31DEC2013 N BREAST, initial guidewire localisation of lesion, by hookwire or similar device, when conducted by a radiologist as determined by the Royal Australian and New Zealand College of Radiologists, using interventional imaging techniques prior to advanced breast biopsy instrumentation (ABBI), - including imaging not being a service associated with a service to which item 31536 applies 31542 01JAN2014 31DEC9999 Y BREAST, initial guidewire localisation of lesion, by hookwire or similar device, when conducted by a radiologist as determined by the Royal Australian and New Zealand College of Radiologists, using interventional imaging techniques prior to using a bore-enbloc stereotactic biopsy - including imaging not being a service associated with a service to which item 31536 applies 31545 01NOV2002 30APR2003 N BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using Advanced Breast Biopsy Instrumentation (ABBI), for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons, and where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, including initial guidewire localisation of lesion, by hookwire, using interventional imaging techniques and including imaging not being a service to which item 31530, 31536 or 31548 apply 31545 01MAY2003 31DEC2013 N BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using advanced breast biopsy instrumentation (ABBI), for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons; where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, including initial guidewire localisation of lesion, by hookwire or similar device, using interventional imaging techniques and including imaging not being a service associated with a service to which item 31530, 31536 or 31548 applies 31545 01JAN2014 31DEC9999 Y BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a bore-enbloc stereotactic biopsy, for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons; where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, including initial guidewire localisation of lesion, by hookwire or similar device, using interventional imaging techniques and including imaging not being a service associated with a service to which item 31530, 31536 or 31548 applies 31548 01NOV2002 30APR2020 N BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using mechanical biopsy device, for histological examination, not being a service to which items 31530, 31539 or 31545 apply 31548 01MAY2020 31DEC9999 Y Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.) 31551 01NOV2002 31DEC9999 Y BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare 31554 01NOV2002 31DEC9999 Y BREAST, microdochotomy of, for benign or malignant condition 31557 01NOV2002 31DEC9999 Y BREAST CENTRAL DUCTS, excision of, for benign condition 31560 01NOV2002 31DEC9999 Y ACCESSORY BREAST TISSUE, excision of 31563 01NOV2002 30JUN2023 N INVERTED NIPPLE, surgical eversion of 31563 01JUL2023 31DEC9999 Y Inverted nipple, surgical eversion of, with or without flap repair, if the nipple cannot readily be everted manually 31566 01NOV2002 31DEC9999 Y ACCESSORY NIPPLE, excision of 31569 01JUL2013 31DEC9999 Y Adjustable gastric band, placement of, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity 31572 01JUL2013 31DEC9999 Y Gastric bypass by Roux-en-Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies 31575 01JUL2013 31DEC9999 Y Sleeve gastrectomy, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity 31578 01JUL2013 31DEC9999 Y Gastroplasty (excluding by gastric plication), with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity 31581 01JUL2013 31DEC9999 Y Gastric bypass by biliopancreatic diversion with or without duodenal switch including gastric resection and anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity 31584 01JUL2013 30JUN2021 N Surgical reversal of adjustable gastric banding (removal or replacement of gastric band), gastric bypass, gastroplasty (excluding by gastric plication) or biliopancreatic diversion being services to which items 31569 to 31581 apply 31584 01JUL2021 31DEC9999 Y Surgical reversal of previous bariatric procedure, including revision or conversion, if:a) the previous procedure involved any of the following:(i) placement of adjustable gastric banding;(ii) gastric bypass;(iii) sleeve gastrectomy;(iv) gastroplasty (excluding gastric plication);(v) biliopancreatic diversion; and(b) any of items 31569 to 31581 applied to the previous procedureother than a service associated with a service to which item 31585 applies 31585 01JUL2021 31DEC9999 Y Removal of adjustable gastric band 31587 01JUL2013 31DEC9999 Y Adjustment of gastric band as an independent procedure including any associated consultation 31590 01JUL2013 31DEC9999 Y Adjustment of gastric band reservoir, repair, revision or replacement of 31591 16NOV2017 31DEC9999 Y Surgical reversal of an existing bariatric procedure performed in association with a service to which items 31569 to 31581 apply. 32000 01DEC1991 31DEC9999 Y LARGE INTESTINE, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) 32003 01DEC1991 31DEC9999 Y LARGE INTESTINE, resection of, with anastomosis, including right hemicolectomy 32004 01NOV1992 31OCT1993 N LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not being a service associated with a service to which another item in this Group applies 32004 01NOV1993 30JUN2022 N LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not being a service associated with a service to which item 32000, 32003, 32005 or 32006 applies 32004 01JUL2022 31DEC9999 Y LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not being a service associated with a service to which item 32000, 32003, 32005, 32006 or 32030 applies (H) 32005 01NOV1992 31OCT1993 N LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not being a service associated with a service to which another item in this Group applies 32005 01NOV1993 30JUN2022 N LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not being a service associated with a service to which item 32000, 32003, 32004 or 32006 applies 32005 01JUL2022 31DEC9999 Y LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not being a service associated with a service to which item 32000, 32003, 32004, 32006 or 32030 applies (H) 32006 01DEC1991 30JUN2022 N LEFT HEMICOLECTOMY, including the descending and sigmoid colon (including formation of stoma) 32006 01JUL2022 31JUL2022 N Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma), if associated with a service to which item 32024, 32025, 32026 or 32028 applies (H) 32006 01AUG2022 31DEC9999 Y Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma), other than a service associated with a service to which item 32024, 32025, 32026 or 32028 applies (H) 32009 01DEC1991 31DEC9999 Y TOTAL COLECTOMY AND ILEOSTOMY 32012 01DEC1991 31DEC9999 Y TOTAL COLECTOMY AND ILEORECTAL ANASTOMOSIS 32015 01DEC1991 31DEC9999 Y TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY 1 surgeon 32018 01DEC1991 31DEC9999 Y TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION; ABDOMINAL RESECTION (including aftercare) 32021 01DEC1991 31DEC9999 Y TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION; PERINEAL RESECTION 32023 01MAR2013 31DEC9999 Y Endoscopic insertion of stent or stents for large bowel obstruction, stricture or stenosis, including colonoscopy and any image intensification, where the obstruction is due to: a) a pre-diagnosed colorectal cancer, or cancer of an organ adjacent to the bowel; or b) an unknown diagnosis 32024 01DEC1991 30APR2004 N RECTUM, HIGH RESTORATIVE ANTERIOR RESECTION WITH INTRAPERITONEAL ANASTOMOSIS (of the rectum) greater than 10 centimetres from the anal verge excluding resection of sigmoid colon alone 32024 01MAY2004 30JUN2022 N RECTUM, HIGH RESTORATIVE ANTERIOR RESECTION WITH INTRAPERITONEAL ANASTOMOSIS (of the rectum) greater than 10 centimetres from the anal verge excluding resection of sigmoid colon alone not being a service associated with a service to which item 32103, 32104 or 32106 applies 32024 01JUL2022 31DEC9999 Y RECTUM, HIGH RESTORATIVE ANTERIOR RESECTION WITH INTRAPERITONEAL ANASTOMOSIS (of the rectum) greater than 10 centimetres from the anal verge excluding resection of sigmoid colon alone not being a service associated with a service to which item 32000, 32030, 32106 or 32232 applies (H) 32025 01MAY1994 30APR2004 N RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge, with or without covering stoma 32025 01MAY2004 30JUN2022 N RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge, with or without covering stoma not being a service associated with a service to which item 32103, 32104 or 32106 applies 32025 01JUL2022 31DEC9999 Y RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge, with or without covering stoma not being a service associated with a service to which item 32000, 32030, 32106 or 32232 applies (H) 32026 01MAY1994 30JUN2022 N RECTUM, ULTRA LOW RESTORATIVE RESECTION, with or without covering stoma, where the anastomosis is sited in the anorectal region and is 6cm or less from the anal verge 32026 01JUL2022 31DEC9999 Y Rectum, ultra-low restorative resection, with or without covering stoma and with or without colonic reservoir, if the anastomosis is sited in the anorectal region and is 6 cm or less from the anal verge, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H) 32027 01DEC1991 31DEC9999 Y RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge 32028 01MAY1994 30JUN2022 N RECTUM, LOW OR ULTRA LOW RESTORATIVE RESECTION, with peranal sutured coloanal anastomosis, with or without covering stoma 32028 01JUL2022 31DEC9999 Y Rectum, low or ultra-low restorative resection, with per anal sutured coloanal anastomosis, with or without covering stoma and with or without colonic reservoir, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H) 32029 01MAY1994 31DEC9999 Y COLONIC RESERVOIR, construction of, being a service associated with a service to which any other item in this Subgroup applies 32030 01DEC1991 30JUN2022 N RECTOSIGMOIDECTOMY (Hartmann's operation) 32030 01JUL2022 31DEC9999 Y RECTOSIGMOIDECTOMY, including formation of stoma (H) 32033 01DEC1991 31OCT1992 N RESTORATION OF BOWEL continuity following Hartmann's operation including dismantling of colostomy 32033 01NOV1992 30JUN2022 N RESTORATION OF BOWEL following Hartmann's or similar operation, including dismantling of the stoma 32033 01JUL2022 31DEC9999 Y RESTORATION OF BOWEL continuity following rectosigmoidectomy or similar operation, including dismantling of the stoma (H) 32036 01DEC1991 31DEC9999 Y SACROCOCCYGEAL AND PRESACRAL TUMOUR excision of 32039 01DEC1991 31DEC9999 Y RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF 1 surgeon 32042 01DEC1991 31DEC9999 Y RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF, COMBINED SYNCHRONOUS OPERATION abdominal resection 32045 01DEC1991 31DEC9999 Y RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF, COMBINED SYNCHRONOUS OPERATION perineal resection 32046 01NOV1992 31DEC9999 Y RECTUM and ANUS, abdomino-perineal resection of, combined synchronous operation - perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon 32047 01NOV1992 31DEC9999 Y PERINEAL PROCTECTOMY 32048 01DEC1991 31DEC9999 Y ABDOMINOPERINEAL PULL-THROUGH RESECTION with coloanal anastomosis (1 or 2 stages), including associated colostomy 32051 01DEC1991 31DEC9999 Y TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy 1 surgeon 32054 01DEC1991 31DEC9999 Y TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy conjoint surgery, abdominal surgeon (including aftercare) 32057 01DEC1991 31DEC9999 Y TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir conjoint surgery, perineal surgeon 32060 01DEC1991 30JUN2022 N ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy 1 surgeon 32060 01JUL2022 31DEC9999 Y Restorative proctectomy, involving rectal resection with formation of ileal reservoir and ileoanal anastomosis, including ileostomy mobilisation, with or without mucosectomy or temporary loop ileostomy, 1 surgeon (H) 32063 01DEC1991 31DEC9999 Y ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy conjoint surgery, abdominal surgeon (including aftercare) 32066 01DEC1991 31DEC9999 Y ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy conjoint surgery, perineal surgeon 32069 01DEC1991 31DEC9999 Y ILEOSTOMY RESERVOIR, continent type, creation of, including conversion of existing ileostomy where appropriate 32072 01DEC1991 31DEC9999 Y SIGMOIDOSCOPIC EXAMINATION (with rigid sigmoidoscope), with or without biopsy 32075 01DEC1991 31DEC9999 Y SIGMOIDOSCOPIC EXAMINATION (with rigid sigmoidoscope), UNDER GENERAL ANAESTHESIA, with or without biopsy, not being a service associated with a service to which another item in this Group applies 32078 01DEC1991 31DEC9999 Y SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or more polyps where the time taken is less than or equal to 45 minutes 32081 01DEC1991 31DEC9999 Y SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or more polyps where the time taken is greater than 45 minutes 32084 01DEC1991 31OCT2017 N FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC COLONOSCOPY up to the hepatic flexure, WITH or WITHOUT BIOPSY 32084 01NOV2017 31OCT2019 N Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy, other than a service associated with a service to which item 32090 or 32093 applies. 32084 01NOV2019 30APR2020 N Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy, other than a service associated with a service to which any of items 32222 to 32228 applies. 32084 01MAY2020 31DEC9999 Y Sigmoidoscopy or colonoscopy up to the hepatic flexure, with or without biopsy, other than a service associated with a service to which any of items 32222 to 32228 applies. 32087 01DEC1991 30APR2010 N FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC COLONOSCOPY up to the hepatic flexure WITH REMOVAL OF 1 OR MORE POLYPS not being a service to which item 32078 applies 32087 01MAY2010 30JUN2016 N Endoscopic examination of the colon up to the hepatic flexure by FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC COLONOSCOPY for the REMOVAL OF 1 OR MORE POLYPS or the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by ARGON PLASMA COAGULATION, 1 or more of, not being a service to which item 32078 applies 32087 01JUL2016 31OCT2017 N Endoscopic examination of the colon up to the hepatic flexure by FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC COLONOSCOPY for the REMOVAL OF 1 OR MORE POLYPS or the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by ARGON PLASMA COAGULATION, 1 or more of 32087 01NOV2017 31OCT2019 N Endoscopic examination of the colon up to the hepatic flexure by flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy for the removal of 1 or more polyps or the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by argon plasma coagulation, one or more of, other than a service associated with a service to which item 32090 or 32093 applies 32087 01NOV2019 30APR2020 N Endoscopic examination of the colon up to the hepatic flexure by flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy for the removal of 1 or more polyps or the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by argon plasma coagulation, one or more of, other than a service associated with a service to which any of items 32222 to 32228 applies 32087 01MAY2020 31DEC9999 Y Endoscopic examination of the colon up to the hepatic flexure by sigmoidoscopy or colonoscopy for the removal of one or more polyps, other than a service associated with a service to which any of items 32222 to 32228 applies (Anaes.) 32088 01MAY2016 31DEC9999 Y FIBREOPTIC COLONOSCOPY examination of the colon beyond the hepatic flexure WITH or WITHOUT BIOPSY, following a positive faecal occult blood test for a participant registered on the National Bowel Cancer Screening Program. 32089 01MAY2016 31DEC9999 Y Endoscopic examination of the colon beyond the hepatic flexure by FIBREOPTIC COLONOSCOPY for the REMOVAL OF 1 OR MORE POLYPS, following a positive faecal occult blood test for a participant registered on the National Bowel Cancer Screening Program. 32090 01DEC1991 31DEC9999 Y FIBREOPTIC COLONOSCOPY examination of colon beyond the hepatic flexure WITH or WITHOUT BIOPSY 32093 01DEC1991 30APR2010 N FIBREOPTIC COLONOSCOPY examination of colon beyond the hepatic flexure WITH REMOVAL OF 1 OR MORE POLYPS 32093 01MAY2010 31DEC9999 Y Endoscopic examination of the colon beyond the hepatic flexure by FIBREOPTIC COLONOSCOPY for the REMOVAL OF 1 OR MORE POLYPS, or the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by ARGON PLASMA COAGULATION, 1 or more of 32094 01NOV1992 31DEC9999 Y ENDOSCOPIC DILATATION OF COLORECTAL STRICTURES including colonoscopy 32095 01NOV1992 31DEC9999 Y ENDOSCOPIC EXAMINATION of SMALL BOWEL with flexible endoscope passed by stoma, with or without biopsies 32096 01DEC1991 30JUN2022 N RECTAL BIOPSY, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital 32096 01JUL2022 31DEC9999 Y RECTAL BIOPSY, full thickness, to diagnose or exclude Hirschsprung's Disease, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital 32099 01DEC1991 31OCT1992 N RECTAL TUMOUR of five centimetres or less in diameter, per anal submucosal excision of (excluding snare diathermy) 32099 01NOV1992 31DEC9999 Y RECTAL TUMOUR of 5 centimetres or less in diameter, per anal submucosal excision of 32102 01DEC1991 31OCT1992 N RECTAL TUMOUR of greater than five centimetres in diameter, per anal submucosal excision of 32102 01NOV1992 31DEC9999 Y RECTAL TUMOUR of greater than 5 centimetres in diameter, indicated by pathological examination, per anal submucosal excision of 32103 01MAY2004 31OCT2012 N RECTAL TUMOUR, of less than 4cm in diameter, per anal excision of, using stereoscopic rectoscopy (incorporating stereoscopic and optic systems), where removal is unable to be performed during colonoscopy or by local excision not being a service associated with a service to which item 32024, 32025, 32104 or 32106 applies 32103 01NOV2012 31DEC9999 Y RECTAL TUMOUR, of less than 4 cm in diameter, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy or by local excision, other than a service associated with a service to which item 32024, 32025, 32104 or 32106 applies 32104 01MAY2004 31OCT2012 N RECTAL TUMOUR, of 4cm or greater in diameter, per anal excision of, using stereoscopic rectoscopy (incorporating stereoscopic and optic systems), where removal is unable to be performed during colonoscopy or by local excision not being a service associated with a service to which item 32024, 32025, 32103 or 32106 applies 32104 01NOV2012 31DEC9999 Y RECTAL TUMOUR, of 4 cm or greater in diameter, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy or by local excision, other than a service associated with a service to which item 32024, 32025, 32103 or 32106 applies 32105 01DEC1991 31DEC9999 Y ANORECTAL CARCINOMA per anal full thickness excision of 32106 01MAY2004 31OCT2012 N ANTEROLATERAL INTRAPERITONEAL RECTAL TUMOUR, per anal excision of, using stereoscopic rectoscopy (incorporating stereoscopic and optic systems), where removal is unable to be performed during colonoscopy and where removal requires dissection within the peritoneal cavity not being a service associated with a service to which item 32024, 32025, 32103 or 32104 applies 32106 01NOV2012 30JUN2022 N ANTEROLATERAL INTRAPERITONEAL RECTAL TUMOUR, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy and if removal requires dissection within the peritoneal cavity, other than a service associated with a service to which item 32024, 32025, 32103 or 32104 applies 32106 01JUL2022 31DEC9999 Y Anterolateral intraperitoneal rectal tumour, per anal excision of, using rectoscopy digital viewing system and pneumorectum, if:(a) clinically appropriate; and(b) removal requires dissection within the peritoneal cavity;excluding use of a colonoscope as the operating platform and not being a service associated with a service to which item 32024, 32025 or 32232 applies 32108 01DEC1991 31DEC9999 Y RECTAL TUMOUR, transsphincteric excision of (Kraske or similar operation) 32111 01DEC1991 31DEC9999 Y RECTAL PROLAPSE Delorme procedure for 32112 01MAY1994 31DEC9999 Y RECTAL PROLAPSE, perineal recto-sigmoidectomy for 32114 01DEC1991 31DEC9999 Y RECTAL STRICTURE, per anal release of 32115 01MAY1997 31DEC9999 Y RECTAL STRICTURE, dilatation of 32117 01DEC1991 30APR1994 N RECTAL PROLAPSE, abdominal repair of 32117 01MAY1994 30JUN2022 N RECTAL PROLAPSE, abdominal rectopexy of 32117 01JUL2022 31DEC9999 Y Rectal prolapse, abdominal rectopexy of, excluding ventral mesh rectopexy, not being a service associated with a service to which item 32025 or 32026 applies (H) 32118 06JUL2022 29FEB2024 N Rectal prolapse, ventral mesh rectopexy of, not being a service associated with a service to which item 32025, 32026 or 32117 applies (H) 32118 01MAR2024 31DEC9999 Y Treatment of external rectal prolapse, or of symptomatic high grade rectal intussusception (the rectum descends to the level of or into the anal canal, confirmed by diagnostic imaging): (a) by minimally invasive surgery involving: (i) ventral dissection of the extra-peritoneal rectum; and (ii) suspension of the rectum from the sacral promontory by means of a prosthesis; and (b) including suspension of the vagina if performed, and any associated repair; other than a service associated with a service to which item 30390, 35595 or 35597 applies (H) 32120 01DEC1991 31DEC9999 Y RECTAL PROLAPSE, perineal repair of 32123 01DEC1991 31DEC9999 Y ANAL STRICTURE, anoplasty for 32126 01DEC1991 31DEC9999 Y ANAL INCONTINENCE, Parks' intersphincteric procedure for 32129 01DEC1991 30JUN2022 N ANAL SPHINCTER, direct repair of 32129 01JUL2022 31DEC9999 Y ANAL SPHINCTER, repair (H) 32131 01MAY1994 30APR2001 N RECTOCELE, perineal repair of 32131 01MAY2001 31DEC9999 Y RECTOCELE, transanal repair of rectocele 32132 01DEC1991 31DEC9999 Y HAEMORRHOIDS OR RECTAL PROLAPSE sclerotherapy for 32135 01DEC1991 31OCT2003 N HAEMORRHOIDS OR RECTAL PROLAPSE rubber band ligation of, with or without sclerotherapy, cryosurgery or infra red therapy for 32135 01NOV2003 30JUN2022 N HAEMORRHOIDS OR RECTAL PROLAPSE rubber band ligation of, with or without sclerotherapy, cryotherapy or infra red therapy for 32135 01JUL2022 31DEC9999 Y Treatment of haemorrhoids or rectal prolapse, including rubber band ligation or sclerotherapy for, not being a service to which item 32139 applies 32138 01DEC1991 30JUN1995 N HAEMORRHOIDECTOMY 32138 01JUL1995 31DEC9999 Y HAEMORRHOIDECTOMY including excision of anal skin tags when performed 32139 01MAY1997 30JUN2022 N HAEMORRHOIDECTOMY involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed 32139 01JUL2022 31DEC9999 Y Operative treatment of haemorrhoids involving third-degree or fourth-degree haemorrhoids, including excision of anal skin tags when performed, not being a service associated with a service to which item 32135 or 32233 applies (H) 32141 01DEC1991 31DEC9999 Y ANAL POLYPS, excision of one or more of 32142 01NOV1992 31DEC9999 Y ANAL SKIN TAGS or ANAL POLYPS, excision of 1 or more of 32144 01DEC1991 31DEC9999 Y ANAL SKIN TAGS, excision of one or more of 32145 01NOV1992 31DEC9999 Y ANAL SKIN TAGS or ANAL POLYPS, excision of 1 or more of, undertaken in the operating theatre of a hospital 32147 01DEC1991 31DEC9999 Y PERIANAL THROMBOSIS, incision of 32150 01DEC1991 30JUN2022 N OPERATION FOR FISSUREINANO, including excision or sphincterotomy, but excluding dilatation only 32150 01JUL2022 31DEC9999 Y Operation for anal fissure, including excision, injection of Botulinum toxin or sphincterotomy, excluding dilatation 32153 01DEC1991 31DEC9999 Y ANUS, DILATATION OF, under general anaesthesia, with or without disimpaction of faeces, not being a service associated with a service to which another item in this Group applies 32156 01DEC1991 30JUN2022 N FISTULA-IN-ANO, SUBCUTANEOUS, excision of 32156 01JUL2022 31DEC9999 Y Anal fistula, subcutaneous, excision of 32159 01DEC1991 30APR2004 N ANAL FISTULA, excision of, involving lower half of the anal sphincter mechanism 32159 01MAY2004 31DEC9999 Y ANAL FISTULA, treatment of, by excision or by insertion of a Seton, or by a combination of both procedures, involving the lower half of the anal sphincter mechanism 32162 01DEC1991 30APR2004 N ANAL FISTULA, excision of, involving the upper half of the anal sphincter mechanism 32162 01MAY2004 31DEC9999 Y ANAL FISTULA, treatment of, by excision or by insertion of a Seton, or by a combination of both procedures, involving the upper half of the anal sphincter mechanism 32165 01DEC1991 30JUN2022 N ANAL FISTULA, repair of, by mucosal flap advancement 32165 01JUL2022 31DEC9999 Y Operative treatment of anal fistula, repair by mucosal advancement flap, including ligation of inter-sphincteric fistula tract (LIFT) or other complex sphincter sparing surgery 32166 01NOV1992 31DEC9999 Y ANAL FISTULA - readjustment of Seton 32168 01DEC1991 31OCT1992 N FISTULA WOUND, review of, under general anaesthetic 32168 01NOV1992 30APR1994 N FISTULA WOUND, review of, under general or regional anaesthetic, as an independent procedure 32168 01MAY1994 31DEC9999 Y FISTULA WOUND, review of, under general or regional anaesthetic, as an independent procedure 32171 01DEC1991 30JUN2022 N ANORECTAL EXAMINATION, with or without biopsy, under general anaesthetic, not being a service associated with a service to which another item in this Group applies 32171 01JUL2022 31DEC9999 Y Anorectal examination, with or without biopsy, under general anaesthetic, with or without faecal disimpaction, other than a service associated with a service to which another item in this Group applies (H) 32174 01DEC1991 31DEC9999 Y INTR-AANAL, perianal or ischiorectal abscess, drainage of (excluding aftercare) 32175 01NOV1992 31DEC9999 Y INTRA-ANAL, PERIANAL or ISCHIO-RECTAL ABSCESS, draining of, undertaken in the operating theatre of a hospital (excluding aftercare) 32177 01DEC1991 31MAR1992 N ANAL WARTS, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved dayhospital facility, where the time taken is less than or equal to 45 minutes 32177 01APR1992 31DEC9999 Y ANAL WARTS, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is less than or equal to 45 minutes - not being a service associated with a service to which item 35507 or 35508 applies 32180 01DEC1991 31MAR1992 N ANAL WARTS, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved dayhospital facility, where the time taken is greater than 45 minutes 32180 01APR1992 31DEC9999 Y ANAL WARTS, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is greater than 45 minutes - not being a service associated with a service to which item 35507 or 35508 applies 32183 01DEC1991 31DEC9999 Y INTESTINAL SLING PROCEDURE prior to radiotherapy 32186 01DEC1991 31DEC9999 Y COLONIC LAVAGE, total, intra operative 32200 01MAY1997 31DEC9999 Y DISTAL MUSCLE, devascularisation of 32203 01MAY1997 31DEC9999 Y ANAL OR PERINEAL GRACILOPLASTY 32206 01MAY1997 31DEC9999 Y STIMULATOR AND ELECTRODES, insertion of, following previous graciloplasty 32209 01MAY1997 31DEC9999 Y ANAL OR PERINEAL GRACILOPLASTY with insertion of stimulator and electrodes 32210 19JUN1997 31OCT1997 N GRACILIS NEOSPHINCTER PACEMAKER, replacement of 32210 01NOV1997 31DEC9999 Y GRACILIS NEOSPHINCTER PACEMAKER, replacement of 32212 01MAY1997 31DEC9999 Y ANO-RECTAL APPLICATION OF FORMALIN in the treatment of radiation proctitis, where performed in the operating theatre of a hospital, excluding aftercare 32213 01NOV2005 31DEC2014 N SACRAL NERVE LEAD(S), placement of, percutaneous using fluoroscopic guidance, or open, and intraoperative test stimulation, for the management of faecal incontinence in a patient who has an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment 32213 01JAN2015 30APR2017 N SACRAL NERVE LEAD(S), placement of, percutaneous using fluoroscopic guidance, or open, and intraoperative test stimulation, for the management of faecal incontinence in a patient who has an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment. Contraindicated in: (a) patients under 18 years of age; and (b) patients 18 years of age or older who: (i) are medically unfit for surgery; or (ii) are pregnant or planning pregnancy; or (iii) have irritable bowel syndrome; or (iv) have congenital anorectal malformations; or (v) have active anal abscesses or fistulas; or (vi) have anorectal organic bowel disease, including cancer; or (vii) have functional effects of previous pelvic irradiation; or (viii) have congenital or acquired malformations of the sacrum; or (ix) have had rectal or anal surgery within the previous 12 months. 32213 01MAY2017 30JUN2022 N Sacral nerve lead or leads, percutaneous placement using fluoroscopic guidance (or open placement) and intraoperative test stimulation, to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months 32213 01JUL2022 31DEC9999 Y Sacral nerve lead or leads, placement of, percutaneous or open, including intraoperative test stimulation and programming, for the management of faecal incontinence (H) 32214 01NOV2005 31AUG2015 N NEUROSTIMULATOR or RECEIVER, subcutaneous placement of, and placement and connection of extension wire(s) to sacral nerve electrode(s), for the management of faecal incontinence in a patient who has an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, using fluoroscopic guidance 32214 01SEP2015 30APR2017 N NEUROSTIMULATOR or RECEIVER, subcutaneous placement of, and placement and connection of extension wire(s) to sacral nerve electrode(s), for the management of faecal incontinence in a patient who has an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, using fluoroscopic guidance. Contraindicated in: (a) patients under 18 years of age; and (b) patients 18 years of age or older who: (i) are medically unfit for surgery; or (ii) are pregnant or planning pregnancy; or (iii) have irritable bowel syndrome; or (iv) have congenital anorectal malformations; or (v) have active anal abscesses or fistulas; or (vi) have anorectal organic bowel disease, including cancer; or (vii) have functional effects of previous pelvic irradiation; or (viii) have congenital or acquired malformations of the sacrum; or (ix) have had rectal or anal surgery within the previous 12 months. 32214 01MAY2017 31DEC9999 Y Neurostimulator or receiver, subcutaneous placement of, involving placement and connection of an extension wire to a sacral nerve electrode using fluoroscopic guidance, to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months 32215 01NOV2005 31AUG2015 N SACRAL NERVE ELECTRODE(S), management, adjustment, and electronic programming of neurostimulator by a medical practitioner, for the management of faecal incontinence - each day 32215 01SEP2015 30APR2017 N SACRAL NERVE ELECTRODE(S), management, adjustment, and electronic programming of neurostimulator by a medical practitioner, for the management of faecal incontinence - each day. Contraindicated in: (a) patients under 18 years of age; and (b) patients 18 years of age or older who: (i) are medically unfit for surgery; or (ii) are pregnant or planning pregnancy; or (iii) have irritable bowel syndrome; or (iv) have congenital anorectal malformations; or (v) have active anal abscesses or fistulas; or (vi) have anorectal organic bowel disease, including cancer; or (vii) have functional effects of previous pelvic irradiation; or (viii) have congenital or acquired malformations of the sacrum; or (ix) have had rectal or anal surgery within the previous 12 months. 32215 01MAY2017 30JUN2022 N Sacral nerve electrode or electrodes, management, adjustment and electronic programming of the neurostimulator by a medical practitioner, to manage faecal incontinence, other than in a patient who: a) is medically unfit for surgery; or b) is pregnant or planning pregnancy; or c) has irritable bowel syndrome; or d) has congenital anorectal malformations; or e) has active anal abscesses or fistulas; or f) has anorectal organic bowel disease, including cancer; or g) has functional effects of previous pelvic irradiation; or h) has congenital or acquired malformations of the sacrum; or i) has had rectal or anal surgery within the previous 12 months -each day 32215 01JUL2022 31DEC9999 Y Sacral nerve electrode or electrodes, management, adjustment and electronic programming of the neurostimulator by a medical practitioner, to manage faecal incontinence, not being a service associated with a service to which item 32213, 32216, 32218 or 32237 applies. Applicable once per day for the same patient by the same practitioner 32216 01NOV2005 31AUG2015 N SACRAL NERVE LEAD(S), inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, surgical repositioning of, percutaneous using fluoroscopic guidance, or open, to correct displacement or unsatisfactory positioning, and intraoperative test stimulation, not being a service to which item 32213 applies 32216 01SEP2015 30APR2017 N SACRAL NERVE LEAD(S), inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, surgical repositioning of, percutaneous using fluoroscopic guidance, or open, to correct displacement or unsatisfactory positioning, and intraoperative test simulation, not being a service to which item 32213 applies. Contraindicated in: (a) patients under 18 years of age; and (b) patients 18 years of age or older who: (i) are medically unfit for surgery; or (ii) are pregnant or planning pregnancy; or (iii) have irritable bowel syndrome; or (iv) have congenital anorectal malformations; or (v) have active anal abscesses or fistulas; or (vi) have anorectal organic bowel disease, including cancer; or (vii) have functional effects of previous pelvic irradiation; or (viii) have congenital or acquired malformations of the sacrum; or (ix) have had rectal or anal surgery within the previous 12 months. 32216 01MAY2017 30JUN2022 N Sacral nerve lead or leads, percutaneous surgical repositioning of, using fluoroscopic guidance (or open surgical repositioning of) and interoperative test stimulation, to correct displacement or unsatisfactory positioning, if the lead was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months other than a service to which item 32213 applies 32216 01JUL2022 31DEC9999 Y Sacral nerve lead or leads, inserted for the management of faecal incontinence in a patient with faecal incontinence refractory to conservative non-surgical treatment, either:(a) percutaneous surgical repositioning of the lead or leads, using fluoroscopic guidance; or(b) open surgical repositioning of the lead or leads; to correct displacement or unsatisfactory positioning (including intraoperative test stimulation), not being a service associated with a service to which item 32213 applies (H) 32217 01NOV2005 31AUG2015 N NEUROSTIMULATOR or RECEIVER, inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, removal of 32217 01SEP2015 30APR2017 N NEUROSTIMULATOR or RECEIVER, inserted for the management of faecal incontinence in a patient who had an anatomically intact but funcionaly deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, removal of. Contraindicated in: (a) patients under 18 years of age; and (b) patients 18 years of age or older who: (i) are medically unfit for surgery; or (ii) are pregnant or planning pregnancy; or (iii) have irritable bowel syndrome; or (iv) have congenital anorectal malformations; or (v) have active anal abscesses or fistulas; or (vi) have anorectal organic bowel disease, including cancer; or (vii) have functional effects of previous pelvic irradiation; or (viii) have congenital or acquired malformations of the sacrum; or (ix) have had rectal or anal surgery within the previous 12 months. 32217 01MAY2017 31DEC9999 Y Neurostimulator or receiver, removal of, if the neurostimulator or receiver was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months 32218 01NOV2005 31DEC2014 N SACRAL NERVE LEAD(S), inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, removal of 32218 01JAN2015 30APR2017 N SACRAL NERVE LEAD(S), inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, removal of Contraindicated in: (a) patients under 18 years of age; and (b) patients 18 years of age or older who: (i) are medically unfit for surgery; or (ii) are pregnant or planning pregnancy; or (iii) have irritable bowel syndrome; or (iv) have congenital anorectal malformations; or (v) have active anal abscesses or fistulas; or (vi) have anorectal organic bowel disease, including cancer; or (vii) have functional effects of previous pelvic irradiation; or (viii) have congenital or acquired malformations of the sacrum; or (ix) have had rectal or anal surgery within the previous 12 months. 32218 01MAY2017 30JUN2022 N Sacral nerve lead or leads, removal of, if the lead was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months 32218 01JUL2022 31DEC9999 Y Sacral nerve lead or leads, removal (H) 32220 01MAR2009 31DEC2014 N Insertion of an artificial bowel sphincter for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed 32220 01JAN2015 31DEC9999 Y Insertion of an artificial bowel sphincter for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed. Contraindicated in: (a) patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases or a scarred or fragile perineum; and (b) patients who have had an adverse reaction or radiopaque solution; and (c) patients who enage in receptive anal intercourse 32221 01MAR2009 31DEC2014 N Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed 32221 01JAN2015 30JUN2023 N Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed. Contraindicated in: (a) patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases or a scarred or fragile perineum; and (b) patients who have had an adverse reaction to radiopaque solution; and (c) patients who engage in receptive anal intercourse 32221 01JUL2023 31DEC9999 Y Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed. 32222 01NOV2019 31DEC9999 Y Endoscopic examination of the colon to the caecum by colonoscopy, for a patient: (a) following a positive faecal occult blood test; or (b) who has symptoms consistent with pathology of the colonic mucosa; or (c) with anaemia or iron deficiency; or (d) for whom diagnostic imaging has shown an abnormality of the colon; or (e) who is undergoing the first examination following surgery for colorectal cancer; or (f) who is undergoing pre-operative evaluation; or (g) for whom a repeat colonoscopy is required due to inadequate bowel preparation for the patient's previous colonoscopy; or (h) for the management of inflammatory bowel disease Applicable only once on a day under a single episode of anaesthesia or other sedation 32223 01NOV2019 28FEB2021 N Endoscopic examination of the colon to the caecum by colonoscopy, for a patient: (a) who has had a colonoscopy that revealed 1 to 4 adenomas, each of which were less than 10mm in diameter, had no villous features and had no high grade dysplasia; or (b) with a moderate risk of colorectal cancer due to family history; or (c) with a history of colorectal cancer, who has had an initial post-operative colonoscopy that did not reveal any adenomas or colorectal cancer Applicable only once in any 5 year period 32223 01MAR2021 31DEC9999 Y Endoscopic examination of the colon to the caecum by colonoscopy, for a patient: (a) who has had a colonoscopy that revealed: (i) 1 to 4 adenomas, each of which was less than 10 mm in diameter, had no villous features and had no high grade dysplasia; or (ii) 1 or 2 sessile serrated lesions, each of which was less than 10 mm in diameter, and without dysplasia; or (b) with a moderate risk of colorectal cancer due to family history; or (c) with a history of colorectal cancer, who has had an initial post-operative colonoscopy that did not reveal any adenomas or colorectal cancer Applicable only once in any 5 year period 32224 01NOV2019 30APR2020 N Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a moderate risk of colorectal cancer due to: (a) a history of adenomas, including an adenoma that: (i) was greater than 10mm in diameter; or (ii) had villous features; or (iii) had high grade dysplasia; or (iv) was an advanced serrated adenoma; or (b) having had a previous colonoscopy that revealed 5 to 9 adenomas, each of which was less than 10mm in diameter, had no villous features and had no high grade dysplasia Applicable only once in any 3 year period 32224 01MAY2020 28FEB2021 N Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a moderate risk of colorectal cancer due to: (a) a history of adenomas, including an adenoma that: (i) was greater than or equal to 10mm in diameter; or (ii) had villous features; or (iii) had high grade dysplasia; or (iv) was an advanced serrated adenoma; or (b) having had a previous colonoscopy that revealed 5 to 9 adenomas, each of which was less than 10mm in diameter, had no villous features and had no high grade dysplasia Applicable only once in any 3 year period 32224 01MAR2021 31DEC9999 Y Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a moderate risk of colorectal cancer due to: (a) a history of adenomas, including an adenoma that: (i) was 10 mm or greater in diameter; or (ii) had villous features; or (iii) had high grade dysplasia; or (b) having had a previous colonoscopy that revealed: (i) 5 to 9 adenomas, each of which was less than 10 mm in diameter, had no villous features and had no high grade dysplasia; or (ii) 1 or 2 sessile serrated lesions, each of which was 10 mm or greater in diameter or had dysplasia; or (iii) a hyperplastic polyp that was 10 mm or greater in diameter; or (iv) 3 or more sessile serrated lesions, each of which was less than 10 mm in diameter and had no dysplasia; or (v) 1 or 2 traditional serrated adenomas, of any size Applicable only once in any 3 year period (Anaes.) 32225 01NOV2019 31DEC9999 Y Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a high risk of colorectal cancer due to having had a previous colonoscopy that: (a) revealed 10 or more adenomas; or (b) included a piecemeal, or possibly incomplete, excision of a large, sessile polyp Applicable not more than 4 times in any 12 month period 32226 01NOV2019 28FEB2021 N Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a high risk of colorectal cancer due to: (a) a known or suspected familial condition, such as familial adenomatous polyposis, Lynch syndrome or serrated polyposis syndrome; or (b) a genetic mutation associated with hereditary colorectal cancer Applicable only once in any 12 month period 32226 01MAR2021 31DEC9999 Y Endoscopic examination of the colon to the caecum by colonoscopy, for a patient who has a high risk of colorectal cancer due to: (a) having either: (i) a known or suspected familial condition, such as familial adenomatous polyposis, Lynch syndrome or serrated polyposis syndrome; or (ii) a genetic mutation associated with hereditary colorectal cancer; or (b) having had a previous colonoscopy that revealed: (i) 5 or more sessile serrated lesions, each of which was less than 10 mm in diameter and had no dysplasia; or (ii) 3 or more sessile serrated lesions, 1 or more of which was 10 mm or greater in diameter or had dysplasia; or (iii) 3 or more traditional serrated adenomas, of any size Applicable only once in any 12 month period (Anaes.) 32227 01NOV2019 31DEC9999 Y Endoscopic examination of the colon to the caecum by colonoscopy: (a) for the treatment of bleeding, including one or more of the following: (i) radiation proctitis; (ii) angioectasia; (iii) post-polypectomy bleeding; or (b) for the treatment of colonic strictures with balloon dilatation Applicable only once on a day under a single episode of anaesthesia or other sedation 32228 01NOV2019 31DEC9999 Y Endoscopic examination of the colon to the caecum by colonoscopy, other that a service to which item 32222, 32223, 32224, 32225, or 32226 applies. Applicable only once 32229 01NOV2019 31DEC9999 Y Removal of one or more polyps during colonoscopy, in association with a service to which item 32222, 32223, 32224, 32225, 32226, or 32228 applies 32230 01NOV2021 31DEC2021 N Endoscopic mucosal resection using electrocautery of a non-invasive sessile or flat superficial colorectal neoplasm which is at least 25mm in diameter, if the service is: (a) provided by a specialist gastroenterologist or surgical endoscopist; and (b) supported by photographic evidence to confirm the size of the polyp in situ, and (c) performed in association with a service to which item 32222, 32223, 32224, 32225, 32226 or 32228 applies. Applicable only once per polyp (H) 32230 01JAN2022 31DEC9999 Y Endoscopic mucosal resection using electrocautery of a non-invasive sessile or flat superficial colorectal neoplasm which is at least 25mm in diameter, if the service is: (a) provided by a specialist gastroenterologist or surgical endoscopist; and (b) supported by photographic evidence to confirm the size of the polyp in situ, and (c) performed within 6 months after a service to which item 32222, 32223, 32224, 32225, 32226 or 32228 applies has been performed Applicable only once per polyp (H) 32231 01JUL2022 31DEC9999 Y Rectal tumour, per anal excision of (H) 32232 01JUL2022 31DEC9999 Y Rectal tumour, per anal excision of, using a rectoscopy digital viewing system and pneumorectum if clinically appropriate and excluding use of a colonoscope as the operating platform, not being a service associated with a service to which item 32024, 32025 or 32106 applies (H) 32233 01JUL2022 31DEC9999 Y Perineal repair of rectal prolapse, not being a service associated with a service to which item 32139 applies (H) 32234 01JUL2022 31DEC9999 Y Rectal stricture, treatment of (H) 32235 01JUL2022 31DEC9999 Y Anal skin tags or anal polyps, excision of one or more of 32236 01JUL2022 31DEC9999 Y Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block), not being a service associated with a service to which item 35507 or 35508 applies (H) 32237 01JUL2022 31DEC9999 Y Neurostimulator or receiver, subcutaneous placement of, replacement of, or removal of, including programming and placement and connection of an extension wire or wires to sacral nerve electrode(s), for the management of faecal incontinence (H) 32500 01DEC1991 30APR1994 N VARICOSE VEINS VARICOSE VEINS, multiple simultaneous injections by continuous compression techniques including associated consultation - 1 OR BOTH LEGS - not being a service associated with any other varicose veins operation on the same leg (excluding after-care) 32500 01MAY1994 31OCT1994 N VARICOSE VEINS VARICOSE VEINS, (excluding telangiectases, starburst vessels, spider nevi or similar), multiple injections using continuous compression techniques including associated consultation - 1 or both legs - not being a service associated with any other varicose veins operation on the same leg (excluding after-care) 32500 01NOV1994 30APR2003 N VARICOSE VEINS VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg (excluding after-care) - to a maximum of 6 treatments in a 12 month period 32500 01MAY2003 31OCT2021 N VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections of sclerosant using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg (excluding after-care) - to a maximum of 6 treatments in a 12 month period 32500 01NOV2021 31DEC9999 Y Varicose veins, multiple injections of sclerosant using continuous compression techniques, including associated consultation, one or both legs, if: (a) proximal reflux of 0.5 seconds or longer has been demonstrated; and (b) the service is not for cosmetic purposes; and (c) the service is not associated with: (i) any other varicose vein operation on the same leg (excluding aftercare); or (ii) a service on the same leg (excluding aftercare) to which any of the following items apply: (A) 35200; (B) 59970 to 60078; (C) 60500 to 60509; (D) 61109 Applicable to a maximum of 6 treatments in a 12 month period 32501 19JUN1997 31OCT1997 N VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg, (excluding after-care) - where it can be demonstrated that a 7th or subsequent treatment (including any treatments to which item 32500 applies) is indicated in a 12 month period 32501 01NOV1997 30APR2003 N VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg, (excluding after-care) - where it can be demonstrated that a 7th or subsequent treatment (including any treatments to which item 32500 applies) is indicated in a 12 month period 32501 01MAY2003 31DEC9999 Y VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections of sclerosant using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg, (excluding after-care) where it can be demonstrated that truncal reflux in the long or short saphenous veins has been excluded by duplex examination - and that a 7th or subsequent treatment (including any treatments to which item 32500 applies) is indicated in a 12 month period 32503 01DEC1991 31DEC9999 Y VARICOSE VEINS, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of 1 or more deep perforating veins through separate incisions - 1 LEG - not being a service associated with a service to which item 32506, 32509 or 32530 applies on the same leg 32504 01NOV1994 31OCT2002 N VARICOSE VEINS, multiple excision of tributaries, with or without division of 1 or more perforating veins - 1 leg - not being a service associated with a service to which item 32507, 32508, 32511, 32514 or 32517 applies 32504 01NOV2002 31DEC9999 Y VARICOSE VEINS, multiple excision of tributaries, with or without division of 1 or more perforating veins - 1 leg - not being a service associated with a service to which item 32507, 32508, 32511, 32514 or 32517 applies on the same leg 32505 01NOV1994 31DEC9999 Y VARICOSE VEINS, sub-fascial ligation of 1 or more incompetent perforating veins - 1 leg - not being a service associated with a service to which item 32508, 32511, 32514 or 32517 applies 32506 01DEC1991 31DEC9999 Y VARICOSE VEINS, high ligation and complete or partial stripping or excision of long or short saphenous vein or its major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins - 1 leg 32507 01JUL1998 31OCT2002 N VARICOSE VEINS, sub-fascial surgical exploration of one or more incompetent perforating veins - 1 leg - not being a service associated with a service to which item 32508, 32511, 32514 or 32517 applies 32507 01NOV2002 31OCT2021 N VARICOSE VEINS, sub-fascial surgical exploration of one or more incompetent perforating veins - 1 leg - not being a service associated with a service to which item 32508, 32511, 32514 or 32517 applies on the same leg 32507 01NOV2021 31DEC9999 Y Varicose veins, sub-fascial ligation of one or more incompetent perforating veins in one leg of a patient, if the service: (a) is performed by open surgical technique (not including endoscopic ligation) and the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; and (b) is not associated with: (i) any other varicose vein operation on the same leg; or (ii) a service (on the same leg) to which item 35200, 60072, 60075 or 60078 applies (H) 32508 01NOV1994 31OCT2002 N VARICOSE VEINS, complete dissection at the sapheno-femoral OR sapheno-popliteal junction, with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time, including excision or injection of either tributaries or incompetent perforating veins, or both 32508 01NOV2002 31OCT2021 N VARICOSE VEINS, complete dissection at the sapheno-femoral OR sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both 32508 01NOV2021 31DEC9999 Y Varicose veins, complete dissection at the sapheno-femoral or sapheno-popliteal junction, with or without either ligation or stripping, or both, of the great or small saphenous veins in one leg of a patient, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (a) ache; (b) pain; (c) tightness; (d) skin irritation; (e) heaviness; (f) muscle cramps; (g) limb swelling; (h) discolouration; (i) discomfort; (j) any other signs or symptoms attributable to venous dysfunction (H) 32509 01DEC1991 31DEC9999 Y VARICOSE VEINS, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins - 1 leg - 32511 01NOV1994 31OCT2002 N VARICOSE VEINS, complete dissection at the sapheno-femoral AND sapheno-popliteal junction, with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time, including excision or injection of either tributaries or incompetent perforating veins, or both 32511 01NOV2002 31OCT2021 N VARICOSE VEINS, complete dissection at the sapheno-femoral AND sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both 32511 01NOV2021 31DEC9999 Y Varicose veins, complete dissection at the sapheno-femoral and sapheno-popliteal junction, with or without either ligation or stripping, or both, of the great or small saphenous veins in one leg of a patient, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (a) ache; (b) pain; (c) tightness; (d) skin irritation; (e) heaviness; (f) muscle cramps; (g) limb swelling; (h) discolouration; (i) discomfort; (j) any other signs or symptoms attributable to venous dysfunction (H) 32512 01DEC1991 31DEC9999 Y LONG SAPHENOUS VEIN, complete dissection and ligation of, at the sapheno-femoral junction, for migrating thrombosis of long saphenous vein 32514 01NOV1994 31OCT2002 N VARICOSE VEINS, ligation of the long or short saphenous vein, with or without stripping, by re-operation for recurrent veins in the same territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both 32514 01NOV2002 31OCT2021 N VARICOSE VEINS, ligation of the long or short saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in the same territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both 32514 01NOV2021 31DEC9999 Y Varicose veins, ligation of the great or small saphenous vein in the same leg of a patient, with or without stripping, by re-operation for recurrent veins in the same territory-one leg-including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (a) ache; (b) pain; (c) tightness; (d) skin irritation; (e) heaviness; (f) muscle cramps; (g) limb swelling; (h) discolouration; (i) discomfort; (j) any other signs or symptoms attributable to venous dysfunction (H) 32515 01DEC1991 31DEC9999 Y VARICOSE VEINS, complete dissection at SAPHENO-FEMORAL JUNCTION, with or without ligation of long saphenous vein, with or without ligation of the major tributaries at sapheno-femoral junction - 1 leg 32517 01NOV1994 31OCT2002 N VARICOSE VEINS, ligation of the long and short saphenous vein, with or without stripping, by re-operation for recurrent veins in either territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both 32517 01NOV2002 31OCT2021 N VARICOSE VEINS, ligation of the long and short saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in either territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both 32517 01NOV2021 31DEC9999 Y Varicose veins, ligation of the great and small saphenous vein in the same leg of a patient, with or without stripping, by re-operation for recurrent veins in either territory-one leg-including excision or injection of either tributaries or incompetent perforating veins, or both, if the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (a) ache; (b) pain; (c) tightness; (d) skin irritation; (e) heaviness; (f) muscle cramps; (g) limb swelling; (h) discolouration; (i) discomfort; (j) any other signs or symptoms attributable to venous dysfunction (H) 32518 01DEC1991 31DEC9999 Y VARICOSE VEINS, complete dissection at sapheno-popliteal junction, with or without ligation of the short saphenous vein, with or without ligation of the major tributaries at the sapheno-popliteal junction - 1 leg 32520 01NOV2011 30JUN2012 N VARICOSE VEINS, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, including all preparation and immediate clinical aftercare but not including radiofrequency diathermy or radiofrequency ablation. 32520 01JUL2012 30APR2013 N VARICOSE VEINS, abolition of venous reflux by occlusion of a primary or recurrent great (long) OR small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) but not including radiofrequency diathermy or radiofrequency ablation, not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 of the general medical services table. 32520 01MAY2013 30APR2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, where it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) but not including radiofrequency diathermy or radiofrequency ablation, and not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 32520 01MAY2018 31OCT2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32501, 32504 and 32507 32520 01NOV2018 31OCT2021 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 32520 01NOV2021 31OCT2022 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) of the patient demonstrates reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60078; (iv) 60500 to 60509; (v) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32520 01NOV2022 31DEC9999 Y Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) of the patient demonstrates reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60021; (iv) 60036 to 60045; (v) 60060 to 60078; (vi) 60500 to 60509; (vii) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32521 01DEC1991 31DEC9999 Y VARICOSE VEINS, sub-fascial ligation of single deep perforating vein not being a service associated with any other varicose vein operation on the same leg - 1 leg 32522 01NOV2011 30JUN2012 N VARICOSE VEINS, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, including all preparation and immediate clinical aftercare but not including radiofrequency diathermy or radiofrequency ablation. 32522 01JUL2012 30APR2013 N VARICOSE VEINS, abolition of venous reflux by occlusion of a primary or recurrent great (long) AND small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) but not including radiofrequency diathermy or radiofrequency ablation, not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 of the general medical services table. 32522 01MAY2013 30APR2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, where it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) but not including radiofrequency diathermy or radiofrequency ablation, and not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 32522 01MAY2018 31OCT2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation, and not provided on the same occasion as a service described in any of items 32500, 32501, 32504 and 32507 32522 01NOV2018 31OCT2021 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation, and not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 32522 01NOV2021 31OCT2022 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great and small saphenous veins of the patient demonstrate reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60078; (iv) 60500 to 60509; (v) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32522 01NOV2022 31DEC9999 Y Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great and small saphenous veins of the patient demonstrate reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60021; (iv) 60036 to 60045; (v) 60060 to 60078; (vi) 60500 to 60509; (vii) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32523 01MAY2013 30APR2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, where it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both), but not including endovenous laser therapy, and not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 32523 01MAY2018 31OCT2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including endovenous laser therapy or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32501, 32504 and 32507 32523 01NOV2018 31OCT2021 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including endovenous laser therapy or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 32523 01NOV2021 31OCT2022 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a radiofrequency catheter introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include endovenous laser therapy or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60078; (iv) 60500 to 60509; (v) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32523 01NOV2022 31DEC9999 Y Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a radiofrequency catheter introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include endovenous laser therapy or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60021; (iv) 60036 to 60045; (v) 60060 to 60078; (vi) 60500 to 60509; (vii) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32524 01DEC1991 31DEC9999 Y VARICOSE VEINS, sub-fascial ligation of multiple deep perforating veins - 1 leg (Cockett's operation, Linton's operation or similar procedure) 32526 01MAY2013 30APR2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, where it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both), but not including endovenous laser therapy, and not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 32526 01MAY2018 31OCT2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a)including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including endovenous laser therapy or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32501, 32504 and 32507 32526 01NOV2018 31OCT2021 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including endovenous laser therapy or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 32526 01NOV2021 31OCT2022 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a radiofrequency catheter introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include endovenous laser therapy or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60078; (iv) 60500 to 60509; (v) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32526 01NOV2022 31DEC9999 Y Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a radiofrequency catheter introduced by an endovenous catheter, if all of the following apply: (a) it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include endovenous laser therapy or cyanoacrylate adhesive; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60021; (iv) 60036 to 60045; (v) 60060 to 60078; (vi) 60500 to 60509; (vii) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32527 01DEC1991 31DEC9999 Y GROIN OR POPLITEAL FOSSA, reoperation in, for recurrent sapheno-popliteal incompetence - 1 leg 32528 01MAY2018 31OCT2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and (c) not provided on the same occasion as a service described in any of items 32500, 32501, 32504 and 32507 32528 01NOV2018 31OCT2021 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) or small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and (c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 32528 01NOV2021 31OCT2022 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using cyanoacrylate adhesive, if all of the following apply: (a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60078; (iv) 60500 to 60509; (v) 61109 The service include all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32528 01NOV2022 31DEC9999 Y Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using cyanoacrylate adhesive, if all of the following apply: (a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60021; (iv) 60036 to 60045; (v) 60060 to 60078; (vi) 60500 to 60509; (vii) 61109 The service include all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32529 01MAY2018 31OCT2018 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and (c) not provided on the same occasion as a service described in any of items 32500, 32501, 32504 and 32507 32529 01NOV2018 31OCT2021 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great (long) and small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and (c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 32529 01NOV2021 31OCT2022 N Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using cyanoacrylate adhesive, if all of the following apply: (a) it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60078; (iv) 60500 to 60509; (v) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32529 01NOV2022 31DEC9999 Y Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using cyanoacrylate adhesive, if all of the following apply: (a) it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer; (b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux: (i) ache; (ii) pain; (iii) tightness; (iv) skin irritation; (v) heaviness; (vi) muscle cramps; (vii) limb swelling; (viii) discolouration; (ix) discomfort; (x) any other signs or symptoms attributable to venous dysfunction; (c) the service does not include radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; (d) the service is not associated with a service (on the same leg) to which any of the following items apply: (i) 32500 to 32507; (ii) 35200; (iii) 59970 to 60021; (iv) 60036 to 60045; (v) 60060 to 60078; (vi) 60500 to 60509; (vii) 61109 The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) 32530 01DEC1991 31DEC9999 Y GROIN OR POPLITEAL FOSSA, reoperation in, for recurrent sapheno-femoral incompetence or recurrent sapheno-popliteal incompetence with 1 or more of the following - multiple ligations, local stripping or excision of minor veins or sclerotherapy of minor veins - 1 leg 32700 01DEC1991 31DEC9999 Y ARTERY OF NECK, bypass using vein or synthetic material 32703 01DEC1991 31DEC9999 Y INTERNAL CAROTID ARTERY, transection and reanastomosis of, or resection of small length and reanastomosis of - with or without endarterectomy 32706 01DEC1991 31DEC9999 Y INTERNAL CAROTID ARTERY, re-operation for recurrent stenosis with bypass by graft of vein or synthetic material 32708 01JUL1996 31DEC9999 Y AORTIC BYPASS for occlusive disease using a straight non-bifurcated graft 32709 01DEC1991 31DEC9999 Y AORTO-ILIAC OR AORTO-FEMORAL GRAFTING, straight or bifurcated 32710 01JUL1996 31DEC9999 Y AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or both anastomoses to the iliac arteries 32711 01JUL1996 31DEC9999 Y AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or both anastomoses to the common femoral or profunda femoris arteries 32712 01DEC1991 31DEC9999 Y ILIO-FEMORAL BYPASS GRAFTING 32715 01DEC1991 31DEC9999 Y AXILLARY or SUBCLAVIAN TO FEMORAL BYPASS GRAFTING to 1 or both FEMORAL ARTERIES 32718 01DEC1991 31DEC9999 Y FEMORO-FEMORAL OR ILIO-FEMORAL CROSS-OVER BYPASS GRAFTING 32721 01DEC1991 31DEC9999 Y RENAL ARTERY, bypass grafting to 32724 01DEC1991 31DEC9999 Y RENAL ARTERIES (both), bypass grafting to 32727 01DEC1991 31DEC9999 Y SPLENO-RENAL ARTERIAL BYPASS GRAFTING 32730 01DEC1991 31DEC9999 Y MESENTERIC VESSEL (single), bypass grafting to 32733 01DEC1991 31DEC9999 Y MESENTERIC VESSELS (multiple), bypass grafting to 32736 01DEC1991 31DEC9999 Y INFERIOR MESENTERIC ARTERY, operation on, when performed in conjunction with another intra-abdominal vascular operation 32739 01DEC1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis 32742 01DEC1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery 32745 01DEC1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery 32748 01DEC1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5cms of the ankle joint 32751 01DEC1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING using synthetic graft, with lower anastomosis above or below the knee 32754 01DEC1991 31DEC9999 Y FEMORAL ARTERY BYPASS GRAFTING, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at 1 or both anastomoses 32757 01DEC1991 31DEC9999 Y FEMORAL ARTERY SEQUENTIAL BYPASS GRAFTING, (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than 1 artery - each additional artery revascularised beyond a femoral bypass 32760 01DEC1991 30JUN1993 N VEIN, harvesting of from leg or arm for bypass or replacement graft when not performed through same incision as operation - each vein 32760 01JUL1993 31DEC9999 Y VEIN, HARVESTING OF, FROM LEG OR ARM for bypass or replacement graft when not performed on the limb which is the subject of the bypass or graft - each vein 32763 01DEC1991 31DEC9999 Y ARTERIAL BYPASS GRAFTING, using vein or synthetic material, not being a service to which another item in this Sub-group applies 32766 01DEC1991 31DEC9999 Y ARTERIAL OR VENOUS ANASTOMOSIS, not being a service to which another item in this Sub-group applies, as an independent procedure 32769 01DEC1991 31DEC9999 Y ARTERIAL OR VENOUS ANASTOMOSIS not being a service to which another item in this Sub-group applies, when performed in combination with another vascular operation (including graft to graft anastomosis) 33050 01JUL1996 31DEC9999 Y BYPASS GRAFTING to replace a popliteal aneurysm using vein, including harvesting vein (when it is the ipsilateral long saphenous vein) 33055 01JUL1996 31DEC9999 Y BYPASS GRAFTING to replace a popliteal aneurysm using a synthetic graft 33070 01JUL1996 31DEC9999 Y ANEURYSM IN THE EXTREMITIES, ligation, suture closure or excision of, without bypass grafting 33075 01JUL1996 31DEC9999 Y ANEURYSM IN THE NECK, ligation, suture closure or excision of, without bypass grafting 33080 01JUL1996 31DEC9999 Y INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, suture closure or excision of, without bypass grafting 33100 01DEC1991 31DEC9999 Y ANEURYSM OF COMMON OR INTERNAL CAROTID ARTERY, OR BOTH, replacement by graft of vein or synthetic material 33103 01DEC1991 31DEC9999 Y THORACIC ANEURYSM, replacement by graft 33106 01DEC1991 31DEC9999 Y ARTERY OR VEIN BYPASS GRAFT, patch grafting to using vein or synthetic material, not being a service associated with any other vascular operation 33109 01DEC1991 31DEC9999 Y THORACO-ABDOMINAL ANEURYSM, replacement by graft including re-implantation of arteries 33112 01DEC1991 31DEC9999 Y SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft including re-implantation of arteries 33115 01DEC1991 31OCT1999 N INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft 33115 01NOV1999 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft, not being a service associated with a service to which item 33116 applies 33116 01NOV1999 31OCT2007 N INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft using endovascular repair procedure, excluding associated radiological services (Ministerial Determination) 33116 01NOV2007 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft using endovascular repair procedure, excluding associated radiological services 33118 01DEC1991 31OCT1999 N INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) 33118 01NOV1999 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) not being a service associated with a service to which item 33119 applies 33119 01NOV1999 31OCT2007 N INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to one or both iliac arteries using endovascular repair procedure, excluding associated radiological services (Ministerial Determination) 33119 01NOV2007 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to one or both iliac arteries using endovascular repair procedure, excluding associated radiological services 33121 01DEC1991 31DEC9999 Y INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to 1 or both femoral arteries (with or without excision or bypass of common iliac aneurysms) 33124 01DEC1991 31DEC9999 Y ANEURYSM OF ILIAC ARTERY (common, external or internal), replacement by graft - unilateral 33127 01DEC1991 31DEC9999 Y ANEURYSMS OF ILIAC ARTERIES (common, external or internal), replacement by graft - bilateral 33130 01DEC1991 31DEC9999 Y ANEURYSM OF VISCERAL ARTERY, excision and repair by direct anastomosis or replacement by graft 33133 01DEC1991 31DEC9999 Y ANEURYSM OF VISCERAL ARTERY, dissection and ligation of arteries without restoration of continuity 33136 01DEC1991 31DEC9999 Y FALSE ANEURYSM, repair of, at aortic anastomosis following previous aortic surgery 33139 01DEC1991 31DEC9999 Y FALSE ANEURYSM, repair of, in iliac artery and restoration of arterial continuity 33142 01DEC1991 31DEC9999 Y FALSE ANEURYSM, repair of, in femoral artery and restoration of arterial continuity 33145 01DEC1991 31DEC9999 Y RUPTURED THORACIC AORTIC ANEURYSM, replacement by graft 33148 01DEC1991 31DEC9999 Y RUPTURED THORACO-ABDOMINAL AORTIC ANEURYSM, replacement by graft 33151 01DEC1991 31DEC9999 Y RUPTURED SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft 33154 01DEC1991 31DEC9999 Y RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft 33157 01DEC1991 31DEC9999 Y RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) 33160 01DEC1991 31DEC9999 Y RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to 1 or both femoral arteries 33163 01DEC1991 31DEC9999 Y RUPTURED ILIAC ARTERY ANEURYSM, replacement by graft 33166 01DEC1991 31DEC9999 Y RUPTURED ANEURYSM OF VISCERAL ARTERY, replacement by anastomosis or graft 33169 01DEC1991 31DEC9999 Y RUPTURED ANEURYSM OF VISCERAL ARTERY, simple ligation of 33172 01DEC1991 31DEC9999 Y ANEURYSM OF MAJOR ARTERY, replacement by graft, not being a service to which another item in this Sub-group applies 33175 01JUL1996 31DEC9999 Y RUPTURED ANEURYSM IN THE EXTREMITIES, ligation, suture closure or excision of, without bypass grafting 33178 01JUL1996 31DEC9999 Y RUPTURED ANEURYSM IN THE NECK, ligation, suture closure or excision of, without bypass grafting 33181 01JUL1996 31DEC9999 Y RUPTURED INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, suture closure or excision of, without bypass grafting 33500 01DEC1991 31DEC9999 Y ARTERY OR ARTERIES OF NECK, endarterectomy of, including closure by suture (where endarterectomy of 1 or more arteries is undertaken through 1 arteriotomy incision) 33503 01DEC1991 31DEC9999 Y INTERNAL CAROTID ARTERY, re-operation for recurrent stenosis with endarterectomy and closure by suture 33506 01DEC1991 31DEC9999 Y INNOMINATE OR SUBCLAVIAN ARTERY, endarterectomy of, including closure by suture 33509 01DEC1991 31DEC9999 Y AORTIC ENDARTERECTOMY, including closure by suture, not being a service associated with another procedure on the aorta 33512 01DEC1991 31DEC9999 Y AORTO-ILIAC ENDARTERECTOMY (1 or both iliac arteries), including closure by suture not being a service associated with a service to which item 33515 applies 33515 01DEC1991 31DEC9999 Y AORTO-FEMORAL ENDARTERECTOMY (1 or both femoral arteries) or BILATERAL ILIO-FEMORAL ENDARTERECTOMY, including closure by suture, not being a service associated with a service to which item 33512 applies 33518 01DEC1991 31DEC9999 Y ILIAC ENDARTERECTOMY, including closure by suture, not being a service associated with another procedure on the iliac artery 33521 01DEC1991 31DEC9999 Y ILIO-FEMORAL ENDARTERECTOMY (1 side), including closure by suture 33524 01DEC1991 31DEC9999 Y RENAL ARTERY, endarterectomy of 33527 01DEC1991 31DEC9999 Y RENAL ARTERIES (both), endarterectomy of 33530 01DEC1991 31DEC9999 Y COELIAC OR SUPERIOR MESENTERIC ARTERY, endarterectomy of 33533 01DEC1991 31DEC9999 Y COELIAC AND SUPERIOR MESENTERIC ARTERY, endarterectomy of 33536 01DEC1991 31DEC9999 Y INFERIOR MESENTERIC ARTERY, endarterectomy of, not being a service associated with a service to which another item in this Sub-group applies 33539 01DEC1991 31DEC9999 Y ARTERY OF EXTREMITIES, endarterectomy of, including closure by suture 33542 01DEC1991 31DEC9999 Y EXTENDED DEEP FEMORAL ENDARTERECTOMY where the endarterectomy is at least 7cms long 33545 01DEC1991 31OCT1997 N ARTERY OR VEIN, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is less than 3cm long 33545 01NOV1997 28FEB1999 N ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is less than 3cm long 33545 01MAR1999 31DEC9999 Y ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material where patch is less than 3cm long 33548 01DEC1991 31OCT1997 N ARTERY OR VEIN, patch grafting to by vein or synthetic material in conjunction with another arterial or venous operation where patch is 3cm long or greater 33548 01NOV1997 28FEB1999 N ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material in conjunction with another arterial or venous operation where patch is 3cm long or greater 33548 01MAR1999 31DEC9999 Y ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material where patch is 3cm long or greater 33551 01DEC1991 31DEC9999 Y VEIN, harvesting of from leg or arm for patch when not performed through same incision as operation 33554 01DEC1991 31DEC9999 Y ENDARTERECTOMY, in conjunction with an arterial bypass operation to prepare the site for anastomosis - each site 33800 01DEC1991 31DEC9999 Y EMBOLUS, removal of, from artery of neck 33803 01DEC1991 31DEC9999 Y EMBOLECTOMY or THROMBECTOMY, by abdominal approach, of an artery or bypass graft of trunk 33806 01DEC1991 31OCT2002 N EMBOLECTOMY OR THROMBECTOMY, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery 33806 01NOV2002 28FEB2013 N EMBOLECTOMY OR THROMBECTOMY, including the infusion of thrombolytic or other agents, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery 33806 01MAR2013 31DEC9999 Y Embolectomy or thrombectomy (including the infusion of thrombolytic or other agents) from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery, item to be claimed once per extremity, regardless of the number of incisions required to access the artery or bypass graft 33809 01DEC1991 31DEC9999 Y INFERIOR VENA CAVA OR ILIAC VEIN, thrombectomy of 33810 01JUL1996 31DEC9999 Y INFERIOR VENA CAVA OR ILIAC VEIN, closed thrombectomy by catheter via the femoral vein 33811 01JUL1996 31DEC9999 Y INFERIOR VENA CAVA OR ILIAC VEIN, open removal of thrombus or tumour 33812 01DEC1991 31DEC9999 Y THROMBUS, removal of, from femoral or other similar large vein 33815 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by lateral suture 33818 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by direct anastomosis 33821 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein 33824 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by lateral suture 33827 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by direct anastomosis 33830 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein 33833 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by lateral suture 33836 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by direct anastomosis 33839 01DEC1991 31DEC9999 Y MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by means of interposition graft 33842 01DEC1991 31DEC9999 Y ARTERY OF NECK, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery 33845 01DEC1991 31DEC9999 Y LAPAROTOMY for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed 33848 01DEC1991 31DEC9999 Y EXTREMITY, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed 34100 01DEC1991 31DEC9999 Y MAJOR ARTERY OF NECK, elective ligation or exploration of, not being a service associated with any other vascular procedure 34103 01DEC1991 30JUN1998 N GREAT ARTERY OR GREAT VEIN (including subclavian, axillary, iliac, femoral or popliteal), ligation of, or exploration of, not being a service associated with any other vascular procedure 34103 01JUL1998 31OCT2016 N GREAT ARTERY OR GREAT VEIN (including subclavian, axillary, iliac, femoral or popliteal), ligation of, or exploration of, not being a service associated with any other vascular procedure except those services to which items 32508, 32511, 32514 or 32517 apply 34103 01NOV2016 30APR2018 N Great artery (aorta or pulmonary artery) or great vein (superior or inferior vena cava), ligation or exploration of immediate branches or tributaries, or ligation or exploration of the subclavian, axillary, iliac, femoral or popliteal arteries or veins, if the service is not associated with item 32508, 32511, 32520, 32522, 32523 or 32526-for a maximum of 2 services provided to the same patient on the same occasion (H) 34103 01MAY2018 31DEC9999 Y Great artery (aorta or pulmonary artery) or great vein (superior or inferior vena cava), ligation or exploration of immediate branches or tributaries, or ligation or exploration of the subclavian, axillary, iliac, femoral or popliteal arteries or veins, if the service is not associated with item 32508, 32511, 32520, 32522, 32523, 32526, 32528 or 32529 - for a maximum of 2 services provided to the same patient on the same occasion (H) 34106 01DEC1991 30JUN1998 N ARTERY OR VEIN (including brachial, radial, ulnar or tibial), ligation of, by elective operation, or exploration of, not being a service associated with any other vascular procedure 34106 01JUL1998 31DEC9999 Y ARTERY OR VEIN (including brachial, radial, ulnar or tibial), ligation of, by elective operation, or exploration of, not being a service associated with any other vascular procedure except those services to which items 32508, 32511, 32514 or 32517 apply 34109 01DEC1991 31DEC9999 Y TEMPORAL ARTERY, biopsy of 34112 01DEC1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and ligation 34115 01DEC1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE NECK, dissection and ligation 34118 01DEC1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and ligation 34121 01DEC1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and repair of, with restoration of continuity 34124 01DEC1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE NECK, dissection and repair of, with restoration of continuity 34127 01DEC1991 31DEC9999 Y ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and repair of, with restoration of continuity 34130 01DEC1991 31DEC9999 Y SURGICALLY CREATED ARTERIO-VENOUS FISTULA OF AN EXTREMITY, closure of 34133 01DEC1991 31DEC9999 Y SCALENOTOMY 34136 01DEC1991 31DEC9999 Y FIRST RIB, resection of portion of 34139 01DEC1991 31DEC9999 Y CERVICAL RIB, removal of, or other operation for removal of thoracic outlet compression, not being a service to which another item in this Sub-group applies 34142 01DEC1991 31DEC9999 Y COELIAC ARTERY, decompression of, for coeliac artery compression syndrome, as an independent procedure 34145 01DEC1991 31DEC9999 Y POPLITEAL ARTERY, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle 34148 01DEC1991 30JUN1998 N CAROTID BODY TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is less that 4cm in maximum diameter 34148 01JUL1998 31DEC9999 Y CAROTID ASSOCIATED TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is 4cm or less in maximum diameter 34151 01DEC1991 30JUN1998 N CAROTID BODY TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter 34151 01JUL1998 31DEC9999 Y CAROTID ASSOCIATED TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter 34154 01DEC1991 30JUN1998 N RECURRENT CAROTID BODY TUMOUR, resection of, with or without repair or replacement of portion of common or internal carotid arteries 34154 01JUL1998 31DEC9999 Y RECURRENT CAROTID ASSOCIATED TUMOUR, resection of, with or without repair or replacement of portion of internal or common carotid arteries 34157 01DEC1991 31DEC9999 Y NECK, excision of infected bypass graft, including closure of vessel or vessels 34160 01DEC1991 31DEC9999 Y AORTO-DUODENAL FISTULA, repair of, by suture of aorta and repair of duodenum 34163 01DEC1991 31DEC9999 Y AORTO-DUODENAL FISTULA, repair of, by insertion of aortic graft and repair of duodenum 34166 01DEC1991 31DEC9999 Y AORTO-DUODENAL FISTULA, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo-bifemoral grafting 34169 01DEC1991 31DEC9999 Y INFECTED BYPASS GRAFT FROM TRUNK, excision of, including closure of arteries 34172 01DEC1991 31DEC9999 Y INFECTED AXILLO-FEMORAL OR FEMORO-FEMORAL GRAFT, excision of, including closure of arteries 34175 01DEC1991 31DEC9999 Y INFECTED BYPASS GRAFT FROM EXTREMITIES, excision of including closure of arteries 34500 01DEC1991 31DEC9999 Y ARTERIOVENOUS SHUNT, EXTERNAL, insertion of 34503 01DEC1991 31DEC9999 Y ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, in conjunction with another venous or arterial operation 34506 01DEC1991 31DEC9999 Y ARTERIOVENOUS SHUNT, EXTERNAL, removal of 34509 01DEC1991 31DEC9999 Y ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, not in conjunction with another venous or arterial operation 34512 01DEC1991 31DEC9999 Y ARTERIOVENOUS ACCESS DEVICE, insertion of 34515 01DEC1991 31DEC9999 Y ARTERIOVENOUS ACCESS DEVICE, thrombectomy of 34518 01DEC1991 31DEC9999 Y STENOSIS OF ARTERIOVENOUS FISTULA OR PROSTHETIC ARTERIOVENOUS ACCESS DEVICE, correction of 34521 01DEC1991 31DEC9999 Y INTRA-ABDOMINAL ARTERY OR VEIN, cannulation of, for infusion chemotherapy, by open operation (excluding aftercare) 34524 01DEC1991 31DEC9999 Y ARTERIAL CANNULATION for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after-care) 34527 01DEC1991 30JUN1996 N CENTRAL VEIN CATHETERISATION by open exposure, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device 34527 01JUL1996 31DEC2013 N CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterisation 34527 01JAN2014 31AUG2015 N CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterisation 34527 01SEP2015 30JUN2021 N CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterization, on a person 10 years of age or over 34527 01JUL2021 31DEC9999 Y CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterisation, on a patient 10 years of age or over 34528 01JUL1996 31DEC2013 N CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device 34528 01JAN2014 31AUG2015 N CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device 34528 01SEP2015 30JUN2021 N CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, on a person 10 years of age or over 34528 01JUL2021 31DEC9999 Y CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, on a patient 10 years of age or over 34529 01SEP2015 30JUN2021 N CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterization, on a person under 10 years of age 34529 01JUL2021 31DEC9999 Y CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterisation, on a patient under 10 years of age 34530 01DEC1991 30JUN1995 N HICKMAN OR BROVIAC CATHETER, OR OTHER CHEMOTHERAPY DEVICE, removal of 34530 01JUL1995 30JUN1996 N HICKMAN OR BROVIAC CATHETER, OR OTHER CHEMOTHERAPY DEVICE, removal of by open surgical procedure 34530 01JUL1996 31DEC2013 N HICKMAN OR BROVIAC CATHETER, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital or approved day-hospital 34530 01JAN2014 31AUG2015 N CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital or approved day-hospital 34530 01SEP2015 30JUN2021 N CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital on a person 10 years of age or over 34530 01JUL2021 31DEC9999 Y CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital on a patient 10 years of age or over 34533 01DEC1991 31DEC9999 Y ISOLATED LIMB PERFUSION, including cannulation of artery and vein at commencement of procedure, regional perfusion for chemotherapy, or other therapy, repair of arteriotomy and venotomy at conclusion of procedure (excluding aftercare) 34534 01SEP2015 30JUN2021 N CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, on a person under 10 years of age 34534 01JUL2021 31DEC9999 Y CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, on a patient under 10 years of age 34538 01MAY2004 31DEC9999 Y CENTRAL VEIN CATHERTERISATION by percutaneous technique, using subcutaneous tunnelled cuffed catheter or similar device, for the administration of haemodialysis or parenteral nutrition 34539 01MAY2004 30APR2016 N TUNNELLED CUFFED CATHETER, OR SIMILAR DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital 34539 01MAY2016 31DEC9999 Y TUNNELLED CUFFED CATHETER, OR SIMILAR DEVICE, removal of, by open surgical procedure 34540 01SEP2015 30JUN2021 N CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital, on a person under 10 years of age 34540 01JUL2021 31DEC9999 Y CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital, on a patient under 10 years of age 34700 01DEC1991 31DEC9999 Y ENDOVASCULAR INTERVENTION PROCEDURES INFERIOR VENA CAVAL FILTER, insertion of, by percutaneous method using interventional imaging techniques 34703 01DEC1991 31DEC9999 Y INFERIOR VENA CAVAL FILTER, insertion of, by open operation 34800 01DEC1991 31DEC9999 Y INFERIOR VENA CAVA, plication, ligation, or application of caval clip 34803 01DEC1991 31DEC9999 Y INFERIOR VENA CAVA, reconstruction of or bypass by vein or synthetic material 34806 01DEC1991 31DEC9999 Y CROSS LEG BYPASS GRAFTING, saphenous to iliac or femoral vein 34809 01DEC1991 31DEC9999 Y SAPHENOUS VEIN ANASTOMOSIS to femoral or popliteal vein for femoral vein bypass 34812 01DEC1991 31DEC9999 Y VENOUS STENOSIS OR OCCLUSION, vein bypass for, using vein or synthetic material, not being a service associated with a service to which item 34806 or 34809 applies 34815 01DEC1991 31DEC9999 Y VEIN STENOSIS, patch angioplasty for, (excluding vein graft stenosis)-using vein or synthetic material 34818 01DEC1991 31DEC9999 Y VENOUS VALVE, plication or repair to restore valve competency 34821 01DEC1991 31DEC9999 Y VEIN TRANSPLANT to restore valvular function 34824 01DEC1991 31DEC9999 Y EXTERNAL STENT, application of, to restore venous valve competency to superficial vein - 1 stent 34827 01DEC1991 31DEC9999 Y EXTERNAL STENTS, application of, to restore venous valve competency to superficial vein or veins - more than 1 stent 34830 01DEC1991 31DEC9999 Y EXTERNAL STENT, application of, to restore venous valve competency to deep vein (1 stent) 34833 01DEC1991 31DEC9999 Y EXTERNAL STENTS, application of, to restore venous valve competency to deep vein or veins (more than 1 stent) 34836 01DEC1991 31DEC9999 Y PORTAL HYPERTENSION, vascular decompression operation for (including spleno-renal, porto-caval and mesenterico-caval anastomosis) 35000 01DEC1991 31DEC9999 Y LUMBAR SYMPATHECTOMY 35003 01DEC1991 31DEC9999 Y CERVICAL OR UPPER THORACIC SYMPATHECTOMY by any surgical approach 35006 01DEC1991 31DEC9999 Y CERVICAL OR UPPER THORACIC SYMPATHECTOMY, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach 35009 01DEC1991 31DEC9999 Y LUMBAR SYMPATHECTOMY, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy 35012 01MAY1994 31DEC9999 Y SACRAL or PRE-SACRAL SYMPATHECTOMY 35100 01DEC1991 31DEC9999 Y ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone 35103 01DEC1991 31DEC9999 Y ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only 35200 01DEC1991 31DEC9999 Y OPERATIVE ARTERIOGRAPHY OR VENOGRAPHY, 1 or more of, performed during the course of an operative procedure on an artery or vein, 1 site 35202 01JUL1996 31DEC9999 Y MAJOR ARTERIES OR VEINS IN THE NECK, ABDOMEN OR EXTREMITIES, access to, as part of RE-OPERATION after prior surgery on these vessels 35203 01DEC1991 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY OF CORONARY ARTERY AND DILATATION OF VESSEL, using interventional imaging techniques 35206 01DEC1991 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY OF PERIPHERAL VESSEL AND DILATATION OF VESSEL, using interventional imaging techniques 35300 01APR1992 31OCT1993 N ENDOVASCULAR INTERVENTIONAL PROCEDURES TRANSLUMINAL BALLOON ANGIOPLASTY of 1 peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35300 01NOV1993 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY of 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35303 01APR1992 31OCT1993 N TRANSLUMINAL BALLOON ANGIOPLASTY of aortic arch branches, aortic visceral branches, or more than 1 peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35303 01NOV1993 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY of aortic arch branches, aortic visceral branches, or more than 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35304 01NOV1992 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY of 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35305 01NOV1992 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY of more than 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation and excluding aftercare 35306 01APR1992 31OCT1993 N TRANSLUMINAL STENT INSERTION including associated balloon dilatation for 1 peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35306 01NOV1993 30APR2016 N TRANSLUMINAL STENT INSERTION including associated balloon dilatation for 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35306 01MAY2016 31DEC9999 Y TRANSLUMINAL STENT INSERTION, 1 or more stents, including associated balloon dilatation for 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare. 35307 01NOV2005 31DEC9999 Y TRANSLUMINAL STENT INSERTION, 1 or more stents (not drug-eluting), with or without associated balloon dilatation, for 1 carotid artery, percutaneous (not direct), with or without the use of an embolic protection device, in patients who: meet the indications for carotid endarterectomy; and have medical or surgical comorbidities that would make them at high risk of perioperative complications from carotid endarterectomy, excluding associated radiological services or preparation, and excluding aftercare 35309 01APR1992 31OCT1993 N TRANSLUMINAL STENT INSERTION including associated balloon dilatation for visceral arteries or veins, or more than 1 peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35309 01NOV1993 30APR2016 N TRANSLUMINAL STENT INSERTION including associated balloon dilatation for visceral arteries or veins, or more than 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35309 01MAY2016 31DEC9999 Y TRANSLUMINAL STENT INSERTION, 1 or more stents, including associated balloon dilatation for visceral arteries or veins, or more than 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare. 35310 01NOV1992 31DEC9999 Y TRANSLUMINAL STENT INSERTION including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare 35312 01APR1992 31OCT1993 N PERIPHERAL ARTERIAL ATHERECTOMY including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35312 01NOV1993 31DEC9999 Y PERIPHERAL ARTERIAL ATHERECTOMY including associated balloon dilatation of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35315 01APR1992 31OCT1993 N PERIPHERAL LASER ANGIOPLASTY including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35315 01NOV1993 31DEC9999 Y PERIPHERAL LASER ANGIOPLASTY including associated balloon dilatation of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35317 01JUL1996 31OCT2002 N PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY CONTINUOUS INFUSION, using percutaneous approach, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35319 or 35320 applies) 35317 01NOV2002 31DEC9999 Y PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY CONTINUOUS INFUSION, using percutaneous approach, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35319 or 35320 applies and not being a service associated with photodynamic therapy with verteporfin) 35318 01APR1992 31DEC9999 Y PERIPHERAL ARTERIAL or VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which item 13915 applies) 35319 01JUL1996 31OCT2002 N PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY PULSE SPRAY TECHNIQUE, using percutaneous approach, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35317 or 35320 applies) 35319 01NOV2002 31DEC9999 Y PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY PULSE SPRAY TECHNIQUE, using percutaneous approach, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35317 or 35320 applies and not being a service associated with photodynamic therapy with verteporfin) 35320 01JUL1996 31OCT2002 N PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY OPEN EXPOSURE, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35317 or 35319 applies) 35320 01NOV2002 31DEC9999 Y PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY OPEN EXPOSURE, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35317 or 35319 applies and not being a service associated with photodynamic therapy with verteporfin) 35321 01APR1992 31OCT1999 N PERIPHERAL ARTERIAL CATHETERISATION to administer agents to occlude arteries, veins or arterio-venous fistulae or to arrest haemorrhage, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35321 01NOV1999 31OCT2002 N PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION to administer agents to occlude arteries, veins or arterio-venous fistulae or to arrest haemorrhage, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35321 01NOV2002 30APR2004 N PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION to administer agents to occlude arteries, veins or arterio-venous fistulae or to arrest haemorrhage, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare, not being a service associated with photodynamic therapy with verteporfin 35321 01MAY2004 30APR2009 N PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION to administer agents to occlude arteries, veins or arterio-venous fistulae or to arrest haemorrhage, (but not for the treatment of uterine fibroids) percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare, not being a service associated with photodynamic therapy with verteporfin 35321 01MAY2009 31DEC9999 Y PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION to administer agents to occlude arteries, veins or arterio-venous fistulae or to arrest haemorrhage, (but not for the treatment of uterine fibroids or varicose veins) percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare, not being a service associated with photodynamic therapy with verteporfin 35324 01APR1992 31DEC9999 Y ANGIOSCOPY not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare 35327 01APR1992 31DEC9999 Y ANGIOSCOPY combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare 35330 01APR1992 31DEC9999 Y INSERTION of INFERIOR VENA CAVAL FILTER, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 35331 01MAY2005 31DEC9999 Y RETRIEVAL OF INFERIOR VENA CAVAL FILTER, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare 35335 01MAY2003 31DEC9999 Y PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 1 coronary artery, including balloon angioplasty with no stent insertion, where: no lesion of the coronary artery has been stented; and each lesion of the coronary artery is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable; excluding associated radiological services or preparation, and excluding aftercare 35338 01MAY2003 31DEC9999 Y PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 1 coronary artery, including balloon angioplasty with insertion of 1 or more stents, where: no lesion of the coronary artery has been stented; and each lesion of the coronary artery is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable; excluding associated radiological services or preparation, and excluding aftercare 35341 01MAY2003 31DEC9999 Y PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of more than 1 coronary artery, including balloon angioplasty with no stent insertion, where: no lesion of the coronary arteries has been stented; and each lesion of the coronary arteries is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable; excluding associated radiological services or preparation, and excluding aftercare 35344 01MAY2003 31DEC9999 Y PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of more than 1 coronary artery, including balloon angioplasty, with insertion of 1 or more stents, where: no lesion of the coronary arteries has been stented; and each lesion of the coronary arteries is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable, excluding associated radiological services or preparation, and excluding aftercare 35347 01NOV2003 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 35350 01NOV2003 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty intravascular ultrasound using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 35353 01NOV2003 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty percutaneous transluminal rotational artherectomy using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 35356 01NOV2003 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty percutaneous transluminal rotational artherectomy intravascular ultrasound using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 35360 01MAY2005 31DEC9999 Y Retrieval of foreign body in PULMONARY ARTERY, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (foreign body does not include an instrument inserted for the purpose of a service being rendered) 35361 01MAY2005 31DEC9999 Y Retrieval of foreign body in RIGHT ATRIUM, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (foreign body does not include an instrument inserted for the purpose of a service being rendered) 35362 01MAY2005 31DEC9999 Y Retrieval of foreign body in INFERIOR VENA CAVA or AORTA, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (foreign body does not include an instrument inserted for the purpose of a service being rendered) 35363 01MAY2005 31DEC9999 Y Retrieval of foreign body in PERIPHERAL VEIN or PERIPHERAL ARTERY, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (foreign body does not include an instrument inserted for the purpose of a service being rendered) 35400 01NOV2005 30APR2006 N Vertebroplasty, for the treatment of a painful osteoporotic vertebral compression fracture, where: (a) the patient to whom the service is provided has not had the pain arising from the vertebral compression fracture controlled by conservative medical therapy; and (b) diagnostic imaging has confirmed that vertebroplasty will be of benefit; in association with item 61109, 57341 or 57345, performed on an admitted patient in a hospital or day hospital facility. 35400 01MAY2006 31OCT2006 N VERTEBROPLASTY, for the treatment of a painful osteoporotic vertebral compression fracture, where: (a) the patient to whom the service is provided has not had the pain arising from the vertebral compression fracture controlled by conservative medical therapy; and (b) diagnostic imaging has confirmed that vertebroplasty will be of benefit; in association with item 61109, 57341 or 57345 performed on an admitted patient in a hospital or day hospital facility. 35400 01NOV2006 31DEC9999 Y VERTEBROPLASTY, for the treatment of a painful osteoporotic vertebral compression fracture, where: (a) the patient to whom the service is provided has not had the pain arising from the vertebral compression fracture controlled by conservative medical therapy; and (b) diagnostic imaging has confirmed that vertebroplasty will be of benefit; in association with item 61109, 57341 or 57345. 35401 01NOV2021 31DEC9999 Y Vertebroplasty, for one or more fractures in one or more vertebrae, performed by an interventional radiologist, for the treatment of a painful osteoporotic thoracolumbar vertebral compression fracture of the thoracolumbar spinal segment (T11, T12, L1 or L2), if: (a) pain is severe (numeric rated pain score greater than or equal to 7 out of 10); and (b) symptoms are poorly controlled by opiate therapy; and (c) severe pain duration is 3 weeks or less; and (d) there is MRI (or SPECT-CT if MRI unavailable) evidence of acute vertebral fracture Applicable only once for the same fracture, but is applicable for a new fracture of the same vertebra or vertebrae (H) 35402 01NOV2005 30APR2006 N Vertebroplasty, for the treatment of a painful metastatic deposit or multiple myeloma in a vertebral body, in association with item 61109, 57341 or 57345, performed on an admitted patient in a hospital or day hospital facility. 35402 01MAY2006 31OCT2006 N VERTEBROPLASTY, for the treatment of a painful metastatic deposit or multiple myeloma in a vertebral body, in association with item 61109, 57341 or 57345 performed on an admitted patient in a hospital or day hospital facility.. 35402 01NOV2006 31DEC9999 Y VERTEBROPLASTY, for the treatment of a painful metastatic deposit or multiple myeloma in a vertebral body, in association with item 61109, 57341 or 57345. 35404 01MAY2006 31DEC9999 Y DOSIMETRY, HANDLING AND INJECTION OF SIR-SPHERES for selective internal radiation therapy of hepatic metastases which are secondary to colorectal cancer and are not suitable for resection or ablation, used in combination with systemic chemotherapy using 5-fluorouracil (5FU) and leucovorin, not being a service to which item 35317, 35319, 35320 or 35321 applies The procedure must be performed by a specialist or consultant physician recognised in the specialties of nuclear medicine or radiation oncology on an admitted patient in a hospital. To be claimed once in the patient's lifetime only. 35406 01MAY2006 31DEC9999 Y Trans-femoral catheterisation of the hepatic artery to administer SIR-Spheres to embolise the microvasculature of hepatic metastases which are secondary to colorectal cancer and are not suitable for resection or ablation, for selective internal radiation therapy used in combination with systemic chemotherapy using 5-fluorouracil (5FU) and leucovorin, not being a service to which item 35317, 35319, 35320 or 35321 applies excluding associated radiological services or preparation, and excluding aftercare 35408 01MAY2006 31DEC9999 Y Catheterisation of the hepatic artery via a permanently implanted hepatic artery port to administer SIR-Spheres to embolise the microvasculature of hepatic metastases which are secondary to colorectal cancer and are not suitable for resection or ablation, for selective internal radiation therapy used in combination with systemic chemotherapy using 5-fluorouracil (5FU) and leucovorin, not being a service to which item 35317, 35319, 35320 or 35321 applies excluding associated radiological services or preparation, and excluding aftercare 35410 01NOV2006 31DEC9999 Y UTERINE ARTERY CATHETERISATION with percutaneous administration of occlusive agents, for the treatment of symptomatic uterine fibroids in a patient who has been referred for uterine artery embolisation by a specialist gynaecologist, excluding associated radiological services or preparation, and excluding aftercare 35412 01NOV2006 31DEC2014 N Intracranial aneurysm, ruptured or unruptured, endovascular occlusion with detachable coils, and assisted coiling if performed, with parent artery preservation, not for use with liquid embolics only, including intra-operative imaging, but in association with pre-operative diagnostic imaging items 60009 and either 60072, 60075 or 60078, including aftercare 35412 01JAN2015 31OCT2022 N Intracranial aneurysm, ruptured or unruptured, endovascular occlusion with detachable coils, and assisted coiling if performed, with parent artery preservation, not for use with liquid embolics only, including aftercare, including intra-operative imaging, but in association with the following pre-operative diagnostic imaging items: - either 60009 or 60010; and - either 60072, 60073, 60075, 60076, 60078 or 60079 35412 01NOV2022 29FEB2024 N Intracranial aneurysm, ruptured or unruptured, endovascular occlusion with detachable coils, and assisted coiling (if performed), with parent artery preservation, not for use with liquid embolics only, including intra-operative imaging, but in association with pre-operative diagnostic imaging under item 60009, 60072, 60075 or 60078, including aftercare 35412 01MAR2024 31DEC9999 Y Intracranial aneurysm, ruptured or unruptured, endovascular occlusion with detachable coils, and assisted coiling (if performed), with parent artery preservation, not for use with liquid embolics only, including intra-operative imaging, but in association with pre-operative diagnostic imaging under item 60009 and one of items 60072, 60075 and 60078, including aftercare 35414 01NOV2017 31DEC9999 Y Mechanical thrombectomy, in a patient with a diagnosis of acute ischaemic stroke caused by occlusion of a large vessel of the anterior cerebral circulation, including intra-operative imaging and aftercare, if: (a) the diagnosis is confirmed by an appropriate imaging modality such as computed tomography, magnetic resonance imaging or angiography; and (b) the service is performed by a specialist or consultant physician with appropriate training that is recognised by the Conjoint Committee for Recognition of Training in Interventional Neuroradiology; and (c) the service is provided in an eligible stroke centre. For any particular patient - applicable once per presentation by the patient at an eligible stroke centre, regardless of the number of times mechanical thrombectomy is attempted during that presentation 35500 01DEC1991 31DEC9999 Y GYNAECOLOGICAL EXAMINATION UNDER ANAESTHESIA, not being a service associated with a service to which another item in this Group applies 35502 01NOV2004 31DEC9999 Y INTRAUTERINE DEVICE, INTRODUCTION OF, for the control of idiopathic menorrhagia, AND ENDOMETRIAL BIOPSY to exclude endometrial pathology, not being a service associated with a service to which another item in this Group applies 35503 01DEC1991 31OCT2014 N INTRAUTERINE CONTRACEPTIVE DEVICE, INTRODUCTION OF, not being a service associated with a service to which another item in this Group applies 35503 01NOV2014 28FEB2022 N Intra uterine contraceptive device, introduction of, if the service is not associated with a service to which another item in this Group applies (other than a service mentioned in item 30062) 35503 01MAR2022 31DEC9999 Y Introduction of an intra-uterine device for abnormal uterine bleeding or contraception or for endometrial protection during oestrogen replacement therapy, if the service is not associated with a service to which another item in this Group applies (other than a service described in item 30062, 35506 or 35620) 35506 01DEC1991 28FEB2022 N INTRAUTERINE CONTRACEPTIVE DEVICE, REMOVAL OF UNDER GENERAL ANAESTHESIA, not being a service associated with a service to which another item in this Group applies 35506 01MAR2022 31DEC9999 Y Intra-uterine device, removal of under general anaesthesia, for a retained or embedded device, not being a service associated with a service to which another item in this Group applies (other than a service described in item 35503) 35507 01APR1992 30JUN2022 N VULVAL OR VAGINAL WARTS, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is less than or equal to 45 minutes - not being a service associated with a service to which item 32177 or 32180 applies 35507 01JUL2022 31DEC9999 Y Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block), if the time taken is less than or equal to 45 minutes-other than a service associated with a service to which item 32236 applies (H) 35508 01APR1992 30JUN2022 N VULVAL OR VAGINAL WARTS, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is greater than 45 minutes - not being a service associated with a service to which item 32177 or 32180 applies 35508 01JUL2022 31DEC9999 Y Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block), if the time taken is greater than 45 minutes-other than a service associated with a service to which item 32236 applies (H) 35509 01DEC1991 31DEC9999 Y HYMENECTOMY 35512 01DEC1991 31DEC9999 Y BARTHOLIN'S CYST, excision of 35513 01DEC1991 28FEB2022 N BARTHOLIN'S CYST, excision of 35513 01MAR2022 31DEC9999 Y Bartholin's abscess, cyst or gland, excision of 35516 01DEC1991 31DEC9999 Y BARTHOLIN'S CYST OR GLAND, marsupialisation of 35517 01DEC1991 28FEB2022 N BARTHOLIN'S CYST OR GLAND, marsupialisation of 35517 01MAR2022 31DEC9999 Y Bartholin's abscess, cyst or gland, marsupialisation of 35518 01JUL1995 31DEC2013 N OVARIAN CYST ASPIRATION, for cysts of at least 4cm in diameter in premenopausal women and at least 2cm in diameter in postmenopausal women, by abdominal or vaginal route, using interventional imaging techniques and not associated with services provided for assisted reproductive techniques 35518 01JAN2014 28FEB2022 N OVARIAN CYST ASPIRATION, for cysts of at least 4cm in diameter in a premenopausal person and at least 2cm in diameter in a postmenopausal person, by abdominal or vaginal route, using interventional imaging techniques and not associated with services provided for assisted reproductive techniques 35518 01MAR2022 31DEC9999 Y Ovarian cyst aspiration, for cysts of at least 4 cm in diameter in a premenopausal patient and at least 2 cm in diameter in a postmenopausal patient, by abdominal or vaginal route, using interventional imaging techniques and not associated with services provided for assisted reproductive techniques, and not in cases of suspected or possible malignancy 35520 01DEC1991 31DEC9999 Y BARTHOLIN'S ABSCESS, incision of 35523 01DEC1991 31DEC9999 Y URETHRA OR URETHRAL CARUNCLE, cauterisation of 35526 01DEC1991 31DEC9999 Y URETHRAL CARUNCLE, excision of 35527 01DEC1991 28FEB2022 N URETHRAL CARUNCLE, excision of 35527 01MAR2022 31DEC9999 Y Urethral caruncle, symptomatic excision of, if:(a) conservative management has failed; or(b) there is a suspicion of malignancy 35530 01DEC1991 31DEC9999 Y CLITORIS, amputation of, where medically indicated 35533 01DEC1991 31OCT2014 N VULVOPLASTY or LABIOPLASTY, where medically indicated, not being a service associated with a service to which item 35536 applies 35533 01NOV2014 31OCT2018 N VULVOPLASTY or LABIOPLASTY, for repair of: (a) female genital mutilation; or (b) anomalies associated with major congenital anomalies of the uro-gynaecological tract other than a service associated with a service to which item 35536, 37050, 37836, 37842, 37851 or 43882 applies (H) 35533 01NOV2018 31DEC9999 Y Vulvoplasty or labioplasty, for repair of: (a) female genital mutilation; or (b) an anomaly associated with a major congenital anomaly of the uro-gynaecological tract other than a service associated with a service to which item 35536, 37836, 37050, 37842, 37851 or 43882 applies 35534 01NOV2014 31OCT2018 N VULVOPLASTY or LABIOPLASTY, for localised gigantism if it can be demonstrated that: (a) the structural abnormality is causing significant functional impairment; and (b) non-surgical treatments have failed (H) 35534 01NOV2018 31DEC9999 Y Vulvoplasty or labioplasty, in a patient aged 18 years or more, performed by a specialist in the practice of the specialist's specialty, for a structural abnormality that is causing significant functional impairment, if the patient's labium extends more than 8 cm below the vaginal introitus while the patient is in a standing resting position 35536 01DEC1991 31MAR1992 N VULVA, wide local excision of suspected malignancy; or hemivulvectomy; or superficial vulvectomy, (including colposcopically directed CO2 laser), one or more procedures 35536 01APR1992 28FEB2022 N VULVA, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures 35536 01MAR2022 31DEC9999 Y Vulva, wide local excision or hemivulvectomy, one or both procedures, for suspected malignancy or vulval lesions with a high risk of malignancy 35539 01DEC1991 31MAR1992 N COLPOSCOPICALLY DIRECTED CO2 LASER THERAPY for intraepithelial neoplasia of the cervix, vagina, vulva, urethra or anal canal, including associated biopsies one anatomical site 35539 01APR1992 28FEB2022 N COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies 1 anatomical site 35539 01MAR2022 31DEC9999 Y Colposcopically directed laser therapy for histologically-confirmed high grade intraepithelial neoplastic changes of the vagina, vulva, urethra or anal canal, including any associated biopsies-one anatomical site 35542 01DEC1991 31MAR1992 N COLPOSCOPICALLY DIRECTED CO2 LASER THERAPY for intraepithelial neoplasia of the cervix, vagina, vulva, urethra or anal canal, including associated biopsies two or more anatomical sites 35542 01APR1992 31DEC9999 Y COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies 2 or more anatomical sites 35545 01DEC1991 28FEB2022 N COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for condylomata, unsuccessfully treated by other methods 35545 01MAR2022 31DEC9999 Y Colposcopically directed laser therapy for condylomata, unsuccessfully treated by other methods 35548 01DEC1991 31OCT1992 N VULVECTOMY (RADICAL) for malignancy 35548 01NOV1992 28FEB2022 N VULVECTOMY, radical, for malignancy 35548 01MAR2022 31DEC9999 Y VULVECTOMY, radical, for malignancy (H) 35551 01DEC1991 31OCT2019 N PELVIC LYMPH GLANDS, excision of (radical) 35551 01NOV2019 31OCT2020 N PELVIC LYMPH NODES, excision of (radical) 35551 01NOV2020 31DEC9999 Y Pelvic lymph nodes, radical excision of, unilateral, or sentinel node dissection (including any pre-operative injection) 35552 01NOV2020 28FEB2022 N Pelvic lymph nodes, radical excision of, unilateral, following similar previous dissection, radiation or chemotherapy 35552 01MAR2022 31DEC9999 Y Pelvic lymph nodes, radical excision of, unilateral or sentinel node dissection, following similar previous dissection, radiation or chemotherapy (H) 35554 01DEC1991 31DEC9999 Y VAGINA, DILATATION OF, as an independent procedure including any associated consultation 35557 01DEC1991 28FEB2022 N VAGINA, removal of simple tumour (including Gartner duct cyst) 35557 01MAR2022 31DEC9999 Y Vagina, complete excision of benign tumour (including Gartner duct cyst), with histological documentation 35560 01DEC1991 28FEB2022 N VAGINA, partial or complete removal of 35560 01MAR2022 31DEC9999 Y Partial or complete vaginectomy, for either or both of the following:(a) deeply infiltrating vaginal endometriosis, if accompanied by histological confirmation from excised tissue;(b) pre-invasive or invasive lesionsNot being a service associated with hysterectomy for non invasive indications (H) 35561 01NOV1992 28FEB2022 N VAGINECTOMY, radical, for proven invasive malignancy - 1 surgeon 35561 01MAR2022 31DEC9999 Y VAGINECTOMY, radical, for proven invasive malignancy - 1 surgeon (H) 35562 01NOV1992 28FEB2022 N VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - abdominal surgeon (including aftercare) 35562 01MAR2022 31DEC9999 Y VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - abdominal surgeon (including aftercare) (H) 35563 01DEC1991 31DEC9999 Y VAGINAL RECONSTRUCTION for congenital absence, gynatresia or urogenital sinus 35564 01NOV1992 28FEB2022 N VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - perineal surgeon 35564 01MAR2022 31DEC9999 Y VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - perineal surgeon (H) 35565 01NOV1992 31DEC9999 Y VAGINAL RECONSTRUCTION for congenital absence, gynatresia or urogenital sinus 35566 01DEC1991 31DEC9999 Y VAGINAL SEPTUM, excision of, for correction of double vagina 35567 01NOV1992 30APR1994 N VAGINAL REPAIR (involving repair of enterocele) with transvaginal sacrospinus ligament colposuspension 35567 01MAY1994 31DEC9999 Y VAGINAL REPAIR including 1 or more of anterior, posterior or entrocele repair, with sacrospinous colpopexy 35568 01MAY2005 28FEB2022 N SACROSPINOUS COLPOPEXY FOR MANAGEMENT OF UPPER VAGINAL PROLAPSE 35568 01MAR2022 31DEC9999 Y Procedures for the management of symptomatic upper vaginal (vault or cervical) prolapse by sacrospinous or ilococcygeus fixation (H) 35569 01DEC1991 31DEC9999 Y PLASTIC REPAIR TO ENLARGE VAGINAL ORIFICE 35570 01MAY2005 30JUN2018 N ANTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach (involving repair of urethrocoele and cystocoele) with or without mesh, not being a service associated with a service to which item 35573, 35577 or 35578 applies 35570 01JUL2018 28FEB2021 N Anterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving repair of urethrocele and cystocele), using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies. 35570 01MAR2021 31DEC9999 Y Anterior vaginal compartment repair by vaginal approach for pelvic organ prolapse: (a) involving repair of urethrocele and cystocele; and (b) using native tissue without graft; other than a service associated with a service to which item 35573, 35577 or 35578 applies 35571 01MAY2005 30JUN2018 N POSTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach (involving one or more of the following; repair of perineum, rectocoele or enterocoele) with or without mesh, not being a service associated with a service to which item 35573, 35577 or 35578 applies 35571 01JUL2018 28FEB2021 N Posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse involving repair of one or more of the following: (a) perineum; (b) rectocoele; (c) enterocoele; using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies. 35571 01MAR2021 31DEC9999 Y Posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse: (a) involving repair of one or more of the following: (i) perineum; (ii) rectocoele; (iii) enterocoele; and (b) using native tissue without graft; other than a service associated with a service to which item 35573, 35577 or 35578 applies 35572 01DEC1991 31DEC9999 Y COLPOTOMY not being a service to which another item in this Group applies 35573 01MAY2005 30JUN2018 N ANTERIOR AND POSTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach (involving both anterior and posterior compartment defects) with or without mesh, not being a service associated with a service to which item 35577 or 35578 applies 35573 01JUL2018 28FEB2021 N Anterior and posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving anterior and posterior compartment defects), using native tissue without graft, other than a service associated with a service to which item 35577 or 35578 applies. 35573 01MAR2021 31DEC9999 Y Anterior and posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse: (a) involving anterior and posterior compartment defects; and (b) using native tissue without graft; other than a service associated with a service to which item 35577 or 35578 applies 35575 01DEC1991 31DEC9999 Y ANTERIOR VAGINAL REPAIR OR POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) not being a service to which item 35579, 35580, 35583 or 35584 applies 35576 01DEC1991 31OCT1998 N ANTERIOR VAGINAL REPAIR OR POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) not being a service to which item 35579, 35580, 35583 or 35584 applies 35576 01NOV1998 30APR2004 N ANTERIOR VAGINAL REPAIR OR POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) not being a service to which item 35580 or 35584 applies 35576 01MAY2004 31DEC9999 Y ANTERIOR VAGINAL REPAIR OR POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) with or without mesh, not being a service associated with a service to which item 30405, 35580 or 35584 applies 35577 01MAY2005 30JUN2018 N MANCHESTER (DONALD FOTHERGILL) OPERATION for genital prolapse, with or without mesh 35577 01JUL2018 28FEB2021 N Manchester (Donald Fothergill) operation for pelvic organ prolapse (includes cervical amputation, anterior and posterior native tissue vaginal wall repairs without graft). 35577 01MAR2021 31DEC9999 Y Manchester (Donald Fothergill) operation for pelvic organ prolapse, involving either or both of the following: (a) cervical amputation; (b) anterior and posterior native tissue vaginal wall repairs without graft 35578 01MAY2005 28FEB2022 N LE FORT OPERATION for genital prolapse, not being a service associated with a service to which another item in this Subgroup applies 35578 01MAR2022 31DEC9999 Y Colpocleisis for pelvic organ prolapse, not being a service associated with a service to which another item (other than item 35599) in this Subgroup applies (H) 35579 01DEC1991 31DEC9999 Y ANTERIOR VAGINAL REPAIR AND POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) not being a service to which item 35583 or 35584 applies 35580 01DEC1991 31OCT1998 N ANTERIOR VAGINAL REPAIR AND POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) not being a service to which item 35584 applies 35580 01NOV1998 30APR2004 N ANTERIOR VAGINAL REPAIR AND POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) not being a service to which item 35584 applies 35580 01MAY2004 31DEC9999 Y ANTERIOR VAGINAL REPAIR AND POSTERIOR VAGINAL REPAIR (involving repair of rectocele or enterocele or both) with or without mesh, not being a service associated with a service to which item 30405 or 35584 applies 35581 01JUL2018 28FEB2021 N Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, less than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35582 or 35585 applies. 35581 01MAR2021 31DEC9999 Y Vaginal procedure for excision of graft material in symptomatic patients with graft related complications (including graft related pain or discharge and bleeding related to graft exposure), less than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35582 or 35585 applies 35582 01JUL2018 28FEB2021 N Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, more than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35581 or 35585 applies. 35582 01MAR2021 31DEC9999 Y Vaginal procedure for excision of graft material in symptomatic patients with graft related complications (including graft related pain or discharge and bleeding related to graft exposure), 2cm2 or more in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35581 or 35585 applies 35583 01DEC1991 31OCT1997 N DONALDFOTHERGILL OR MANCHESTER OPERATION FOR GENITAL PROLAPSE 35583 01NOV1997 31DEC9999 Y Manchester (DonaldFothergill) operation or le fort opeartion for genital prolapse (Anaes.) (Assist.) 35584 01DEC1991 31OCT1997 N DONALDFOTHERGILL OR MANCHESTER OPERATION FOR GENITAL PROLAPSE 35584 01NOV1997 30APR2004 N MANCHESTER (DONALDFOTHERGILL) OPERATION OR LE FORT OPERATION for genital prolapse 35584 01MAY2004 31DEC9999 Y MANCHESTER (DONALDFOTHERGILL) OPERATION OR LE FORT OPERATION for genital prolapse, with or without mesh, not being a service associated with a service to which item 30405 applies 35585 01JUL2018 28FEB2021 N Abdominal procedure either open, laparoscopic or robotic, for removal of graft material in patients symptomatic with graft related complications, including graft related pain or discharge and bleeding related to graft exposure or where the graft has penetrated adjacent organs such as the bladder (including urethra) or bowel, including retroperitoneal dissection and mobilisation of bladder and/or bowel, other than a service associated with a service to which item 35581 or 35582 applies. 35585 01MAR2021 31DEC9999 Y Abdominal procedure, by open, laparoscopic or robot-assisted approach, if the service: (a) is for the removal of graft material: (i) in symptomatic patients with graft related complications (including graft related pain or discharge and bleeding related to graft exposure); or (ii) where the graft has penetrated adjacent organs such as the bladder (including urethra) or bowel; and (b) if required-includes retroperitoneal dissection, and mobilisation, of either or both of the bladder and bowel; other than a service associated with a service to which item 35581 or 35582 applies 35587 01DEC1991 31DEC9999 Y URETHROCELE, operation for 35590 01DEC1991 30APR2004 N Operation involving ABDOMINAL APPROACH for repair of ENTEROCELE OR SUSPENSION OF VAGINAL VAULT OR ENTEROCELE AND SUSPENSION OF VAGINAL VAULT 35590 01MAY2004 31DEC9999 Y Operation involving ABDOMINAL APPROACH for repair of ENTEROCELE OR SUSPENSION OF VAGINAL VAULT OR ENTEROCELE AND SUSPENSION OF VAGINAL VAULT, with or without mesh, not being a service associated with a service to which item 30405 applies 35591 01MAR2022 31DEC9999 Y Rectovaginal fistula repair of, by vaginal route approach, not being a service associated with a service to which item 35592, 35596, 37029, 37333 or 37336 applies (H) 35592 01MAR2022 31DEC9999 Y Vesicovaginal fistula closure of, by vaginal approach, not being a service associated with a service to which item 35591, 35596, 37029, 37333 or 37336 applies (H) 35593 01DEC1991 30APR1997 N VAGINAL REPAIR OF ENTEROCELE with or without repair of rectocele, not being a service associated with a service to which item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35657 or 35673 applies, and where on a previous occasion there has been performed surgery reflected by a procedure to which item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35657 or 35673 applies 35593 01MAY1997 31OCT1998 N VAGINAL REPAIR OF ENTEROCELE with or without repair of rectocele, not being a service associated with a service to which item 35576, 35580, 35584, 35590, 35657, 35673, 35750 or 35753 applies, and where on a previous occasion there has been performed surgery reflected by a procedure to which item 35576, 35580, 35584, 35590, 35657, 35673, 35750 or 35753 applies 35593 01NOV1998 30APR2004 N VAGINAL REPAIR OF ENTEROCELE with or without repair of rectocele, not being a service associated with a service to which item 35576, 35580, 35584, 35590, 35657, 35673, 35750 or 35753 applies, and where on a previous occasion there has been performed surgery reflected by a procedure to which item 35576, 35580, 35584, 35590, 35657, 35673, 35750 or 35753 applies 35593 01MAY2004 31DEC9999 Y VAGINAL REPAIR OF ENTEROCELE with or without repair of rectocele, with or without mesh, not being a service associated with a service to which item 30405, 35580, 35584, 35590, 35657, 35673, 35750 or 35753 applies, and where on a previous occasion there has been performed surgery reflected by a procedure to which item 35580, 35584, 35590, 35657, 35673, 35750 or 35753 applies 35595 01MAY2005 28FEB2022 N LAPAROSCOPIC OR ABDOMINAL PELVIC FLOOR REPAIR INCORPORATING THE FIXATION OF THE UTEROSACRAL AND CARDINAL LIGAMENTS TO RECTOVAGINAL AND PUBOCERVICAL FASCIA for symptomatic upper vaginal vault prolapse 35595 01MAR2022 31DEC9999 Y Procedure for the management of symptomatic vaginal vault or cervical prolapse, by uterosacral ligament suspension, by any approach, without graft, if the uterosacral ligaments are separately identified, transfixed and then incorporated into rectovaginal and pubocervical fascia of the vaginal vault, including cystoscopy to check ureteric integrity (H) 35596 01DEC1991 28FEB2022 N FISTULA BETWEEN GENITAL AND URINARY OR ALIMENTARY TRACTS, repair of, not being a service to which item 37029, 37333 or 37336 applies 35596 01MAR2022 31DEC9999 Y Fistula between genital and urinary or alimentary tracts, repair of, other than a service to which item 35591, 35592, 37029, 37333 or 37336 applies (H) 35597 01MAY2005 28FEB2022 N SACRAL COLPOPEXY, laparoscopic or open procedure where graft or mesh secured to vault, anterior and posterior compartment and to sacrum for correction of symptomatic upper vaginal vault prolapse 35597 01MAR2022 31DEC9999 Y Sacral colpopexy, by any approach where graft or mesh is secured to vault, anterior and posterior compartments and to sacrum for correction of symptomatic upper vaginal vault prolapse (H) 35599 01DEC1991 30APR2004 N STRESS INCONTINENCE, sling operation for 35599 01MAY2004 31OCT2004 N STRESS INCONTINENCE, sling operation for, with or without mesh, not being a service associated with a service to which item 30405 applies 35599 01NOV2004 31OCT2020 N STRESS INCONTINENCE, sling operation for, with or without mesh or tape, not being a service associated with a service to which item 30405 applies 35599 01NOV2020 12AUG2021 N Stress incontinence, procedure using a female synthetic mid-urethral sling, with diagnostic cystoscopy to assess the integrity of the lower urinary tract, other than a service associated with a service to which item 30405 or 36812 applies 35599 13AUG2021 31DEC9999 Y Stress incontinence, procedure using a female synthetic mid-urethral sling, with diagnostic cystoscopy to assess the integrity of the lower urinary tract, other than a service associated with a service to which item 36812 applies (H) 35600 01MAY1997 30APR2004 N STRESS INCONTINENCE, VAGINAL PROCEDURE FOR 35600 01MAY2004 31DEC9999 Y STRESS INCONTINENCE, VAGINAL PROCEDURE FOR, with or without mesh, not being a service associated with a service to which item 30405 applies 35602 01DEC1991 30APR2004 N STRESS INCONTINENCE, combined synchronous ABDOMINOVAGINAL operation for; abdominal procedure (including aftercare) 35602 01MAY2004 12AUG2021 N STRESS INCONTINENCE, combined synchronous ABDOMINOVAGINAL operation for; abdominal procedure, with or without mesh, (including aftercare), not being a service associated with a service to which item 30405 applies 35602 13AUG2021 31DEC9999 Y Stress incontinence, combined synchronous abdomino-vaginal operation for-abdominal procedure, with or without mesh, (including after care) (H) 35605 01DEC1991 30APR2004 N STRESS INCONTINENCE, combined synchronous ABDOMINOVAGINAL operation for; vaginal procedure (including aftercare) 35605 01MAY2004 12AUG2021 N STRESS INCONTINENCE, combined synchronous ABDOMINOVAGINAL operation for; vaginal procedure, with or without mesh, (including aftercare), not being a service associated with a service to which item 30405 applies 35605 13AUG2021 31DEC9999 Y Stress incontinence, combined synchronous abdomino-vaginal operation for-vaginal procedure, with or without mesh, (including after care) 35608 01DEC1991 28FEB2022 N CERVIX, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix 35608 01MAR2022 31DEC9999 Y Cervix, one or more biopsies, cauterisation (other than by chemical means), ionisation, diathermy or endocervical curettage of, with or without dilatation of cervix 35609 01MAR2022 31DEC9999 Y Cervix, cone biopsy or amputation 35610 01MAR2022 31DEC9999 Y Cervix, cone biopsy for histologically proven malignancy 35611 01DEC1991 28FEB2022 N CERVIX, removal of polyp or polypi, with or without dilatation of cervix, not being a service associated with a service to which item 35608 applies 35611 01MAR2022 31DEC9999 Y Removal of cervical or vaginal polyp or polypi, with or without dilatation of cervix, not being a service associated with a service to which item 35608 applies 35612 01MAY1997 28FEB2022 N CERVIX, RESIDUAL STUMP, removal of, by abdominal approach 35612 01MAR2022 31DEC9999 Y Cervix, residual stump, removal of, by abdominal approach for non-malignant lesions 35613 01MAY1997 31DEC9999 Y CERVIX, RESIDUAL STUMP, removal of, by vaginal approach 35614 01DEC1991 31DEC2013 N EXAMINATION OF LOWER FEMALE GENITAL TRACT by a Hinselmanntype colposcope in a patient with a previous abnormal cervical smear or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner 35614 01JAN2014 30NOV2017 N EXAMINATION OF LOWER TRACT by a Hinselmanntype colposcope in a patient with a previous abnormal cervical smear or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner 35614 01DEC2017 28FEB2022 N EXAMINATION OF LOWER TRACT by a Hinselmanntype colposcope in a patient with a previous abnormal cervical smear screen result or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner 35614 01MAR2022 31DEC9999 Y Examination of the lower genital tract using a colposcope in a patient who:(a) has a human papilloma virus related gynaecology indication; or(b) has symptoms or signs suspicious of lower genital tract malignancy; or(c) is undergoing follow-up treatment of lower genital tract malignancy; or(d) is undergoing assessment or surveillance of a vulvovaginal pre-malignant or malignant disease; or(e) is undergoing assessment or surveillance as part of an identified at risk population 35615 01APR1992 28FEB2022 N VULVA, biopsy of, when performed in conjunction with a service to which item 35614 applies 35615 01MAR2022 31DEC9999 Y Vulva or vagina, biopsy of, when performed in conjunction with a service to which item 35614 applies 35616 01MAY2001 31OCT2003 N ENDOMETRIUM, endoscopic examination of and ablation of, by microwave, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage 35616 01NOV2003 30APR2006 N ENDOMETRIUM, endoscopic examination of and ablation of, by microwave or thermal balloon, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage 35616 01MAY2006 28FEB2022 N ENDOMETRIUM, endoscopic examination of and ablation of, by microwave or thermal balloon or radiofrequency electrosurgery, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage 35616 01MAR2022 31DEC9999 Y Endometrial ablation by thermal balloon or radiofrequency electrosurgery, for abnormal uterine bleeding, with or without endometrial sampling, including any hysteroscopy performed on the same day (H) 35617 01DEC1991 30APR2005 N CERVIX, cone biopsy, amputation or repair of, not being a service to which item 35584 applies 35617 01MAY2005 31DEC9999 Y CERVIX, cone biopsy, amputation or repair of, not being a service to which item 35577 or 35578 applies 35618 01DEC1991 31OCT2017 N CERVIX, cone biopsy, amputation or repair of, not being a service to which item 35584 applies 35618 01NOV2017 31DEC9999 Y CERVIX, cone biopsy, amputation or repair of, other than a service to which item 35577 or 35578 applies 35619 01MAY1994 31DEC9999 Y CERVIX, dilatation of, under general anaesthesia, not being a service to which item 35639, 35640 or 35643 applies 35620 01MAY1994 28FEB2022 N ENDOMETRIAL BIOPSY where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding 35620 01MAR2022 31DEC9999 Y Endometrial biopsy for pathological assessment in women with abnormal uterine bleeding or post-menopausal bleeding 35621 01DEC1991 31DEC9999 Y CERVIX, dilatation of, under general anaesthesia, not being a service to which item 35639, 35640 or 35643 applies 35622 01MAY1994 28FEB2022 N ENDOMETRIUM, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies 35622 01MAR2022 31DEC9999 Y Endometrial ablation, using hysteroscopically guided electrosurgery or laser energy for abnormal uterine bleeding, with or without endometrial sampling, not being a service associated with a service to which item 30390 applies (H) 35623 01MAY1994 31OCT2000 N HYSTEROSCOPIC RESECTION of myoma or uterine septum followed by endometrial ablation by laser or diathermy 35623 01NOV2000 28FEB2022 N HYSTEROSCOPIC RESECTION of myoma, or myoma and uterine septum resection (where both are performed), followed by endometrial ablation by laser or diathermy 35623 01MAR2022 31DEC9999 Y Endometrial ablation and resection of myoma or uterine septum (or both), using hysteroscopic guided electrosurgery or laser energy, for abnormal uterine bleeding, with or without endometrial sampling (H) 35624 01DEC1991 31DEC9999 Y ENDOMETRIAL BIOPSY where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding 35625 01APR1992 31OCT1992 N ENDOMETRIUM, endoscopic ablation of, by laser or diathermy resection, for chronic refractory menorrhagia including any hysteroscopy or laparoscopy performed on the same day but excluding services covered by Item 30582 or 35637 35625 01NOV1992 30JUN1993 N ENDOMETRIUM, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, not being a service associated with a service to which item 30390 applies 35625 01JUL1993 31DEC9999 Y ENDOMETRIUM, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies 35626 01APR1992 31OCT1992 N HYSTEROSCOPY, including biopsy, for the investigation of suspected intrauterine pathology (with or without local anaesthetic), where the patient is referred by a medical practitioner who is not a member of a group of practitioners of which the practitioner who ordered the service is a member - not in association with Item 35630 35626 01NOV1992 31OCT1994 N HYSTEROSCOPY, including biopsy, performed by a specialist in the practice of his or her specialty where the patient is referred to him or her for the investigation of suspected intrauterine pathology (with or without local anaesthetic), not being a service associated with a service to which item 35627 or 35630 applies and including procedures to which item 35639, 35640 or 35643 applies, where performed 35626 01NOV1994 28FEB2022 N HYSTEROSCOPY, including biopsy, performed by a specialist in the practice of his or her specialty where the patient is referred to him or her for the investigation of suspected intrauterine pathology (with or without local anaesthetic), not being a service associated with a service to which item 35627 or 35630 applies 35626 01MAR2022 31DEC9999 Y Hysteroscopy for investigation of suspected intrauterine pathology, with or without local anaesthesia, including any associated endometrial biopsy, not being a service associated with a service to which item 35630 applies 35627 01DEC1991 31MAR1992 N HYSTEROSCOPY with dilatation of cervix under general anaesthesia 35627 01APR1992 31OCT1992 N HYSTEROSCOPY with dilatation of cervix performed in the operating theatre of a hospital or approved day-hospital facility 35627 01NOV1992 31OCT1994 N HYSTEROSCOPY with dilatation of the cervix performed in the operating theatre of a hospital or approved day-hospital facility - not being a service associated with a service to which item 35626 or 35630 applies, and including procedures to which item 35639, 35640 or 35643 applies, where performed 35627 01NOV1994 31DEC9999 Y HYSTEROSCOPY with dilatation of the cervix performed in the operating theatre of a hospital - not being a service associated with a service to which item 35626 or 35630 applies 35630 01DEC1991 31MAR1992 N HYSTEROSCOPY with endometrial biopsy or suction curettage, or both 35630 01APR1992 31OCT1992 N HYSTEROSCOPY, with or without endometrial biopsy, performed in the operating theatre of a hospital or approved day-hospital facility - not covered by Item 35626 and including procedures covered by Item 35639, 35640 or 35643 where performed 35630 01NOV1992 31OCT1994 N HYSTEROSCOPY, with endometrial biopsy, performed in the operating theatre of a hospital or approved day-hospital facility - not being a service associated with a service to which item 35626 or 35627 applies, and including procedures to which item 35639, 35640 or 35643 applies, where performed 35630 01NOV1994 28FEB2022 N HYSTEROSCOPY, with endometrial biopsy, performed in the operating theatre of a hospital - not being a service associated with a service to which item 35626 or 35627 applies 35630 01MAR2022 31DEC9999 Y Hysteroscopy for investigation of suspected intrauterine pathology if performed under general anaesthesia, including any associated endometrial biopsy, not being a service associated with a service to which item 35626 applies (H) 35631 01MAR2022 31JUL2022 N Operative laparoscopy, including any of the following:(a) unilateral or bilateral ovarian cystectomy;(b) salpingo-oophorectomy;(c) salpingectomy for tubal pathology (including ectopic pregnancy by tubal removal or salpingostomy, but excluding sterilisation);(d) excision of stage II (mild) endometriosis;not being a service associated with a service to which any other intraperitoneal or retroperitoneal procedure item (other than item 30724 or 30725) applies (H) 35631 01AUG2022 31DEC9999 Y Operative laparoscopy, including any of the following:(a) unilateral or bilateral ovarian cystectomy;(b) salpingo-oophorectomy;(c) salpingectomy for tubal pathology (including ectopic pregnancy by tubal removal or salpingostomy, but excluding sterilisation);(d) excision of mild endometriosis;not being a service associated with a service to which any other intraperitoneal or retroperitoneal procedure item (other than item 30724 or 30725) applies (H) 35632 01MAR2022 31JUL2022 N Complicated operative laparoscopy, including either or both of the following:(a) excision of stage III endometriosis;(b) laparoscopic myomectomy for a myoma of at least 4cm, including incision and repair of the uterus;not being a service associated with a service to which any other intraperitoneal or retroperitoneal procedure item (other than item 30724 or 30725 or 35658) applies (H) 35632 01AUG2022 31DEC9999 Y Complicated operative laparoscopy, including either or both of the following:(a) excision of moderate endometriosis;(b) laparoscopic myomectomy for a myoma of at least 4cm, including incision and repair of the uterus;not being a service associated with a service to which any other intraperitoneal or retroperitoneal procedure item (other than item 30724 or 30725 or 35658) applies (H) 35633 01DEC1991 30APR2002 N HYSTEROSCOPY with uterine adhesiolysis or polypectomy or tubal catheterisation or removal of IUD which cannot be removed by other means, 1 or more of 35633 01MAY2002 28FEB2022 N HYSTEROSCOPY with uterine adhesiolysis or polypectomy or tubal catheterisation (including for insertion of device for sterilisation) or removal of IUD which cannot be removed by other means, 1 or more of 35633 01MAR2022 31JUL2022 N Hysteroscopy, under visual guidance, including any of the following:(a) removal of an intra-uterine device;(b) removal of polyps by any method;(c) division of minor adhesions (ESH Grade 1) 35633 01AUG2022 31DEC9999 Y Hysteroscopy, under visual guidance, including any of the following:(a) removal of an intra-uterine device;(b) removal of polyps by any method;(c) division of minor intrauterine adhesions 35634 01NOV2000 31DEC9999 Y HYSTEROSCOPIC RESECTION of uterine septum followed by endometrial ablation by laser or diathermy 35635 01NOV2000 28FEB2022 N HYSTEROSCOPY involving resection of the uterine septum 35635 01MAR2022 31JUL2022 N Hysteroscopy involving division of:(a) a uterine septum; or(b) intrauterine adhesions ESH Grade 2 or higher (H) 35635 01AUG2022 31DEC9999 Y Hysteroscopy involving division of:(a) a uterine septum; or(b) moderate to severe intrauterine adhesions (H) 35636 01DEC1991 30APR1994 N HYSTEROSCOPY AND LAPAROSCOPY under general anaesthesia involving either myomectomy or resection of uterine septum, or both 35636 01MAY1994 31OCT2000 N HYSTEROSCOPY, and laparoscopy where performed, under general anaesthesia involving either myomectomy or resection of uterine septum or both 35636 01NOV2000 28FEB2022 N HYSTEROSCOPY, involving resection of myoma, or resection of myoma and uterine septum (where both are performed) 35636 01MAR2022 31DEC9999 Y Hysteroscopy, resection of myoma or myoma and uterine septum (if both are performed) (H) 35637 01APR1992 31OCT1992 N LAPAROSCOPY, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or any other gynaecological procedure - one or more procedures with or without biopsy - not associated with Item 30582, 35687 or 35688 35637 01NOV1992 31OCT1993 N LAPAROSCOPY, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or similar procedure - 1 or more procedures with or without biopsy - not being a service associated with any other laparoscopic procedure 35637 01NOV1993 28FEB2022 N LAPAROSCOPY, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or similar procedure - 1 or more procedures with or without biopsy - not being a service associated with any other laparoscopic procedure or hysterectomy 35637 01MAR2022 31JUL2022 N Operative laparoscopy, including any of the following:(a) excision or ablation of stage l (minor) endometriosis;(b) division of pathological adhesions;(c) sterilisation by application of clips, division, destruction or removal of tubes;not being a service associated with a service to which any other item in this Group applies (H) NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. 35637 01AUG2022 31DEC9999 Y Operative laparoscopy, including any of the following: (a) excision or ablation of minimal endometriosis; (b) division of pathological adhesions; (c) sterilisation by application of clips, division, destruction or removal of tubes; not being a service associated with another laparoscopic procedure (H) NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. 35638 01APR1992 30APR1994 N COMPLICATED OPERATIVE LAPAROSCOPY, including use of laser when required, for 1 or more of the following procedures; oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than 1 hours operating time, division of adhesions requiring more than 1 hours operating time or division of utero-sacral ligaments for significant dysmenorrhoea 35638 01MAY1994 31OCT2000 N COMPLICATED OPERATIVE LAPAROSCOPY, including use of laser when required, for 1 or more of the following procedures; oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than 1 hours operating time, division of adhesions requiring more than 1 hours operating time or division of utero-sacral ligaments for significant dysmenorrhoea - not being a service associated with any other intraperitoneal procedure 35638 01NOV2000 30APR2001 N COMPLICATED OPERATIVE LAPAROSCOPY, including use of laser when required, for 1 or more of the following procedures; oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than 1 hours operating time, or division of utero-sacral ligaments for significant dysmenorrhoea - not being a service associated with any other intraperitoneal procedure except item 30393 35638 01MAY2001 31OCT2021 N COMPLICATED OPERATIVE LAPAROSCOPY, including use of laser when required, for 1 or more of the following procedures; oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than 1 hours operating time, or division of utero-sacral ligaments for significant dysmenorrhoea - not being a service associated with any other intraperitoneal or retroperitoneal procedure except item 30393 35638 01NOV2021 31DEC9999 Y Complicated operative laparoscopy, including use of laser when required, for one or more of the following procedures: (a) oophorectomy; (b) ovarian cystectomy; (c) myomectomy; (d) salpingectomy; (e) salpingostomy; (f) ablation of moderate or severe endometriosis requiring more than 1 hour's operating time; (g) division of utero-sacral ligaments for significant dysmenorrhoea; other than a service associated with another intraperitoneal or retroperitoneal procedure except item 30724 (H) 35639 01DEC1991 31OCT1994 N UTERUS, CURETTAGE OF, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day hospital facility 35639 01NOV1994 31DEC9999 Y UTERUS, CURETTAGE OF, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital, including procedures to which item 35626, 35627 or 35630 applies, where performed 35640 01DEC1991 31OCT1994 N UTERUS, CURETTAGE OF, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day hospital facility 35640 01NOV1994 31OCT2017 N UTERUS, CURETTAGE OF, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital, including procedures to which item 35626, 35627 or 35630 applies, where performed 35640 01NOV2017 28FEB2022 N UTERUS, CURETTAGE OF, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia, or under epidural or spinal (intrathecal) nerve block, including procedures to which item 35626, 35627 or 35630 applies, if performed 35640 01MAR2022 31DEC9999 Y Uterus, curettage of, with or without dilation (including curettage for incomplete miscarriage), if performed under:(a) general anaesthesia; or(b) epidural or spinal (intrathecal) nerve block; or(c) sedation;including procedures (if performed) to which item 35626 or 35630 applies 35641 01NOV2000 30APR2001 N ENDOMETRIOSIS LEVEL 4 OR 5, LAPAROSCOPIC RESECTION OF, involving any two of the following procedures, resection of the pelvic side wall with ureterolysis, resection of the Pouch of Douglas, resection of an ovarian endometrioma greater than 2 cms in diameter, dissection of bowel from uterus from the level of the endocervical junction or above: where the operating time exceeds 90 minutes 35641 01MAY2001 28FEB2022 N ENDOMETRIOSIS LEVEL 4 OR 5, LAPAROSCOPIC RESECTION OF, involving any two of the following procedures, resection of the pelvic side wall including dissection of endometriosis or scar tissue from the ureter, resection of the Pouch of Douglas, resection of an ovarian endometrioma greater than 2 cms in diameter, dissection of bowel from uterus from the level of the endocervical junction or above: where the operating time exceeds 90 minutes 35641 01MAR2022 31JUL2022 N Endometriosis rAFS stage IV, laparoscopic resection of, involving 2 of the following procedures:(a) resection of the pelvic side wall including dissection of endometriosis or scar tissue from the ureter;(b) resection of the Pouch of Douglas; (c) resection of an ovarian endometrioma greater than 2 cm in diameter;(d) dissection of bowel from uterus from the level of the endocervical junction or above (H) 35641 01AUG2022 31DEC9999 Y Severe endometriosis, laparoscopic resection of, involving 2 of the following procedures:(a) resection of the pelvic side wall including dissection of endometriosis or scar tissue from the ureter;(b) resection of the Pouch of Douglas; (c) resection of an ovarian endometrioma greater than 2 cm in diameter;(d) dissection of bowel from uterus from the level of the endocervical junction or above (H) 35643 01DEC1991 31OCT1994 N EVACUATION OF THE CONTENTS OF THE GRAVID UTERUS BY CURETTAGE OR SUCTION CURETTAGE not being a service to which item 35639/35640 applies 35643 01NOV1994 31OCT2017 N EVACUATION OF THE CONTENTS OF THE GRAVID UTERUS BY CURETTAGE OR SUCTION CURETTAGE not being a service to which item 35639/35640 applies, including procedures to which item 35626, 35627 or 35630 applies, where performed 35643 01NOV2017 28FEB2022 N EVACUATION OF THE CONTENTS OF THE GRAVID UTERUS BY CURETTAGE OR SUCTION CURETTAGE other than a service to which item 35640 applies, including procedures to which item 35626, 35627 or 35630 applies, if performed 35643 01MAR2022 31DEC9999 Y Evacuation of the contents of the gravid uterus by curettage or suction curettage, if performed under:(a) local anaesthesia; or(b) general anaesthesia; or(c) epidural or spinal (intrathecal) nerve block; or(d) sedation;including procedures (if performed) to which item 35626 or 35630 applies 35644 01APR1992 31OCT1992 N CERVIX, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not associated with Item 35647 35644 01NOV1992 31OCT2017 N CERVIX, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35639, 35640 or 35647 applies 35644 01NOV2017 28FEB2022 N CERVIX, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, other than a service associated with a service to which item 35640 or 35647 applies 35644 01MAR2022 31DEC9999 Y Cervix, ablation by electrocoagulation diathermy, laser or cryotherapy, with colposcopy, including any local anaesthesia and biopsies, for previously biopsy confirmed HSIL (CIN 2/3) in a patient with a Type 1 or 2 (completely visible) transformation zone, if there is:(a) no evidence of invasive or glandular disease; and(b) no discordance between cytology and previous histology;not being a service associated with a service to which item 35647 or 35648 applies 35645 01APR1992 28FEB2022 N CERVIX, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in conjunction with ablative therapy of additional areas of intraepithelial change in 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35648 applies 35645 01MAR2022 31DEC9999 Y Cervix, ablation by electrocoagulation diathermy, laser or cryotherapy, with colposcopy, including any local anaesthesia or biopsies, in conjunction with ablative therapy of additional areas of biopsy proven high grade intraepithelial lesions of one or more sites of the vagina, vulva, urethra or anus, for previously biopsy confirmed HSIL (CIN2/3) in a patient with a Type 1 of 2 (completely visible) transformation zone, if there is:(a) no evidence of invasive or glandular disease; and(b) no discordance between cytology and previous histology;not being a service associated with a service to which item 35647 or 35648 applies 35646 01DEC1991 31MAR1992 N UTERUS COLPOSCOPY with cervical biopsy and radical diathermy of cervix 35646 01APR1992 31OCT1992 N CERVIX, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix 35646 01NOV1992 30APR2016 N CERVIX, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix, where performed in the operating theatre of a hospital 35646 01MAY2016 31DEC9999 Y CERVIX, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix 35647 01APR1992 28FEB2022 N CERVIX, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35644 applies 35647 01MAR2022 31DEC9999 Y Cervix, complete excision of the endocervical transformation zone, using large loop or laser therapy, including any local anaesthesia and biopsies 35648 01APR1992 28FEB2022 N CERVIX, large loop excision diathermy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in conjunction with ablative treatment of additional areas of intraepithelial change of 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35645 applies 35648 01MAR2022 31DEC9999 Y Cervix, complete excision of the endocervical transformation zone, using large loop or laser therapy, including any local anaesthesia and biopsies, in conjunction with ablative treatment of additional areas of biopsy-proven high grade intraepithelial lesions of one or more sites of the vagina, vulva, urethra or anus 35649 01DEC1991 28FEB2022 N HYSTEROTOMY or UTERINE MYOMECTOMY, abdominal 35649 01MAR2022 31DEC9999 Y Myomectomy, one or more myomas, when undertaken by an open abdominal approach (H) 35652 01DEC1991 31DEC9999 Y HYSTERECTOMY, ABDOMINAL, SUBTOTAL or TOTAL, with or without removal of uterine adnexae 35653 01DEC1991 28FEB2022 N HYSTERECTOMY, ABDOMINAL, SUBTOTAL or TOTAL, with or without removal of uterine adnexae 35653 01MAR2022 31DEC9999 Y Hysterectomy, abdominal, with or without removal of fallopian tubes and ovaries (H) 35656 01DEC1991 31DEC9999 Y HYSTERECTOMY, VAGINAL, with or without uterine curettage, not covered by Item 35673 35657 01DEC1991 30APR2002 N HYSTERECTOMY, VAGINAL, with or without uterine curettage, not being a service to which item 35673 applies 35657 01MAY2002 28FEB2022 N HYSTERECTOMY, VAGINAL, with or without uterine curettage, not being a service to which item 35673 applies NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. 35657 01MAR2022 31OCT2022 N Hysterectomy, vaginal, with or without uterine curettage, inclusive of posterior culdoplasty, not being a service to which item 35673 applies (H) 35657 01NOV2022 31DEC9999 Y Hysterectomy, vaginal, with or without uterine curettage, inclusive of posterior culdoplasty, not being a service associated with a service to which item 35673 applies (H) 35658 01NOV1995 28FEB2022 N UTERUS (at least equivalent in size to a 10 week gravid uterus), debulking of, prior to vaginal removal at hysterectomy 35658 01MAR2022 31DEC9999 Y Uterus (at least equivalent in size to a 10 week gravid uterus), debulking of, prior to vaginal or laparoscopic removal at hysterectomy or myoma of at least 4 cm removed by laparoscopy when retrieved from the abdomen (H) 35660 01DEC1991 31DEC9999 Y HYSTERECTOMY, ABDOMINAL, with excision of ovarian, paraovarian, broad ligament or other adnexal cyst or mass, one or more, with conservation of the ovaries 35661 01DEC1991 31OCT1992 N HYSTERECTOMY, ABDOMINAL, with excision of ovarian, paraovarian, broad ligament or other adnexal cyst or mass, one or more, with conservation of the ovaries 35661 01NOV1992 28FEB2022 N HYSTERECTOMY, ABDOMINAL, requiring extensive retroperitoneal dissection, with or without exposure of 1 or both ureters, for the management of severe endometriosis, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of the ovaries 35661 01MAR2022 31DEC9999 Y Hysterectomy, abdominal, that concurrently requires extensive retroperitoneal dissection with exposure of one or both ureters and complex side wall dissection, including when performed with one or more of the following procedures:(a) salpingectomy;(b) oophorectomy;(c) excision of ovarian cyst(H) 35664 01DEC1991 31OCT1992 N RADICAL HYSTERECTOMY with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any one or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum 35664 01NOV1992 31OCT2019 N RADICAL HYSTERECTOMY with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed 35664 01NOV2019 31DEC9999 Y RADICAL HYSTERECTOMY with radical excision of pelvic lymph nodes (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed 35667 01DEC1991 31OCT1992 N RADICAL HYSTERECTOMY without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any one or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum 35667 01NOV1992 28FEB2022 N RADICAL HYSTERECTOMY without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed 35667 01MAR2022 31DEC9999 Y Radical hysterectomy or radical trachelectomy (with or without excision of uterine adnexae) for proven malignancy, including excision of any one or more of the following:(a) parametrium;(b) paracolpos;(c) upper vagina;(d) contiguous pelvic peritoneum;utilising nerve sparing techniques and involving ureterolysis, if performed (H) 35668 01MAR2022 31DEC9999 Y Hysterectomy, radical (with or without excision of uterine adnexae) including excision of any one or more of the following:(a) parametrium;(b) paracolpos;(c) upper vagina;(d) contiguous pelvic peritoneum;utilising nerve sparing techniques and involving ureterolysis, if performed in a patient with malignancy and previous pelvic radiation or chemotherapy treatment (H) 35669 01MAR2022 31DEC9999 Y Hysterectomy, peripartum, performed for histologically proven placenta increta or percreta, or placenta accreta, if the patient has been referred to another practitioner for the management of severe intractable peripartum haemorrhage (H) 35670 01DEC1991 31OCT2019 N HYSTERECTOMY, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae 35670 01NOV2019 31DEC9999 Y HYSTERECTOMY, abdominal, with radical excision of pelvic lymph nodes, with or without removal of uterine adnexae 35671 01MAR2022 31DEC9999 Y Hysterectomy, peripartum, for ongoing intractable haemorrhage where other haemorrhage control techniques have failed, for the purpose of providing lifesaving emergency treatment, not being a service associated with a service to which item 35667, 35668 or 35669 applies (H) 35673 01DEC1991 28FEB2022 N HYSTERECTOMY, VAGINAL (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or both sides 35673 01MAR2022 31OCT2022 N Hysterectomy, vaginal, with or without uterine curettage, with salpingectomy, oophorectomy or excision of ovarian cyst, one or more, one or both sides, inclusive of a posterior culdoplasty, not being a service to which item 35657 applies (H) 35673 01NOV2022 31DEC9999 Y Hysterectomy, vaginal, with or without uterine curettage, with salpingectomy, oophorectomy or excision of ovarian cyst, one or more, one or both sides, inclusive of a posterior culdoplasty, not being a service associated with a service to which item 35657 applies (H) 35674 01JUL1995 31DEC9999 Y ULTRASOUND GUIDED NEEDLING and injection of ectopic pregnancy 35676 01DEC1991 31DEC9999 Y ECTOPIC PREGNANCY, removal of 35677 01DEC1991 31DEC9999 Y ECTOPIC PREGNANCY, removal of 35678 01APR1992 31DEC9999 Y ECTOPIC PREGNANCY, laparoscopic removal of 35680 01DEC1991 31DEC9999 Y BICORNUATE UTERUS, plastic reconstruction for 35683 01DEC1991 31DEC9999 Y UTERUS, SUSPENSION OR FIXATION OF, as an independent procedure 35684 01DEC1991 31DEC9999 Y UTERUS, SUSPENSION OR FIXATION OF, as an independent procedure 35687 01DEC1991 30APR2002 N STERILISATION BY TRANSECTION OR RESECTION OF FALLOPIAN TUBES, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method. 35687 01MAY2002 31DEC9999 Y STERILISATION BY TRANSECTION OR RESECTION OF FALLOPIAN TUBES, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method. NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. 35688 01DEC1991 30APR2002 N STERILISATION BY TRANSECTION OR RESECTION OF FALLOPIAN TUBES, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method 35688 01MAY2002 31DEC9999 Y STERILISATION BY TRANSECTION OR RESECTION OF FALLOPIAN TUBES, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. 35691 01DEC1991 30APR2002 N STERILISATION BY INTERRUPTION OF FALLOPIAN TUBES, when performed in conjunction with Caesarean section 35691 01MAY2002 31DEC9999 Y STERILISATION BY INTERRUPTION OF FALLOPIAN TUBES, when performed in conjunction with Caesarean section NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explantory note before submitting a claim. 35694 01DEC1991 28FEB2022 N TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, 1 or more procedures 35694 01MAR2022 31DEC9999 Y Tuboplasty (salpingostomy or salpingolysis), unilateral or bilateral, one or more procedures (H) 35697 01DEC1991 28FEB2022 N MICROSURGICAL TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, 1 or more procedures 35697 01MAR2022 31DEC9999 Y Microsurgical or laparoscopic tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, 1 or more procedures 35700 01DEC1991 31OCT1996 N FALLOPIAN TUBES, unilateral microsurgical anastomosis of, using operating microscope 35700 01NOV1996 30JUN2008 N FALLOPIAN TUBES, unilateral microsurgical anastomosis of, using operating microscope for other than reversal of previous sterilisation 35700 01JUL2008 28FEB2022 N FALLOPIAN TUBES, unilateral microsurgical anastomosis of, using operating microscope 35700 01MAR2022 31DEC9999 Y FALLOPIAN TUBES, unilateral microsurgical or laparoscopic anastomosis of (H) 35703 01DEC1991 28FEB2022 N HYDROTUBATION OF FALLOPIAN TUBES as a nonrepetitive procedure not being a service associated with a service to which another item in this Sub-group applies 35703 01MAR2022 31DEC9999 Y HYDROTUBATION OF FALLOPIAN TUBES as a nonrepetitive procedure 35706 01DEC1991 31DEC9999 Y RUBIN TEST FOR PATENCY OF FALLOPIAN TUBES 35709 01DEC1991 31DEC9999 Y FALLOPIAN TUBES, hydrotubation of, as a repetitive postoperative procedure 35710 01MAY1997 31DEC9999 Y FALLOPOSCOPY, unilateral or bilateral, including hysteroscopy and tubal catheterization 35712 01DEC1991 31DEC9999 Y LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGOOOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - 1 such procedure, not being a service associated with hysterectomy 35713 01DEC1991 31OCT2017 N LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGOOOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST one such procedure, not associated with hysterectomy 35713 01NOV2017 31DEC9999 Y LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGO-OOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - one such procedure, other than a service associated with hysterectomy 35716 01DEC1991 31DEC9999 Y LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGOOOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - 2 or more such procedures, unilateral or bilateral, not being a service associated with hysterectomy 35717 01DEC1991 31OCT2017 N LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGOOOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST 2 or more such procedures, unilateral or bilateral, not being a service associated with hysterectomy 35717 01NOV2017 28FEB2022 N LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGO-OOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - 2 or more such procedures, unilateral or bilateral, other than a service associated with hysterectomy 35717 01MAR2022 31DEC9999 Y Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst-one or more such procedures, unilateral or bilateral, including adhesiolysis, for benign disease (including ectopic pregnancy by tubal removal or salpingostomy), not being a service associated with hysterectomy (H) 35720 01DEC1991 28FEB2022 N RADICAL OR DEBULKING OPERATION for advanced gynaecological malignancy, with or without omentectomy 35720 01MAR2022 31DEC9999 Y Radical debulking, involving the radical excision of a macroscopically disseminated gynaecological malignancy from the pelvic cavity, including resection of peritoneum from the following:(a) the pelvic side wall;(b) the pouch of Douglas;(c) the bladder;for macroscopic disease confined to the pelvis, not being a service associated with a service to which item 35721 applies (H) 35721 01MAR2022 31DEC9999 Y Radical debulking, involving the radical excision of a macroscopically disseminated gynaecological malignancy from the abdominal and pelvic cavity, where cancer has extended beyond the pelvis, including any of the following:(a) resection of peritoneum over any of the following: (i) the diaphragm; (ii) the paracolic gutters; (iii) the greater or lesser omentum; (iv) the porta hepatis;(b) cytoreduction of recurrent gynaecological malignancy from the abdominal cavity following previous abdominal surgery, radiation or chemotherapy;(c) cytoreduction of recurrent gynaecological malignancy from the pelvic cavity following previous pelvic surgery, radiation or chemotherapy;not being a service to which a service associated with a service to which item 35720 or 35726 applies (H) 35723 01DEC1991 28FEB2022 N RETROPERITONEAL LYMPH NODE BIOPSIES from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy 35723 01MAR2022 31DEC9999 Y Para-aortic lymph node dissection from above the level of the aortic bifurcation (unilateral), for staging or restaging of gynaecological malignancy (H) 35724 01MAR2022 31DEC9999 Y Para-aortic lymph node dissection (pelvic or above the aortic bifurcation) after prior similar dissection, radiotherapy or chemotherapy for malignancy (H) 35726 01DEC1991 28FEB2022 N INFRACOLIC OMENTECTOMY with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy 35726 01MAR2022 31OCT2022 N Infra-colic omentectomy, with or without multiple peritoneal biopsies, for staging or restaging of gynaecological malignancy, not being a service to which item 35721 applies (H) 35726 01NOV2022 31DEC9999 Y Infra-colic omentectomy, with or without multiple peritoneal biopsies, for staging or restaging of gynaecological malignancy, not being a service associated with a service to which item 35721 applies (H) 35729 01NOV1992 31DEC9999 Y OVARIAN TRANSPOSITION out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy 35730 01MAY2017 31DEC9999 Y Ovarian repositioning for one or both ovaries to preserve ovarian function, prior to gonadotoxic radiotherapy when the treatment volume and dose of radiation have a high probability of causing infertility 35750 01MAY1997 28FEB2022 N LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, including any associated laparoscopy 35750 01MAR2022 30JUN2022 N Hysterectomy, laparoscopic assisted vaginal, by any approach, including any endometrial sampling, with or without removal of the tubes or ovarian cystectomy or removal of the ovaries and tubes due to other pathology, not being a service associated with a service to which item 35595 or 35673 applies. 35750 01JUL2022 31DEC9999 Y Hysterectomy, laparoscopic assisted vaginal, by any approach, including any endometrial sampling, with or without removal of the tubes or ovarian cystectomy or removal of the ovaries and tubes due to other pathology, not being a service associated with a service to which item 35595 or 35673 applies. (H) 35751 01MAR2022 31DEC9999 Y Hysterectomy, laparoscopic, by any approach, including any endometrial sampling, with or without removal of the tubes, not being a service associated with a service to which item 35595 applies (H) 35753 01MAY1997 30APR2001 N LAPAROSCOPICALLY ASSISTED HYSTERECTOMY with one or more of the following procedures: salpingectomy, oophorectomy, excision of ovarian cyst or treatment of moderate endometriosis, one or both sides, including any associated laparoscopy 35753 01MAY2001 28FEB2022 N LAPAROSCOPICALLY ASSISTED HYSTERECTOMY with one or more of the following procedures: salpingectomy, oophorectomy, excision of ovarian cyst or treatment of moderate endometriosis, one or both sides, including any associated laparoscopy 35753 01MAR2022 31DEC9999 Y Hysterectomy, complex laparoscopic, by any approach, including endometrial sampling, with either or both of the following procedures:(a) unilateral or bilateral salpingo-oophorectomy (excluding salpingectomy);(b) excision of moderate endometriosis or ovarian cyst;including any associated laparoscopy, not being a service associated with a service to which item 35595 applies (H) 35754 01MAY2001 28FEB2022 N LAPAROSCOPICALLY ASSISTED HYSTERECTOMY which requires dissection of endometriosis, or other pathology, from the ureter, one or both sides, including any associated laparoscopy, including when performed with one or more of the following procedures: salpingectomy, oophorectomy, excision of ovarian cyst, or treatment of endometriosis, not being a service to which item 35641 applies 35754 01MAR2022 31JUL2022 N Hysterectomy, laparoscopic, by any approach, including any of the following procedures:(a) salpingectomy;(b) oophorectomy;(c) excision of ovarian cyst;(d) any endometrial sampling that concurrently requires complex side wall dissection;(e) any associated laparoscopy;other than a service to which item 35595 or 35641 applies (H) 35754 01AUG2022 31DEC9999 Y Hysterectomy, complex laparoscopic, by any approach, that concurrently requires either extensive retroperitoneal dissection or complex side wall dissection, or both, with any of the following procedures (if performed):(a) endometrial sampling; (b) unilateral or bilateral salpingectomy, oophorectomy or salpingo-oophorectomy;(c) excision of ovarian cyst; (d) any other associated laparoscopy; not being a service associated with a service to which item 35595 or 35641 applies (H) 35756 01MAY1997 28FEB2022 N LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, when procedure is completed by open hysterectomy, including any associated laparoscopy 35756 01MAR2022 31DEC9999 Y Hysterectomy, laparoscopic, by any approach, if the procedure is completed by open hysterectomy for control of bleeding or extensive pathology, including any associated laparoscopy, not being a service associated with a service to which item 35595 or 35641 applies (H) 35759 01NOV2000 31OCT2013 N Procedure for the control of POST OPERATIVE HAEMORRHAGE following gynaecological surgery, under general anaesthesia, utilising a vaginal or abdominal and vaginal approach where no other procedure is performed 35759 01NOV2013 28FEB2022 N Procedure for the control of POST OPERATIVE HAEMORRHAGE following gynaecological surgery, under general anaesthesia, utilising a vaginal or abdominal and vaginal approach where no other procedure is performed 35759 01MAR2022 31DEC9999 Y Procedure for the control of post operative haemorrhage following gynaecological surgery, under general anaesthesia, utilising a vaginal, abdominal or laparoscopic approach if no other procedure is performed (H) 36500 01DEC1991 31DEC9999 Y ADRENAL GLAND, excision of partial or total 36502 01NOV1997 31DEC9999 Y PELVIC LYMPHADENECTOMY, open or laparoscopic, or both, unilateral or bilateral 36503 01DEC1991 31DEC9999 Y RENAL TRANSPLANT (not being a service to which item 36506 or 36509 applies) 36504 01MAY2019 29FEB2024 N RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with biopsy of bladder, not being a service associated with a service to which item 36505, 36507, 36508, 36812, 36830, 36836, 36840, 36845, 36848, 36854, 37203, 37206, 37215, 37230 or 37233 applies. 36504 01MAR2024 31DEC9999 Y Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with biopsy of bladder, not being a service associated with a service to which item 36505, 36507, 36508, 36812, 36830, 36836, 36840, 36845, 36848, 36854, 37203 or 37215 applies 36505 01MAY2019 31DEC9999 Y RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with urethroscopy with or without urethral dilatation, not being a service associated with any other urological endoscopic procedure on the lower urinary tract except a service to which item 37327 applies. 36506 01DEC1991 31DEC9999 Y RENAL TRANSPLANT, performed by vascular surgeon and urologist operating together vascular anastomosis including aftercare 36507 01MAY2019 31DEC9999 Y RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with resection, diathermy or visual laser destruction of bladder tumour or other lesion of the bladder, not being a service to which item 36840 or 36845 applies. 36508 01MAY2019 31DEC9999 Y RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with diathermy, resection or visual laser destruction of multiple tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2cm in diameter, not being a service to which item 36845 applies. 36509 01DEC1991 31DEC9999 Y RENAL TRANSPLANT, performed by vascular surgeon and urologist operating together ureterovesical anastomosis including aftercare 36512 01DEC1991 31DEC9999 Y DONOR NEPHRECTOMY (cadaver) one or both kidneys 36515 01DEC1991 31DEC9999 Y NEPHRECTOMY, complete 36516 01DEC1991 31OCT2020 N NEPHRECTOMY, complete 36516 01NOV2020 31DEC9999 Y Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies 36519 01DEC1991 31OCT2020 N NEPHRECTOMY, complete, complicated by previous surgery on the same kidney 36519 01NOV2020 31DEC9999 Y Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, complicated by previous surgery on the same kidney, other than a service associated with a service to which item 30390 or 30627 applies 36522 01DEC1991 31OCT2020 N NEPHRECTOMY, partial 36522 01NOV2020 31DEC9999 Y Nephrectomy, partial, by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies 36525 01DEC1991 31OCT2020 N NEPHRECTOMY, partial, complicated by previous surgery on the same kidney 36525 01NOV2020 31DEC9999 Y Nephrectomy, partial, by open, laparoscopic or robot-assisted approach: (a) if complicated by previous surgery or ablative procedure on the same kidney; or (b) for a patient with a solitary functioning kidney; or (c) for a patient with an estimated glomerular filtration rate (eGFR) of less than 60ml/min/1.73m2; other than a service associated with a service to which item 30390 or 30627 applies 36526 01MAY2004 31DEC9999 Y NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10cms in diameter, where performed if malignancy is clinically suspected but not confirmed by histopathological examination 36527 01MAY2004 31DEC9999 Y NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour 10cms or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney, where performed if malignancy is clinically suspected but not confirmed by histopathological examination 36528 01DEC1991 30APR2001 N NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy 36528 01MAY2001 31OCT2020 N NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cms in diameter 36528 01NOV2020 31DEC9999 Y Nephrectomy, radical, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cm in diameter, other than a service associated with a service to which item 30390 or 30627 applies 36529 01MAY2001 31OCT2020 N NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour 10 cms or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney 36529 01NOV2020 31DEC9999 Y Nephrectomy, radical, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy: (a) for a tumour 10 cm or more in diameter; or (b) if complicated by previous open or laparoscopic surgery on the same kidney; other than a service associated with a service to which item 30390 or 30627 applies 36530 01NOV2022 31DEC9999 Y Renal cell carcinoma, not more than 4 cm in diameter, destruction of, by percutaneous, laparoscopic or open cryoablation (including any associated imaging services), if: (a) malignancy has previously been confirmed by histopathological examination; and (b) a multi-disciplinary team has reviewed treatment options for the patient and assessed that partial nephrectomy is not suitable; and (c) the service is not a service associated with a service to which item 36522 or 36525 applies (H) 36531 01DEC1991 31OCT2020 N NEPHROURETERECTOMY, complete, including associated bladder repair and any associated endoscopic procedures 36531 01NOV2020 31DEC9999 Y Nephroureterectomy, complete, by open, laparoscopic or robot-assisted approach, including associated bladder repair and any associated endoscopic procedure, other than a service associated with a service to which item 30390 or 30627 applies 36532 01MAY2001 31OCT2020 N NEPHRO-URETERECTOMY, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures 36532 01NOV2020 31DEC9999 Y Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, other than a service to which item 36533 applies or a service associated with a service to which item 30390 or 30627 applies 36533 01MAY2001 31OCT2020 N NEPHRO-URETERECTOMY, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, complicated by previous open or laparoscopic surgery on the same kidney or ureter 36533 01NOV2020 31DEC9999 Y Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, if complicated by previous open or laparoscopic surgery on the same kidney or ureter, other than a service associated with a service to which item 30390 or 30627 applies 36534 01DEC1991 31DEC9999 Y KIDNEY, FUSED, renal symphysiotomy for 36537 01DEC1991 31DEC9999 Y KIDNEY OR PERINEPHRIC AREA, EXPLORATION OF, with or without drainage of, by open exposure, not being a service to which another item in this Sub-group applies 36540 01DEC1991 31DEC9999 Y NEPHROLITHOTOMY OR PYELOLITHOTOMY, or both, through the same skin incision, for 1 or 2 stones 36543 01DEC1991 31OCT2020 N NEPHROLITHOTOMY OR PYELOLITHOTOMY, or both, extended, for staghorn stone or 3 or more stones, including 1 or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty 36543 01NOV2020 31DEC9999 Y Nephrolithotomy or pyelolithotomy, or both, extended, for one or more renal stones, including one or more of nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty 36546 01DEC1991 31DEC9999 Y EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) to urinary tract and posttreatment care for 3 days, including pretreatment consultation, unilateral 36549 01DEC1991 31OCT2020 N URETEROLITHOTOMY 36549 01NOV2020 31DEC9999 Y Ureterolithotomy, by open, laparoscopic or robot-assisted approach 36552 01DEC1991 31DEC9999 Y NEPHROSTOMY or pyelostomy, open, as an independent procedure 36555 01DEC1991 31DEC9999 Y NEPHROPEXY, as an independent procedure 36558 01DEC1991 31DEC9999 Y RENAL CYST OR CYSTS, excision or unroofing of 36561 01DEC1991 31OCT2020 N RENAL BIOPSY (closed) 36561 01NOV2020 31DEC9999 Y Renal biopsy, performed under image guidance (closed) 36564 01DEC1991 30APR2004 N PYELOPLASTY, by open exposure 36564 01MAY2004 31OCT2020 N PYELOPLASTY, (plastic reconstruction of the pelvi-ureteric junction) by open exposure, laparoscopy or laparoscopic assisted techniques 36564 01NOV2020 31DEC9999 Y Pyeloplasty, (plastic reconstruction of the pelvi-ureteric junction) by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach 36567 01DEC1991 30APR2001 N PYELOPLASTY in congenitally abnormal kidney or solitary kidney, by open exposure 36567 01MAY2001 31OCT2020 N PYELOPLASTY in a kidney that is congenitally abnormal in addition to the presence of PUJ obstruction, or in a solitary kidney, by open exposure 36567 01NOV2020 31DEC9999 Y Pyeloplasty in a kidney that is congenitally abnormal (in addition to the presence of pelvi-ureteric junction obstruction), or in a solitary kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach 36570 01DEC1991 31OCT2020 N PYELOPLASTY, complicated by previous surgery on the same kidney, by open exposure 36570 01NOV2020 31DEC9999 Y Pyeloplasty, complicated by previous surgery on the same kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach 36573 01DEC1991 31DEC9999 Y DIVIDED URETER, repair of 36576 01DEC1991 31OCT2020 N KIDNEY, exposure and exploration of, including repair or nephrectomy, for trauma, not being a service associated with any other procedure performed on the kidney, renal pelvis or renal pedicle 36576 01NOV2020 31DEC9999 Y Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, by open, laparoscopic or robot-assisted approach, other than a service associated with: (a) any other procedure performed on the kidney, renal pelvis or renal pedicle; or (b) a service to which item 30390 or 30627 applies 36579 01DEC1991 31OCT2020 N URETERECTOMY, COMPLETE OR PARTIAL, with or without associated bladder repair, not being a service associated with a service to which item 37000 applies 36579 01NOV2020 31DEC9999 Y Ureterectomy, complete or partial: (a) for a tumour within the ureter, proven by histopathology at the time of surgery; or (b) for congenital anomaly; with or without associated bladder repair 36582 01DEC1991 31DEC9999 Y URETER, replacement of, by bowel 36585 01DEC1991 31DEC9999 Y URETER, transplantation of, into skin 36588 01DEC1991 31DEC9999 Y URETER, reimplantation into bladder 36591 01DEC1991 31DEC9999 Y URETER, reimplantation into bladder with psoas hitch or Boari flap or both 36594 01DEC1991 31DEC9999 Y URETER, transplantation of, into intestine 36597 01DEC1991 31DEC9999 Y URETER, transplantation of, into another ureter 36600 01DEC1991 31DEC9999 Y URETER, transplantation of, into isolated intestinal segment, unilateral 36603 01DEC1991 31DEC9999 Y URETERS, transplantation of, into isolated intestinal segment, bilateral 36604 01MAY1997 31OCT2020 N URETERIC STENT, passage of through percutaneous nephrostomy tube, using interventional imaging techniques 36604 01NOV2020 31DEC9999 Y Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional radiology techniques, but not including imaging 36605 01MAY2005 31DEC9999 Y URETERIC STENT, insertion of, with removal of calculus from: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional imaging techniques 36606 01DEC1991 31DEC9999 Y INTESTINAL URINARY RESERVOIR, continent, formation of, including formation of nonreturn valves and implantation of ureters (1 or both) into reservoir 36607 01MAY2005 31OCT2020 N URETERIC STENT insertion of, with baloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional imaging techniques 36607 01NOV2020 31DEC9999 Y Ureteric stent insertion of, with balloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional radiology techniques, but not including imaging 36608 01MAY2005 31OCT2020 N URETERIC STENT, exchange of, percutaneously through either the ileal conduit or bladder, using interventional imaging techniques, not being a service associated with a service to which items 36811 to 36854 apply 36608 01NOV2020 31DEC9999 Y Ureteric stent, exchange of, percutaneously through either the ileal conduit or bladder, using interventional radiology techniques, but not including imaging, not being a service associated with a service to which items 36811 to 36854 apply 36609 01DEC1991 31OCT2020 N INTESTINAL URINARY CONDUIT OR URETEROSTOMY, revision of 36609 01NOV2020 31DEC9999 Y Intestinal urinary conduit, reservoir or ureterostomy, revision of 36610 01NOV2020 31DEC9999 Y Intestinal urinary conduit, incontinent, formation of (including associated small bowel resection and anastomosis), including implantation of one or both ureters into reservoir 36611 01NOV2020 31DEC9999 Y Intestinal urinary reservoir, continent, formation of (including associated small bowel resection and anastomosis), including formation of non-return valves and implantation of one or both ureters into reservoir, performed by open, laparoscopic or robot-assisted approach 36612 01DEC1991 31DEC9999 Y URETER, exploration of, with or without drainage of, as an independent procedure 36615 01DEC1991 30APR2001 N URETEROLYSIS, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition 36615 01MAY2001 31OCT2020 N URETEROLYSIS, with or without repositioning of the ureter, for obstruction of the ureter, evident either radiologically or by proximal ureteric dilatation at operation, secondary to retroperitoneal fibrosis, or similar condition 36615 01NOV2020 31DEC9999 Y Ureterolysis, unilateral, with or without repositioning of the ureter, for obstruction of the ureter, if: (a) the obstruction: (i) is evident either radiologically or by proximal ureteric dilatation at operation; and (ii) is secondary to retroperitoneal fibrosis; and (b) there is biopsy proven fibrosis, endometriosis or cancer at the site of the obstruction at time of surgery 36618 01DEC1991 31DEC9999 Y REDUCTION URETEROPLASTY 36621 01DEC1991 31DEC9999 Y CLOSURE OF CUTANEOUS URETEROSTOMY 36624 01DEC1991 30APR1994 N NEPHROSTOMY, percutaneous, including associated imaging 36624 01MAY1994 31OCT2020 N NEPHROSTOMY, percutaneous, using interventional imaging techniques 36624 01NOV2020 31DEC9999 Y Nephrostomy, percutaneous, using interventional radiology techniques, but not including imaging 36627 01DEC1991 31OCT2020 N NEPHROSCOPY, percutaneous, with or without any 1 or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639, 36642, 36645 or 36648 applies 36627 01NOV2020 31DEC9999 Y Nephroscopy, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639 or 36645 applies 36630 01DEC1991 31DEC9999 Y NEPHROSCOPY, BEING A SERVICE TO WHICH ITEM 36627 APPLIES, WHERE, after a substantial portion of the procedure has been performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION DUE TO BLEEDING 36633 01DEC1991 31OCT2020 N NEPHROSCOPY, percutaneous, with incision of any 1 or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies 36633 01NOV2020 31DEC9999 Y Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not being a service associated with a service to which item 36627, 36639 or 36645 applies 36636 01DEC1991 31OCT2020 N NEPHROSCOPY, percutaneous, with incision of any 1 or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies 36636 01NOV2020 31DEC9999 Y Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639 or 36645 applies 36639 01DEC1991 31OCT2020 N NEPHROSCOPY, percutaneous, with destruction and extraction of 1 or 2 stones using ultrasound or electrohydraulic shock waves or lasers (not being a service to which item 36645 or 36648 applies) 36639 01NOV2020 31DEC9999 Y Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves or lasers, other than a service to which item 36645 applies 36642 01DEC1991 31DEC9999 Y NEPHROSCOPY, BEING A SERVICE TO WHICH ITEM 36639 APPLIES, WHERE, after a substantial portion of the procedure has been performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION DUE TO BLEEDING 36645 01DEC1991 31DEC9999 Y NEPHROSCOPY, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones 36648 01DEC1991 31DEC9999 Y NEPHROSCOPY, being a service to which item 36645 applies, WHERE, after a substantial portion of the procedure has been performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION 36649 01APR1992 31OCT2020 N NEPHROSTOMY DRAINAGE TUBE, exchange of - but not including imaging 36649 01NOV2020 31DEC9999 Y Nephrostomy drainage tube, exchange of, using interventional radiology techniques, but not including imaging 36650 01MAY2005 31OCT2020 N NEPHROSTOMY TUBE, removal of, if the ureter has been stented with a double J ureteric stent and that stent is left in place, using interventional imaging techniques 36650 01NOV2020 31DEC9999 Y Nephrostomy tube, removal of, using interventional radiology techniques, but not including imaging, if the ureter has been stented with a double J ureteric stent and that stent is left in place 36652 01MAY2001 31DEC9999 Y PYELOSCOPY, retrograde, of one collecting system, with or without any one or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies 36654 01MAY2001 31OCT2001 N PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces 36654 01NOV2001 31DEC9999 Y PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces, not being a service associated with a service to which item 36656 applies to a procedure performed in the same collecting system 36656 01MAY2001 31OCT2001 N PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or calyces, with or without extraction of fragments 36656 01NOV2001 31DEC9999 Y PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or calyces, with or without extraction of fragments, not being a service associated with a service to which item 36654 applies to a procedure performed in the same collecting system 36657 01APR2002 31DEC9999 Y This is a dummy item used for statistical item mapping purposes 36658 01APR2002 31DEC9999 Y SACRAL NERVE STIMULATION for refractory urinary incontinence or urge retention, removal of pulse generator and leads 36660 01APR2002 31DEC9999 Y SACRAL NERVE STIMULATION for refractory urinary incontinence or urge retention, removal and replacement of pulse generator 36662 01APR2002 31DEC9999 Y SACRAL NERVE STIMULATION for refractory urinary incontinence or urge retention, removal and replacement of leads 36663 01MAY2010 30APR2017 N Sacral nerve lead(s), percutaneous placement using fluoroscopic guidance (or open placement) and intraoperative test stimulation, to manage: a) detrusor overactivity; or b) non obstructive urinary retention that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older. 36663 01MAY2017 31DEC9999 Y Both:(a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra-operative test stimulation, to manage: (i) detrusor over-activity that has been refractory to at least 12 months conservative non-surgical treatment; or (ii) non-obstructive urinary retention that has been refractory to at least 12 months conservative non-surgical treatment 36664 01MAY2010 30APR2017 N Sacral nerve lead(s), percutaneous surgical repositioning of, using fluoroscopic guidance (or open surgical repositioning) and intraoperative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: a) detrusor overactivity; or b) non obstructive urinary retention that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older, not being a service to which item 36663 applies 36664 01MAY2017 31DEC9999 Y Both:(a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra-operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over-activity that has been refractory to at least 12 months conservative non-surgical treatment; or (ii) non-obstructive urinary retention that has been refractory to at least 12 months conservative non-surgical treatment -other than a service to which item 36663 applies 36665 01MAY2010 31DEC9999 Y Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day 36666 01MAY2010 30APR2017 N Pulse generator, subcutaneous placement of, and placement and connection of extension wire(s) to sacral nerve electrode(s), for the management of a) detrusor overactivity; or b) non obstructive urinary retention that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older. 36666 01MAY2017 31DEC9999 Y Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of:(a) detrusor over-activity that has been refractory to at least 12 months conservative non-surgical treatment; or (b) non-obstructive urinary retention that has been refractory to at least 12 months conservative non-surgical treatment 36667 01MAY2010 30APR2017 N Sacral nerve lead(s), removal of, if the lead was inserted to manage: a) detrusor overactivity; or b) non obstructive urinary retention that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older. 36667 01MAY2017 31DEC9999 Y Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over-activity that has been refractory to at least 12 months conservative non-surgical treatment; or (b) non-obstructive urinary retention that has been refractory to at least 12 months conservative non-surgical treatment 36668 01MAY2010 30APR2017 N Pulse generator, removal of, if the pulse generator was inserted to manage: a) detrusor overactivity; or b) non obstructive urinary retention that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older. 36668 01MAY2017 31DEC9999 Y Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over-activity that has been refractory to at least 12 months conservative non-surgical treatment; or (b) non-obstructive urinary retention that has been refractory to at least 12 months conservative non-surgical treatment 36671 01NOV2018 31DEC9999 Y Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti-cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient-applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies 36672 01NOV2018 31DEC9999 Y Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies 36673 01NOV2018 31DEC9999 Y Percutaneous tibial nerve stimulation, maintenance treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and to the tapering treatment protocol, and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the maintenance treatment protocol comprises no more than 12 sessions, delivered over a 12 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for service associated with a service to which item 36671 or 36672 applies 36800 01DEC1991 31DEC9999 Y BLADDER, catheterisation of, where no other procedure is performed 36803 01DEC1991 30APR2001 N URETEROSCOPY, of one ureter, with or without any one or more of; cystoscopy, ureteric meatotomy or ureteric dilatation, not being a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824, 36848 or 36857 applies 36803 01MAY2001 31OCT2020 N URETEROSCOPY, of one ureter, with or without any one or more of; cystoscopy, ureteric meatotomy or ureteric dilatation, not being a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824, 36848 or 36857 applies 36803 01NOV2020 31DEC9999 Y Ureteroscopy, of one ureter, with or without any one or more of; cystoscopy, ureteric meatotomy or ureteric dilatation, not being a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824 or 36848 applies 36806 01DEC1991 30APR2001 N URETEROSCOPY, BEING A SERVICE TO WHICH ITEM 36803 APPLIES, PLUS 1 or more of extraction of stone, biopsy or diathermy 36806 01MAY2001 31OCT2020 N URETEROSCOPY, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus one or more of extraction of stone from the ureter, or biopsy or diathermy of the ureter, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36809, 36824, 36848 or 36857 applies to a procedure performed on the same ureter 36806 01NOV2020 31DEC9999 Y Ureteroscopy, of one ureter: (a) with or without one or more of the following: (i) cystoscopy; (ii) endoscopic incision of pelviureteric junction or ureteric stricture; (iii) ureteric meatotomy; (iv) ureteric dilatation; and (b) with either or both of the following: (i) extraction of stone from the ureter; (ii) biopsy or diathermy of the ureter; other than: (c) a service associated with a service to which item 36803 or 36812 applies; or (d) a service associated with a service, performed on the same ureter, to which item 36809, 36824 or 36848 applies 36809 01DEC1991 30APR2001 N URETEROSCOPY, BEING A SERVICE TO WHICH ITEM 36803 APPLIES, PLUS destruction of stone with ultrasound, electrohydraulic shock waves, or laser, with extraction of fragments 36809 01MAY2001 31OCT2020 N URETEROSCOPY, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, PLUS destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy, or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824, 36848 or 36857 applies to a procedure performed on the same ureter 36809 01NOV2020 31DEC9999 Y Ureteroscopy, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy, or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824 or 36848 applies to a procedure performed on the same ureter 36811 01MAY1997 31OCT2020 N CYSTOSCOPY with insertion of urethral prosthesis 36811 01NOV2020 31DEC9999 Y Cystoscopy, with insertion of one or more urethral or prostatic prostheses, other than a service associated with a service to which item 37203, 37207 or 37230 applies 36812 01DEC1991 31OCT2020 N CYSTOSCOPY with urethroscopy with or without urethral dilatation, not being a service associated with any other urological endoscopic procedure on the lower urinary tract except a service to which item 37327 applies 36812 01NOV2020 31DEC9999 Y Either or both of cystoscopy and urethroscopy, with or without urethral dilatation, other than a service associated with any other urological endoscopic procedure on the lower urinary tract 36815 01DEC1991 31DEC9999 Y CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not being a service associated with a service to which item 30189 applies 36818 01DEC1991 31OCT2020 N CYSTOSCOPY with ureteric catheterisation including fluoroscopic imaging of the upper urinary tract, unilateral or bilateral, not being a service associated with a service to which item 36824 or 36830 applies 36818 01NOV2020 31DEC9999 Y Cystoscopy, with ureteric catheterisation, unilateral or bilateral, guided by fluoroscopic imaging of the upper urinary tract, other than a service associated with a service to which item 36824 or 36830 applies 36821 01DEC1991 31OCT2020 N CYSTOSCOPY with 1 or more of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or renal pelvis, unilateral, not being a service associated with a service to which item 36824 or 36830 applies 36821 01NOV2020 31DEC9999 Y Cystoscopy with one or more of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or renal pelvis, unilateral 36822 01NOV2020 31DEC9999 Y Cystoscopy, with ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821 or 36830 applies 36823 01NOV2020 31DEC9999 Y Cystoscopy, with removal of ureteric stent and ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including either or both of the following: (i) ureteric dilatation; or (ii) insertion of ureteric stent of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821, 36830 or 36833 applies 36824 01DEC1991 31OCT2020 N CYSTOSCOPY, with ureteric catheterisation, unilateral or bilateral, not being a service associated with a service to which item 36818 or 36821 applies 36824 01NOV2020 31DEC9999 Y Cystoscopy, with ureteric catheterisation, unilateral or bilateral, other than a service associated with a service to which item 36818 applies 36825 01NOV1997 31DEC9999 Y CYSTOSCOPY, with endoscopic incision of pelviureteric junction or ureteric stricture, including removal or replacement of ureteric stent, not being a service associated with a service to which item 36818, 36821, 36824, 36830 or 36833 applies 36827 01DEC1991 31OCT2020 N CYSTOSCOPY, with controlled hydrodilatation of the bladder 36827 01NOV2020 31DEC9999 Y Cystoscopy, with controlled hydrodilatation of the bladder, other than a service associated with a service to which item 37011 or 37245 applies 36830 01DEC1991 31DEC9999 Y CYSTOSCOPY, with ureteric meatotomy 36833 01DEC1991 31OCT1997 N CYSTOSCOPY WITH REMOVAL OF FOREIGN BODY 36833 01NOV1997 31OCT2020 N CYSTOSCOPY, with removal of ureteric stent or other foreign body 36833 01NOV2020 31DEC9999 Y Cystoscopy, with removal of ureteric stent or other foreign body in the lower urinary tract, unilateral 36836 01DEC1991 30APR2003 N CYSTOSCOPY, with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36839, 36845, 36848, 36854, 37203, 37206 or 37215 applies 36836 01MAY2003 31JAN2019 N CYSTOSCOPY, with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203, 37206 or 37215 applies 36836 01FEB2019 29FEB2024 N CYSTOSCOPY, with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203, 37206, 37215, 37230 or 37233 applies 36836 01MAR2024 31DEC9999 Y Cystoscopy, with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203 or 37215 applies 36839 01DEC1991 30JUN1995 N CYSTOSCOPY, with resection or diathermy of bladder tumour or other lesion of the bladder or prostate, not being a service associated with a service to which item 36845 applies 36839 01JUL1995 31DEC9999 Y CYSTOSCOPY, with resection, diathermy or visual laser destruction of bladder tumour or other lesion of the bladder or prostate, not being a service associated with a service to which item 36845 applies 36840 01MAY2003 31OCT2020 N CYSTOSCOPY, with resection, diathermy or visual laser destruction of bladder tumour or other lesion of the bladder, not being a service to which item 36845 applies 36840 01NOV2020 31DEC9999 Y Cystoscopy, with diathermy, resection or visual laser destruction of bladder tumour or other lesion of the bladder, for: (a) a tumour or lesion in only one quadrant of the bladder; or (b) a solitary tumour of not more than 2 cm in diameter; other than a service associated with a service to which item 36845 applies 36842 01DEC1991 31OCT2020 N CYSTOSCOPY, with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not being a service associated with a service to which item 36812, 36827 to 36863, 37203 or 37206 apply 36842 01NOV2020 29FEB2024 N Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863, 37203, 37206, 37230 and 37233 apply 36842 01MAR2024 31DEC9999 Y Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863 and 37203 apply (H) 36845 01DEC1991 30JUN1995 N CYSTOSCOPY, with diathermy or resection of multiple bladder tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2cm in diameter 36845 01JUL1995 31OCT2020 N CYSTOSCOPY, with diathermy, resection or visual laser destruction of multiple tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2cm in diameter 36845 01NOV2020 31DEC9999 Y Cystoscopy, with diathermy, resection or visual laser destruction of: (a) multiple tumours in 2 or more quadrants of the bladder; or (b) a solitary bladder tumour of more than 2 cm in diameter 36848 01DEC1991 31DEC9999 Y CYSTOSCOPY, with resection of ureterocele 36851 01DEC1991 26NOV2013 N CYSTOSCOPY, with injection into bladder wall 36851 27NOV2013 31OCT2014 N CYSTOSCOPY, with injection into bladder wall, other than a service associated with a service to which item 18375 applies 36851 01NOV2014 31DEC9999 Y Cystoscopy, with injection into bladder wall, other than a service associated with a service to which item 18375 or 18379 applies (H) 36854 01DEC1991 31DEC9999 Y CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both 36857 01DEC1991 31DEC9999 Y ENDOSCOPIC MANIPULATION OR EXTRACTION of ureteric calculus 36860 01DEC1991 31DEC9999 Y ENDOSCOPIC EXAMINATION of intestinal conduit or reservoir 36863 01DEC1991 31OCT2020 N LITHOLAPAXY, with or without cystoscopy 36863 01NOV2020 31DEC9999 Y Litholapaxy, with or without cystoscopy 37000 01DEC1991 31DEC9999 Y BLADDER, partial excision of 37003 01DEC1991 31DEC9999 Y BLADDER, repair of rupture 37004 01DEC1991 31DEC9999 Y BLADDER, repair of rupture 37007 01DEC1991 31DEC9999 Y CYSTOSTOMY OR CYSTOTOMY, suprapubic, not being a service to which item 37011 applies and not being a service associated with other open bladder procedure 37008 01DEC1991 31OCT2020 N CYSTOSTOMY OR CYSTOTOMY, suprapubic, not being a service to which item 37011 applies and not being a service associated with other open bladder procedure 37008 01NOV2020 31DEC9999 Y Open cystostomy or cystotomy, suprapubic, other than: (a) a service to which item 37011 applies; or (b) a service associated with a service to which item 37245 applies; or (c) another open bladder procedure 37011 01DEC1991 31OCT1995 N SUPRAPUBIC STAB CYSTOTOMY 37011 01NOV1995 31OCT2020 N SUPRAPUBIC STAB CYSTOTOMY, not being a service associated with a service to which items 37200 to 37221 apply 37011 01NOV2020 31DEC9999 Y Suprapubic stab cystotomy, other than a service associated with a service to which item 36827 applies 37014 01DEC1991 31DEC9999 Y BLADDER, total excision of 37015 01NOV2020 31DEC9999 Y Bladder, total excision of, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis 37016 01NOV2020 31DEC9999 Y Cystectomy, including prostatectomy and pelvic lymph node dissection, other than a service associated with a service to which items 37000, 37014, 37015, 37209, 35551 or 36502 applies 37017 01DEC1991 31DEC9999 Y BLADDER TUMOURS, suprapubic diathermy of 37018 01NOV2020 31DEC9999 Y Cystectomy, including prostatectomy and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which items 37000, 37014, 37015, 37016, 37209, 35551 or 36502 applies 37019 01NOV2020 31DEC9999 Y Cystectomy, including anterior exenteration and pelvic lymph node dissection, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502, and 35653 to 35756 apply 37020 01DEC1991 31DEC9999 Y BLADDER DIVERTICULUM, excision or obliteration of 37021 01NOV2020 31DEC9999 Y Cystectomy, including anterior exenteration and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502 and 35653 to 35756 apply 37023 01DEC1991 31DEC9999 Y VESICAL FISTULA, cutaneous, operation for 37026 01DEC1991 31DEC9999 Y CUTANEOUS VESICOSTOMY, establishment of 37029 01DEC1991 31DEC9999 Y VESICOVAGINAL FISTULA, closure of, by abdominal approach 37032 01DEC1991 31DEC9999 Y VESICOVAGINAL FISTULA, closure of, synchronous combined approach, abdominal component, including aftercare 37035 01DEC1991 31DEC9999 Y VESICOVAGINAL FISTULA, closure of, synchronous combined approach, vaginal component, including aftercare 37038 01DEC1991 31DEC9999 Y VESICOINTESTINAL FISTULA, closure of, excluding bowel resection 37039 01NOV2020 31DEC9999 Y Bladder stress incontinence, sling procedure for, using a non-autologous biological sling 37040 01MAY2016 31OCT2020 N Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, with or without mesh, other than a service associated with a service to which item 30405, 35599 or 37042 applies 37040 01NOV2020 12AUG2021 N Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, other than a service associated with a service to which item 30405 or 37042 applies 37040 13AUG2021 31DEC9999 Y Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, other than a service associated with a service to which item 37042 applies (H) 37041 01DEC1991 31DEC9999 Y BLADDER ASPIRATION by needle 37042 01MAY2001 30APR2004 N BLADDER STRESS INCONTINENCE, sling procedure for, using autologous fascial sling, including harvesting of sling, not being a service to which item 35599 applies 37042 01MAY2004 31OCT2020 N BLADDER STRESS INCONTINENCE, sling procedure for, using autologous fascial sling, including harvesting of sling, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies 37042 01NOV2020 12AUG2021 N Bladder stress incontinence, sling procedure for, using autologous fascial sling, including harvesting of sling, other than a service associated with a service to which item 30405 or 35599 applies 37042 13AUG2021 31DEC9999 Y Bladder stress incontinence-sling procedure for, using autologous fascial sling, including harvesting of sling, other than a service associated with a service to which item 35599 applies (H) 37043 01MAY2001 30APR2004 N BLADDER STRESS INCONTINENCE, Stamey or similar type needle colposuspension, not being a service to which item 35599 applies 37043 01MAY2004 31OCT2020 N BLADDER STRESS INCONTINENCE, Stamey or similar type needle colposuspension, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies 37043 01NOV2020 12AUG2021 N Bladder stress incontinence, Stamey or similar type needle colposuspension, other than a service associated with a service to which item 30405 or 35599 applies 37043 13AUG2021 31DEC9999 Y Bladder stress incontinence, Stamey or similar type needle colposuspension, other than a service associated with a service to which item 35599 applies (H) 37044 01DEC1991 30APR2001 N BLADDER STRESS INCONTINENCE, suprapubic procedure for, e.g. Burch colposuspension, not being a service to which item 35599 applies 37044 01MAY2001 30APR2004 N BLADDER STRESS INCONTINENCE, suprapubic procedure for, e.g. Burch colposuspension, not being a service to which item 35599 applies 37044 01MAY2004 31OCT2020 N BLADDER STRESS INCONTINENCE, suprapubic procedure for, eg Burch colposuspension, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies 37044 01NOV2020 12AUG2021 N Bladder stress incontinence, suprapubic procedure for, eg Burch colposuspension, other than a service associated with a service to which item 30405 or 35599 applies 37044 13AUG2021 28FEB2022 N Bladder stress incontinence, suprapubic procedure for, e.g., Burch colposuspension, other than a service associated with a service to which item 35599 applies (H) 37044 01MAR2022 31DEC9999 Y Bladder stress incontinence, suprapubic operation for (such as Burch colposuspension), open or laparoscopic route, using native tissue without graft, with diagnostic cystoscopy to assess the integrity of the lower urinary tract, not being a service associated with a service to which item 35599 or 36812 applies (H) 37045 01MAY1997 31AUG2015 N MITROFANOFF CONTINENT VALVE, formation of 37045 01SEP2015 31DEC9999 Y CONTINENT CATHETERISATION BLADDER STOMAS (eg. Mitrofanoff), formation of 37046 01NOV2020 31DEC9999 Y Suprapubic or perineal procedure for excision of graft material, either singly or in multiple pieces, for a symptomatic patient with graft related complications (including graft related pain or discharge and bleeding related to graft exposure), if not more than one service to which this item applies has been provided to the patient by the same practitioner in the preceding 12 months 37047 01DEC1991 31DEC9999 Y BLADDER ENLARGEMENT using intestine 37048 01NOV2020 31DEC9999 Y Bladder neck closure for the management of urinary incontinence 37050 01DEC1991 31DEC9999 Y BLADDER EXSTROPHY CLOSURE, not involving sphincter reconstruction 37053 01DEC1991 31DEC9999 Y BLADDER TRANSECTION AND RE-ANASTOMOSIS TO TRIGONE 37200 01DEC1991 31OCT2020 N PROSTATECTOMY, open 37200 01NOV2020 31DEC9999 Y Prostatectomy, by open, laparoscopic or robot-assisted approach 37201 01NOV2002 31OCT2003 N PROSTATE, transurethral radio-frequency needle ablation of the, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is, prostatectomy using diathermy or cold punch) and including services to which item 36854, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies (Ministerial Determination) 37201 01NOV2003 30APR2013 N PROSTATE, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is, prostatectomy using diathermy or cold punch) and including services to which item 36854, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies 37201 01MAY2013 29FEB2024 N PROSTATE, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is, prostatectomy using diathermy or cold punch) and including services to which item 36854, 37203, 37206, 37207, 37208, 37245, 37303, 37321 or 37324 applies 37201 01MAR2024 31DEC9999 Y Prostate, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is, prostatectomy using diathermy or cold punch) and including services to which item 36854, 37203, 37207, 37208, 37245, 37303, 37321 or 37324 applies (H) 37202 01NOV2002 31OCT2003 N PROSTATE, transurethral radio-frequency needle ablation of the, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is prostatectomy using diathermy or cold punch) and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37203,37207, 37201 which had to be discontinued for medical reasons (Ministerial Determination) 37202 01NOV2003 30APR2013 N PROSTATE, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is prostatectomy using diathermy or cold punch) and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207 which had to be discontinued for medical reasons 37202 01MAY2013 31DEC9999 Y PROSTATE, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is prostatectomy using diathermy or cold punch) and including services to which item 36854, 37245, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207 which had to be discontinued for medical reasons 37203 01DEC1991 30JUN1995 N PROSTATECTOMY (endoscopic), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies 37203 01JUL1995 31OCT2002 N PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37207, 37208, 37303, 37321 or 37324 applies 37203 01NOV2002 30APR2013 N PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37207, 37208, 37303, 37321 or 37324 applies 37203 01MAY2013 31OCT2020 N PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37207, 37208, 37245, 37303, 37321 or 37324 applies 37203 01NOV2020 29FEB2024 N Prostatectomy, transurethral resection using cautery, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37207, 37208, 37245, 37303, 37321 or 37324 applies 37203 01MAR2024 31DEC9999 Y Prostatectomy, transurethral resection using cautery, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37201, 37207, 37208, 37245, 37303, 37321 or 37324 applies (H) 37204 01MAR2024 31DEC9999 Y Cystoscopy with insertion of prostatic implants for the treatment of benign prostatic hyperplasia 37205 01MAR2024 31DEC9999 Y Prostate, ablation by water vapour with or without cystoscopy and with or without urethroscopy 37206 01DEC1991 30JUN1995 N PROSTATECTOMY (endoscopic), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of initial procedure which had to be discontinued for medical reasons 37206 01JUL1995 31OCT2002 N PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37203 or 37208 which had to be discontinued for medical reasons 37206 01NOV2002 30APR2006 N PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203, 37208 or which had to be discontinued for medical reasons 37206 01MAY2006 30APR2013 N PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207 or which had to be discontinued for medical reasons 37206 01MAY2013 31OCT2020 N PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203, 37207 or 37245 which had to be discontinued for medical reasons 37206 01NOV2020 31DEC9999 Y Prostatectomy, endoscopic, using diathermy or other ablative techniques: (a) with or without cystoscopy and with or without urethroscopy; and (b) including services to which one or more of items 36854, 37303, 37321 and 37324 apply; continuation, within 10 days, of treatment of benign prostatic hyperplasia that had to be discontinued for medical reasons 37207 01JUL1995 31OCT2002 N PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854, 37203, 37206, 37321 or 37324 applies 37207 01NOV2002 30APR2013 N PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854, 37201, 37202, 37203, 37206, 37321 or 37324 applies 37207 01MAY2013 30APR2020 N PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854, 37201, 37202, 37203, 37206, 37245, 37321 or 37324 applies 37207 01MAY2020 29FEB2024 N PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854, 37201, 37202, 37203, 37206, 37245, 37303, 37321 or 37324 applies 37207 01MAR2024 31DEC9999 Y Prostate, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854, 37201, 37203, 37245, 37303, 37321 or 37324 applies (H) 37208 01JUL1995 31OCT2002 N PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854, 37203, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by items 37203 or 37207, which had to be discontinued for medical reasons 37208 01NOV2002 30APR2013 N PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by items 37201, 37203 or 37207 or which had to be discontinued for medical reasons 37208 01MAY2013 31DEC9999 Y PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by items 37201, 37203, 37207 or 37245 which had to be discontinued for medical reasons 37209 01DEC1991 30APR2001 N PROSTATE, total excision of 37209 01MAY2001 31DEC9999 Y PROSTATE, and/or SEMINAL VESICLE/AMPULLA OF VAS, unilateral or bilateral, total excision of, not being a service associated with a service to which item number 37210 or 37211 applies 37210 01NOV1997 31OCT2020 N PROSTATECTOMY, radical, involving total excision of the prostate, sparing of nerves around the bladder and bladder neck reconstruction, not being a service associated with a service to which item 35551, 36502 or 37375 applies 37210 01NOV2020 31DEC9999 Y Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated) with or without bladder neck reconstruction, other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies 37211 01NOV1997 31OCT2020 N PROSTATECTOMY, radical, involving total excision of the prostate, sparing of nerves around the bladder and bladder neck reconstruction, with pelvic lymphadenectomy, not being a service associated with a service to which item 35551, 36502 or 37375 applies 37211 01NOV2020 31DEC9999 Y Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) with or without bladder neck reconstruction; and (b) with pelvic lymphadenectomy; other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies 37212 01DEC1991 31DEC9999 Y PROSTATE, open perineal biopsy or open drainage of abscess 37213 01NOV2020 31DEC9999 Y Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) complicated by: (i) previous radiation therapy (including brachytherapy) on the prostate; or (ii) previous ablative procedures on the prostate; and (b) with bladder neck reconstruction; other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies 37214 01NOV2020 31DEC9999 Y Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) complicated by: (i) previous radiation therapy (including brachytherapy) on the prostate; or (ii) previous ablative procedures on the prostate; and (b) with bladder neck reconstruction and pelvic lymphadenectomy; other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies 37215 01DEC1991 31OCT2020 N PROSTATE, biopsy of, endoscopic, with or without cystoscopy 37215 01NOV2020 31DEC9999 Y Prostate, biopsy of, endoscopic, with or without cystoscopy 37216 01NOV2020 31DEC9999 Y Prostate or prostatic bed, needle biopsy of, by the transrectal route, using prostatic ultrasound guidance and obtaining one or more prostatic specimens, being a service associated with a service to which item 55603 applies 37217 01JUL2011 31DEC2013 N Prostate, implantation of gold fiducial markers into the prostate gland or prostate surgical bed 37217 01JAN2014 31OCT2020 N Prostate, implantation of radio-opaque fiducial markers into the prostate gland or prostate surgical bed 37217 01NOV2020 31DEC9999 Y Prostate, implantation of radio-opaque fiducial markers into the prostate gland or prostate surgical bed, under ultrasound guidance, being an item associated with a service to which item 55603 applies 37218 01DEC1991 30JUN2011 N PROSTATE, needle biopsy of, or injection into 37218 01JUL2011 31OCT2020 N PROSTATE, needle biopsy of, or injection into, excluding for insertion of radiopaque markers 37218 01NOV2020 31DEC9999 Y Prostate, injection into, one or more, excluding insertion of fiduciary markers 37219 01MAY1994 30JUN2012 N PROSTATE, transrectal needle biopsy of, using transrectal prostatic ultrasound techniques and obtaining 1 or more prostatic specimens, being a service associated with a service to which item 55600 or 55603 applies 37219 01JUL2012 31OCT2020 N PROSTATE, needle biopsy of, using prostatic ultrasound techniques and obtaining 1 or more prostatic specimens, being a service associated with a service to which item 55600 or 55603 applies 37219 01NOV2020 31DEC9999 Y Prostate or prostatic bed, needle biopsy of, by the transperineal route, using prostatic ultrasound guidance and obtaining one or more prostatic specimens, being a service associated with a service to which item 55600 or 55603 applies 37220 01NOV2001 31OCT2005 N PROSTATE, radioactive seed implantation of, urological component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stages T1, T2A or T2B, with a Gleason score of less than or equal to 6 and a prostate specific antigen (PSA) of less than or equal to 10ng/ml at the time of diagnosis. The procedure must be performed by a urologist at an approved site in association with a radiation oncologist, and be associated with a service to which item 55603 applies. 37220 01NOV2005 30JUN2007 N PROSTATE, radioactive seed implantation of, urological component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate), with a Gleason score of less than or equal to 6 and a prostate specific antigen (PSA) of less than or equal to 10ng/ml at the time of diagnosis. The procedure must be performed by a urologist at an approved site in association with a radiation oncologist, and be associated with a service to which item 55603 applies. 37220 01JUL2007 31OCT2020 N PROSTATE, radioactive seed implantation of, urological component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate), with a Gleason score of less than or equal to 7 and a prostate specific antigen (PSA) of less than or equal to 10ng/ml at the time of diagnosis. The procedure must be performed by a urologist at an approved site in association with a radiation oncologist, and be associated with a service to which item 55603 applies. 37220 01NOV2020 31DEC9999 Y Prostate, radioactive seed implantation of, urological component, using transrectal ultrasound guidance: (a) for a patient with: (i) localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate); and (ii) a Gleason score of less than or equal to 7 (Grade Group 1 to Grade Group 3); and (iii) a prostate specific antigen (PSA) of not more than 10ng/ml at the time of diagnosis; and (b) performed by a urologist at an approved site in association with a radiation oncologist; and (c) being a service associated with: (i) services to which items 15338 and 55603 apply; and (ii) a service to which item 60506 or 60509 applies 37221 01DEC1991 31OCT2020 N PROSTATIC ABSCESS, endoscopic drainage of 37221 01NOV2020 31DEC9999 Y Prostatic abscess, endoscopic drainage of 37222 01NOV2001 31DEC9999 Y This dummy item created on 5 March 2010 to facilitate the payment of benefits for item 37220 which should have had an (Anaes.) attributed to it from 1 Nov 2001 37223 01MAY1997 31DEC9999 Y PROSTATIC COIL, insertion of, under ultrasound control 37224 01MAY2003 31OCT2020 N PROSTATE, diathermy or visual laser destruction of lesion of, not being a service associated with a service to which item 37201, 37202, 37203, 37206, 37207, 37208 or 37215 applies 37224 01NOV2020 29FEB2024 N Prostate, diathermy or cauterisation, other than a service associated with a service to which item 37201, 37202, 37203, 37206, 37207, 37208 or 37215 applies 37224 01MAR2024 31DEC9999 Y Prostate, diathermy or cauterisation, other than a service associated with a service to which item 37201, 37203, 37207, 37208 or 37215 applies 37225 01NOV2001 31DEC9999 Y This dummy item created on 5 March 2010 to facilitate the payment of benefits for item 37220 which should have had an (Anaes.) attributed to it from 1 Nov 2001 37226 01MAY2020 31DEC9999 Y Prostate or prostatic bed, needle biopsy of, using prostatic magnetic resonance imaging techniques and obtaining 1 or more prostatic specimens. (Anaes.) 37227 01NOV2006 30APR2007 N PROSTATE, transperineal insertion of catheters into, for high dose rate brachytherapy using ultrasound guidance including any associated cystoscopy. The procedure must be performed at an approved site in association with a radiation oncologist, and be associated with a service to which item 15327 or 15328 applies. 37227 01MAY2007 31DEC9999 Y PROSTATE, transperineal insertion of catheters into, for high dose rate brachytherapy using ultrasound guidance including any associated cystoscopy. The procedure must be performed at an approved site in association with a radiation oncologist, and be associated with a service to which item 15331 or 15332 applies. 37230 01MAY2006 31OCT2020 N PROSTATE, high-energy transurethral microwave thermotherapy of, with or without cystoscopy and with or without urethroscopy and including services to which item 36854, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies 37230 01NOV2020 31DEC9999 Y Prostate, ablation by electrocautery or high-energy transurethral microwave thermotherapy, with or without cystoscopy and with or without urethroscopy 37233 01MAY2006 31OCT2020 N PROSTATE, high-energy transurethral microwave thermotherapy of, with or without cystoscopy and with or without urethroscopy and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203, 37207, 37230 which had to be discontinued for medical reasons 37233 01NOV2020 31DEC9999 Y Prostate, ablation by electrocautery or high-energy transurethral microwave thermotherapy, with or without cystoscopy and with or without urethroscopy, continuation, within 10 days, of a urological procedure of the prostate that had to be discontinued for medical reasons 37245 01MAR2013 30APR2013 N Prostate, endoscopic enucleation of, using high powered Holmium:YAG laser and an end-firing, non-contact fibre, with or without tissue morcellation, with or without cystoscopy and with or without urethroscopy, for the treatment of benign prostatic hyperplasia, other than a service associated with a service to which item 36854, 37201, 37202, 37203, 37206, 37207, 37208, 37303, 37321, or 37324 applies. 37245 01MAY2013 31OCT2020 N Prostate, endoscopic enucleation of, using high powered Holmium:YAG laser and an end-firing, non-contact fibre, with or without tissue morcellation, cystoscopy or urethroscopy, for the treatment of benign prostatic hyperplasia, and other than a service associated with a service to which item 36854, 37201, 37202, 37203, 37206, 37207, 37208, 37303, 37321, or 37324 applies. 37245 01NOV2020 29FEB2024 N Prostate, endoscopic enucleation of, for the treatment of benign prostatic hyperplasia: (a) with morcellation, including mechanical morcellation or by an endoscopic technique; and (b) with or without cystoscopy; and (c) with or without urethroscopy; and other than a service associated with a service to which item 36827, 36854, 37008, 37201, 37202, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies 37245 01MAR2024 31DEC9999 Y Prostate, endoscopic enucleation of, for the treatment of benign prostatic hyperplasia: (a) with morcellation, including mechanical morcellation or by an endoscopic technique; and (b) with or without cystoscopy; and (c) with or without urethroscopy; and other than a service associated with a service to which item 36827, 36854, 37008, 37201, 37203, 37207, 37208, 37303, 37321 or 37324 applies (H) 37300 01DEC1991 31DEC9999 Y URETHRAL SOUNDS, passage of, as an independent procedure 37303 01DEC1991 31DEC9999 Y URETHRAL STRICTURE, dilatation of 37306 01DEC1991 31DEC9999 Y URETHRA, repair of rupture of distal section 37309 01DEC1991 31DEC9999 Y URETHRA, repair of rupture of prostatic or membranous segment 37312 01DEC1991 31DEC9999 Y URETHRAL FISTULA, closure of 37315 01DEC1991 31DEC9999 Y URETHROSCOPY, as an independent procedure 37318 01DEC1991 30JUN1995 N URETHROSCOPY with any 1 or more of; biopsy, diathermy or removal of foreign body or stone 37318 01JUL1995 31OCT2020 N URETHROSCOPY with any 1 or more of - biopsy, diathermy, visual laser destruction of stone or removal of foreign body or stone 37318 01NOV2020 31DEC9999 Y Urethroscopy, with or without cystoscopy, with one or more of biopsy, diathermy, visual laser destruction of urethral calculi or removal of foreign body or calculi 37321 01DEC1991 31DEC9999 Y URETHRAL MEATOTOMY, EXTERNAL 37324 01DEC1991 31OCT2020 N URETHROTOMY OR URETHROSTOMY, internal or external 37324 01NOV2020 31DEC9999 Y Urethrotomy or urethrostomy, internal or external 37327 01DEC1991 31DEC9999 Y URETHROTOMY, optical, for urethral stricture 37330 01DEC1991 31DEC9999 Y URETHRECTOMY, partial or complete, for removal of tumour 37333 01DEC1991 31DEC9999 Y URETHROVAGINAL FISTULA, closure of 37336 01DEC1991 31DEC9999 Y URETHRORECTAL FISTULA, closure of 37338 01MAY2016 31OCT2020 N Urethral synthetic male sling system, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence, other than a service associated with a service to which item 37340 or 37341 applies 37338 01NOV2020 31DEC9999 Y Urethral synthetic male sling system, division or removal of, for urethral obstruction, sling erosion, pain or infection, following previous surgery for urinary incontinence, other than a service associated with a service to which item 37340 or 37341 applies 37339 01DEC1991 30JUN1995 N PERIURETHRAL INJECTION of Teflon, including urethroscopy and cystoscopy 37339 01JUL1995 26NOV2013 N PERIURETHRAL OR TRANSURETHRAL INJECTION of materials for the treatment of urinary incontinence, including cystoscopy and urethroscopy 37339 27NOV2013 31OCT2014 N PERIURETHRAL OR TRANSURETHRAL INJECTION of materials for the treatment of urinary incontinence, including cystoscopy and urethroscopy, other than a service associated with a service to which item 18375 applies 37339 01NOV2014 31OCT2020 N Periurethral or transurethral injection of materials for the treatment of urinary incontinence, including cystoscopy and urethroscopy, other than a service associated with a service to which item 18375 or 18379 applies 37339 01NOV2020 31DEC9999 Y Periurethral or transurethral injection of urethral bulking agents for the treatment of urinary incontinence, including cystoscopy and urethroscopy, other than a service associated with a service to which item 18375 or 18379 applies 37340 01MAY2001 31OCT2020 N URETHRAL SLING, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence, vaginal approach, not being a service associated with a service to which item number 37341 applies 37340 01NOV2020 31DEC9999 Y Urethral synthetic sling, division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, vaginal approach, other than a service associated with a service to which item 37341 or 37344 applies 37341 01MAY2001 31OCT2020 N URETHRAL SLING, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence, suprapubic or combined suprapubic/vaginal approach, not being a service associated with a service to which item number 37340 applies 37341 01NOV2020 31DEC9999 Y Urethral sling, division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, suprapubic, combined suprapubic and vaginal or combined suprapubic and perineal approach, other than a service associated with a service to which item 37340 or 37344 applies 37342 01DEC1991 31DEC9999 Y URETHROPLASTY single stage operation 37343 01MAY2001 31DEC9999 Y URETHROPLASTY, single stage operation, transpubic approach via separate incisions above and below the symphysis pubis, excluding laparotomy, symphysectomy and suprapubic cystotomy, with or without re-routing of the urethra around the crura 37344 01NOV2020 31DEC9999 Y Urethral autologous fascial sling (or other biological sling), division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, vaginal approach, other than a service to which 37340 or 37341 applies 37345 01DEC1991 31DEC9999 Y URETHROPLASTY 2 stage operation first stage 37348 01DEC1991 31DEC9999 Y URETHROPLASTY 2 stage operation second stage 37351 01DEC1991 31DEC9999 Y URETHROPLASTY, not being a service to which another item in this Group applies 37354 01DEC1991 31DEC9999 Y HYPOSPADIAS, meatotomy and hemicircumcision 37357 01DEC1991 31DEC9999 Y HYPOSPADIAS, glanuloplasty incorporating meatal advancement 37360 01DEC1991 31DEC9999 Y HYPOSPADIAS OR EPISPADIAS, with or without chordee, correction of, as a staged procedure, first stage 37363 01DEC1991 31DEC9999 Y HYPOSPADIAS OR EPISPADIAS, with or without chordee, correction of, as a staged procedure, second stage 37366 01DEC1991 31DEC9999 Y HYPOSPADIAS OR EPISPADIAS, with or without chordee, correction of, as 1 stage procedure, not being a service to which item 37357 applies 37369 01DEC1991 31DEC9999 Y URETHRA, excision of prolapse of 37372 01DEC1991 31OCT2020 N URETHRAL DIVERTICULUM, excision of 37372 01NOV2020 31DEC9999 Y Urethral diverticulum, excision of 37375 01DEC1991 31DEC9999 Y URETHRAL SPHINCTER, reconstruction by bladder tubularisation technique or similar procedure 37378 01DEC1991 31DEC9999 Y URETHRA, operation for correction of male urinary incontinence, not being a service to which item 37381 or 37390 applies 37381 01DEC1991 31DEC9999 Y ARTIFICIAL URINARY SPHINCTER, insertion of cuff, perineal approach 37384 01DEC1991 31DEC9999 Y ARTIFICIAL URINARY SPHINCTER, insertion of cuff, abdominal approach 37387 01DEC1991 31DEC9999 Y ARTIFICIAL URINARY SPHINCTER, insertion of pressure regulating balloon and pump 37388 01NOV2020 31DEC9999 Y Artificial urinary sphincter, sterile, percutaneous adjustment of filling volume 37390 01DEC1991 31DEC9999 Y ARTIFICIAL URINARY SPHINCTER, revision or removal of, with or without replacement 37393 01DEC1991 31DEC9999 Y PRIAPISM, decompression by glanular stab cavernosospongiosum shunt or penile aspiration with or without lavage 37396 01DEC1991 31DEC9999 Y PRIAPISM, shunt operation for, not being a service to which item 37393 applies 37399 01DEC1991 31DEC9999 Y URETHRAL VALVE, destruction of, including cystoscopy and urethroscopy 37402 01DEC1991 31DEC9999 Y PENIS, partial amputation of 37405 01DEC1991 31DEC9999 Y PENIS, complete or radical amputation of 37408 01DEC1991 31DEC9999 Y PENIS, repair of laceration of cavernous tissue, or fracture involving cavernous tissue 37411 01DEC1991 31DEC9999 Y PENIS, repair of avulsion 37414 01DEC1991 31DEC9999 Y PENIS, injection of, for investigation or treatment of impotence, priapism or Peyronie's plaque 37415 01JUL1996 31OCT2020 N PENIS, injection of, for the investigation and treatment of impotence - 2 services only in a period of 36 consecutive months 37415 01NOV2020 31DEC9999 Y Penis, injection of, for the investigation and treatment of erectile dysfunction. Applicable not more than twice in a 36-month period 37417 01DEC1991 31OCT2020 N PENIS, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting 37417 01NOV2020 31DEC9999 Y Penis, correction of chordee by plication techniques including Nesbit's corporoplasty 37418 01MAY2001 31OCT2020 N PENIS, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting, involving mobilization of the urethra 37418 01NOV2020 31DEC9999 Y Penis, correction of chordee with incision or excision of fibrous plaque or plaques, with or without mobilisation of one or both of the neuro-vascular bundle and urethra 37420 01DEC1991 31DEC9999 Y PENIS, surgery to inhibit rapid penile drainage causing impotence, by ligation of veins deep to Buck's fascia including 1 or more deep cavernosal veins with or without pharmacological erection test 37423 01DEC1991 31OCT2020 N PENIS, lengthening by translocation of corpora 37423 01NOV2020 31DEC9999 Y Penis, lengthening by translocation of corpora, in conjunction with partial penectomy or penile epispadias secondary repair, either as primary or secondary procedures 37426 01DEC1991 31DEC9999 Y PENIS, artificial erection device, insertion of, into 1 or both corpora 37429 01DEC1991 31DEC9999 Y PENIS, artificial erection device, insertion of pump and pressure regulating reservoir 37432 01DEC1991 31DEC9999 Y PENIS, artificial erection device, complete or partial revision or removal of components, with or without replacement 37435 01DEC1991 31DEC9999 Y PENIS, frenuloplasty as an independent procedure 37438 01DEC1991 31OCT2020 N SCROTUM, partial excision of 37438 01NOV2020 31DEC9999 Y Scrotum, partial excision of, for histologically proven malignancy or infection 37441 01DEC1991 31DEC9999 Y PENIS ERECTION TEST FOR HYPOSPADIAS AND CHORDEE when performed under general anaesthesia, as an independent procedure 37444 01DEC1991 31DEC9999 Y URETEROLITHOTOMY COMPLICATED BY PREVIOUS SURGERY at the same site of the same ureter 37600 01DEC1991 31DEC9999 Y OPERATIONS ON TESTES, VASA OR SEMINAL VESICLES SPERMATOCELE OR EPIDIDYMAL CYST, excision of, 1 or more of, on 1 side 37601 01DEC1991 31DEC9999 Y SPERMATOCELE OR EPIDIDYMAL CYST, excision of, 1 or more of, on 1 side 37604 01DEC1991 30APR2002 N EXPLORATION OF SCROTAL CONTENTS, with or without fixation and with or without biopsy, unilateral 37604 01MAY2002 31OCT2020 N EXPLORATION OF SCROTAL CONTENTS, with or without fixation and with or without biopsy, unilateral, not being a service associated with sperm harvesting for IVF 37604 01NOV2020 31DEC9999 Y Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral or bilateral, other than a service associated with sperm harvesting for IVF 37605 01MAY2007 30JUN2013 N TRANSCUTANEOUS SPERM RETRIEVAL, unilateral, from either the testis or the epididymis, for the purposes of INTRACYTOPLASMIC SPERM INJECTION, in a man with male factor infertility, excluding a service to which item 13218 applies. 37605 01JUL2013 31DEC9999 Y Transcutaneous sperm retrieval, unilateral, from either the testis or the epididymis, for the purposes of intracytoplasmic sperm injection, for male factor infertility, excluding a service to which item 13218 applies. 37606 01MAY2007 30JUN2013 N OPEN SURGICAL SPERM RETRIEVAL, unilateral, including the exploration of scrotal contents, with our without biopsy, for the purposes of INTRACYTOPLASMIC SPERM INJECTION, in a man with male factor infertility, performed in a hospital, excluding a service to which item 13218 or 37604 applies. 37606 01JUL2013 31DEC9999 Y Open surgical sperm retrieval, unilateral, including the exploration of scrotal contents, with our without biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, performed in a hospital, excluding a service to which item 13218 or 37604 applies. 37607 01DEC1991 31OCT2020 N RETROPERITONEAL LYMPH NODE DISSECTION, unilateral, not being a service associated with a service to which item 36528 applies 37607 01NOV2020 31DEC9999 Y Bilateral retroperitoneal lymph node dissection, for testicular tumour, other than a service associated with a service to which item 30390 or 30627 applies 37610 01DEC1991 31OCT2020 N RETROPERITONEAL LYMPH NODE DISSECTION, unilateral, not being a service associated with a service to which item 36528 applies, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy 37610 01NOV2020 31DEC9999 Y Bilateral retroperitoneal lymph node dissection, for testicular tumour, following previous similar retroperitoneal dissection, retroperitoneal radiation therapy or chemotherapy, other than a service associated with a service to which item 30390 or 30627 applies 37613 01DEC1991 31DEC9999 Y EPIDIDYMECTOMY 37616 01DEC1991 31OCT1996 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope 37616 01NOV1996 30APR2001 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope, for other than reversal of previous sterilisation 37616 01MAY2001 30APR2002 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope, for other than reversal of previous elective sterilisation 37616 01MAY2002 30JUN2008 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope, for other than reversal of previous elective sterilisation, not being a service associated with sperm harvesting for IVF 37616 01JUL2008 31DEC9999 Y VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope, not being a service associated with sperm harvesting for IVF 37619 01DEC1991 31OCT1996 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral 37619 01NOV1996 30APR2001 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, for other than reversal of previous sterilisation 37619 01MAY2001 30APR2002 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, for other than reversal of previous elective sterilisation 37619 01MAY2002 30JUN2008 N VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, for other than reversal of previous elective sterilisation, not being a service associated with sperm harvesting for IVF 37619 01JUL2008 31DEC9999 Y VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, not being a service associated with sperm harvesting for IVF 37622 01DEC1991 30APR2002 N VASOTOMY OR VASECTOMY, unilateral or bilateral 37622 01MAY2002 31DEC9999 Y VASOTOMY OR VASECTOMY, unilateral or bilateral NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. 37623 01DEC1991 30APR2002 N VASOTOMY OR VASECTOMY, unilateral or bilateral 37623 01MAY2002 31DEC9999 Y VASOTOMY OR VASECTOMY, unilateral or bilateral NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. 37800 01NOV1994 31AUG2015 N PATENT URACHUS, excision of 37800 01SEP2015 30JUN2021 N PATENT URACHUS, excision of, on a person 10 years of age or over. 37800 01JUL2021 31DEC9999 Y PATENT URACHUS, excision of, on a patient 10 years of age or over. 37801 01SEP2015 30JUN2021 N PATENT URACHUS, excision of, when performed on a person under 10 years of age 37801 01JUL2021 31DEC9999 Y PATENT URACHUS, excision of, when performed on a patient under 10 years of age 37803 01NOV1994 31AUG2015 N UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37806 applies 37803 01SEP2015 30JUN2021 N UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37806 applies, on a person 10 years of age or over. 37803 01JUL2021 31DEC9999 Y UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37806 applies, on a patient 10 years of age or over. 37804 01SEP2015 30JUN2021 N UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37807 applies, on a person under 10 years of age 37804 01JUL2021 31DEC9999 Y UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37807 applies, on a patient under 10 years of age 37806 01NOV1994 31AUG2015 N UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for 37806 01SEP2015 30JUN2021 N UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a person 10 years of age or over 37806 01JUL2021 31DEC9999 Y UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a patient 10 years of age or over 37807 01SEP2015 30JUN2021 N UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a person under 10 years of age 37807 01JUL2021 31DEC9999 Y UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a patient under 10 years of age 37809 01NOV1994 31AUG2015 N UNDESCENDED TESTIS, revision orchidopexy for 37809 01SEP2015 30JUN2021 N UNDESCENDED TESTIS, revision orchidopexy for, on a person 10 years of age or over. 37809 01JUL2021 31DEC9999 Y UNDESCENDED TESTIS, revision orchidopexy for, on a patient 10 years of age or over. 37810 01SEP2015 30JUN2021 N UNDESCENDED TESTIS, revision orchidopexy for, on a person under 10 years of age 37810 01JUL2021 31DEC9999 Y UNDESCENDED TESTIS, revision orchidopexy for, on a patient under 10 years of age 37812 01NOV1994 31AUG2015 N IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37803 to 37809 applies 37812 01SEP2015 30JUN2021 N IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37803, 37806 and 37809 applies, on a person 10 years of age or over. 37812 01JUL2021 31DEC9999 Y IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37803, 37806 and 37809 applies, on a patient 10 years of age or over. 37813 01SEP2015 30JUN2021 N IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37804, 37807 and 37810 applies, on a person under 10 years of age 37813 01JUL2021 31DEC9999 Y IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37804, 37807 and 37810 applies, on a patient under 10 years of age 37815 01NOV1994 31AUG2015 N HYPOSPADIAS, examination under anaesthesia with erection test 37815 01SEP2015 30JUN2021 N HYPOSPADIAS, examination under anaesthesia with erection test on a person 10 years of age or over. 37815 01JUL2021 31DEC9999 Y HYPOSPADIAS, examination under anaesthesia with erection test on a patient 10 years of age or over. 37816 01SEP2015 30JUN2021 N HYPOSPADIAS, examination under anaesthesia with erection test, on a person under 10 years of age 37816 01JUL2021 31DEC9999 Y HYPOSPADIAS, examination under anaesthesia with erection test, on a patient under 10 years of age 37818 01NOV1994 31AUG2015 N HYPOSPADIAS, glanuloplasty incorporating meatal advancement 37818 01SEP2015 30JUN2021 N HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a person 10 years of age or over 37818 01JUL2021 31DEC9999 Y HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a patient 10 years of age or over 37819 01SEP2015 30JUN2021 N HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a person under 10 years of age 37819 01JUL2021 31DEC9999 Y HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a patient under 10 years of age 37821 01NOV1994 31AUG2015 N HYPOSPADIAS, distal, 1 stage repair 37821 01SEP2015 30JUN2021 N HYPOSPADIAS, distal, 1 stage repair, on a person 10 years of age or over. 37821 01JUL2021 31DEC9999 Y HYPOSPADIAS, distal, 1 stage repair, on a patient 10 years of age or over. 37822 01SEP2015 30JUN2021 N HYPOSPADIAS, distal, 1 stage repair, on a person under 10 years of age 37822 01JUL2021 31DEC9999 Y HYPOSPADIAS, distal, 1 stage repair, on a patient under 10 years of age 37824 01NOV1994 31AUG2015 N HYPOSPADIAS, proximal, 1 stage repair 37824 01SEP2015 30JUN2021 N HYPOSPADIAS, proximal, 1 stage repair on a person 10 years of age or over. 37824 01JUL2021 31DEC9999 Y HYPOSPADIAS, proximal, 1 stage repair, on a patient 10 years of age or over 37825 01SEP2015 30JUN2021 N HYPOSPADIAS, proximal, 1 stage repair, on a person under 10 years of age 37825 01JUL2021 31DEC9999 Y HYPOSPADIAS, proximal, 1 stage repair, on a patient under 10 years of age 37827 01NOV1994 31AUG2015 N HYPOSPADIAS, staged repair, first stage 37827 01SEP2015 30JUN2021 N HYPOSPADIAS, staged repair, first stage, on a person 10 years of age or over. 37827 01JUL2021 31DEC9999 Y HYPOSPADIAS, staged repair, first stage, on a patient 10 years of age or over 37828 01SEP2015 30JUN2021 N HYPOSPADIAS, staged repair, first stage, on a person under 10 years of age 37828 01JUL2021 31DEC9999 Y HYPOSPADIAS, staged repair, first stage, on a patient under 10 years of age 37830 01NOV1994 31OCT2015 N HYPOSPADIAS, staged repair, second stage 37830 01NOV2015 30JUN2021 N HYPOSPADIAS, staged repair, second stage, on a person 10 years of age or over. 37830 01JUL2021 31DEC9999 Y HYPOSPADIAS, staged repair, second stage, on a patient 10 years of age or over 37831 01NOV2015 30JUN2021 N HYPOSPADIAS, staged repair, second stage, on a person under 10 years of age. 37831 01JUL2021 31DEC9999 Y HYPOSPADIAS, staged repair, second stage, on a patient under 10 years of age 37833 01NOV1994 31AUG2015 N HYPOSPADIAS, repair of post operative urethral fistula 37833 01SEP2015 31OCT2020 N HYPOSPADIAS, repair of post-operative urethral fistula, on a person 10 years of age or over. 37833 01NOV2020 30JUN2021 N Hypospadias, repair of urethral fistula, on a person 10 years of age or over 37833 01JUL2021 31DEC9999 Y Hypospadias, repair of urethral fistula, on a patient 10 years of age or over 37834 01SEP2015 31OCT2020 N HYPOSPADIAS, repair of post-operative urethral fistula, on a person under 10 years of age 37834 01NOV2020 30JUN2021 N Hypospadias, repair of urethral fistula, on a person under 10 years of age 37834 01JUL2021 31DEC9999 Y Hypospadias, repair of urethral fistula, on a patient under 10 years of age 37836 01NOV1994 31DEC9999 Y EPISPADIAS, staged repair, first stage 37839 01NOV1994 31DEC9999 Y EPISPADIAS, staged repair, second stage 37842 01NOV1994 31OCT2020 N EXSTROPHY OF BLADDER OR EPISPADIAS, secondary repair with bladder neck tightening, with or without ureteric reimplantation 37842 01NOV2020 31DEC9999 Y Exstrophy of bladder or epispadias, primary or secondary repair with or without bladder neck tightening, with or without ureteric reimplantation 37845 01NOV1994 31OCT2020 N AMBIGUOUS GENITALIA WITH UROGENITAL SINUS, reduction clitoroplasty, with or without endoscopy 37845 01NOV2020 31DEC9999 Y Congenital disorder of sexual differentiation with urogenital sinus, external genitoplasty, with or without endoscopy 37848 01NOV1994 31OCT2020 N AMBIGUOUS GENITALIA WITH UROGENITAL SINUS, reduction clitoroplasty with endoscopy and vaginoplasty 37848 01NOV2020 31DEC9999 Y Congenital disorder of sexual differentiation with urogenital sinus, external genitoplasty with endoscopy and vaginoplasty 37851 01NOV1994 31OCT2020 N CONGENITAL ADRENAL HYPERPLASIA, mixed gonadal dysgenesis or similar condition, vaginoplasty for, with or without endoscopy 37851 01NOV2020 31DEC9999 Y Congenital disorder of sexual differentiation, vaginoplasty for, with or without endoscopy 37854 01NOV1994 31OCT2020 N URETHRAL VALVE, destruction of, including cystoscopy and urethroscopy 37854 01NOV2020 31DEC9999 Y Urethral valve, destruction of, including cystoscopy and urethroscopy 38200 01DEC1991 30APR2007 N CARDIOLOGY PROCEDURES RIGHT HEART CATHETERISATION, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test 38200 01MAY2007 30JUN2021 N RIGHT HEART CATHETERISATION, with any one or more of the following: fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection or exercise stress test 38200 01JUL2021 31DEC9999 Y Right heart catheterisation with any one or more of the following: (a) fluoroscopy; (b) oximetry; (c) dye dilution curves; (d) cardiac output measurement by any method; (e) shunt detection; (f) exercise stress test; other than a service associated with a service to which item 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38254 or 38368 applies 38203 01DEC1991 30APR2007 N LEFT HEART CATHETERISATION by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test 38203 01MAY2007 30JUN2021 N LEFT HEART CATHETERISATION by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture with any one or more of the following: fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test 38203 01JUL2021 31DEC9999 Y Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture, with any one or more of the following: (a) fluoroscopy; (b) oximetry; (c) dye dilution curves; (d) cardiac output measurements by any method; (e) shunt detection; (f) exercise stress test; other than a service associated with a service to which item 38200, 38206, 38244, 38247, 38248, 38249, 38251, 38252 or 38254 applies 38206 01DEC1991 30APR2007 N RIGHT HEART CATHETERISATION WITH LEFT HEART CATHETERISATION via the right heart or by any other procedure including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test 38206 01MAY2007 30JUN2021 N RIGHT HEART CATHETERISATION WITH LEFT HEART CATHETERISATION via the right heart or by any other procedure with any one or more of the following: fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test 38206 01JUL2021 31DEC9999 Y Right heart catheterisation with left heart catheterisation via the right heart or by another procedure, with any one or more of the following: (a) fluoroscopy; (b) oximetry; (c) dye dilution curves; (d) cardiac output measurements by any method; (e) shunt detection; (f) exercise stress test; other than a service associated with a service to which item 38200, 38203, 38244, 38247, 38248, 38249, 38251, 38252 or 38254 applies 38209 01DEC1991 31OCT1996 N CARDIAC ELECTROPHYSIOLOGICAL STUDY up to and including 3 catheter investigation of any 1 or more of syncope, atrioventricular conduction, sinus node function or simple ventricular tachycardia studies, not being a service associated with a service to which item 38212 applies 38209 01NOV1996 31DEC9999 Y CARDIAC ELECTROPHYSIOLOGICAL STUDY up to and including 3 catheter investigation of any 1 or more of syncope, atrioventricular conduction, sinus node function or simple ventricular tachycardia studies, not being a service associated with a service to which item 38212 or 38213 applies 38212 01DEC1991 30JUN1995 N CARDIAC ELECTROPHYSIOLOGICAL STUDY 4 or more catheter supraventricular tachycardia investigation; or complex ventricular tachycardia investigation involving multiple ventricular tachycardia inductions, or multiple catheter mapping, or acute intravenous antiarrhythmic drug testing with pre and post drug inductions; or catheter ablation; or intraoperative mapping; or electrophysiological services during defibrillator implantation or testing not being a service associated with a service to which item 38209 applies 38212 01JUL1995 31OCT1996 N CARDIAC ELECTROPHYSIOLOGICAL STUDY 4 or more catheter supraventricular tachycardia investigation; or complex ventricular tachycardia investigation involving multiple ventricular tachycardia inductions, or multiple catheter mapping, or acute intravenous antiarrhythmic drug testing with pre and post drug inductions; or catheter ablation to intentionally induce complete AV block; or intraoperative mapping; or electrophysiological services during defibrillator implantation or testing not being a service associated with a service to which item 38209 applies 38212 01NOV1996 30JUN2021 N CARDIAC ELECTROPHYSIOLOGICAL STUDY 4 or more catheter supraventricular tachycardia investigation; or complex tachycardia inductions, or multiple catheter mapping, or acute intravenous antiarrhythmic drug testing with pre and post drug inductions; or catheter ablation to intentionally induce complete AV block; or intraoperative mapping; or electrophysiological services during defibrillator implantation not being a service associated with a service to which item 38209 or 38213 applies 38212 01JUL2021 31OCT2021 N Cardiac electrophysiological study involving 4 or more catheters for: (a) supraventricular tachycardia investigation; or (b) complex tachycardia inductions; or (c) multiple catheter mapping; or (d) acute intravenous anti-arrhythmic drug testing with pre and post drug inductions; or (e) catheter ablation to intentionally induce complete atrioventricular block; or (f) intraoperative mapping; other than a service associated with a service to which item 38209 or 38213 applies 38212 01NOV2021 31DEC9999 Y Cardiac electrophysiological study for: (a) the investigation of supraventricular tachycardia involving 4 or more catheters; or (b) complex tachycardia inductions; or (c) multiple catheter mapping; or (d) acute intravenous anti-arrhythmic drug testing with pre and post drug inductions; or (e) catheter ablation to intentionally induce complete atrioventricular block; or (f) intraoperative mapping; other than a service associated with a service to which item 38209 or 38213 applies 38213 01NOV1996 30JUN2021 N CARDIAC ELECTROPHYSIOLOGICAL STUDY, for follow-up testing of implanted defibrillator - not being a service associated with a service to which item 38209 or 38212 applies 38213 01JUL2021 31DEC9999 Y Cardiac electrophysiological study, performed either: (a) during insertion of implantable defibrillator; or (b) for defibrillation threshold testing at a different time to implantation; other than a service associated with a service to which item 38209 or 38212 applies 38215 01DEC1991 31OCT2001 N SELECTIVE CORONARY ARTERIOGRAPHY placement of catheters and injection of opaque material 38215 01NOV2001 30APR2002 N SELECTIVE CORONARY ANGIOGRAPHY placement of catheters and injection of opaque material 38215 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries, not being a service associated with a service to which item 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies 38218 01DEC1991 31OCT2001 N SELECTIVE CORONARY ARTERIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both 38218 01NOV2001 30APR2002 N SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography 38218 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography, not being a service associated with a service to which item 38215, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies 38220 01NOV2001 30APR2002 N PLACEMENT OF CATHETER(S) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts) (Anaes.) 38220 01MAY2002 31DEC9999 Y SELECTIVE CORONARY GRAFT ANGIOGRAPHY placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.) 38221 01DEC1991 31DEC9999 Y INTRA-AORTIC BALLOON FOR COUNTERPULSATION, operation for insertion by arteriotomy, or removal and arterioplasty (excluding repair by patch graft) 38222 01NOV2001 30APR2002 N PLACEMENT OF CATHETER(S) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts) (Anaes.) 38222 01MAY2002 31DEC9999 Y SELECTIVE CORONARY GRAFT ANGIOGRAPHY, placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.) 38224 01DEC1991 31DEC9999 Y PERMANENT INTERNAL PACEMAKER AND MYOCARDIAL ELECTRODES, insertion or replacement of by thoracotomy 38225 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries and placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.) 38227 01DEC1991 31DEC9999 Y PERMANENT TRANSVENOUS ELECTRODE, insertion or replacement of 38228 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.) 38230 01DEC1991 31DEC9999 Y PERMANENT PACEMAKER, insertion or replacement of 38231 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries and placement of catheter(s) and injection of opaque material into the free coronary graft(s) attached to the aorta (irrespective of the number of grafts), and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38234, 38237, 38240 or 38246 applies (Anaes.) 38233 01DEC1991 31DEC9999 Y TEMPORARY TRANSVENOUS PACEMAKING ELECTRODE, insertion of 38234 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38237, 38240 or 38246 applies (Anaes.) 38236 01DEC1991 31DEC9999 Y OPEN HEART SURGERY for congenital heart disease in children up to two years, excluding patent ductus arteriosus 38237 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38240 or 38246 applies (Anaes.) 38239 01DEC1991 31DEC9999 Y OPEN HEART SURGERY for single valve replacement, atrial septal defect, pulmonary valvotomy, congenital heart disease (not covered by Item 38236) or any other open heart operation not covered by any other item in this Group 38240 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts) and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237 or 38246 applies (Anaes.) 38241 01NOV2006 30JUN2021 N USE OF A CORONARY PRESSURE WIRE during selective coronary angiography to measure fractional flow reserve (FFR) and coronary flow reserve (CFR) in one or more intermediate coronary artery or graft lesions (stenosis of 30-70%), to determine whether revascularisation should be performed where previous stress testing has either not been performed or the results are inconclusive 38241 01JUL2021 31DEC9999 Y Use of a coronary pressure wire, if the service is: (a) performed during selective coronary angiography, percutaneous angioplasty or transluminal insertion of one or more stents; and (b) to measure fractional flow reserve, non-hyperaemic pressure ratios or coronary flow reserve in intermediate coronary artery or graft lesions (stenosis of 50 to 70%); and (c) to determine whether revascularisation is appropriate, if previous functional imaging: (i) has not been performed; or (ii) has been performed but the results are inconclusive or do not apply to the vessel being interrogated; and (d) performed on one or more coronary vascular territories 38242 01DEC1991 31DEC9999 Y OPEN HEART SURGERY on more than one valve or involving more than one chamber 38243 01MAY2002 31DEC9999 Y PLACEMENT OF CATHETER(S) and injection of opaque material into any coronary vessel(s) or graft(s) prior to any coronary interventional procedure, not being a service associated with a service to which item 38246 applies (Anaes.) 38244 01JUL2021 08JUL2021 N Note: (acute coronary syndrome) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Selective coronary angiography: (a) for a patient who is eligible for the service under clause 5.10.17A; and (b) with placement of one or more catheters and injection of opaque material into native coronary arteries; and (c) with or without left heart catheterisation, left ventriculography or aortography; and (d) including all associated imaging; other than a service associated with a service to which 38200, 38203, 38206, 38247, 38248, 38249, 38251 or 38252 applies 38244 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Selective coronary angiography: (a) for a patient who is eligible for the service under clause 5.10.17A; and (b) with placement of one or more catheters and injection of opaque material into native coronary arteries; and (c) with or without left heart catheterisation, left ventriculography or aortography; and (d) including all associated imaging; other than a service associated with a service to which 38200, 38203, 38206, 38247, 38248, 38249, 38251 or 38252 applies 38245 01DEC1991 31DEC9999 Y CORONARY ARTERY OR ARTERIES, direct surgery to, employing cardiopulmonary bypass 38246 01MAY2002 31DEC9999 Y SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography followed by placement of catheters prior to any coronary interventional procedure, not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38243 applies (Anaes.) 38247 01JUL2021 08JUL2021 N Note: (acute coronary syndrome - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Selective coronary and graft angiography: (a) for a patient who is eligible for the service under clause 5.10.17A; and (b) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and (c) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present-with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38248, 38249, 38251 or 38252 applies 38247 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Selective coronary and graft angiography: (a) for a patient who is eligible for the service under clause 5.10.17A; and (b) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and (c) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present-with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38248, 38249, 38251 or 38252 applies 38248 01JUL2021 08JUL2021 N Note: (stable coronary syndrome) the service only applies if the patient meets the requirements of the descriptor and the of Note: TR.8.2 and TR.8.5 Selective coronary angiography: (a) for a patient who is eligible for the service under clause 5.10.17B; and (b) as part of the management of the patient; and (c) with placement of catheters and injection of opaque material into native coronary arteries; and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38249, 38251 or 38252 applies-applicable each 3 months 38248 09JUL2021 31DEC9999 Y Note: (stable coronary syndrome) the service only applies if the patient meets the requirements of the descriptor and the of Note: TR.8.3 and TR.8.5 Selective coronary angiography: (a) for a patient who is eligible for the service under clause 5.10.17B; and (b) as part of the management of the patient; and (c) with placement of catheters and injection of opaque material into native coronary arteries; and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38249, 38251 or 38252 applies-applicable each 3 months 38249 01JUL2021 08JUL2021 N Note: (stable coronary syndrome - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Selective coronary and graft angiography: (a) for a patient who is eligible for the service under clause 5.10.17B; and (b) as part of the management of the patient; and (c) with placement of one or more catheters and injection of opaque material into native coronary arteries; and (d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present-with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and (e) with or without left heart catheterisation, left ventriculography or aortography; and (f) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38251 or 38252 applies-applicable once each 3 months 38249 09JUL2021 31DEC9999 Y Note: (stable coronary syndrome - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Selective coronary and graft angiography: (a) for a patient who is eligible for the service under clause 5.10.17B; and (b) as part of the management of the patient; and (c) with placement of one or more catheters and injection of opaque material into native coronary arteries; and (d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present-with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and (e) with or without left heart catheterisation, left ventriculography or aortography; and (f) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38251 or 38252 applies-applicable once each 3 months 38250 01JUL1993 31DEC9999 Y SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion of 38251 01JUL2021 31DEC9999 Y Note: (pre-operative assessment) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.5 Selective coronary angiography: (a) for a symptomatic patient with valvular or other non-coronary structural heart disease; and (b) as part of the management of the patient for: (i) pre-operative assessment for planning non-coronary cardiac surgery, including by transcatheter approaches; or (ii) evaluation of valvular heart disease or other non-coronary structural heart disease where clinical impression is discordant with non-invasive assessment; and (c) with placement of catheters and injection of opaque material into native coronary arteries; and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249 or 38252 applies-applicable once each 12 months 38252 01JUL2021 31DEC9999 Y Note: (pre-operative assessment - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.5 Selective coronary and graft angiography: (a) for a symptomatic patient with valvular or other non-coronary structural heart disease; and (b) as part of the management of the patient for: (i) pre-operative assessment for planning non-coronary cardiac surgery, including by transcatheter approaches; or (ii) evaluation of valvular heart disease or other non-coronary structural heart disease where clinical impression is discordant with non-invasive assessment; and (c) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and (d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present-with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and (e) with or without left heart catheterisation, left ventriculography or aortography; and (f) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249 or 38251 applies-applicable once each 12 months 38253 01JUL1993 30APR1997 N PERMANENT PACEMAKER, insertion or replacement of 38253 01MAY1997 31DEC9999 Y PERMANENT PACEMAKER, insertion, removal or replacement of 38254 01JUL2021 31DEC2021 N Right heart catheterisation: (a) performed at the same time as service to which item 38244, 38247, 38248, 38249, 38251 or 38252 applies; and (b) including any of the following (if performed): (i) fluoroscopy; (ii) oximetry; (iii) dye dilution curves; (iv) cardiac output measurement; (v) shunt detection; (vi) exercise stress test 38254 01JAN2022 31DEC9999 Y Right heart catheterisation: (a) performed at the same time as a service to which item 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313 or 38314 applies; and (b) including any of the following (if performed): (i) fluoroscopy; (ii) oximetry; (iii) dye dilution curves; (iv) cardiac output measurement; (v) shunt detection; (vi) exercise stress test 38256 01JUL1993 31DEC9999 Y TEMPORARY TRANSVENOUS PACEMAKING ELECTRODE, insertion of 38259 01JUL1993 30APR1997 N PERMANENT DUAL CHAMBER TRANSVENOUS ELECTRODES, insertion of 38259 01MAY1997 31DEC9999 Y PERMANENT DUAL CHAMBER TRANSVENOUS ELECTRODES, insertion, removal, or replacement of 38270 01MAY1997 31OCT2004 N BALLOON VALVULOPLASTY OR SEPTOSTOMY, including cardiac catheterisations before and after balloon dilatation 38270 01NOV2004 31DEC9999 Y BALLOON VALVULOPLASTY OR ISOLATED ATRIAL SEPTOSTOMY, including cardiac catheterisations before and after balloon dilatation 38272 01NOV2005 30JUN2021 N ATRIAL SEPTAL DEFECT closure, with septal occluder or other similar device, by transcatheter approach 38272 01JUL2021 31DEC9999 Y Atrial septal defect or patent foramen closure: (a) for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism; and (b) using a septal occluder or similar device, by transcatheter approach; and (c) including right or left heart catheterisation (or both); other than a service associated with a service to which item 38200, 38203, 38206 or 38254 applies 38273 01JUL2014 31DEC9999 Y Patent ductus arteriosus, transcatheter closure of, including cardiac catheterisation and any imaging associated with the service 38274 01JUL2014 30JUN2021 N Ventricular septal defect, transcatheter closure of, with imaging and cardiac catheterisation 38274 01JUL2021 31DEC9999 Y Ventricular septal defect, transcatheter closure of, with cardiac catheterisation, excluding imaging (H) 38275 01MAY1997 31DEC9999 Y MYOCARDIAL BIOPSY, by cardiac catheterisation 38276 01NOV2017 28FEB2022 N Transcatheter occlusion of left atrial appendage, and cardiac catheterisation performed by the same practitioner, for stroke prevention in a patient who has non-valvular atrial fibrillation and a contraindication to life-long oral anticoagulation therapy, and is at increased risk of thromboembolism demonstrated by: (a) a prior stroke (whether of an ischaemic or unknown type), transient ischaemic attack or non-central nervous system systemic embolism; or (b) at least 2 of the following risk factors: (i) an age of 65 years or more; (ii) hypertension; (iii) diabetes mellitus; (iv) heart failure or left ventricular ejection fraction of 35% or less (or both); (v) vascular disease (prior myocardial infarction, peripheral artery disease or aortic plaque) 38276 01MAR2022 31DEC9999 Y Transcatheter occlusion of left atrial appendage, and cardiac catheterisation performed by the same practitioner, for stroke prevention in a patient who has non-valvular atrial fibrillation, if: (a) the patient is at increased risk of thromboembolism demonstrated by: (i) a prior stroke (whether of an ischaemic or unknown type), transient ischaemic attack or non-central nervous system systemic embolism; or (ii) at least 2 of the following risk factors: (A) an age of 65 years or more; (B) hypertension; (C) diabetes mellitus; (D) heart failure or left ventricular ejection fraction of 35% or less (or both); (E) vascular disease (prior myocardial infarction, peripheral artery disease or aortic plaque); and (b) the patient has an absolute and permanent contraindication to oral anticoagulation (confirmed by written documentation that is provided by a medical practitioner, independent of the practitioner rendering the service); and (c) the service is not associated with a service to which item 38200, 38203, 38206 or 38254 applies (H) 38278 01JUL1998 31DEC9999 Y SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion, removal or replacement of 38281 01JUL1998 30APR2002 N PERMANENT PACEMAKER, insertion, removal or replacement of 38281 01MAY2002 31DEC9999 Y PERMANENT CARDIAC PACEMAKER, insertion, removal or replacement of 38284 01JUL1998 31DEC9999 Y DUAL CHAMBER PERMANENT TRANSVENOUS ELECTRODES, insertion, removal or replacement of 38285 01NOV2004 30JUN2021 N IMPLANTABLE ECG LOOP RECORDER, insertion of, for diagnosis of primary disorder in patients with recurrent unexplained syncope where: a diagnosis has not been achieved through all other available cardiac investigations; and a neurogenic cause is not suspected; and it has been determined that the patient does not have structural heart disease associated with a high risk of sudden cardiac death. including initial programming and testing, as an admitted patient in an approved hospital 38285 01JUL2021 31DEC9999 Y Insertion of implantable ECG loop recorder, by a specialist or consultant physician, for the diagnosis of a primary disorder, including initial programming and testing, if: (a) the patient has recurrent unexplained syncope and does not have a structural heart defect associated with a high risk of sudden cardiac death; and (b) a diagnosis has not been achieved through all other available cardiac investigations; and (c) a neurogenic cause is not suspected 38286 01NOV2004 30JUN2021 N IMPLANTABLE ECG LOOP RECORDER, removal of, as an admitted patient in an approved hospital 38286 01JUL2021 31DEC9999 Y Removal of implantable ECG loop recorder 38287 01JUL1998 31DEC9999 Y ABLATION OF ARRHYTHMIA CIRCUIT OR FOCUS or isolation procedure involving 1 atrial chamber 38288 01MAY2018 31DEC9999 Y Implantable loop recorder, insertion of, for diagnosis of atrial fibrillation, if: (a) the patient to whom the service is provided has been diagnosed as having had an embolic stroke of undetermined source; and (b) the bases of the diagnosis included the following: (i) the medical history of the patient; (ii) physical examination; (iii) brain and carotid imaging; (iv) cardiac imaging; (v) surface ECG testing including 24-hour Holter monitoring; and (c) atrial fibrillation is suspected; and (d) the patient: (i) does not have a permanent indication for oral anticoagulants; or (ii) does not have a permanent oral anticoagulants contraindication; including initial programming and testing 38290 01JUL1998 31DEC9999 Y ABLATION OF ARRHYTHMIA CIRCUITS OR FOCI, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation 38293 01JUL1998 31DEC9999 Y VENTRICULAR ARRHYTHMIA with mapping and ablation, including all associated electrophysiological studies performed on the same day 38300 01NOV2005 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY of 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare 38303 01NOV2005 31DEC9999 Y TRANSLUMINAL BALLOON ANGIOPLASTY of more than 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation and excluding aftercare 38306 01NOV2005 31OCT2006 N TRANSLUMINAL STENT INSERTION including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare 38306 01NOV2006 23MAY2017 N TRANSLUMINAL INSERTION OF STENT OR STENTS into 1 occlusional site, including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare 38306 24MAY2017 31DEC9999 Y Transluminal insertion of stent or stents into one occlusional site, including associated balloon dilatation of coronary artery, percutaneous or by open exposure, excluding associated radiological services, radiological preparation and after-care 38307 01JUL2021 08JUL2021 N Note: (acute coronary syndrome 1 coronary territory with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38307 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome 1 coronary territory with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38308 01JUL2021 08JUL2021 N Note: (acute coronary syndrome 2 coronary territories with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38308 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome 2 coronary territories with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38309 01NOV2005 30JUN2021 N PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 1 coronary artery, including balloon angioplasty with no stent insertion, where: no lesion of the coronary artery has been stented; and each lesion of the coronary artery is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable; excluding associated radiological services or preparation, and excluding aftercare 38309 01JUL2021 31DEC9999 Y Percutaneous transluminal rotational atherectomy of one or more coronary arteries, including all associated imaging, if: (a) the target stenosis within at least one coronary artery is heavily calcified and balloon angioplasty with or without stenting is not feasible without rotational artherectomy; and (b) the service is performed in conjunction with a service to which item 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies Applicable only once on each occasion the service is performed 38310 01JUL2021 08JUL2021 N Note: (acute coronary syndrome 3 coronary territories with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38310 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome 3 coronary territories with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38311 01JUL2021 31DEC9999 Y Note: (stable multi-vessel disease 1 coronary territory with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38314 applies; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38312 01NOV2005 31DEC9999 Y PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 1 coronary artery, including balloon angioplasty with insertion of 1 or more stents, where: no lesion of the coronary artery has been stented; and each lesion of the coronary artery is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable; excluding associated radiological services or preparation, and excluding aftercare 38313 01JUL2021 31DEC9999 Y Note: (stable multi-vessel disease 2 coronary territories with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38314 applies; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38314 01JUL2021 31DEC9999 Y Note: (stable multi-vessel disease 3 coronary territory with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17C; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38316, 38317, 38319, 38320, 38322 or 38323 applies 38315 01NOV2005 31DEC9999 Y PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of more than 1 coronary artery, including balloon angioplasty with no stent insertion, where: no lesion of the coronary arteries has been stented; and each lesion of the coronary arteries is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable; excluding associated radiological services or preparation, and excluding aftercare 38316 01JUL2021 08JUL2021 N Note: (acute coronary syndrome 1 coronary territory without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38317, 38319, 38320, 38322 or 38323 applies 38316 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome 1 coronary territory without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38317, 38319, 38320, 38322 or 38323 applies 38317 01JUL2021 08JUL2021 N Note: (acute coronary syndrome 2 coronary territories without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 3808, 38310, 38311, 38313, 38314, 38316, 38319, 38320, 38322 or 38323 applies 38317 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome 2 coronary territories without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 3808, 38310, 38311, 38313, 38314, 38316, 38319, 38320, 38322 or 38323 applies 38318 01NOV2005 31DEC9999 Y PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of more than 1 coronary artery, including balloon angioplasty, with insertion of 1 or more stents, where: no lesion of the coronary arteries has been stented; and each lesion of the coronary arteries is complex and heavily calcified; and balloon angioplasty with or without stenting is not suitable, excluding associated radiological services or preparation, and excluding aftercare 38319 01JUL2021 08JUL2021 N Note: (acute coronary syndrome 3 coronary territories without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38320, 38322 or 38323 applies 38319 09JUL2021 31DEC9999 Y Note: (acute coronary syndrome 3 coronary territories without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38320, 38322 or 38323 applies 38320 01JUL2021 31DEC9999 Y Note: (stable multi-vessel disease 1 coronary territory without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38323 applies; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38322 or 38323 applies 38321 01NOV2005 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 38322 01JUL2021 31DEC9999 Y Note: (stable multi-vessel disease 2 coronary territories with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38323 applies; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320 or 38323 applies 38323 01JUL2021 31DEC9999 Y Note: (stable multi-vessel disease 3 coronary territories with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17C; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320 or 38322 applies 38324 01NOV2005 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty intravascular ultrasound using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 38325 01MAR2024 31DEC9999 Y Use of intravascular ultrasound (IVUS) during transluminal insertion of stents, to optimise procedural strategy, appropriate stent size and assessment of stent apposition, for a patient documented with: (a) one or more left main coronary artery lesions; or (b) one or more lesions at least 28mm in length in other locations; if performed in association with a service to which item 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies Applicable once per episode of care (for one or more lesions) (H) 38327 01NOV2005 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty percutaneous transluminal rotational artherectomy using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 38330 01NOV2005 31DEC9999 Y CATHETER BASED INTRAVASCULAR BRACHYTHERAPY treatment of in-stent restenoses in 1 coronary artery, catheterisation for, including in the same artery; balloon angioplasty percutaneous transluminal rotational artherectomy intravascular ultrasound using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be associated with a service to which item 15360, 15363 or 15541 applies. 38350 01NOV2005 31OCT2010 N SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion, removal or replacement of, 38350 01NOV2010 31DEC9999 Y SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion, removal or replacement of, including cardiac electrophysiological services where used for pacemaker implantation 38353 01NOV2005 30APR2006 N PERMANENT CARDIAC PACEMAKER, insertion, removal or replacement of 38353 01MAY2006 31OCT2010 N PERMANENT CARDIAC PACEMAKER, insertion, removal or replacement of, not for cardiac resynchronisation therapy 38353 01NOV2010 31DEC9999 Y PERMANENT CARDIAC PACEMAKER, insertion, removal or replacement of, not for cardiac resynchronisation therapy, including cardiac electrophysiological services where used for pacemaker implantation 38356 01NOV2005 31OCT2010 N DUAL CHAMBER PERMANENT TRANSVENOUS ELECTRODES, insertion, removal or replacement of 38356 01NOV2010 31DEC9999 Y DUAL CHAMBER PERMANENT TRANSVENOUS ELECTRODES, insertion, removal or replacement of, including cardiac electrophysiological services where used for pacemaker implantation 38358 01NOV2005 30JUN2021 N Extraction of chronically implanted transvenous pacing or defibrillator lead or leads, by percutaneous method where the leads have been in situ for greater than six months and require removal with locking stylets, snares and/or extraction sheaths in a facility where cardiac surgery is available, in association with item 61109 or 60509 38358 01JUL2021 31DEC9999 Y Extraction of one or more chronically implanted transvenous pacing or defibrillator leads, by percutaneous method, with locking stylets and snares, with extraction sheaths (if any), if: (a) the leads have been in place for more than 6 months and require removal; and (b) the service is performed: (i) in association with a service to which item 61109 or 60509 applies; and (ii) by a specialist or consultant physician who has undertaken the training to perform the service; and (iii) in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and (c) if the service is performed by an interventional cardiologist-a cardiothoracic surgeon is in attendance during the service (H) 38359 01NOV2005 31DEC9999 Y PERICARDIUM, paracentesis of (excluding aftercare) 38362 01NOV2005 31DEC9999 Y INTRA-AORTIC BALLOON PUMP, percutaneous insertion of 38365 01MAY2006 30JUN2014 N PERMANENT CARDIAC SYNCRONISATION DEVICE, insertion, removal or replacement of, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy and who meet all of the following criteria: sinus rhythm a left ventricular ejection fraction of less than or equal to 35% a QRS duration greater than or equal to 120ms. 38365 01JUL2014 30JUN2021 N Permanent cardiac synchronisation device (including a cardiac synchronisation device that is capable of defibrillation), insertion, removal or replacement of, for a patient who: (a) has: (i) moderate to severe chronic heart failure (New York Heart Association (NYHA) class III or IV) despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS duration greater than or equal to 120 ms; or (b) satisfied the requirements mentioned in paragraph (a) immediately before the insertion of a cardiac resynchronisation therapy device and transvenous left ventricle electrode 38365 01JUL2021 31DEC9999 Y Insertion, removal or replacement of permanent cardiac synchronisation device, if the patient: (a) has all of the following: (i) chronic heart failure, classified as New York Heart Association class III or IV (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 130 ms; or (b) has all of the following: (i) chronic heart failure, classified as New York Heart Association class II (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 150 ms; other than a service associated with a service to which item 38212 applies (H) 38368 01MAY2006 30JUN2014 N PERMANENT TRANSVENOUS LEFT VENTRICULAR ELECTRODE, insertion, removal or replacement of through the coronary sinus, for the purpose of cardiac resynchronisation therapy, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy and who meet all of the following criteria: sinus rhythm a left ventricular ejection fraction of less than or equal to 35% a QRS duration greater than or equal to 120ms. Where the service includes right heart catheterisation and any associated venogram of left ventricular veins. Not being a service associated with a service to which items 38200 and 35200 apply 38368 01JUL2014 30JUN2021 N Permanent transvenous left ventricular electrode, insertion, removal or replacement of through the coronary sinus, for the purpose of cardiac resynchronisation therapy, including right heart catheterisation and any associated venogram of left ventricular veins, other than a service associated with a service to which item 35200 or 38200 applies, for a patient who: (a) has: (i) moderate to severe chronic heart failure (New York Heart Association (NYHA) class III or IV) despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS duration greater than or equal to 120 ms; or (b) has: (i) mild chronic heart failure (New York Heart Association (NYHA) class II) despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS duration greater than or equal to 150 ms; or (c) satisfied the requirements mentioned in paragraph (a) or (b) immediately before the insertion of a cardiac resynchronisation therapy device and transvenous left ventricle electrode 38368 01JUL2021 31DEC9999 Y Insertion, removal or replacement of permanent transvenous left ventricular electrode, through the coronary sinus, for the purpose of cardiac resynchronisation therapy, including right heart catheterisation and any associated venograms, if the patient: (a) has all of the following: (i) chronic heart failure, classified as New York Heart Association class III or IV (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 130 ms; or (b) has all of the following: (i) chronic heart failure, classified as New York Heart Association class II (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 150 ms; other than a service associated with a service to which item 35200, 38200 or 38212 applies (H) 38371 01NOV2006 30JUN2014 N PERMANENT CARDIAC SYNCHRONISATION DEVICE CAPABLE OF DEFIBRILLATION, insertion, removal or replacement of, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy who meet all of the following criteria: - sinus rhythm - a left ventricular ejection fraction of less than or equal to 35% - a QRS duration greater than or equal to 120ms. 38371 01JUL2014 31DEC9999 Y Permanent cardiac synchronisation device capable of defibrillation, insertion, removal or replacement of, for a patient who: (a) has: (i) moderate to severe chronic heart failure (New York Heart Association ((NYHA) class III or IV) despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS duration greater than or equal to 120 ms; or (b) has: (i) mild chronic heart failure (New York Heart Association (NYHA) class II) despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS duration greater than or equal to 150 ms 38372 01NOV2023 31DEC9999 Y Leadless permanent cardiac pacemaker, single-chamber ventricular, percutaneous insertion of, for the treatment of bradycardia, including cardiac electrophysiological services (other than a service associated with a service to which item 38350 applies) (H) 38373 01NOV2023 29FEB2024 N Leadless permanent cardiac pacemaker, single-chamber ventricular, percutaneous retrieval and replacement of, including cardiac electrophysiological services, during the same percutaneous procedure, if: (a) the service is performed: (i) by a specialist or consultant physician who has undertaken training to perform the service; and (ii) in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and (b) if the service is performed by an interventional cardiologist at least 4 weeks after the leadless permanent cardiac pacemaker was inserted-a cardiothoracic surgeon is in attendance during the service; other than a service associated with a service to which item 38350 applies (H) 38373 01MAR2024 31DEC9999 Y Leadless permanent cardiac pacemaker, single-chamber ventricular, percutaneous retrieval and replacement of, including cardiac electrophysiological services, during the same percutaneous procedure, if: (a) the service is performed by a specialist or consultant physician who has undertaken training to perform the service; and (b) if the service is performed at least 4 weeks after the pacemaker was inserted-the service is performed in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and (c) if the service is performed by an interventional cardiologist at least 4 weeks after the pacemaker was inserted-a cardiothoracic surgeon is in attendance during the service; other than a service associated with a service to which item 38350 applies (H) 38374 01NOV2023 29FEB2024 N Leadless permanent cardiac pacemaker, single-chamber ventricular, percutaneous retrieval of, if: (a) the service is performed: (i) by a specialist or consultant physician who has undertaken training to perform the service; and (ii) in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and (b) if the service is performed by an interventional cardiologist at least 4 weeks after the leadless permanent cardiac pacemaker was inserted-a cardiothoracic surgeon is in attendance during the service (H) 38374 01MAR2024 31DEC9999 Y Leadless permanent cardiac pacemaker, single-chamber ventricular, percutaneous retrieval of, if: (a) the service is performed by a specialist or consultant physician who has undertaken training to perform the service; and (b) if the service is performed at least 4 weeks after the pacemaker was inserted-the service is performed in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and (c) if the service is performed by an interventional cardiologist at least 4 weeks after the pacemaker was inserted-a cardiothoracic surgeon is in attendance during the service (H) 38375 01NOV2023 31DEC9999 Y Leadless permanent cardiac pacemaker, single-chamber ventricular, explantation of, by open surgical approach (H) 38384 01NOV2006 31DEC9999 Y AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrodes for, primary prevention of sudden cardiac death in: - patients with a left ventricular ejection fraction of less than or equal to 30% at least one month after a myocardial infarct when the patient has received optimised medical therapy; or - patients with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% when the patient has received optimised medical therapy. Not being a service associated with a service to which item 38213 applies 38387 01NOV2006 31DEC9999 Y AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of for, primary prevention of sudden cardiac death in: - patients with a left ventricular ejection fraction of less than or equal to 30% at least one month after a myocardial infarct when the patient has received optimised medical therapy; or - patients with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% when the patient has received optimised medical therapy. Not being a service associated with a service to which item 38213 applies, not for defibrillators capable of cardiac resynchronisation therapy 38390 01NOV2005 31OCT2006 N AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrodes for - not being a service associated with a service to which item 38213 applies 38390 01NOV2006 31DEC9999 Y AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrodes for - not for patients with heart failure or as primary prevention for tachycardia arrhythmias. Not being a service associated with a service to which item 38213 applies 38393 01NOV2005 30APR2006 N AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of - not being a service associated with a service to which item 38213 applies 38393 01MAY2006 31OCT2006 N AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of - not being a service associated with a service to which item 38213 applies, not for defibrillators capable of cardiac resynchronisation therapy 38393 01NOV2006 31DEC9999 Y AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of for - not for patients with heart failure or as primary prevention for tachycardia arrhythmias. Not being a service associated with a service to which item 38213 applies. 38400 01DEC1991 31DEC9999 Y THORACIC SURGERY THORACIC CAVITY, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies 38403 01DEC1991 31DEC9999 Y THORACIC CAVITY, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample 38406 01DEC1991 31DEC9999 Y THORACIC SURGERY PERICARDIUM, paracentesis of (excluding aftercare) 38409 01DEC1991 31DEC9999 Y INTERCOSTAL DRAIN, insertion of, not involving resection of rib (excluding aftercare) 38410 01JUL1993 31DEC9999 Y INTERCOSTAL DRAIN, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) 38412 01DEC1991 31DEC9999 Y PERCUTANEOUS NEEDLE BIOPSY of lung 38415 01DEC1991 31DEC9999 Y EMPYEMA, radical operation for, involving resection of rib 38416 01MAR2021 31DEC9999 Y Endoscopic ultrasound guided fine needle aspiration biopsy or biopsies (endoscopy with ultrasound imaging) to obtain one or more specimens from either or both of the following: (a) mediastinal masses; (b) locoregional nodes to stage non-small cell lung carcinoma; other than a service associated with a service to which an item in Subgroup 1 of this Group, or item 38417 or 55054, applies 38417 01MAR2021 31DEC9999 Y Endobronchial ultrasound guided biopsy or biopsies (bronchoscopy with ultrasound imaging, with or without associated fluoroscopic imaging) to obtain one or more specimens by: (a) transbronchial biopsy or biopsies of peripheral lung lesions; or (b) fine needle aspirations of one or more mediastinal masses; or (c) fine needle aspirations of locoregional nodes to stage non-small cell lung carcinoma; other than a service associated with a service to which an item in Subgroup 1 of this Group, item 38416, 38420 or 38423, or an item in Subgroup I5 of Group I3, applies 38418 01DEC1991 31DEC9999 Y THORACOTOMY, exploratory, with or without biopsy 38419 01MAR2021 31DEC9999 Y Bronchoscopy, as an independent procedure 38420 01MAR2021 31DEC9999 Y Bronchoscopy with one or more endobronchial biopsies or other diagnostic or therapeutic procedures 38421 01DEC1991 31DEC9999 Y THORACOTOMY, with pulmonary decortication 38422 01MAR2021 31DEC9999 Y Bronchus, removal of foreign body in 38423 01MAR2021 31DEC9999 Y Fibreoptic bronchoscopy with one or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging 38424 01DEC1991 31DEC9999 Y THORACOTOMY, with pleurectomy or pleurodesis, OR ENUCLEATION OF HYDATID cysts 38425 01MAR2021 29FEB2024 N Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures 38425 01MAR2024 31DEC9999 Y Endoscopic resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures, other than a service associated with a service to which another item in Group T8 applies (H) 38426 01MAR2021 31DEC9999 Y Trachea or bronchus, dilatation of stricture and endoscopic insertion of stent 38427 01DEC1991 31OCT1992 N THORACOPLASTY (COMPLETE) 38427 01NOV1992 31DEC9999 Y THORACOPLASTY (complete) - 3 or more ribs 38428 01NOV2021 28FEB2023 N Bronchoscopy with dilatation of tracheal stricture 38428 01MAR2023 31DEC9999 Y Bronchoscopy with treatment of tracheal stricture 38429 01MAR2023 31DEC9999 Y Tracheal excision and repair of, without cardiopulmonary bypass (H) 38430 01DEC1991 31DEC9999 Y THORACOPLASTY (in stages) each stage 38431 01MAR2023 31DEC9999 Y Tracheal excision and repair of, with cardiopulmonary bypass (H) 38432 01NOV1992 31DEC9999 Y PECTUS EXCAVATUM or PECTUS CARINATUM, repair or radical correction of 38433 01DEC1991 31DEC9999 Y PECTUS EXCAVATUM OR PECTUS CARINATUM, radical correction of 38434 01NOV1992 31DEC9999 Y PECTUS EXCAVATUM or PECTUS CARINATUM, repair with implantation of subcutaneous prosthesis of 38436 01DEC1991 31OCT1992 N THORACOSCOPY, with or without division of pleural adhesions 38436 01NOV1992 30APR2004 N THORACOSCOPY, with or without division of pleural adhesions, including insertion of intercostal catheter, with or without biopsy 38436 01MAY2004 31DEC9999 Y THORACOSCOPY, with or without division of pleural adhesions, including insertion of intercostal catheter where necessary, with or without biopsy 38438 01NOV1992 30APR1997 N PNEUMONECTOMY or LOBECTOMY or SEGMENTECTOMY 38438 01MAY1997 31DEC9999 Y PNEUMONECTOMY or LOBECTOMY or SEGMENTECTOMY not being a service associated with a service to which Item 38418 applies 38439 01DEC1991 31DEC9999 Y PNEUMONECTOMY or lobectomy 38440 01NOV1992 31DEC9999 Y LUNG, wedge resection of 38441 01NOV1992 31DEC9999 Y RADICAL LOBECTOMY or PNEUMONECTOMY including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection 38442 01DEC1991 31OCT1992 N OESOPHAGECTOMY, with direct anastomosis OR WITH STOMACH TRANSPOSITION 38442 01NOV1992 31DEC9999 Y Oesophagectomy with gastric reconstruction 38445 01DEC1991 31DEC9999 Y OESOPHAGECTOMY, with interposition of small or large bowel 38446 01NOV1992 31DEC9999 Y THORACOTOMY or STERNOTOMY, for removal of thymus or mediastinal tumour 38447 01JUL1993 31DEC9999 Y PERICARDIECTOMY via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass 38448 01DEC1991 31DEC9999 Y MEDIASTINUM, cervical exploration of, with or without biopsy 38449 01JUL1993 31DEC9999 Y PERICARDIECTOMY via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass 38450 01NOV1992 31OCT2005 N PERICARDIUM, transthoracic drainage of 38450 01NOV2005 31DEC9999 Y PERICARDIUM, transthoracic open surgical drainage of 38451 01DEC1991 31DEC9999 Y PERICARDIUM, TRANSTHORACIC DRAINAGE OF (other than for treatment of constrictive pericarditis) 38452 01NOV1992 31MAY2017 N PERICARDIUM, sub-xyphoid drainage of 38452 01JUN2017 31DEC9999 Y PERICARDIUM, subxiphoid open surgical drainage of 38453 01NOV1992 31DEC9999 Y TRACHEAL excision and repair without cardiopulmonary bypass 38454 01DEC1991 31DEC9999 Y INTRATHORACIC OPERATION on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than 1 of those organs, not being a service to which another item in this Group applies 38455 01JUL1993 31DEC9999 Y TRACHEAL EXCISION AND REPAIR OF, with cardiopulmonary bypass 38456 01JUL1993 31DEC9999 Y INTRATHORACIC OPERATION on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than 1 of those organs, not being a service to which another item in this Group applies 38457 01JUL1993 31DEC9999 Y PECTUS EXCAVATUM or PECTUS CARINATUM, repair or radical correction of 38458 01JUL1993 31DEC9999 Y PECTUS EXCAVATUM, repair of, with implantation of subcutaneous prosthesis 38460 01JUL1993 31DEC9999 Y STERNAL WIRE OR WIRES, removal of 38461 01JUL2021 31DEC9999 Y TMVr, by transvenous or transeptal techniques, for permanent coaptation of mitral valve leaflets using one or more Mitraclips™, including intra-operative diagnostic imaging, if: (a) the patient has each of the following risk factors: (i) moderate to severe, or severe, symptomatic degenerative (primary) mitral valve regurgitation (grade 3+ or 4+); (ii) left ventricular ejection fraction of 20% or more; (iii) symptoms of mild, moderate or severe chronic heart failure (New York Heart Association class II, III or IV); and (b) as a result of a TMVr suitability case conference, the patient has been: (i) assessed as having an unacceptably high risk for surgical mitral valve replacement; and (ii) recommended as being suitable for the service; and (c) the service is performed: (i) by a cardiothoracic surgeon, or an interventional cardiologist, accredited by the TMVr accreditation committee to perform the service; and (ii) via transfemoral venous delivery, unless transfemoral venous delivery is contraindicated or not feasible; and (iii) in a hospital that is accredited by the TMVr accreditation committee as a suitable hospital for the service; and (d) a service to which this item, or item 38463, applies has not been provided to the patient in the previous 5 years (H) 38462 01JUL1993 31DEC9999 Y STERNOTOMY WOUND, debridement of, not involving reopening of the mediastinum 38463 01JUL2021 31DEC9999 Y TMVr, by transvenous or transeptal techniques, for permanent coaptation of mitral valve leaflets using one or more Mitraclips™, including intra-operative diagnostic imaging, if: (a) the patient has each of the following risk factors: (i) moderate to severe, or severe, symptomatic functional (secondary) mitral valve regurgitation (grade 3+ or 4+); (ii) left ventricular ejection fraction of 20% to 50%; (iii) left ventricular end systolic diameter of not more than 70mm; (iv) symptoms of mild, moderate or severe chronic heart failure (New York Heart Association class II, III or IV) that persist despite maximally tolerated guideline directed medical therapy; and (b) as a result of a TMVr suitability case conference, the patient has been: (i) assessed as having an unacceptably high risk for surgical mitral valve replacement; and (ii) recommended as being suitable for the service; and (c) the service is performed: (i) by a cardiothoracic surgeon, or an interventional cardiologist, accredited by the TMVr accreditation committee to perform the service; and (ii) via transfemoral venous delivery, unless transfemoral venous delivery is contraindicated or not feasible; and (iii) in a hospital that is accredited by the TMVr accreditation committee as a suitable hospital for the service; and (d) a service to which this item, or item 38461, applies has not been provided to the patient in the previous 5 years (H) 38464 01JUL1993 31DEC9999 Y STERNOTOMY WOUND, debridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum 38466 01JUL1993 31DEC9999 Y STERNUM, reoperation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring 38467 01JUL2021 28FEB2023 N Insertion, removal or replacement of permanent myocardial electrode, by open surgical approach, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38467 01MAR2023 31DEC9999 Y Insertion, removal or replacement of permanent myocardial electrode, by open surgical approach, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38468 01JUL1993 31DEC9999 Y STERNUM AND MEDIASTINUM, reoperation for infection of, involving muscle advancement flaps or greater omentum 38469 01JUL1993 31DEC9999 Y STERNUM AND MEDIASTINUM, reoperation for infection of, involving muscle advancement flaps and greater omentum 38470 01NOV1992 30APR1997 N PACEMAKER PROCEDURES PERMANENT MYOCARDIAL ELECTRODE, insertion of, by thoracotomy 38470 01MAY1997 31DEC9999 Y PERMANENT MYOCARDIAL ELECTRODE, insertion of, by thoracotomy or sternotomy 38471 01JUL2021 31DEC9999 Y Insertion of implantable defibrillator, including insertion of patches for the insertion of one or more transvenous endocardial leads, if the patient has one of the following: (a) a history of haemodynamically significant ventricular arrhythmias in the presence of structural heart disease; (b) documented high-risk genetic cardiac disease; (c) ischaemic heart disease, with a left ventricular ejection fraction of less than 30% at least one month after experiencing a myocardial infarction and while on optimised medical therapy; (d) chronic heart failure, classified as New York Heart Association class II or III, with a left ventricular ejection fraction of less than 35% (despite optimised medical therapy); other than a service to which item 38212 applies (H) 38472 01JUL2021 31DEC9999 Y Insertion, replacement or removal of implantable defibrillator generator, if the patient has one of the following: (a) a history of haemodynamically significant ventricular arrhythmias in the presence of structural heart disease; (b) documented high-risk genetic cardiac disease; (c) ischaemic heart disease, with a left ventricular ejection fraction of less than 30% at least one month after experiencing a myocardial infarction and while on optimised medical therapy; (d) chronic heart failure, classified as New York Heart Association class II or III, with a left ventricular ejection fraction of less than 35% (despite optimised medical therapy); other than a service to which item 38212 applies (H) 38473 01NOV1992 31OCT2005 N PERMANENT PACEMAKER ELECTRODE, insertion by sub-xyphoid approach 38473 01NOV2005 31DEC9999 Y PERMANENT PACEMAKER ELECTRODE, insertion by open surgical approach 38474 01JUL2021 28FEB2023 N Repair, augmentation or replacement of branch pulmonary arteries-left or right (or both), with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38474 01MAR2023 31DEC9999 Y Repair, augmentation or replacement of branch pulmonary arteries-left or right (or both), with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38475 01NOV1995 31DEC9999 Y VALVE ANNULOPLASTY without insertion of ring, not being a service associated with a service to which item 38480 or 38481 applies 38476 01NOV1992 31DEC9999 Y SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion of 38477 01NOV1995 30JUN2021 N VALVE ANNULOPLASTY with insertion of ring not being a service to which item 38478 applies 38477 01JUL2021 28FEB2023 N Valve annuloplasty with insertion of ring, other than: (a) a service to which item 38516 or 38517 applies; or (b) a service associated with a service to which to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38477 01MAR2023 31OCT2023 N Valve annuloplasty with insertion of ring, other than: (a) a service to which item 38516 or 38517 applies; or (b) a service associated with a service to which to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38477 01NOV2023 31DEC9999 Y Valve annuloplasty with insertion of ring, other than: (a) a service to which item 38516 or 38517 applies; or (b) a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38478 01NOV1995 31DEC9999 Y VALVE ANNULOPLASTY with insertion of ring performed in conjunction with item 38480 or 38481 38479 01NOV1992 31DEC9999 Y PERMANENT PACEMAKER, insertion or replacement of 38480 01NOV1995 31DEC9999 Y VALVE REPAIR, 1 leaflet 38481 01NOV1995 31DEC9999 Y VALVE REPAIR, 2 or more leaflets 38482 01NOV1992 31DEC9999 Y TEMPORARY TRANSVENOUS PACEMAKING ELECTRODE, insertion of 38483 01NOV1995 31DEC9999 Y AORTIC VALVE LEAFLET OR LEAFLETS, decalcification of, not being a service to which item 38475, 38477, 38480, 38481, 38488 or 38489 applies 38484 01JUL2021 28FEB2023 N Aortic or pulmonary valve replacement with bioprosthesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38484 01MAR2023 31DEC9999 Y Aortic or pulmonary valve replacement with bioprosthesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38485 01NOV1992 31OCT1995 N PERMANENT DUAL CHAMBER TRANSVENOUS ELECTRODES, insertion of 38485 01NOV1995 31DEC9999 Y MITRAL ANNULUS, reconstruction of, after decalcification, when performed in association with valve surgery 38486 01JUL1993 31DEC9999 Y AORTIC VALVE, decalcification of 38487 01JUL1993 31DEC9999 Y MITRAL VALVE, open valvotomy of 38488 01NOV1992 30JUN1993 N VALVULAR PROCEDURES VALVE REPLACEMENT with BIOPROSTHESIS or MECHANICAL PROSTHESIS 38488 01JUL1993 31OCT1995 N VALVE REPLACEMENT with BIOPROSTHESIS, MECHANICAL PROSTHESIS or UNSTENTED XENOGRAFT 38488 01NOV1995 31DEC9999 Y VALVE REPLACEMENT with BIOPROSTHESIS OR MECHANICAL PROSTHESIS 38489 01NOV1995 31DEC9999 Y VALVE REPLACEMENT with allograft (subcoronary or cylindrical implant), or unstented xenograft 38490 01NOV1995 30JUN2021 N SUB-VALVULAR STRUCTURES, reconstruction and re-implantation of, associated with mitral and tricuspid valve replacement 38490 01JUL2021 31DEC9999 Y Reconstruction and re-implantation of sub-valvular structures, if performed in conjunction with a service to which item 38499 applies (H) 38491 01NOV1992 31DEC9999 Y VALVE REPLACEMENT with ALLOGRAFT or UNSTENTED XENOGRAFT 38492 01JUL1993 31DEC9999 Y VALVE REPLACEMENT WITH ALLOGRAFT, subcoronary or cylindrical implant 38493 01NOV1998 31DEC9999 Y OPERATIVE MANAGEMENT of acute infective endocarditis, in association with heart valve surgery 38494 01NOV1992 31DEC9999 Y VALVE, repair of 38495 01NOV2017 28FEB2022 N TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, in a TAVI Hospital on a TAVI Patient by a TAVI Practitioner - includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient. (Not payable more than once per patient in a five year period.) 38495 01MAR2022 30JUN2022 N TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: the TAVI patient is at high risk for surgery; and the service: (i) is performed by a TAVI Practitioner in a TAVI Hospital ; and (ii) includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; not being a service which has been rendered within 5 years of a service to which this item or 38514 applies (H) 38495 01JUL2022 31DEC2023 N TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: the TAVI patient is at high risk for surgery; and the service: (i) is performed by a TAVI Practitioner in a TAVI Hospital ; and (ii) includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; not being a service which has been rendered within 5 years of a service to which this item or item 38514 or 38522 applies (H) 38495 01JAN2024 31DEC9999 Y TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: (a) the TAVI Patient is at high risk for surgery; and (b) the service: (i) is performed by a TAVI Practitioner in a TAVI Hospital; and (ii) includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; and (iii) includes valvuloplasty, if required; not being a service which has been rendered within 5 years of a service to which this item or item 38514 or 38522 applies (H) 38496 01NOV1995 31DEC9999 Y ARTERY HARVESTING (other than internal mammary), for coronary artery bypass 38497 01NOV1992 31OCT1993 N SURGERY FOR ISCHAEMIC HEART DISEASE CORONARY ARTERY BYPASS using saphenous vein graft or grafts only 38497 01NOV1993 31OCT1995 N SURGERY FOR ISCHAEMIC HEART DISEASE CORONARY ARTERY BYPASS using saphenous vein graft or grafts only, including harvesting of graft material where performed 38497 01NOV1995 31OCT2002 N CORONARY ARTERY BYPASS using saphenous vein graft or grafts only, including harvesting of vein graft material where performed 38497 01NOV2002 31DEC9999 Y CORONARY ARTERY BYPASS with cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, not being a service asociated with a service to which items 38498, 38500, 38501, 38503 or 38504 apply 38498 01NOV2002 31DEC9999 Y CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38500, 38501, 38503, 38504 or 38600 apply 38499 01JUL2021 28FEB2023 N Mitral or tricuspid valve replacement with bioprothesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38499 01MAR2023 31DEC9999 Y Mitral or tricuspid valve replacement with bioprothesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38500 01NOV1992 31OCT1993 N CORONARY ARTERY BYPASS using single arterial graft, with or without vein graft or grafts 38500 01NOV1993 31OCT1995 N CORONARY ARTERY BYPASS using single arterial graft, with or without vein graft or grafts, including harvesting of graft material where performed 38500 01NOV1995 31OCT2002 N CORONARY ARTERY BYPASS using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed 38500 01NOV2002 31DEC9999 Y CORONARY ARTERY BYPASS with cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, not being a service associated with a service to which items 38497, 38498, 38501, 38503 or 38504 apply 38501 01NOV2002 31DEC9999 Y CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38498, 38500, 38503, 38504 or 38600 apply 38502 01JUL2021 28FEB2023 N Coronary artery bypass, including cardiopulmonary bypass, with or without retrograde cardioplegia, with or without vein grafts, and including at least one of the following: (a) harvesting of left internal mammary artery and vein graft material; (b) harvesting of left internal mammary artery; (c) harvesting of vein graft material; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38502 01MAR2023 31DEC9999 Y Coronary artery bypass, including cardiopulmonary bypass, with or without retrograde cardioplegia, with or without vein grafts, and including at least one of the following: (a) harvesting of left internal mammary artery and vein graft material; (b) harvesting of left internal mammary artery; (c) harvesting of vein graft material; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38503 01NOV1992 31OCT1993 N CORONARY ARTERY BYPASS using 2 or more arterial grafts, with or without vein graft or grafts 38503 01NOV1993 31OCT1995 N CORONARY ARTERY BYPASS using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of graft material where performed 38503 01NOV1995 31OCT2002 N CORONARY ARTERY BYPASS using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed 38503 01NOV2002 31DEC9999 Y CORONARY ARTERY BYPASS with cardiopulmonary bypass, using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, not being a service associated with a service to which items 38497, 38498, 38500, 38501 or 38504 apply 38504 01NOV2002 31DEC9999 Y CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38498, 38500, 38501, 38503 or 38600 apply 38505 01NOV1995 31DEC9999 Y CORONARY ENDARTERECTOMY, by open operation, including repair with 1 or more patch grafts, each vessel 38506 01NOV1992 31OCT1995 N LEFT VENTRICULAR ANEURYSMECTOMY 38506 01NOV1995 31DEC9999 Y LEFT VENTRICULAR ANEURYSM, plication of 38507 01NOV1995 31DEC9999 Y LEFT VENTRICULAR ANEURYSM resection with primary repair 38508 01NOV1995 30JUN2021 N LEFT VENTRICULAR ANEURYSM resection with patch reconstruction of the left ventricle 38508 01JUL2021 28FEB2023 N Repair or reconstruction of left ventricular aneurysm, including plication, resection and primary and patch repairs, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38508 01MAR2023 31DEC9999 Y Repair or reconstruction of left ventricular aneurysm, including plication, resection and primary and patch repairs, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38509 01NOV1992 30JUN2021 N ISCHAEMIC VENTRICULAR SEPTAL RUPTURE, repair of 38509 01JUL2021 28FEB2023 N Repair of ischaemic ventricular septal rupture,, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38509 01MAR2023 31DEC9999 Y Repair of ischaemic ventricular septal rupture,, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38510 01JUL2021 31OCT2022 N Artery harvesting (other than of the left internal mammary), for coronary artery bypass, if: (a) more than one arterial graft is required; and (b) the service is performed in conjunction with a service to which item 38502 applies (H) 38510 01NOV2022 31DEC9999 Y Artery harvesting (other than of the left internal mammary), for coronary artery bypass, if: (a) more than one arterial graft is required; and (b) the service is performed in conjunction with coronary artery bypass surgery performed by any medical practitioner (H) 38511 01JUL2021 31DEC9999 Y Coronary artery bypass, with the aid of tissue stabilisers, if the service is performed: (a) without cardiopulmonary bypass; and (b) in conjunction with a service to which item 38502 applies (H) 38512 01NOV1992 30JUN2021 N DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only 38512 01JUL2021 28FEB2023 N Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving one atrial chamber only, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38512 01MAR2023 31DEC9999 Y Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving one atrial chamber only, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38513 01JUL2021 31OCT2022 N Creation of graft anastomosis, including Y-graft, T-graft and graft-to-graft extensions, with micro-arterial or micro-venous anastomosis using microsurgical techniques, if the service is performed in conjunction with a service to which item 38502 applies (H) 38513 01NOV2022 31DEC9999 Y Creation of Y-graft, T-graft and graft-to-graft extensions, with micro-arterial or micro-venous anastomosis using microsurgical techniques, if: (a) the service is for one or more anastomoses; and (b) the service is performed in conjunction with a service to which item 38502 applies (H) 38514 01MAR2022 30JUN2022 N TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: the TAVI patient is at intermediate risk for surgery; and the service: is performed by a TAVI practitioner in a TAVI Hospital; and includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; not being a service which has been rendered within 5 years of a service to which this item or 38495 applies (H) 38514 01JUL2022 31DEC2023 N TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: the TAVI patient is at intermediate risk for surgery; and the service: is performed by a TAVI practitioner in a TAVI Hospital; and includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; not being a service which has been rendered within 5 years of a service to which this item or item 38495 or 38522 applies (H) 38514 01JAN2024 31DEC9999 Y TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: (a) the TAVI Patient is at intermediate risk for surgery; and (b) the service: (i) is performed by a TAVI Practitioner in a TAVI Hospital; and (ii) includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; and (iii) includes valvuloplasty, if required; not being a service which has been rendered within 5 years of a service to which this item or item 38495 or 38522 applies (H) 38515 01NOV1992 30JUN2021 N DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation 38515 01JUL2021 28FEB2023 N Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38515 01MAR2023 31DEC9999 Y Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38516 01JUL2021 28FEB2023 N Simple valve repair: (a) with or without annuloplasty; and (b) including quadrangular resection, cleft closure or alfieri; and (c) including retrograde cardioplegia (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38516 01MAR2023 31DEC9999 Y Simple valve repair: (a) with or without annuloplasty; and (b) including quadrangular resection, cleft closure or alfieri; and (c) including retrograde cardioplegia (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38517 01JUL2021 28FEB2023 N Complex valve repair: (a) with or without annuloplasty; and (b) including retrograde cardioplegia (if performed); and (c) including one of the following: (i) neochords; (ii) chordal transfer; (iii) patch augmentation; (iv) multiple leaflets; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38517 01MAR2023 31DEC9999 Y Complex valve repair: (a) with or without annuloplasty; and (b) including retrograde cardioplegia (if performed); and (c) including one of the following: (i) neochords; (ii) chordal transfer; (iii) patch augmentation; (iv) multiple leaflets; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38518 01NOV1992 30JUN2021 N VENTRICULAR ARRHYTHMIA with mapping and muscle ablation, with or without aneurysmeotomy 38518 01JUL2021 28FEB2023 N Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38518 01MAR2023 31DEC9999 Y Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38519 01JUL2021 31DEC2021 N Valve explant of a previous prosthesis, if performed during a service to which item 38484 or 38499 applies, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38519 01JAN2022 28FEB2023 N Valve explant of a previous prosthesis, if performed during open cardiac surgery, not being a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38519 01MAR2023 31DEC9999 Y Valve explant of a previous prosthesis, if performed during open cardiac surgery, not being a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38521 01NOV1992 30JUN1998 N AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrode for - not being a service associated with a service to which item 38213 applies 38521 01JUL1998 31DEC9999 Y AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrode for - not being a service associated with a service to which item 38213 applies 38522 01JUL2022 31DEC2023 N TAVI, for the treatment of symptomatic severe native calcific aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: the TAVI Patient is at low risk for surgery; and the service: is performed by a TAVI Practitioner in a TAVI Hospital; and includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; not being a service which has been rendered within 5 years of a service to which this item or item 38495 or 38514 applies (H) 38522 01JAN2024 31DEC9999 Y TAVI, for the treatment of symptomatic severe native calcific aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, if: (a) the TAVI Patient is at low risk for surgery; and (b) the service: (i) is performed by a TAVI Practitioner in a TAVI Hospital; and (ii) includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient; and (iii) includes valvuloplasty, if required; not being a service which has been rendered within 5 years of a service to which this item or item 38495 or 38514 applies (H) 38523 01JUL2022 31DEC9999 Y Percutaneous transcatheter delivery of dual-filter cerebral embolic protection system during a TAVI procedure, for the reduction of postoperative embolic ischaemic strokes, if: the service is performed upon a TAVI Patient in a TAVI Hospital; and where the service is performed by the practitioner performing the TAVI procedure, the service includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient (H) 38524 01NOV1992 30JUN1998 N AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of 38524 01JUL1998 31DEC9999 Y AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of - not being a service associated with a service to which item 38213 applies 38530 01JUL1995 31DEC9999 Y ARRHYTHMIA ABLATION ABLATION OF ARRHYTHMIA CIRCUIT OR FOCUS or isolation procedure involving 1 atrial chamber 38533 01JUL1995 31DEC9999 Y ABLATION OF ARRHYTHMIA CIRCUITS OR FOCI, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation 38536 01JUL1995 31DEC9999 Y VENTRICULAR ARRHYTHMIA with mapping and ablation, including all associated electrophysiological studies performed on the same day 38550 01NOV1992 30JUN2021 N ASCENDING THORACIC AORTA, repair or replacement of, not involving valve replacement or repair or coronary artery implantation 38550 01JUL2021 28FEB2023 N Repair or replacement of ascending thoracic aorta: (a) including: (i) cardiopulmonary bypass; and (ii) retrograde cardioplegia (if performed); and (b) not including valve replacement or repair or implantation of coronary arteries; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38550 01MAR2023 31DEC9999 Y Repair or replacement of ascending thoracic aorta: (a) including: (i) cardiopulmonary bypass; and (ii) retrograde cardioplegia (if performed); and (b) not including valve replacement or repair or implantation of coronary arteries; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38553 01NOV1992 30JUN2021 N ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries 38553 01JUL2021 28FEB2023 N Repair or replacement of ascending thoracic aorta: (a) including: (i) aortic valve replacement or repair; and (i) cardiopulmonary bypass; and (ii) retrograde cardioplegia (if performed); and (b) not including implantation of coronary arteries; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38553 01MAR2023 31DEC9999 Y Repair or replacement of ascending thoracic aorta: (a) including: (i) aortic valve replacement or repair; and (i) cardiopulmonary bypass; and (ii) retrograde cardioplegia (if performed); and (b) not including implantation of coronary arteries; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38554 01JUL2021 28FEB2023 N Valve sparing aortic root surgery, with reimplantation of aortic valve and coronary arteries and replacement of the ascending aorta, including cardiopulmonary bypass, and including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38554 01MAR2023 31DEC9999 Y Valve sparing aortic root surgery, with reimplantation of aortic valve and coronary arteries and replacement of the ascending aorta, including cardiopulmonary bypass, and including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38555 01JUL2021 28FEB2023 N Simple replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including: (a) deep hypothermic circulatory arrest; and (b) peripheral cannulation for cardiopulmonary bypass; and (c) antegrade or retrograde cerebral perfusion (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38603, 38806 or 45503 applies (H) 38555 01MAR2023 31DEC9999 Y Simple replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including: (a) deep hypothermic circulatory arrest; and (b) peripheral cannulation for cardiopulmonary bypass; and (c) antegrade or retrograde cerebral perfusion (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38603, 38816, 38828 or 45503 applies (H) 38556 01NOV1992 30JUN2021 N ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries 38556 01JUL2021 31OCT2022 N Repair or replacement of ascending thoracic aorta, including: (a) aortic valve replacement or repair; and (b) implantation of coronary arteries; and (c) cardiopulmonary bypass; and (d) retrograde cardioplegia (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38603, 38806 or 45503 applies (H) 38556 01NOV2022 28FEB2023 N Repair or replacement of ascending thoracic aorta, including: (a) aortic valve replacement or repair; and (b) implantation of coronary arteries; and (c) cardiopulmonary bypass; and (d) retrograde cardioplegia (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38556 01MAR2023 31DEC9999 Y Repair or replacement of ascending thoracic aorta, including: (a) aortic valve replacement or repair; and (b) implantation of coronary arteries; and (c) cardiopulmonary bypass; and (d) retrograde cardioplegia (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38603, 38816, 38828 or 45503 applies (H) 38557 01JUL2021 28FEB2023 N Complex replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including: (a) debranching and reimplantation of head and neck vessels; and (b) deep hypothermic circulatory arrest; and (c) peripheral cannulation for cardiopulmonary bypass; and (d) antegrade or retrograde cerebral perfusion (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38557 01MAR2023 29FEB2024 N Complex replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including: (a) debranching and reimplantation of head and neck vessels; and (b) deep hypothermic circulatory arrest; and (c) peripheral cannulation for cardiopulmonary bypass; and (d) antegrade or retrograde cerebral perfusion (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38557 01MAR2024 31DEC9999 Y Complex replacement or repair of aortic arch, performed in conjunction with a service, performed by any medical practitioner, to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including: (a) debranching and reimplantation of head and neck vessels; and (b) deep hypothermic circulatory arrest; and (c) peripheral cannulation for cardiopulmonary bypass; and (d) antegrade or retrograde cerebral perfusion (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38558 01JUL2021 28FEB2023 N Aortic repair involving augmentation of hypoplastic or interrupted aortic arch, if: (a) the patient is a neonate; and (b) the service includes: (i) the use of antegrade cerebral perfusion or deep hypothermic circulatory arrest and associated myocardial preservation; and (ii) retrograde cardioplegia; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38558 01MAR2023 31DEC9999 Y Aortic repair involving augmentation of hypoplastic or interrupted aortic arch, if: (a) the patient is a neonate; and (b) the service includes: (i) the use of antegrade cerebral perfusion or deep hypothermic circulatory arrest and associated myocardial preservation; and (ii) retrograde cardioplegia; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38559 01NOV1992 31DEC9999 Y AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, not involving valve replacement or repair or coronary artery implantation 38562 01NOV1992 31DEC9999 Y AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries 38565 01NOV1992 31DEC9999 Y AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries 38568 01NOV1992 31OCT2006 N DESCENDING THORACIC AORTA, repair or replacement of, without shunt or cardiopulmonary bypass 38568 01NOV2006 30JUN2021 N DESCENDING THORACIC AORTA, repair or replacement of, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endovascular means 38568 01JUL2021 28FEB2023 N Repair or replacement of descending thoracic aorta, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endovascular means, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38568 01MAR2023 31DEC9999 Y Repair or replacement of descending thoracic aorta, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endovascular means, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38571 01NOV1992 30JUN2021 N DESCENDING THORACIC AORTA, repair or replacement of, using shunt or cardiopulmonary bypass 38571 01JUL2021 28FEB2023 N Repair or replacement of descending thoracic aorta, with shunt or cardiopulmonary bypass, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38571 01MAR2023 31DEC9999 Y Repair or replacement of descending thoracic aorta, with shunt or cardiopulmonary bypass, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38572 01JUL1993 30JUN2021 N OPERATIVE MANAGEMENT OF ACUTE RUPTURE OR DISSECTION, in conjunction with procedures on the thoracic aorta 38572 01JUL2021 31OCT2022 N Operative management of acute rupture or dissection, if the service: (a) is performed in conjunction with a service to which item 38550, 38553, 38554, 38555, 38556, 38557, 38558, 38568, 38571, 38706 or 38709 applies; and (b) is not associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38572 01NOV2022 28FEB2023 N Operative management of acute rupture or dissection, if the service: (a) is performed in conjunction with a service to which item 38550, 38553, 38554, 38555, 38556, 38557, 38558, 38568, 38571, 38706 or 38709 applies; and (b) is not associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38603, 38806 or 45503 applies (H) 38572 01MAR2023 31DEC9999 Y Operative management of acute rupture or dissection, if the service: (a) is performed in conjunction with a service to which item 38550, 38553, 38554, 38555, 38556, 38557, 38558, 38568, 38571, 38706 or 38709 applies; and (b) is not associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38603, 38816, 38828 or 45503 applies (H) 38573 01JUL1998 31DEC9999 Y OPERATIVE MANAGEMENT of acute infective endocarditis, in association with heart valve surgery 38574 01NOV1992 30JUN1998 N DEEP HYPOTHERMIA with cardiac arrest, in conjunction with OPEN HEART SURGERY 38574 01JUL1998 31DEC9999 Y Deep hypothermia with circulatory arrest, in conjunction with open heart surgery (Assist.) 38577 01NOV1995 31DEC9999 Y CANNULATION FOR, and supervision and monitoring of, the administration of retrograde cerebral perfusion during deep hypothermic arrest 38588 01NOV1995 31DEC9999 Y CANNULATION of the coronary sinus for, and supervision of, the retrograde administration of blood or crystalloid for cardioplegia, including pressure monitoring 38600 01NOV1992 30JUN1993 N CIRCULATORY SUPPORT PROCEDURES CENTRAL CANNULATION for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies 38600 01JUL1993 31DEC9999 Y CENTRAL CANNULATION for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies 38603 01NOV1992 30JUN1993 N PERIPHERAL CANNULATION for cardiopulmonary artery bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies 38603 01JUL1993 30JUN2021 N PERIPHERAL CANNULATION for cardiopulmonary bypass excluding post-operative management 38603 01JUL2021 31DEC9999 Y Peripheral cannulation for cardiopulmonary bypass, excluding post-operative management, other than a service: (a) in which peripheral cannulation is used in preference to central cannulation for valve or coronary bypass procedures; or (b) associated with a service to which item 38555 or 38572 applies (H) 38606 01NOV1992 31DEC9999 Y INTRA-AORTIC BALLOON PUMP, percutaneous insertion of 38609 01NOV1992 30JUN1993 N INTRA-AORTIC BALLOON PUMP, insertion by femoral arteriotomy 38609 01JUL1993 30JUN2021 N INTRA-AORTIC BALLOON PUMP, insertion of, by arteriotomy 38609 01JUL2021 28FEB2023 N Insertion of intra-aortic balloon pump, by arteriotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38609 01MAR2023 31DEC9999 Y Insertion of intra-aortic balloon pump, by arteriotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38612 01NOV1992 30JUN1993 N INTRA-AORTIC BALLOON PUMP, removal with closure of femoral artery by direct suture 38612 01JUL1993 30JUN2021 N INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by direct suture 38612 01JUL2021 28FEB2023 N Removal of intra-aortic balloon pump, with closure of artery by direct suture, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38612 01MAR2023 31DEC9999 Y Removal of intra-aortic balloon pump, with closure of artery by direct suture, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 338816, 38828 or 45503 applies (H) 38613 01JUL1993 31DEC9999 Y INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by patch graft 38615 01NOV1992 31OCT2015 N LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, insertion of 38615 01NOV2015 30JUN2021 N Insertion of a left or right ventricular assist device, for use as: (a) a bridge to cardiac transplantation in patients with refractory heart failure who are: (i) currently on a heart transplant waiting list, or (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or (b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks; not being a service associated with the use of a ventricular assist device as destination therapy in the management of patients with heart failure who are not expected to be suitable candidates for cardiac transplantation 38615 01JUL2021 28FEB2023 N Insertion of a left or right ventricular assist device, for use as: (a) a bridge to cardiac transplantation in patients with refractory heart failure who are: (i) currently on a heart transplant waiting list, or (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or (b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks; other than a service associated with a service to which: (d) item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies; or (e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation (H) 38615 01MAR2023 31DEC9999 Y Insertion of a left or right ventricular assist device, for use as: (a) a bridge to cardiac transplantation in patients with refractory heart failure who are: (i) currently on a heart transplant waiting list, or (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or (b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks; other than a service associated with a service to which: (d) item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies; or (e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation (H) 38618 01NOV1992 31OCT2015 N LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, insertion of 38618 01NOV2015 30JUN2021 N Insertion of a left and right ventricular assist device, for use as: (a) a bridge to cardiac transplantation in patients with refractory heart failure who are: (i) currently on a heart transplant waiting list, or (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or (b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks; not being a service associated with the use of a ventricular assist device as destination therapy in the management of patients with heart failure who are not expected to be suitable candidates for cardiac transplantation 38618 01JUL2021 28FEB2023 N Insertion of a left and right ventricular assist device, for use as: (a) a bridge to cardiac transplantation in patients with refractory heart failure who are: (i) currently on a heart transplant waiting list, or (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or (b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks; other than a service associated with a service to which: (d) item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies; or (e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation (H) 38618 01MAR2023 31DEC9999 Y Insertion of a left and right ventricular assist device, for use as: (a) a bridge to cardiac transplantation in patients with refractory heart failure who are: (i) currently on a heart transplant waiting list, or (ii) expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or (b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c) cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks; other than a service associated with a service to which: (d) item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies; or (e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation (H) 38621 01NOV1992 30JUN2021 N LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure 38621 01JUL2021 28FEB2023 N LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38627, 38806 or 45503 applies (H) 38621 01MAR2023 31DEC9999 Y Left or right ventricular assist device, removal of, as an independent procedure, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38627, 38816, 38828 or 45503 applies (H) 38624 01NOV1992 30JUN2021 N LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure 38624 01JUL2021 28FEB2023 N LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38627, 38806 or 45503 applies (H) 38624 01MAR2023 31DEC9999 Y Left and right ventricular assist device, removal of, as an independent procedure, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38627, 38816, 38828 or 45503 applies (H) 38627 01JUL1998 30JUN2021 N EXTRA-CORPOREAL MEMBRANE OXYGENATION, BYPASS OR VENTRICULAR ASSIST DEVICE CANNULAE, adjustment and re-positioning of, by open operation, in patients supported by these devices 38627 01JUL2021 28FEB2023 N EXTRA-CORPOREAL MEMBRANE OXYGENATION, BYPASS OR VENTRICULAR ASSIST DEVICE CANNULAE, adjustment and re-positioning of, by open operation, in patients supported by these devices, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38627, 38806 or 45503 applies (H) 38627 01MAR2023 31DEC9999 Y Extra-corporeal membrane oxygenation, bypass or ventricular assist device cannulae, adjustment and re-positioning of, by open operation, in patients supported by these devices, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38627, 38816, 38828 or 45503 applies (H) 38637 01NOV1995 30JUN2021 N PATENT DISEASED coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of 38637 01JUL2021 28FEB2023 N PATENT DISEASED coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38637 01MAR2023 31DEC9999 Y Patent diseased coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38640 01NOV1992 31OCT1993 N RE-OPERATION RE-OPERATION via median sternotomy, for any procedure 38640 01NOV1993 31DEC9999 Y RE-OPERATION via median sternotomy, for any procedure, including any divisions of adhesions where the time taken to divide the adhesions is 45 minutes or less 38643 01NOV1995 30JUN2021 N THORACOTOMY OR STERNOTOMY involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes 38643 01JUL2021 31DEC2021 N Re-operation via thoracotomy or sternotomy, by any procedure: (a) including any division of adhesions if the time taken to divide the adhesions exceeds 30 minutes; and (b) other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38643 01JAN2022 31DEC9999 Y Thoracotomy or sternotomy, by any procedure: (a) including any division of adhesions if the time taken to divide the adhesions exceeds 30 minutes; and (b) other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38647 01NOV1995 31DEC9999 Y THORACOTOMY OR STERNOTOMY involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours 38650 01NOV1992 31DEC9999 Y MYOMECTOMY or MYOTOMY for hypertrophic obstructive cardiomyopathy 38653 01NOV1992 30JUN2021 N OPEN HEART SURGERY, not being a service to which another item in this Group applies 38653 01JUL2021 28FEB2023 N Open heart surgery, other than a service: (a) to which another item in this Group applies; or (b) associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38653 01MAR2023 31DEC9999 Y Open heart surgery, other than a service: (a) to which another item in this Group applies; or (b) associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38654 01MAY2006 30JUN2014 N PERMANENT LEFT VENTRICULAR ELECTRODE, insertion, removal or replacement of via open thoracotomy, for the purpose of cardiac resynchronisation therapy, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy and who meet all of the following criteria: sinus rhythm a left ventricular ejection fraction of less than or equal to 35% a QRS duration greater than or equal to 120ms. 38654 01JUL2014 31DEC9999 Y Permanent left ventricular electrode, insertion, removal or replacement of via open thoracotomy, for the purpose of cardiac resynchronisation therapy, for a patient who: (a) has: (i) moderate to severe chronic heart failure (New York Heart Association (NYHA) class III or IV) despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS duration greater than or equal to 120 ms; or (b) has: (i) mild chronic heart failure (New York Heart Association (NYHA) class II) despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS duration greater than or equal to 150 ms; or (c) satisfied the requirements mentioned in paragraph (a) or (b) immediately before the insertion of a cardiac resynchronisation therapy device and transvenous left ventricle electrode 38656 01NOV1992 30JUN2021 N THORACOTOMY or median sternotomy for post-operative bleeding 38656 01JUL2021 31DEC9999 Y THORACOTOMY or median sternotomy for post-operative bleeding, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38659 01NOV1992 31DEC9999 Y THORACOTOMY or STERNOTOMY involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes 38662 01NOV1992 31DEC9999 Y CARDIAC TUMOURS THORACOTOMY or STERNOTOMY involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours 38670 01NOV1995 30JUN2021 N CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction 38670 01JUL2021 28FEB2023 N CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38670 01MAR2023 31DEC9999 Y Cardiac tumour, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38673 01NOV1995 30JUN2021 N CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit 38673 01JUL2021 28FEB2023 N CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38673 01MAR2023 31DEC9999 Y Cardiac tumour, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38677 01NOV1995 30JUN2021 N CARDIAC TUMOUR arising from ventricular myocardium, partial thickness excision of 38677 01JUL2021 28FEB2023 N CARDIAC TUMOUR arising from ventricular myocardium, partial thickness excision of, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38677 01MAR2023 31DEC9999 Y Cardiac tumour arising from ventricular myocardium, partial thickness excision of, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38680 01NOV1995 30JUN2021 N CARDIAC TUMOUR arising from ventricular myocardium, full thickness excision of including repair or reconstruction 38680 01JUL2021 28FEB2023 N CARDIAC TUMOUR arising from ventricular myocardium, full thickness excision of including repair or reconstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38680 01MAR2023 30JUN2023 N Cardiac tumour arising from ventricular myocardium, full thickness excision of including repair or reconstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies 38680 01JUL2023 31DEC9999 Y Cardiac tumour arising from ventricular myocardium, full thickness excision of including repair or reconstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38700 01NOV1992 30JUN1995 N CONGENITAL CARDIAC SURGERY PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38700 01JUL1995 30JUN2021 N PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease 38700 01JUL2021 28FEB2023 N PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38700 01MAR2023 31DEC9999 Y Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38703 01NOV1992 30JUN1995 N PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38703 01JUL1995 30JUN2021 N PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease 38703 01JUL2021 28FEB2023 N Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38703 01MAR2023 31DEC9999 Y Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38706 01NOV1992 30JUN1995 N AORTA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38706 01JUL1995 30JUN2021 N AORTA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease 38706 01JUL2021 28FEB2023 N AORTA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38706 01MAR2023 31DEC9999 Y Aorta, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38709 01NOV1992 30JUN1995 N AORTA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38709 01JUL1995 30JUN2021 N AORTA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease 38709 01JUL2021 28FEB2023 N Anastomosis or repair of aorta, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38709 01MAR2023 31DEC9999 Y Anastomosis or repair of aorta, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38712 01NOV1992 30JUN1995 N AORTIC INTERRUPTION, repair of, for congenital heart disease (Ministerial Determination) 38712 01JUL1995 31DEC9999 Y AORTIC INTERRUPTION, repair of, for congenital heart disease 38715 01NOV1992 30JUN1995 N MAIN PULMONARY ARTERY, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38715 01JUL1995 30JUN2021 N MAIN PULMONARY ARTERY, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease 38715 01JUL2021 28FEB2023 N MAIN PULMONARY ARTERY, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38715 01MAR2023 31DEC9999 Y Main Pulmonary Artery, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38718 01NOV1992 30JUN1995 N MAIN PULMONARY ARTERY, banding, debanding or repair of, with cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38718 01JUL1995 30JUN2021 N MAIN PULMONARY ARTERY, banding, debanding or repair of, with cardiopulmonary bypass, for congenital heart disease 38718 01JUL2021 28FEB2023 N Banding, debanding or repair of main pulmonary artery, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38718 01MAR2023 31DEC9999 Y Banding, debanding or repair of main pulmonary artery, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38721 01NOV1992 30JUN1995 N VENA CAVA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38721 01JUL1995 30JUN2021 N VENA CAVA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease 38721 01JUL2021 28FEB2023 N VENA CAVA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38721 01MAR2023 31DEC9999 Y Vena Cava, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38724 01NOV1992 30JUN1995 N VENA CAVA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38724 01JUL1995 30JUN2021 N VENA CAVA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease 38724 01JUL2021 28FEB2023 N Vena cava, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38724 01MAR2023 31DEC9999 Y Vena cava, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38727 01NOV1992 30JUN1995 N INTRATHORACIC VESSELS, anastomosis or repair of, without cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease (Ministerial Determination) 38727 01JUL1995 30JUN2021 N INTRATHORACIC VESSELS, anastomosis or repair of, without cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease 38727 01JUL2021 31JUL2021 N Anastomosis or repair of intrathoracic vessels, without cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) 38727 01AUG2021 28FEB2023 N Anastomosis or repair of intrathoracic vessels, without cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) 38727 01MAR2023 31DEC9999 Y Anastomosis or repair of intrathoracic vessels, without cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38816, 38828 or 45503 applies (H) 38730 01NOV1992 30JUN1995 N INTRATHORACIC VESSELS, anastomosis or repair of, with cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease (Ministerial Determination) 38730 01JUL1995 30JUN2021 N INTRATHORACIC VESSELS, anastomosis or repair of, with cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease 38730 01JUL2021 31OCT2021 N Anastomosis or repair of intrathoracic vessels, with cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) 38730 01NOV2021 28FEB2023 N Anastomosis or repair of intrathoracic vessels, with cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) 38730 01MAR2023 31DEC9999 Y Anastomosis or repair of intrathoracic vessels, with cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38816, 38828 or 45503 applies (H) 38733 01NOV1992 30JUN1995 N SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, without cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38733 01JUL1995 30JUN2021 N SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, without cardiopulmonary bypass, for congenital heart disease 38733 01JUL2021 28FEB2023 N SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38733 01MAR2023 31DEC9999 Y Systemic pulmonary or Cavo-pulmonary shunt, creation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38736 01NOV1992 30JUN1995 N SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, with cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38736 01JUL1995 30JUN2021 N SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, with cardiopulmonary bypass, for congenital heart disease 38736 01JUL2021 28FEB2023 N SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38736 01MAR2023 31DEC9999 Y Systemic pulmonary or Cavo-pulmonary shunt, creation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38739 01NOV1992 30JUN1995 N ATRIAL SEPTECTOMY, with or without cardiopulmonary bypass, for congenital heart disease (Ministerial Determination) 38739 01JUL1995 30JUN2021 N ATRIAL SEPTECTOMY, with or without cardiopulmonary bypass, for congenital heart disease 38739 01JUL2021 28FEB2023 N Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38739 01MAR2023 31DEC9999 Y Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38742 01NOV1992 30JUN1995 N ATRIAL SEPTAL DEFECT, closure by direct suture or patch, for congenital heart disease (Ministerial Determination) 38742 01JUL1995 30APR2002 N ATRIAL SEPTAL DEFECT, closure by direct suture or patch, for congenital heart disease 38742 01MAY2002 30JUN2021 N ATRIAL SEPTAL DEFECT, closure by open exposure direct suture or patch, for congenital heart disease 38742 01JUL2021 28FEB2023 N Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38742 01MAR2023 31DEC9999 Y Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38743 01NOV2004 31DEC9999 Y ATRIAL SEPTAL DEFECT closure, with septal occluder or other similar device, by transcatheter approach 38745 01NOV1992 30JUN1995 N INTRA-ATRIAL BAFFLE, insertion of, for congenital heart disease (Ministerial Determination) 38745 01JUL1995 30JUN2021 N INTRA-ATRIAL BAFFLE, insertion of, for congenital heart disease 38745 01JUL2021 28FEB2023 N INTRA-ATRIAL BAFFLE, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38745 01MAR2023 31DEC9999 Y Intra-atrial baffle, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38748 01NOV1992 30JUN1995 N VENTRICULAR SEPTECTOMY, for congenital heart disease (Ministerial Determination) 38748 01JUL1995 30JUN2021 N VENTRICULAR SEPTECTOMY, for congenital heart disease 38748 01JUL2021 28FEB2023 N VENTRICULAR SEPTECTOMY, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38748 01MAR2023 31DEC9999 Y Ventricular septectomy, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38751 01NOV1992 30JUN1995 N VENTRICULAR SEPTAL DEFECT, closure by direct suture or patch, for congenital heart disease (Ministerial Determination) 38751 01JUL1995 30JUN2014 N VENTRICULAR SEPTAL DEFECT, closure by direct suture or patch, for congenital heart disease 38751 01JUL2014 30JUN2021 N Ventricular septal defect, closure by direct suture or patch 38751 01JUL2021 28FEB2023 N Ventricular septal defect, closure by direct suture or patch, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38751 01MAR2023 31DEC9999 Y Ventricular septal defect, closure by direct suture or patch, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38754 01NOV1992 30JUN1995 N INTRAVENTRICULAR BAFFLE OR CONDUIT, insertion of, for congenital heart disease (Ministerial Determination) 38754 01JUL1995 30JUN2021 N INTRAVENTRICULAR BAFFLE OR CONDUIT, insertion of, for congenital heart disease 38754 01JUL2021 28FEB2023 N INTRAVENTRICULAR BAFFLE OR CONDUIT, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38754 01MAR2023 31DEC9999 Y Intraventricular baffle or conduit, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38757 01NOV1992 30JUN1995 N EXTRACARDIAC CONDUIT, insertion of, for congenital heart disease (Ministerial Determination) 38757 01JUL1995 30JUN2021 N EXTRACARDIAC CONDUIT, insertion of, for congenital heart disease 38757 01JUL2021 28FEB2023 N EXTRACARDIAC CONDUIT, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38757 01MAR2023 31DEC9999 Y Extracardiac conduit, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38760 01NOV1992 30JUN1995 N EXTRACARDIAC CONDUIT, replacement of, for congenital heart disease (Ministerial Determination) 38760 01JUL1995 30JUN2021 N EXTRACARDIAC CONDUIT, replacement of, for congenital heart disease 38760 01JUL2021 28FEB2023 N EXTRACARDIAC CONDUIT, replacement of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38760 01MAR2023 31DEC9999 Y Extracardiac conduit, replacement of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38763 01NOV1992 30JUN1995 N VENTRICULAR MYECTOMY, for relief of ventricular obstruction, right or left, for congenital heart disease (Ministerial Determination) 38763 01JUL1995 31DEC9999 Y VENTRICULAR MYECTOMY, for relief of ventricular obstruction, right or left, for congenital heart disease 38764 01JUL2021 28FEB2023 N Ventricular myectomy, for relief of right or left ventricular obstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38764 01MAR2023 31DEC9999 Y Ventricular myectomy, for relief of right or left ventricular obstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38766 01NOV1992 30JUN1995 N VENTRICULAR AUGMENTATION, right or left, for congenital heart disease (Ministerial Determination) 38766 01JUL1995 30JUN2021 N VENTRICULAR AUGMENTATION, right or left, for congenital heart disease 38766 01JUL2021 28FEB2023 N VENTRICULAR AUGMENTATION, right or left, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) 38766 01MAR2023 31DEC9999 Y Ventricular augmentation, right or left, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) 38800 01NOV2005 31DEC9999 Y THORACIC CAVITY, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38803 applies 38803 01NOV2005 31DEC9999 Y THORACIC CAVITY, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample 38806 01NOV2005 31DEC9999 Y INTERCOSTAL DRAIN, insertion of, not involving resection of rib (excluding aftercare) 38809 01NOV2005 31DEC9999 Y INTERCOSTAL DRAIN, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) 38812 01NOV2005 31DEC9999 Y PERCUTANEOUS NEEDLE BIOPSY of lung 38815 01MAR2023 29FEB2024 N Thoracoscopy, with or without division of pleural adhesions, with or without biopsy, including insertion of intercostal catheter where necessary, other than a service associated with a service to which item 18258, 18260, 38816 or 38828 applies (H) 38815 01MAR2024 31DEC9999 Y Thoracoscopy, with or without division of pleural adhesions, with or without biopsy, including insertion of intercostal catheter where necessary, other than a service associated with: (a) a service to which item 18258, 18260 or 38828 applies; or (b) a service to which item 38816 applies that is performed on the same lung (H) 38816 01MAR2023 29FEB2024 N Thoracotomy, exploratory, with or without biopsy, including insertion of an intercostal catheter where necessary, other than a service associated with a service to which item 18258, 18260, 38815 or 38828 applies (H) 38816 01MAR2024 31DEC9999 Y Thoracotomy, exploratory, with or without biopsy, including insertion of an intercostal catheter where necessary, other than a service associated with: (a) a service to which item 18258, 18260 or 38828 applies; or (b) a service to which item 38815 applies that is performed on the same lung (H) 38817 01MAR2023 31DEC9999 Y Thoracotomy, thoracoscopy or sternotomy, by any procedure: (a) including any division of adhesions if the time taken to divide the adhesions exceeds 30 minutes; and (b) other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18258, 18260, 33824, 38815, 38816, 38818, 38828 or 45503 applies (H) 38818 01MAR2023 31DEC9999 Y Thoracotomy, thoracoscopy or median sternotomy for post operative bleeding, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18258, 18260, 33824, 38815, 38816, 38817, 38828 or 45503 applies (H) 38820 01MAR2023 31DEC9999 Y Lung, wedge resection of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38820, 38821 or 38828 applies (H) 38821 01MAR2023 31DEC9999 Y Lung, wedge resection of, 2 or more wedges, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38820 or 38828 applies (H) 38822 01MAR2023 31DEC9999 Y Pneumonectomy, lobectomy, bilobectomy or segmentectomy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38823, 38824 or 38828 applies (H) 38823 01MAR2023 31DEC9999 Y Radical lobectomy, pneumonectomy, bilobectomy, segmentectomy or formal mediastinal node dissection (greater than 4 nodes), other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38822, 38824 or 38828 applies (H) 38824 01MAR2023 31DEC9999 Y Segmentectomy, lobectomy, bilobectomy or pneumonectomy, including resection of chest wall, diaphragm, pericardium, and formal mediastinal node dissection (greater than 4 nodes), other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38822, 38823 or 38828 applies (H) 38828 01MAR2023 31DEC9999 Y Intercostal drain, insertion of: (a) not involving resection of rib; and (b) excluding aftercare; and (c) other than a service associated with a service to which item 38815, 38816, 38829, 38830, 38831, 38832, 38833 or 38834 applies 38829 01MAR2023 31DEC9999 Y Intercostal drain, insertion of, with pleurodesis: (a) not involving resection of rib; and (b) excluding aftercare; and (c) other than a service associated with a service to which item 38815, 38816, 38828, 38830, 38831, 38832, 38833 or 38834 applies 38830 01MAR2023 31DEC9999 Y Empyema, radical operation for, involving resection of rib, other than a service associated with a service to which item 38828, 38829, 38831, 38832, 38833 or 38834 applies (H) 38831 01MAR2023 31DEC9999 Y Thoracoscopy or thoracotomy and drainage of paraneumonic effusion and empyema, exploratory, with or without biopsy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38832, 38833 or 38834 applies (H) 38832 01MAR2023 31DEC9999 Y Thoracotomy or thoracoscopy, with pulmonary decortication, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38833 or 38834 applies (H) 38833 01MAR2023 31DEC9999 Y Thoracotomy or thoracoscopy, with pleurectomy or pleurodesis, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38832 or 38834 applies (H) 38834 01MAR2023 31DEC9999 Y Thoracotomy and radical extra pleural pneumonectomy or radical lung preserving decortication and pleurectomy for malignancy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38832 or 38833 applies (H) 38837 01MAR2023 31DEC9999 Y Mediastinum, cervical exploration of, with or without biopsy, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) 38838 01MAR2023 31DEC9999 Y Thoracotomy or thoracoscopy or sternotomy, for removal of thymus or mediastinal tumour, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) 38839 01MAR2023 31DEC9999 Y Pericardium, subxiphoid open surgical drainage of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38840 applies (H) 38840 01MAR2023 31DEC9999 Y Pericardium, transthoracic (thoracotomy or thoracoscopy) open surgical drainage of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38839 applies (H) 38841 01MAR2023 31DEC9999 Y Pericardiectomy via sternotomy or thoracoscopy or anterolateral thoracotomy without cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) 38842 01MAR2023 31DEC9999 Y Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) 38845 01MAR2023 31DEC9999 Y Sternal wire or wires, removal of, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) 38846 01MAR2023 31DEC9999 Y Pectus excavatum or pectus carinatum, repair or radical correction of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38847, 38848 or 38849 applies (H) 38847 01MAR2023 31DEC9999 Y Pectus excavatum, repair of, with implantation of subcutaneous prosthesis, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846, 38848 or 38849 applies (H) 38848 01MAR2023 31DEC9999 Y Pectus excavatum, repair of, with insertion of a concave bar, by any method, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) 38849 01MAR2023 31DEC9999 Y Pectus excavatum, removal of a concave bar, by any method, not being a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) 38850 01MAR2023 31DEC9999 Y Sternotomy wound, debridement of, not involving reopening of the mediastinum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38851 applies (H) 38851 01MAR2023 31DEC9999 Y Sternotomy wound, debridement of, involving curettage of infected bone, with or without removal of wires, but not involving reopening of the mediastinum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38850 applies (H) 38852 01MAR2023 31DEC9999 Y Sternum, reoperation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38853 applies (H) 38853 01MAR2023 31DEC9999 Y Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps and/or greater omentum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38852 applies (H) 38857 01MAR2023 31DEC9999 Y Chest wall resection, sternum and/or ribs without reconstruction, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38824, 38828 or 38858 applies (H) 38858 01MAR2023 31DEC9999 Y Chest wall resection, sternum and / or ribs with reconstruction, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38824, 38828 or 38857 applies (H) 38859 01MAR2023 29FEB2024 N Plating of multiple ribs for flail segment, other than a service associated with a service to which item 18258, 18260, 33815, 38816 or 38828 applies (H) 38859 01MAR2024 31DEC9999 Y Plating of multiple ribs for flail segment, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) 38864 01MAR2023 31DEC9999 Y Intrathoracic operations on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than one of those organs, not being a service to which another item in this Group applies, other than a service associated with a service to which item 18258, 18260 or 38828 applies (H) 39000 01DEC1991 31OCT1993 N GENERAL LUMBAR PUNCTURE, or spinal or epidural injection, not being a service to which item 18200 applies 39000 01NOV1993 31DEC9999 Y LUMBAR PUNCTURE 39003 01DEC1991 31DEC9999 Y CISTERNAL PUNCTURE 39006 01DEC1991 31DEC9999 Y VENTRICULAR PUNCTURE (not including burr-hole) 39007 01NOV2020 31DEC9999 Y Procedure to obtain access to intracranial space (including subdural space, ventricle or basal cistern), percutaneously or by burr-hole 39009 01DEC1991 31DEC9999 Y SUBDURAL HAEMORRHAGE, tap for, each tap 39012 01DEC1991 31DEC9999 Y BURR-HOLE, single, preparatory to ventricular puncture or for inspection purpose - not being a service to which another item applies 39013 01JUL1993 28FEB2022 N INJECTION UNDER IMAGE INTENSIFICATION with 1 or more of contrast media, local anaesthetic or corticosteroid into 1 or more zygo-apophyseal or costo-transverse joints or 1 or more primary posterior rami of spinal nerves 39013 01MAR2022 31DEC9999 Y Injection of one or more zygo-apophyseal or costo-transverse joints with one or more of contrast media, local anaesthetic or corticosteroid under image guidance 39014 01MAR2022 31DEC9999 Y Medial branch block of one or more primary posterior rami, injection of an anaesthetic agent under image guidance 39015 01DEC1991 30JUN1993 N VENTRICULAR RESERVOIR or intracranial pressure monitoring device, insertion of -including burr-hole (excluding after-care) 39015 01JUL1993 31OCT2020 N VENTRICULAR RESERVOIR, EXTERNAL VENTRICULAR DRAIN or INTRACRANIAL PRESSURE MONITORING DEVICE, insertion of - including burr-hole (excluding after-care) 39015 01NOV2020 31DEC9999 Y Intracranial parenchymal pressure monitoring device, insertion of-including burr hole (excluding after care) 39018 01DEC1991 31OCT2020 N CEREBROSPINAL FLUID reservoir, insertion of 39018 01NOV2020 31DEC9999 Y Cerebrospinal reservoir, ventricular reservoir or external ventricular drain, insertion of, with or without stereotaxy 39100 01DEC1991 28FEB2022 N INJECTION OF PRIMARY BRANCH OF TRIGEMINAL NERVE with alcohol, cortisone, phenol, or similar substance 39100 01MAR2022 31DEC9999 Y Injection of primary branch of trigeminal nerve (ophthalmic, maxillary or mandibular branches) with alcohol, cortisone, phenol, or similar neurolytic substance, under image guidance 39103 01DEC1991 31DEC9999 Y INTRATHECAL INJECTION of alcohol or phenol 39106 01DEC1991 31DEC9999 Y NEURECTOMY, INTRACRANIAL, for trigeminal neuralgia 39109 01DEC1991 31OCT2020 N TRIGEMINAL GANGLIOTOMY by radiofrequency, balloon or glycerol 39109 01NOV2020 31DEC9999 Y Trigeminal gangliotomy by radiofrequency, balloon or glycerol, including stereotaxy 39110 01MAR2022 10APR2022 N Left lumbar percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control, applicable not more than 3 times in a 12 month period 39110 11APR2022 31DEC9999 Y Left lumbar percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control Applicable to one or more services provided in a single attendance, for not more than 3 attendances in a 12 month period 39111 01MAR2022 10APR2022 N Right lumbar percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control, applicable not more than 3 times in a 12 month period 39111 11APR2022 31DEC9999 Y Right lumbar percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control Applicable to one or more services provided in a single attendance, for not more than 3 attendances in a 12 month period 39112 01DEC1991 31DEC9999 Y CRANIAL NERVE, intracranial decompression of, using microsurgical techniques 39113 01NOV2020 31DEC9999 Y Cranial nerve, neurectomy or intracranial decompression of, using microsurgical techniques, including stereotaxy and cranioplasty 39115 01DEC1991 30JUN1993 N PERCUTANEOUS NEUROTOMY of posterior divisions of spinal nerves by any method on 1 or more occasions within a 30 day period, including any spinal, epidural or regional nerve block given at the time of such neurotomy 39115 01JUL1993 31DEC9999 Y PERCUTANEOUS NEUROTOMY of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) 39116 01MAR2022 10APR2022 N Left thoracic percutaneous zygapophyseal joint denervation by radio-frequency probe or cryoprobe using radiological imaging control, applicable not more than 3 times in a 12 month period 39116 11APR2022 31DEC9999 Y Left thoracic percutaneous zygapophyseal joint denervation by radio-frequency probe or cryoprobe using radiological imaging control Applicable to one or more services provided in a single attendance, for not more than 3 attendances in a 12 month period 39117 01MAR2022 10APR2022 N Right thoracic percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control, applicable not more than 3 times in a 12 month period 39117 11APR2022 31DEC9999 Y Right thoracic percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control Applicable to one or more services provided in a single attendance, for not more than 3 attendances in a 12 month period 39118 01DEC1991 28FEB2022 N PERCUTANEOUS NEUROTOMY for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control 39118 01MAR2022 10APR2022 N Left cervical percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control, applicable not more than 3 times in a 12 month period 39118 11APR2022 31DEC9999 Y Left cervical percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control Applicable to one or more services provided in a single attendance, for not more than 3 attendances in a 12 month period 39119 01MAR2022 10APR2022 N Right cervical percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control, applicable not more than 3 times in a 12 month period 39119 11APR2022 31DEC9999 Y Right cervical percutaneous zygapophyseal joint denervation by radio-frequency probe, or cryoprobe, using radiological imaging control Applicable to one or more services provided in a single attendance, for not more than 3 attendances in a 12 month period 39121 01DEC1991 31DEC9999 Y PERCUTANEOUS CORDOTOMY 39124 01DEC1991 31OCT2006 N CORDOTOMY OR MYELOTOMY, laminectomy for, or operation for dorsal root entry zone (Drez) lesion 39124 01NOV2006 31DEC9999 Y CORDOTOMY OR MYELOTOMY, partial or total laminectomy for, or operation for dorsal root entry zone (Drez) lesion 39125 01JUL1993 30APR2005 N SPINAL CATHETER, insertion of - for an automated infusion device 39125 01MAY2005 28FEB2022 N Intrathecal or epidural SPINAL CATHETER insertion or replacement of, and connection to a subcutaneous implanted infusion pump, for the management of chronic intractable pain 39125 01MAR2022 31DEC9999 Y Spinal catheter, insertion or replacement of, and connection to a subcutaneous implanted infusion pump, for the management of chronic pain, including cancer pain (H) 39126 01JUL1993 30APR2005 N AUTOMATED SUBCUTANEOUS INFUSION DEVICE, insertion of 39126 01MAY2005 28FEB2022 N INFUSION PUMP, subcutaneous implantation or replacement of, and connection of the pump to an intrathecal or epidural catheter, and filling of reservoir with a therapeutic agent or agents, with or without programming the pump, for the management of chronic intractable pain 39126 01MAR2022 31DEC9999 Y All of the following:(a) infusion pump, subcutaneous implantation or replacement of;(b) connection of the pump to a spinal catheter;(c) filling of reservoir with a therapeutic agent or agents;with or without programming the pump, for the management of chronic pain, including cancer pain (H) 39127 01DEC1991 30APR2005 N SUBCUTANEOUS RESERVOIR AND SPINAL CATHETER FOR PAIN, insertion of 39127 01MAY2005 28FEB2022 N SUBCUTANEOUS RESERVOIR AND SPINAL CATHETER, insertion of, for the management of chronic intractable pain 39127 01MAR2022 31DEC9999 Y Subcutaneous reservoir and spinal catheter, insertion of, for the management of chronic pain, including cancer pain (H) 39128 01JUL1993 30APR2005 N AUTOMATED SUBCUTANEOUS INFUSION DEVICE AND SPINAL CATHETER, insertion of 39128 01MAY2005 28FEB2022 N INFUSION PUMP, subcutaneous implantation of, AND intrathecal or epidural SPINAL CATHETER insertion of, and connection of pump to catheter, and filling of reservoir with a therapeutic agent or agents, with or without programming the pump, for the management of chronic intractable pain 39128 01MAR2022 31DEC9999 Y All of the following:(a) infusion pump, subcutaneous implantation of;(b) spinal catheter, insertion of;(c) connection of pump to catheter;(d) filling of reservoir with a therapeutic agent or agents;with or without programming the pump, for the management of chronic pain, including cancer pain (H) 39129 01MAR2022 31DEC9999 Y Peripheral lead or leads, percutaneous placement of, including intraoperative test stimulation, for the management of chronic neuropathic pain (H) 39130 01DEC1991 30JUN1993 N PERCUTANEOUS EPIDURAL IMPLANT FOR PAIN, insertion of (1 or 2 stages), not involving laminectomy 39130 01JUL1993 31OCT2004 N PERCUTANEOUS EPIDURAL ELECTRODE, insertion of 1 or more of - for spinal stimulation 39130 01NOV2004 28FEB2022 N EPIDURAL LEAD, percutaneous placement of, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, to a maximum of 4 leads 39130 01MAR2022 31DEC9999 Y Epidural lead or leads, percutaneous placement of, including intraoperative test stimulation, for the management of chronic neuropathic pain or pain from refractory angina pectoris (H) 39131 01JUL1993 31OCT2004 N PERCUTANEOUS EPIDURAL ELECTRODES, management, adjustment, electronic programming and trial of stimulation of, by a medical practitioner - each day 39131 01NOV2004 28FEB2022 N ELECTRODES, epidural or peripheral nerve, management of patient and adjustment or reprogramming of neurostimulator by a medical practitioner, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris - each day 39131 01MAR2022 31DEC9999 Y Epidural or peripheral nerve electrodes (management, adjustment, or reprogramming of neurostimulator), with a medical practitioner attending, for the management of chronic neuropathic pain or pain from refractory angina pectoris-each day 39133 01DEC1991 31OCT2004 N EPIDURAL STIMULATOR or INTRATHECAL INFUSION DEVICE, revision of 39133 01NOV2004 30APR2005 N SPINAL INFUSION DEVICE, revision of 39133 01MAY2005 28FEB2022 N Removal of subcutaneously IMPLANTED INFUSION PUMP OR removal or repositioning of intrathecal or epidural SPINAL CATHETER, for the management of chronic intractable pain 39133 01MAR2022 31DEC9999 Y Either:(a) subcutaneously implanted infusion pump, removal of; or(b) spinal catheter, removal or repositioning of;for the management of chronic pain, including cancer pain (H) 39134 01JUL1993 31OCT2002 N SPINAL NEUROSTIMULATOR RECEIVER or pulse generator, subcutaneous placement of 39134 01NOV2002 31OCT2004 N SPINAL NEUROSTIMULATOR RECEIVER or pulse generator, subcutaneous placement of, not being a service associated with deep brain stimulation for Parkinson's disease 39134 01NOV2004 28FEB2022 N NEUROSTIMULATOR or RECEIVER, subcutaneous placement of, including placement and connection of extension wires to epidural or peripheral nerve electrodes, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris 39134 01MAR2022 31DEC9999 Y Neurostimulator or receiver, subcutaneous placement of, including placement and connection of extension wires to epidural or peripheral nerve electrodes, for the management of chronic neuropathic pain or pain from refractory angina pectoris (H) 39135 01NOV2004 28FEB2022 N NEUROSTIMULATOR or RECEIVER, that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital 39135 01MAR2022 31DEC9999 Y Neurostimulator or receiver that was inserted for the management of chronic neuropathic pain or pain from refractory angina pectoris, open surgical removal of, performed in the operating theatre of a hospital (H) 39136 01DEC1991 30JUN1993 N PERCUTANEOUS EPIDURAL IMPLANT FOR PAIN, removal of 39136 01JUL1993 31OCT2004 N PERCUTANEOUS EPIDURAL IMPLANT for management of pain, removal of 39136 01NOV2004 28FEB2022 N LEAD, epidural or peripheral nerve that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital 39136 01MAR2022 31DEC9999 Y Epidural or peripheral nerve lead that was implanted for the management of chronic neuropathic pain or pain from refractory angina pectoris, open surgical removal of, performed in the operating theatre of a hospital (H) 39137 01NOV2004 28FEB2022 N LEAD, epidural or peripheral nerve that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, surgical repositioning to correct displacement or unsatisfactory positioning, including intraoperative test stimulation, not being a service to which item 39130, 39138 or 39139 applies 39137 01MAR2022 31DEC9999 Y Epidural or peripheral nerve lead that was implanted for the management of chronic neuropathic pain or pain from refractory angina pectoris, open surgical repositioning of, to correct displacement or unsatisfactory positioning, including intraoperative test stimulation, other than a service to which item 39130, 39138 or 39139 applies (H) 39138 01NOV2004 31OCT2005 N PERIPHERAL NERVE LEAD, surgical placement of one or more, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris 39138 01NOV2005 28FEB2022 N PERIPHERAL NERVE LEAD, surgical placement of, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, to a maximum of 4 leads 39138 01MAR2022 31DEC9999 Y Peripheral nerve lead or leads, surgical placement of, including intraoperative test stimulation, for the management of chronic neuropathic pain where the leads are intended to remain in situ long term (H) 39139 01DEC1991 30JUN1993 N EPIDURAL IMPLANT FOR PAIN, laminectomy and insertion of, including implantation of pulse generator (1 or 2 stages) 39139 01JUL1993 31OCT2004 N EPIDURAL ELECTRODE for management of pain, insertion of 1 or more of by laminectomy, including implantation of pulse generator (1 or 2 stages) 39139 01NOV2004 31OCT2006 N EPIDURAL LEAD, surgical placement of one or more by laminectomy, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris 39139 01NOV2006 28FEB2022 N Epidural lead, surgical placement of one or more by partial or total laminectomy, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris-to a maximum of 4 leads (H) 39139 01MAR2022 31DEC9999 Y Epidural lead, surgical placement of one or more of by partial or total laminectomy, including intraoperative test stimulation, for the management of chronic neuropathic pain or pain from refractory angina pectoris (H) 39140 01MAY1997 31DEC9999 Y EPIDURAL CATHETER, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions 39141 01NOV2022 31DEC9999 Y Epidural or peripheral nerve electrodes (management, adjustment, or reprogramming of neurostimulator), with a medical practitioner attending remotely by video conference, for the management of chronic neuropathic pain or pain from refractory angina pectoris-each day 39300 01DEC1991 30JUN2021 N CUTANEOUS NERVE (including digital nerve), primary repair of, using microsurgical techniques 39300 01JUL2021 31DEC9999 Y Nerve, digital or cutaneous, primary repair of, using microsurgical techniques, other than a service associated with a service to which item 39330 applies-applicable once per nerve (H) 39303 01DEC1991 30JUN2021 N CUTANEOUS NERVE (including digital nerve), secondary repair of, using microsurgical techniques 39303 01JUL2021 29FEB2024 N Nerve, digital or cutaneous, delayed repair of, using microsurgical techniques, including either or both of the following (if performed): (a) neurolysis; (b) transposition of nerve to facilitate repair; other than a service associated with a service to which item 30023 applies-applicable once per nerve (H) 39303 01MAR2024 31DEC9999 Y Nerve, digital or cutaneous, delayed repair of, using microsurgical techniques, including either or both of the following (if performed): (a) neurolysis; (b) transposition of nerve to facilitate repair; other than a service associated with a service to which item 30023 applies that is performed at the same site-applicable once per nerve (H) 39306 01DEC1991 30JUN2021 N NERVE TRUNK, primary repair of, using microsurgical techniques 39306 01JUL2021 31DEC9999 Y Nerve trunk, primary repair of, using microsurgical techniques, other than a service associated with a service to which item 39330 applies (H) 39307 01JUL2021 31DEC9999 Y Reconstruction of nerve trunk using biological or synthetic nerve conduit, using microsurgical techniques, other than a service associated with a service to which item 39330 applies 39309 01DEC1991 30JUN2021 N NERVE TRUNK, secondary repair of, using microsurgical techniques 39309 01JUL2021 29FEB2024 N Nerve trunk, delayed repair of, using microsurgical techniques, including either or both of the following (if performed): (a) neurolysis; (b) transposition of nerve or nerve transfer to facilitate repair; other than a service associated with a service to which item 30023 or 39321 applies (H) 39309 01MAR2024 31DEC9999 Y Nerve trunk, delayed repair of, using microsurgical techniques, including either or both of the following (if performed): (a) neurolysis; (b) transposition of nerve or nerve transfer to facilitate repair; other than a service associated with: (c) a service to which item 39321 applies; or (d) a service to which item 30023 applies that is performed at the same site (H) 39312 01DEC1991 30JUN2021 N NERVE TRUNK, (interfascicular), neurolysis of, using microsurgical techniques 39312 01JUL2021 29FEB2024 N Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques, other than a service associated with a service to which item 30023 applies (H) 39312 01MAR2024 31DEC9999 Y Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques, other than a service associated with a service to which item 30023 applies that is performed at the same site (H) 39315 01DEC1991 30JUN2021 N NERVE TRUNK, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques 39315 01JUL2021 29FEB2024 N Nerve trunk, nerve graft to, by cable graft, using microsurgical techniques, including any of the following (if performed): (a) harvesting of nerve graft; (b) proximal and distal anastomosis of nerve graft; (c) transposition of nerve to facilitate grafting; (d) neurolysis; other than a service associated with a service to which item 30023 or 39330 applies (H) 39315 01MAR2024 31DEC9999 Y Nerve trunk, nerve graft to, by cable graft, using microsurgical techniques, including any of the following (if performed): (a) harvesting of nerve graft; (b) proximal and distal anastomosis of nerve graft; (c) transposition of nerve to facilitate grafting; (d) neurolysis; other than a service associated with: (e) a service to which item 39330 applies; or (f) a service to which item 30023 applies that is performed at the same site (H) 39318 01DEC1991 30JUN2021 N CUTANEOUS NERVE (including digital nerve), nerve graft to, using microsurgical techniques 39318 01JUL2021 31DEC9999 Y Nerve, digital or cutaneous, nerve graft to, using microsurgical techniques, including either or both of the following (if performed): (a) harvesting of nerve graft from separate donor site; (b) proximal and distal anastomosis of nerve graft; other than a service associated with a service to which item 39330 applies (H) 39319 01JUL2021 31DEC9999 Y Reconstruction of digital or cutaneous nerve using biological or synthetic nerve conduit, using microsurgical techniques, other than a service associated with a service to which item 39330 applies 39321 01DEC1991 30JUN2021 N NERVE, transposition of 39321 01JUL2021 14JUL2021 N Transposition of nerve, excluding the ulnar nerve at the elbow, other than a service associated with a service to which item 39330 applies (H) (Anaes.) (Assist.) 39321 15JUL2021 31DEC9999 Y Transposition of nerve, excluding the ulnar nerve at the elbow, other than a service associated with a service to which item 39330 applies (H) 39323 01JUL1993 31OCT2003 N PERCUTANEOUS NEUROTOMY by cryoneurotomy or radiofrequency lesion generator, not being a service to which another item applies 39323 01NOV2003 28FEB2022 N PERCUTANEOUS NEUROTOMY by cryotherapy or radiofrequency lesion generator, not being a service to which another item applies 39323 01MAR2022 31DEC9999 Y Percutaneous denervation (excluding medial branch nerve) by cryotherapy or radiofrequency probe, other than a service to which another item applies, applicable not more than 6 times for a given nerve in a 12 month period 39324 01DEC1991 30JUN1993 N NEURECTOMY, NEUROTOMY or removal of tumour from superficial peripheral nerve 39324 01JUL1993 30JUN2021 N NEURECTOMY, NEUROTOMY or removal of tumour from superficial peripheral nerve, by open operation 39324 01JUL2021 31DEC9999 Y Neurectomy or removal of tumour or neuroma from superficial peripheral nerve 39327 01DEC1991 30JUN1993 N NEURECTOMY, NEUROTOMY or removal of tumour from deep peripheral nerve 39327 01JUL1993 31OCT2006 N NEURECTOMY, NEUROTOMY or removal of tumour from deep peripheral nerve, by open operation 39327 01NOV2006 31DEC9999 Y NEURECTOMY, NEUROTOMY or removal of tumour from deep peripheral or cranial nerve, by open operation, not being a service to which item 41575, 41576, 41578 or 41579 applies 39328 01JUL2021 31DEC9999 Y Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation, for upper limb surgery (H) 39329 01JUL2021 30JUN2023 N Extensive neurolysis of radial, median or ulnar nerve trunk nerve in the forearm or arm, other than a service associated with a service to which item 30023, 39303, 39309, 39312, 39315, 39318, 39324, 39327 or 39333 applies 39329 01JUL2023 29FEB2024 N Extensive neurolysis of radial, median or ulnar nerve trunk nerve in the forearm or arm, other than a service associated with a service to which item 30023, 39303, 39309, 39312, 39315, 39318, 39324 or 39327 applies 39329 01MAR2024 31DEC9999 Y Extensive neurolysis of radial, median or ulnar nerve trunk nerve in the forearm or arm, other than a service associated with: (a) a service to which item 39303, 39309, 39312, 39315, 39318, 39324 or 39327 applies; or (b) a service to which item 30023 applies that is performed at the same site 39330 01DEC1991 30JUN2021 N NEUROLYSIS by open operation without transposition, not being a service associated with a service to which item 39312 applies 39330 01JUL2021 29FEB2024 N Neurolysis by open operation without transposition, other than a service associated with a service to which item 30023, 39321, 39328, 39329, 39332, 39336, 39339, 39342, 39345, 49774 or 49775 applies (H) 39330 01MAR2024 31DEC9999 Y Neurolysis by open operation without transposition, other than a service associated with: (a) a service to which item 39321, 39328, 39329, 39332, 39336, 39339, 39342, 39345, 49774 or 49775 applies; or (b) a service to which item 30023 applies that is performed at the same site (H) 39331 01JUL1993 30JUN2021 N CARPAL TUNNEL RELEASE (division of transverse carpal ligament), by any method 39331 01JUL2021 29FEB2024 N Carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed): (a) synovectomy; (b) neurolysis Other than a service associated with a service to which item 30023 or 46339 applies 39331 01MAR2024 31DEC9999 Y Carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed): (a) synovectomy; (b) neurolysis; other than a service associated with: (c) a service to which item 46339 applies; or (d) a service to which item 30023 applies that is performed at the same site 39332 01JUL2021 29FEB2024 N Revision of carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed): (a) synovectomy; (b) neurolysis; other than a service associated with a service to which item 30023 or 46339 applies. 39332 01MAR2024 31DEC9999 Y Revision of carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed): (a) synovectomy; (b) neurolysis; other than a service associated with: (c) a service to which item 46339 applies; or (d) a service to which item 30023 applies that is performed at the same site 39333 01DEC1991 31DEC9999 Y BRACHIAL PLEXUS, exploration of, not being a service to which another item in this Group applies 39336 01JUL2021 29FEB2024 N Ulnar nerve decompression at elbow or wrist (cubital tunnel or Guyon's canal) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies 39336 01MAR2024 31DEC9999 Y Ulnar nerve decompression at elbow or wrist (cubital tunnel or Guyon's canal) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site 39339 01JUL2021 29FEB2024 N Revision of ulnar nerve decompression at elbow (cubital tunnel) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies 39339 01MAR2024 31DEC9999 Y Revision of ulnar nerve decompression at elbow (cubital tunnel) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site 39342 01JUL2021 29FEB2024 N Ulnar nerve decompression at elbow (cubital tunnel), including any of the following (if performed): (a) associated transposition; (b) subcutaneous or submuscular transposition of the nerve; (c) medial epicondylectomy; (d) ostetomy and reconstruction of the flexor origin; (e) neurolysis; other than a service associated with a service to which item 30023 applies 39342 01MAR2024 31DEC9999 Y Ulnar nerve decompression at elbow (cubital tunnel), including any of the following (if performed): (a) associated transposition; (b) subcutaneous or submuscular transposition of the nerve; (c) medial epicondylectomy; (d) ostetomy and reconstruction of the flexor origin; (e) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site 39345 01JUL2021 29FEB2024 N Localised decompression of radial, median or ulnar nerve, or branches of, in the forearm for compressive neuropathy, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies 39345 01MAR2024 31DEC9999 Y Localised decompression of radial, median or ulnar nerve, or branches of, in the forearm for compressive neuropathy, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site 39500 01DEC1991 31DEC9999 Y VESTIBULAR NERVE, section of, via posterior fossa 39503 01DEC1991 31OCT2020 N FACIO-HYPOGLOSSAL nerve or FACIO-ACCESSORY nerve, anastomosis of 39503 01NOV2020 31DEC9999 Y Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of 39600 01DEC1991 31DEC9999 Y INTRACRANIAL HAEMORRHAGE, burr-hole craniotomy for - including burr-holes 39603 01DEC1991 31DEC9999 Y INTRACRANIAL HAEMORRHAGE, osteoplastic craniotomy or extensive craniectomy and removal of haematoma 39604 01NOV2020 31DEC9999 Y Any of the following procedures for intracranial haemorrhage or swelling: (a) craniotomy, craniectomy or burr-holes for removal of intracranial haemorrhage, including stereotaxy;(b) craniotomy or craniectomy for brain swelling, stroke, or raised intracranial pressure, including for subtemporal decompression, including stereotaxy; or(c) post-operative re-opening, including for swelling or post-operative cerebrospinal fluid leak. 39606 01DEC1991 31DEC9999 Y FRACTURED SKULL, depressed or comminuted, operation for 39609 01DEC1991 31DEC9999 Y FRACTURED SKULL, compound, without dural penetration, operation for 39610 01NOV2020 31DEC9999 Y Fractured skull, without brain laceration or dural penetration, repair of 39612 01DEC1991 30JUN1993 N FRACTURED SKULL, compound or complicated, with dural penetration and brain laceration, operation for 39612 01JUL1993 31OCT2020 N FRACTURED SKULL, compound, depressed or complicated, with dural penetration and brain laceration, operation for 39612 01NOV2020 31DEC9999 Y Fractured skull, with brain laceration or dural penetration but without cerebrospinal fluid, rhinorrhoea or otorrhoea, repair of 39615 01DEC1991 31OCT2015 N FRACTURED SKULL with rhinorrhoea or otorrhoea, cranioplasty and repair of 39615 01NOV2015 31OCT2020 N FRACTURED SKULL with rhinorrhoea or otorrhoea, repair of by cranioplasty or endoscopic approach 39615 01NOV2020 31DEC9999 Y Fractured skull, after trauma, with cerebrospinal fluid rhinorrhoea or otorrhoea, repair of, including stereotaxy and dermofat graft 39638 01NOV2020 31DEC9999 Y Anterior or middle cranial fossa or cavernous sinus, tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty-conjoint surgery, principal surgeon 39639 01NOV2020 31DEC9999 Y Anterior or middle cranial fossa or cavernous sinus, tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty-conjoint surgery, co-surgeon 39640 01JUL1995 31DEC9999 Y TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving craniotomy, radical excision of the skull base, and dural repair 39641 01NOV2020 31DEC9999 Y Anterior or middle cranial fossa or cavernous sinus, tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty - one surgeon 39642 01JUL1995 31OCT1995 N TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension (intracranial procedure), conjoint surgery, principal surgeon 39642 01NOV1995 31DEC9999 Y TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension (intracranial procedure) 39644 01JUL1995 31DEC9999 Y TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension (intracranial procedure), conjoint surgery, co-surgeon 39646 01JUL1995 31OCT1995 N TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy and radical clearance of paranasal sinus and orbital fossa extensions, with intracranial decompression of the optic nerve (intracranial procedure), conjoint surgery, principal surgeon 39646 01NOV1995 31DEC9999 Y TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy and radical clearance of paranasal sinus and orbital fossa extensions, with intracranial decompression of the optic nerve, (intracranial procedure) 39648 01JUL1995 31DEC9999 Y TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy and radical clearance of paranasal sinus and orbital fossa extensions, with intracranial decompression of the optic nerve (intracranial procedure), conjoint surgery, co-surgeon 39650 01JUL1995 31OCT1995 N TUMOUR INVOLVING INFRA-TEMPORAL FOSSA, removal of, involving craniotomy and radical excision, with division and reconstruction of zygomatic arch, and disarticulation of temporo-mandibular joint and complete facial nerve mobilisation (intracranial procedure), conjoint surgery, principal surgeon 39650 01NOV1995 31DEC9999 Y TUMOUR INVOLVING MIDDLE CRANIAL FOSSA AND INFRA-TEMPORAL FOSSA, removal of, craniotomy and radical or sub-total radical excision, with division and reconstruction of zygomatic arch, (intracranial procedure) 39651 01NOV2020 31DEC9999 Y Petro-clival, clival or foramen magnum tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty - one surgeon 39652 01JUL1995 31DEC9999 Y TUMOUR INVOLVING INFRA-TEMPORAL FOSSA, removal of, involving craniotomy and radical excision, with division and reconstruction of zygomatic arch, and disarticulation of temporo-mandibular joint and complete facial nerve mobilisation (intra cranial procedure), conjoint surgery, co-surgeon 39653 01NOV1995 31DEC9999 Y PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical or sub-total radical excision (intracranial procedure), not being a service to which item 39654 or 39656 applies 39654 01JUL1995 31OCT1995 N PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical excision (intracranial procedure), conjoint surgery, principal surgeon 39654 01NOV1995 31OCT2020 N PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical or sub-total radical excision, (intracranial procedure), conjoint surgery, principal surgeon 39654 01NOV2020 31DEC9999 Y Petro-clival, clival or foramen magnum tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty-conjoint surgery, principal surgeon 39656 01JUL1995 31OCT1995 N PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical excision, (intracranial procedure) conjoint surgery, co-surgeon 39656 01NOV1995 31OCT2020 N PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical or sub-total radical excision, (intracranial procedure) conjoint surgery, co-surgeon 39656 01NOV2020 31DEC9999 Y Petro clival, clival or foramen magnum tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty-conjoint surgery, co surgeon 39658 01JUL1995 31OCT1995 N TUMOUR INVOLVING THE CLIVUS, radical excision of, involving transoral approach and division of palate 39658 01NOV1995 31DEC9999 Y TUMOUR INVOLVING THE CLIVUS, radical or sub-total radical excision of, involving transoral or transmaxillary approach 39660 01JUL1995 31OCT1995 N TUMOUR OR VASCULAR LESION OF CAVERNOUS SINUS, radical excision of, involving craniotomy with or without carotid artery exposure 39660 01NOV1995 31DEC9999 Y TUMOUR OR VASCULAR LESION OF CAVERNOUS SINUS, radical excision of, involving craniotomy with or without intracranial carotid artery exposure 39662 01JUL1995 31DEC9999 Y TUMOUR OR VASCULAR LESION OF FORAMEN MAGNUM, radical excision of, via transcondylar or far lateral suboccipital approach 39700 01DEC1991 31OCT2020 N SKULL TUMOUR, benign or malignant, excision of, excluding cranioplasty 39700 01NOV2020 31DEC9999 Y Skull tumour, benign or malignant, excision of, including stereotaxy and cranioplasty 39703 01DEC1991 30JUN1993 N INTRACRANIAL tumour or cyst, burr-hole and biopsy of, or drainage of, or both 39703 01JUL1993 31OCT2020 N INTRACRANIAL tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both 39703 01NOV2020 31DEC9999 Y Intracranial tumour, cyst or other brain tissue, either or both of: (a) burr hole and biopsy of; (b) drainage of; including stereotaxy 39706 01DEC1991 31DEC9999 Y INTRACRANIAL tumour, biopsy or decompression of via osteoplastic flap OR biopsy and decompression of via osteoplastic flap 39709 01DEC1991 31DEC9999 Y CRANIOTOMY for removal of glioma, metastatic carcinoma or any other tumour in cerebrum, cerebellum or brain stem - not being a service to which another item in this Sub-group applies 39710 01NOV2020 31DEC9999 Y Intracranial tumour, one or more, biopsy, drainage, decompression or removal of, through a single craniotomy, including stereotaxy and cranioplasty 39712 01DEC1991 31OCT2020 N CRANIOTOMY FOR REMOVAL OF MENINGIOMA, pinealoma, cranio-pharyngioma, intraventricular tumour or any other intracranial tumour, not being a service to which another item in this Sub-group applies 39712 01NOV2020 31DEC9999 Y Transcranial tumour removal or biopsy of one or more of any of the following: (a) meningioma; (b) pinealoma; (c) cranio pharyngioma; (d) pituitary tumour; (e) intraventricular lesion; (f) brain stem lesion; (g) any other intracranial tumour; by any means (with or without endoscopy), through a single craniotomy, including stereotaxy and cranioplasty 39715 01DEC1991 30JUN1993 N PITUITARY TUMOUR, hypophysectomy or removal of by transcranial or transphenoidal approach 39715 01JUL1993 31OCT2020 N PITUITARY TUMOUR, removal of, by transcranial or transphenoidal approach 39715 01NOV2020 31DEC9999 Y Pituitary tumour, removal of, by transphenoidal approach, including stereotaxy and dermis, dermofat or fascia grafting, other than a service associated with a service to which item 40600 applies 39718 01DEC1991 31OCT2020 N ARACHNOIDAL CYST, craniotomy for 39718 01NOV2020 31DEC9999 Y Arachnoidal cyst, craniotomy for, including stereotaxy and neuroendoscopy 39720 01NOV2020 31DEC9999 Y Awake craniotomy for functional neurosurgery 39721 01DEC1991 31DEC9999 Y CRANIOTOMY, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc 39800 01DEC1991 31DEC9999 Y ANEURYSM, clipping or reinforcement of sac 39801 01NOV2020 31DEC9999 Y Aneurysm, clipping, proximal ligation, or reinforcement of sac, including stereotaxy and cranioplasty 39803 01DEC1991 31OCT2020 N INTRACRANIAL ARTERIOVENOUS MALFORMATION, excision of 39803 01NOV2020 31DEC9999 Y Intracranial arteriovenous malformation or fistula, treatment through a craniotomy, including stereotaxy, cranioplasty and all angiography 39806 01DEC1991 31DEC9999 Y ANEURYSM, or arteriovenous malformation, intracranial proximal artery clipping of 39809 01DEC1991 31DEC9999 Y ARTERIOVENOUS MALFORMATION, craniotomy and direct embolisation of 39812 01DEC1991 31DEC9999 Y INTRACRANIAL ANEURYSM or arteriovenous fistula, ligation of cervical vessel or vessels 39815 01DEC1991 31DEC9999 Y CAROTID-CAVERNOUS FISTULA, obliteration of - combined cervical and intracranial procedure 39818 01DEC1991 30JUN1995 N EXTRACRANIAL TO INTRACRANIAL BYPASS using superficial temporal artery or saphenous vein graft 39818 01JUL1995 31OCT2020 N EXTRACRANIAL TO INTRACRANIAL BYPASS using superficial temporal artery 39818 01NOV2020 31DEC9999 Y Intracranial vascular bypass using indirect techniques, including stereotaxy 39821 01JUL1995 31OCT2020 N EXTRACRANIAL TO INTRACRANIAL BYPASS using saphenous vein graft 39821 01NOV2020 31DEC9999 Y Intracranial vascular bypass using direct anastomosis techniques, including stereotaxy 39900 01DEC1991 31OCT2020 N INTRACRANIAL INFECTION, drainage of, via burr-hole - including burr-hole 39900 01NOV2020 31DEC9999 Y Intracranial infection, treated by burr hole, including stereotaxy, other than a service associated with a service to which item 40600 applies 39903 01DEC1991 31OCT2020 N INTRACRANIAL ABSCESS, excision of 39903 01NOV2020 31DEC9999 Y Intracranial infection, treated by craniotomy, including stereotaxy, other than a service associated with a service to which item 40600 applies 39906 01DEC1991 31OCT2020 N OSTEOMYELITIS OF SKULL or removal of infected bone flap, craniectomy for 39906 01NOV2020 31DEC9999 Y Osteomyelitis of skull or removal of infected bone flap, craniectomy for, other than a service associated with a service to which item 40600 applies 40000 01DEC1991 31DEC9999 Y VENTRICULO-CISTERNOSTOMY (Torkildsen's operation) 40003 01DEC1991 31DEC9999 Y CRANIAL OR CISTERNAL SHUNT DIVERSION, insertion of 40004 01NOV2020 31DEC9999 Y Ventricular, lumbar or cisternal shunt diversion, insertion or revision of, including stereotaxy 40006 01DEC1991 31DEC9999 Y LUMBAR SHUNT DIVERSION, insertion of 40009 01DEC1991 31DEC9999 Y CRANIAL, CISTERNAL OR LUMBAR SHUNT, revision or removal of 40012 01DEC1991 30JUN1995 N THIRD VENTRICULOSTOMY 40012 01JUL1995 31OCT2020 N THIRD VENTRICULOSTOMY (open or endoscopic) with or without endoscopic septum pellucidotomy 40012 01NOV2020 31DEC9999 Y Endoscopic ventriculostomy for treatment of cerebrospinal fluid circulation disorders, including stereotaxy 40015 01DEC1991 31DEC9999 Y SUBTEMPORAL DECOMPRESSION 40018 01DEC1991 29FEB2024 N LUMBAR CEREBROSPINAL FLUID DRAIN, insertion of 40018 01MAR2024 31DEC9999 Y Lumbar cerebrospinal fluid drain, insertion of, other than a service associated with a service to which item 22053 applies 40100 01DEC1991 31DEC9999 Y MENINGOCELE, excision and closure of 40103 01DEC1991 31DEC9999 Y MYELOMENINGOCELE, excision and closure of, including skin flaps or Z plasty where performed 40104 01NOV2020 31DEC9999 Y Spinal myelomeningocele or spinal meningocele, excision and closure of, other than a service associated with a service to which item 40600 applies 40106 01DEC1991 31OCT2020 N ARNOLD-CHIARI MALFORMATION, decompression of 40106 01NOV2020 31DEC9999 Y Chiari malformation, decompression or reconstruction of, including laminectomy, dermofat graft and stereotaxy, other than a service associated with a service to which item 40600 applies 40109 01DEC1991 31OCT2020 N ENCEPHALOCOELE, excision and closure of 40109 01NOV2020 31DEC9999 Y Encephalocoele or cranial meningocele, excision and closure of, including stereotaxy and dermofat graft 40112 01DEC1991 31OCT2020 N TETHERED CORD, release of, including lipomeningocele or diastematomyelia 40112 01NOV2020 31DEC9999 Y Tethered cord, release of, including lipomeningocele or diastematomyelia, multiple levels, including laminectomy and rhizolysis, other than a service associated with a service to which item 40600 applies 40115 01DEC1991 31DEC9999 Y CRANIOSTENOSIS, operation for - single suture 40118 01DEC1991 31DEC9999 Y CRANIOSTENOSIS, operation for - more than 1 suture 40119 01NOV2020 31DEC9999 Y Craniostenosis, operation for, other than a service associated with a service to which item 40600 applies 40300 01DEC1991 30JUN1993 N SPINAL DISORDERS INTERVERTEBRAL DISC OR DISCS, laminectomy for exploration or removal of 40300 01JUL1993 31OCT2006 N SPINAL DISORDERS INTERVERTEBRAL DISC OR DISCS, laminectomy for removal of 40300 01NOV2006 31DEC9999 Y INTERVERTEBRAL DISC OR DISCS, partial or total laminectomy for removal of 40301 01JUL1993 31OCT2006 N INTERVERTEBRAL DISC OR DISCS, microsurgical discectomy of 40301 01NOV2006 31DEC9999 Y INTERVERTEBRAL DISC OR DISCS, microsurgical partial or total discectomy of 40303 01DEC1991 30JUN1993 N RECURRENT DISC LESION OR SPINAL STENOSIS, laminectomy for - 1 level 40303 01JUL1993 31OCT2006 N RECURRENT DISC LESION OR SPINAL STENOSIS, or both, laminectomy for - 1 level 40303 01NOV2006 31DEC9999 Y RECURRENT DISC LESION OR SPINAL STENOSIS, or both, partial or total laminectomy for - 1 level 40306 01DEC1991 30JUN1993 N SPINAL CANAL STENOSIS, laminectomy (multi-level), for treatment of 40306 01JUL1993 31OCT2006 N SPINAL STENOSIS, laminectomy for, involving more than 1 vertebral interspace (disc level) 40306 01NOV2006 31DEC9999 Y SPINAL STENOSIS, partial or total laminectomy for, involving more than 1 vertebral interspace (disc level) 40309 01DEC1991 31OCT2006 N EXTRADURAL TUMOUR OR ABSCESS, laminectomy for 40309 01NOV2006 31DEC9999 Y EEXTRADURAL TUMOUR OR ABSCESS, partial or total laminectomy for 40312 01DEC1991 31OCT2006 N INTRADURAL LESION, laminectomy for, not being a service to which another item in this Group applies 40312 01NOV2006 31DEC9999 Y INTRADURAL LESION, partial or total laminectomy for, not being a service to which another item in this Group applies 40315 01DEC1991 31DEC9999 Y CRANIOCERVICAL JUNCTION LESION, transoral approach for 40316 01JUL1995 31DEC9999 Y ODONTOID screw fixation 40318 01DEC1991 31OCT2006 N INTRAMEDULLARY TUMOUR OR ARTERIOVENOUS MALFORMATION, laminectomy and radical excision of 40318 01NOV2006 31DEC9999 Y INTRAMEDULLARY TUMOUR OR ARTERIOVENOUS MALFORMATION, partial or total laminectomy and radical excision of 40321 01DEC1991 31DEC9999 Y POSTERIOR SPINAL FUSION, not being a service to which items 40324 and 40327 apply 40324 01DEC1991 31OCT2006 N LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together - laminectomy, including aftercare 40324 01NOV2006 31DEC9999 Y PARTIAL OR TOTAL LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together - laminectomy, including aftercare 40327 01DEC1991 31OCT2006 N LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together - posterior fusion, including aftercare 40327 01NOV2006 31DEC9999 Y PARTIAL OR TOTAL LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together - posterior fusion, including aftercare 40330 01DEC1991 30JUN1995 N SPINAL RHIZOLYSIS involving exposure of spinal nerve roots, with or without laminectomy 40330 01JUL1995 31OCT2006 N SPINAL RHIZOLYSIS involving exposure of spinal nerve roots - for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels - with or without laminectomy 40330 01NOV2006 31DEC9999 Y SPINAL RHIZOLYSIS involving exposure of spinal nerve roots - for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels - with or without partial or total laminectomy 40331 01JUL1995 31DEC9999 Y CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, without fusion, 1 level, by any approach, not being a service to which item 40330 applies 40332 01JUL1995 31DEC9999 Y CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, including anterior fusion, 1 level, not being a service to which item 40330 applies 40333 01DEC1991 31OCT2006 N CERVICAL DISCECTOMY (ANTERIOR), without fusion 40333 01NOV2006 31DEC9999 Y CERVICAL PARTIAL OR TOTAL DISCECTOMY (ANTERIOR), without fusion 40334 01JUL1995 31DEC9999 Y CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, without fusion, more than 1 level, by any approach, not being a service to which item 40330 applies 40335 01JUL1995 31DEC9999 Y CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, including anterior fusion, more than 1 level, by any approach, not being a service to which item 40330 applies 40336 01DEC1991 31DEC9999 Y INTRADISCAL INJECTION OF CHYMOPAPAIN (DISCASE) - 1 disc 40339 01DEC1991 31DEC9999 Y HYDROMYELIA, plugging of obex for, with or without duroplasty 40342 01DEC1991 31OCT2006 N HYDROMYELIA, craniotomy and laminectomy for, with cavity packing and CSF shunt 40342 01NOV2006 31DEC9999 Y HYDROMYELIA, craniotomy and partial or total laminectomy for, with cavity packing and CSF shunt 40345 01JUL1995 31DEC9999 Y THORACIC DECOMPRESSION of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy 40348 01JUL1995 31DEC9999 Y THORACIC DECOMPRESSION of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure 40351 01JUL1995 31DEC9999 Y THORACO-LUMBAR or high lumbar anterior decompression of spinal cord, not including stabilisation procedure 40600 01DEC1991 31OCT2020 N CRANIOPLASTY, reconstructive 40600 01NOV2020 28FEB2023 N Cranioplasty, reconstructive, other than a service associated with a service to which item 39113, 39638, 39639, 39641, 39651, 39654, 39656, 39700, 39710, 39712, 39715, 39801, 39803 or 40703 applies 40600 01MAR2023 31DEC9999 Y Cranioplasty, reconstructive, other than a service associated with a service to which item 39113, 39638, 39639, 39641, 39651, 39654, 39656, 39700, 39710, 39712, 39715, 39801, 39803, 40703 or 41887 applies (H) 40700 01DEC1991 31OCT2020 N CORPUS CALLOSUM, anterior section of, for epilepsy 40700 01NOV2020 31DEC9999 Y Corpus callosotomy, for epilepsy, including stereotaxy 40701 01NOV2017 31DEC9999 Y Vagus nerve stimulation therapy through stimulation of the left vagus nerve, subcutaneous placement of electrical pulse generator, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery 40702 01NOV2017 31DEC9999 Y Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical repositioning or removal of electrical pulse generator inserted for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery 40703 01DEC1991 31OCT2020 N CORTICECTOMY, TOPECTOMY or PARTIAL LOBECTOMY for epilepsy 40703 01NOV2020 31DEC9999 Y Corticectomy, topectomy or partial lobectomy, for epilepsy, including stereotaxy and cranioplasty 40704 01NOV2017 31DEC9999 Y Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical placement of lead, including connection of lead to left vagus nerve and intra-operative test stimulation, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery 40705 01NOV2017 31DEC9999 Y Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical repositioning or removal of lead attached to left vagus nerve for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery 40706 01DEC1991 31OCT2020 N HEMISPHERECTOMY for intractable epilepsy 40706 01NOV2020 31DEC9999 Y Hemispherectomy or functional hemispherectomy, for intractable epilepsy, including stereotaxy 40707 01NOV2017 31DEC9999 Y Vagus nerve stimulation therapy through stimulation of the left vagus nerve, electrical analysis and programming of vagus nerve stimulation therapy device using external wand, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery 40708 01NOV2017 31DEC9999 Y Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical replacement of battery in electrical pulse generator inserted for: (a) management of refractory generalised epilepsy; or (b) treating refractory focal epilepsy not suitable for resective epilepsy surgery 40709 01DEC1991 31OCT2020 N BURR-HOLE PLACEMENT of intracranial depth or surface electrodes 40709 01NOV2020 31DEC9999 Y Intracranial electrode placement by burr hole, including stereotaxy 40712 01DEC1991 31OCT2020 N INTRACRANIAL ELECTRODE PLACEMENT via craniotomy 40712 01NOV2020 31DEC9999 Y Intracranial electrode placement by craniotomy, single or multiple, including stereotactic EEG, including stereotaxy 40800 01DEC1991 30JUN1993 N STEREOTACTIC PROCEDURES STEREOTACTIC ANATOMICAL LOCALISATION in association with an intracranial operative procedure 40800 01JUL1993 31DEC9999 Y STEREOTACTIC ANATOMICAL LOCALISATION, as an independent procedure 40801 01JUL1993 31OCT2002 N FUNCTIONAL STEREOTACTIC procedure including computer assisted anatomical localisation, physiological localisation, and lesion production in the basal ganglia, brain stem or deep white matter tracts 40801 01NOV2002 30JUN2009 N FUNCTIONAL STEREOTACTIC procedure including computer assisted anatomical localisation, physiological localisation, and lesion production in the basal ganglia, brain stem or deep white matter tracts, not being a service associated with deep brain stimulation for Parkinson's disease 40801 01JUL2009 31OCT2020 N FUNCTIONAL STEREOTACTIC procedure including computer assisted anatomical localisation, physiological localisation, and lesion production in the basal ganglia, brain stem or deep white matter tracts, not being a service associated with deep brain stimulation for Parkinson's disease, essential tremor or dystonia 40801 01NOV2020 31DEC9999 Y Functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation, and lesion production, by any method, in the basal ganglia, brain stem or deep white matter tracts, other than a service associated with deep brain stimulation for Parkinson's disease, essential tremor or dystonia 40803 01DEC1991 30APR1994 N INTRACRANIAL STEREOTACTIC PROCEDURE BY ANY METHOD, not being a service to which another item in this Group applies 40803 01MAY1994 31OCT2020 N INTRACRANIAL STEREOTACTIC PROCEDURE BY ANY METHOD, not being a service to which item 40800 or 40801 applies 40803 01NOV2020 31DEC9999 Y Intracranial stereotactic procedure by any method, other than: (a) a service to which item 40801 applies; or (b) a service associated with a service to which item 39018, 39109, 39113, 39604, 39615, 39638, 39639, 39641, 39651, 39654, 39656, 39700, 39703, 39710, 39712, 39715, 39718, 39720, 39801, 39803, 39818, 39821, 39900, 39903, 40004, 40012, 40106, 40109, 40700, 40703, 40706, 40709 or 40712 applies 40804 01MAR2024 31DEC9999 Y Magnetic resonance imaging-scan of head (including magnetic resonance angiography if performed) by a radiologist on request by a specialist or consultant physician, for the sole purpose of guiding focused ultrasound for the treatment of medically refractory essential tremor in association with the services described in items 40805 and 40806, including: (a) stereotactic scan of brain, with frame in place; and (b) assistance with computerised planning; and (c) interpretation of intraprocedural imaging Applicable once per patient per lifetime (H) 40805 01MAR2024 31DEC9999 Y Neurological assessment and evaluation during the treatment of medically refractory essential tremor with magnetic resonance imaging-guided focused ultrasound, performed by a neurologist in association with the services described in items 40804 and 40806, including: (a) assistance with target localisation incorporating anatomical and physiological techniques; and (b) continuous intraprocedural neurological assessment and evaluation Applicable once per patient per lifetime (H) 40806 01MAR2024 31DEC9999 Y Treatment of medically refractory essential tremor with magnetic resonance imaging-guided focused ultrasound, performed by a neurosurgeon in association with the services described in items 40804 and 40805, including: (a) computer assisted anatomical localisation; and (b) frame placement; and (c) target verification using anatomical and physiological techniques; and (d) delivery of treatment with lesion production in the basal ganglia, brain stem, thalamus or deep white matter tracts Applicable once per patient per lifetime (H) 40850 01FEB2002 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease (unilateral), functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes 40850 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes 40850 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (unilateral) functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability 40851 05MAY2003 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease (bilateral), functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes 40851 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (bilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unnaccepatable motor fluctuations functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes 40851 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (bilateral) functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability. 40852 01FEB2002 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease (unilateral), subcutaneous placement of neurostimulator receiver or pulse generator 40852 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, subcutaneous placement of neurostimulator receiver or pulse generator 40852 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (unilateral) subcutaneous placement of neurostimulator receiver or pulse generator for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability. 40854 01FEB2002 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease (unilateral), revision or removal of brain electrode 40854 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, revision or removal of brain electrode 40854 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (unilateral) revision or removal of brain electrode for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability. 40856 01FEB2002 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease (unilateral), removal or replacement of neurostimulator receiver or pulse generator 40856 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, removal or replacement of neurostimulator receiver or pulse generator 40856 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (unilateral) removal or replacement of neurostimulator receiver or pulse generator for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability. 40858 01FEB2002 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease (unilateral), removal or replacement of extension lead 40858 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, placement, removal or replacement of extension lead 40858 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (unilateral) placement, removal or replacement of extension lead for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability. 40860 01FEB2002 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease (unilateral), target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire 40860 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire 40860 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (unilateral) target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability. 40862 01FEB2002 31OCT2006 N DEEP BRAIN STIMULATION for Parkinson's disease, electronic analysis and programming of neaurostimulator pulse generator 40862 01NOV2006 30JUN2009 N DEEP BRAIN STIMULATION (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, electronic analysis and programming of neurostimulator pulse generator 40862 01JUL2009 31DEC9999 Y DEEP BRAIN STIMULATION (unilateral) electronic analysis and programming of neurostimulator pulse generator for the treatment of: Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or Essential tremor or dystonia where the patient's symptoms cause severe disability. 40863 01NOV2022 31DEC9999 Y Deep brain stimulation (unilateral), remote electronic analysis and programming of neurostimulator pulse generator for the treatment of: (a) Parkinson's disease, if the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or (b) essential tremor or dystonia, if the patient's symptoms cause severe disability Applicable not more than 8 times in any 12 month period 40900 01DEC1991 31DEC9999 Y MISCELLANEOUS LEUCOTOMY for psychiatric disorder 40903 01JUL1995 31DEC9999 Y NEUROENDOSCOPY, for inspection of an intraventricular lesion, with or without biopsy including burr hole 40905 01MAY2004 31OCT2020 N CRANIOTOMY, performed in association with items 45767, 45776, 45782 and 45785 for the correction of craniofacial abnormalities 40905 01NOV2020 31DEC9999 Y Craniotomy, performed by a neurosurgeon in conjunction with the correction of craniofacial abnormalities 41500 01DEC1991 30JUN1996 N EAR, foreign body in, removal of, otherwise than by simple syringing 41500 01JUL1996 31DEC9999 Y EAR, foreign body (other than ventilating tube) in, removal of, other than by simple syringing 41501 01NOV2019 29FEB2020 N Examination of glottal cycles and vibratory characteristics of the vocal folds by a specialist in the practice of the specialist's specialty of otolaryngology using videostroboscopy, including capturing audio, video, frequency and intensity, for confirmation of diagnosis , or for confirmation of treatment effectiveness where there is failure to progress or respond as expected, for: dysphonia where non stroboscopic techniques of the visualising the larynx have failed to identify any frank abnormality of the vocal folds; or benign vocal fold lesions; or premalignant or malignant laryngeal lesions; or vocal fold motion impairment or glottal insufficiency; or evaluation of vocal fold function after treatment or phonosurgery other than a service associated with a service to which item 41764 applies or with a services associated with the administration of a general anaesthetic 41501 01MAR2020 31DEC9999 Y Examination of glottal cycles and vibratory characteristics of the vocal folds by a specialist in the practice of the specialist's specialty of otolaryngology using videostroboscopy, including capturing audio, video, frequency and intensity, for confirmation of diagnosis , or for confirmation of treatment effectiveness where there is failure to progress or respond as expected, for: dysphonia where non stroboscopic techniques of the visualising the larynx have failed to identify any frank abnormality of the vocal folds; or benign or malignant vocal fold lesions; or premalignant or malignant laryngeal lesions; or vocal fold motion impairment or glottal insufficiency; or evaluation of vocal fold function after treatment or phonosurgery other than a service associated with a service to which item 41764 applies or with a services associated with the administration of a general anaesthetic 41503 01DEC1991 28FEB2023 N EAR, foreign body in, removal of, involving incision of external auditory canal 41503 01MAR2023 31DEC9999 Y Ear, foreign body in (other than ventilating tube), removal of, involving incision of external auditory canal, other than a service associated with a service to which another item in this Subgroup applies 41506 01DEC1991 31DEC9999 Y AURAL POLYP, removal of 41509 01DEC1991 28FEB2023 N EXTERNAL AUDITORY MEATUS, surgical removal of keratosis obturans from, not being a service to which another item in this Group applies 41509 01MAR2023 31DEC9999 Y External auditory meatus, surgical removal of keratosis obturans from, performed under general anaesthesia, other than: (a) a service to which another item in this Subgroup applies; or (b) a service associated with a service to which item 41647 applies (H) 41512 01DEC1991 31DEC9999 Y MEATOPLASTY involving removal of cartilage or bone or both cartilage and bone, not being a service to which item 41515 applies 41515 01DEC1991 31DEC9999 Y MEATOPLASTY involving removal of cartilage or bone or both cartilage and bone, being a service associated with a service to which item 41530, 41548, 41557, 41560 or 41563 applies 41518 01DEC1991 31DEC9999 Y EXTERNAL AUDITORY MEATUS, removal of EXOSTOSES IN 41521 01DEC1991 28FEB2023 N Correction of AUDITORY CANAL STENOSIS, including meatoplasty, with or without grafting 41521 01MAR2023 31DEC9999 Y Correction of auditory canal stenosis, including meatoplasty, with or without grafting, other than a service associated with a service to which an item in Subgroup 18 applies (H) 41524 01DEC1991 28FEB2023 N RECONSTRUCTION OF EXTERNAL AUDITORY CANAL, being a service associated with a service to which items 41557, 41560 and 41563 apply 41524 01MAR2023 31DEC9999 Y Reconstruction of external auditory canal (H) 41527 01DEC1991 28FEB2023 N MYRINGOPLASTY, transcanal approach (Rosen incision) 41527 01MAR2023 31DEC9999 Y Myringoplasty, by transcanal approach, other than a service associated with a service to which another item in this Subgroup applies (H) 41530 01DEC1991 28FEB2023 N MYRINGOPLASTY, postaural or endaural approach with or without mastoid inspection 41530 01MAR2023 31DEC9999 Y Myringoplasty, post-aural or endaural approach, with or without mastoid inspection, other than a service associated with a service to which another item in this Subgroup applies (H) 41533 01DEC1991 28FEB2023 N ATTICOTOMY without reconstruction of the bony defect, with or without myringoplasty 41533 01MAR2023 31DEC9999 Y Atticotomy without reconstruction of the bony defect, with or without myringoplasty, other than a service associated with a service to which another item in this Subgroup applies (H) 41536 01DEC1991 28FEB2023 N ATTICOTOMY with reconstruction of the bony defect, with or without myringoplasty 41536 01MAR2023 31DEC9999 Y Atticotomy with reconstruction of the bony defect, with or without myringoplasty, other than a service associated with a service to which another item in this Subgroup applies (H) 41539 01DEC1991 28FEB2023 N OSSICULAR CHAIN RECONSTRUCTION 41539 01MAR2023 31DEC9999 Y Ossicular chain reconstruction, other than a service associated with a service to which item 41611 applies (H) 41542 01DEC1991 28FEB2023 N OSSICULAR CHAIN RECONSTRUCTION AND MYRINGOPLASTY 41542 01MAR2023 31DEC9999 Y Ossicular chain reconstruction and myringoplasty, other than a service associated with a service to which item 41611 applies (H) 41545 01DEC1991 28FEB2023 N MASTOIDECTOMY (CORTICAL) 41545 01MAR2023 31DEC9999 Y Mastoidectomy (cortical), other than a service associated with a service to which another item in this Subgroup applies (H) 41548 01DEC1991 31DEC9999 Y OBLITERATION OF THE MASTOID CAVITY 41551 01DEC1991 28FEB2023 N MASTOIDECTOMY, intact wall technique, with myringoplasty 41551 01MAR2023 31DEC9999 Y Mastoidectomy, intact wall technique, with myringoplasty, other than a service associated with a service to which another item in this Subgroup applies (H) 41554 01DEC1991 28FEB2023 N MASTOIDECTOMY, intact wall technique, with myringoplasty and ossicular chain reconstruction 41554 01MAR2023 31DEC9999 Y Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction, other than a service associated with a service to which item 41603 or another item in this Subgroup applies (H) 41557 01DEC1991 28FEB2023 N MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL) 41557 01MAR2023 31DEC9999 Y Mastoidectomy (radical or modified radical), other than a service associated with a service to which another item in this Subgroup applies (H) 41560 01DEC1991 28FEB2023 N MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL) AND MYRINGOPLASTY 41560 01MAR2023 31DEC9999 Y Mastoidectomy (radical or modified radical) and myringoplasty, other than a service associated with a service to which another item in this Subgroup applies (H) 41563 01DEC1991 28FEB2023 N MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL), MYRINGOPLASTY AND OSSICULAR CHAIN RECONSTRUCTION 41563 01MAR2023 31DEC9999 Y Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction, other than a service associated with a service to which another item in this Subgroup applies (H) 41564 01MAY1997 28FEB2023 N MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL), OBLITERATION OF THE MASTOID CAVITY, BLIND SAC CLOSURE OF EXTERNAL AUDITORY CANAL AND OBLITERATION OF EUSTACHIAN TUBE 41564 01MAR2023 31DEC9999 Y Mastoidectomy (radical or modified radical), obliteration of the mastoid cavity, blind sac closure of external auditory canal and obliteration of eustachian tube, other than a service associated with a service to which another item in this Subgroup applies (H) 41566 01DEC1991 28FEB2023 N REVISION OF MASTOIDECTOMY (radical, modified radical or intact wall), including myringoplasty 41566 01MAR2023 31DEC9999 Y Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty, other than a service associated with a service to which another item in this Subgroup applies (H) 41569 01DEC1991 28FEB2023 N DECOMPRESSION OF FACIAL NERVE in its mastoid portion 41569 01MAR2023 31DEC9999 Y Decompression of facial nerve in its mastoid portion, other than a service associated with a service to which item 41617 applies (H) 41572 01DEC1991 31DEC9999 Y LABYRINTHOTOMY OR DESTRUCTION OF LABYRINTH 41575 01DEC1991 31DEC9999 Y CEREBELLO PONTINE ANGLE TUMOUR, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach transmastoid, translabyrinthine or retromastoid procedure (including aftercare) 41576 01NOV1995 31DEC9999 Y CEREBELLO - PONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach - intracranial procedure (including aftercare) not being a service to which item 41578 or 41579 applies 41578 01DEC1991 30JUN1995 N CEREBELLO PONTINE ANGLE TUMOUR, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach intracranial procedure (including aftercare) 41578 01JUL1995 31DEC9999 Y CEREBELLO PONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, principal surgeon 41579 01JUL1995 31DEC9999 Y CEREBELLO-PONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, co-surgeon 41581 01DEC1991 30JUN1995 N SKULL BASE TUMOUR, removal of by infratemporal approach 41581 01JUL1995 31DEC9999 Y TUMOUR INVOLVING INFRA-TEMPORAL FOSSA, removal of, involving craniotomy and radical excision of 41584 01DEC1991 31DEC9999 Y PARTIAL TEMPORAL BONE RESECTION for removal of tumour involving mastoidectomy with or without decompression of facial nerve 41587 01DEC1991 31DEC9999 Y TOTAL TEMPORAL BONE RESECTION for removal of tumour 41590 01DEC1991 31DEC9999 Y ENDOLYMPHATIC SAC, TRANSMASTOID DECOMPRESSION with or without drainage of 41593 01DEC1991 31DEC9999 Y TRANSLABYRINTHINE VESTIBULAR NERVE SECTION 41596 01DEC1991 31DEC9999 Y RETROLABYRINTHINE VESTIBULAR NERVE SECTION or COCHLEAR NERVE SECTION, or BOTH 41599 01DEC1991 31DEC9999 Y INTERNAL AUDITORY MEATUS, exploration by middle cranial fossa approach with cranial nerve decompression 41602 01DEC1991 31DEC9999 Y FENESTRATION OPERATION each ear 41603 01NOV2006 28FEB2023 N OSSEO-INTEGRATION PROCEDURE - implantation of titanium fixture for use with implantable bone conduction hearing system device, in patients: With a permanent or long term hearing loss; and Unable to utilise conventional air or bone conduction hearing aid for medical or audiological reasons; and With bone conduction thresholds that accord to recognised criteria for the implantable bone conduction hearing device being inserted. Not being a service associated with a service to which items 41554, 45794 or 45797 41603 01MAR2023 31DEC9999 Y Osseo-integration procedure-implantation of bone conduction hearing system device, in a patient: (a) With a permanent or long-term hearing loss; and (b) Unable to utilise conventional air or bone conduction hearing aid for medical or audiological reasons; and (c) With bone conduction thresholds that accord with recognised criteria for the implantable bone conduction hearing device being inserted. other than a service associated with a service to which item 41554, 45794 or 45797 applies 41604 01NOV2006 31DEC9999 Y OSSEO-INTEGRATION PROCEDURE - fixation of transcutaneous abutment implantation of titanium fixture for use with implantable bone conduction hearing system device, in patients: With a permanent or long term hearing loss; and Unable to utilise conventional air or bone conduction hearing aid for medical or audiological reasons; and With bone conduction thresholds that accord to recognised criteria for the implantable bone conduction hearing device being inserted. Not being a service associated with a service to which items 41554, 45794 or 45797 41605 01DEC1991 31DEC9999 Y VENOUS GRAFT TO FENESTRATION CAVITY 41608 01DEC1991 31DEC9999 Y STAPEDECTOMY 41611 01DEC1991 28FEB2023 N STAPES MOBILISATION 41611 01MAR2023 31DEC9999 Y Stapes mobilisation, other than a service associated with a service to which item 41539, 41542, or an item in Subgroup 18, applies (H) 41614 01DEC1991 28FEB2023 N ROUND WINDOW SURGERY including repair of cochleotomy 41614 01MAR2023 31DEC9999 Y Round window surgery including repair of cochleotomy, other than a service associated with a service to which item 41617 applies 41615 01MAY1994 31DEC9999 Y OVAL WINDOW SURGERY, including repair of fistula, not being a service associated with a service to which any other item in this Group applies 41617 01DEC1991 28FEB2023 N COCHLEAR IMPLANT, insertion of, including mastoidectomy 41617 01MAR2023 31DEC9999 Y Cochlear implant, insertion of, including mastoidectomy, cochleotomy and exposure of facial nerve where required, other than a service associated with a service to which item 41569 or 41614 applies (H) 41618 01MAY2017 31DEC9999 Y Middle ear implant, partially implantable, insertion of, via mastoidectomy, for patients with: (a) stable sensorineural hearing loss; and (b) outer ear pathology that prevents the use of a conventional hearing aid; and (c) a PTA4 of less than 80 dBHL; and (d) bilateral, symmetrical hearing loss with PTA thresholds in both ears within 20 dBHL (0.5-4kHz) of each other; and (e) speech perception discrimination of at least 65% correct for word lists with appropriately amplified sound; and (f) a normal middle ear; and (g) normal tympanometry; and (h) on audiometry, an air-bone gap of less than 10 dBHL (0.5-4kHz) across all frequencies; and (i) no other inner ear disorders 41620 01DEC1991 31DEC9999 Y GLOMUS TUMOUR, transtympanic removal of 41623 01DEC1991 31DEC9999 Y GLOMUS TUMOUR, transmastoid removal of, including mastoidectomy 41626 01DEC1991 28FEB2023 N ABSCESS OR INFLAMMATION OF MIDDLE EAR, operation for (excluding aftercare) 41626 01MAR2023 31DEC9999 Y Incision of tympanic membrane, or installation of therapeutic agent, to the middle ear through an intact drum: (a) not including local anaesthetic; and (b) excluding aftercare; and (c) other than a service associated with a service to which item 41632 applies 41629 01DEC1991 28FEB2023 N MIDDLE EAR, EXPLORATION OF 41629 01MAR2023 31DEC9999 Y Middle ear, exploration of, other than a service associated with a service to which another item in this Subgroup applies (H) 41632 01DEC1991 28FEB2023 N MIDDLE EAR, insertion of tube for DRAINAGE OF (including myringotomy) 41632 01MAR2023 31DEC9999 Y Middle ear, insertion of tube for drainage of (including myringotomy), other than a service associated with a service to which item 41626 applies 41635 01DEC1991 28FEB2023 N CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, 1 or more, with or without myringoplasty 41635 01MAR2023 31DEC9999 Y Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty, other than a service associated with a service to which another item in this Subgroup applies (H) 41638 01DEC1991 28FEB2023 N CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, 1 or more, with or without myringoplasty with ossicular chain reconstruction 41638 01MAR2023 31DEC9999 Y Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty with ossicular chain reconstruction other than a service associated with a service to which another item in this Subgroup applies (H) 41641 01DEC1991 31DEC9999 Y PERFORATION OF TYMPANUM, cauterisation or diathermy of 41644 01DEC1991 31DEC9999 Y EXCISION OF RIM OF EARDRUM PERFORATION, not being a service associated with myringoplasty 41647 01DEC1991 28FEB2023 N EAR TOILET requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia 41647 01MAR2023 31DEC9999 Y Micro inspection of tympanic membrane and auditory canal, requiring use of operating microscope or endoscope, including any removal of wax, with or without general anaesthesia, other than a service associated with a service to which item 41509 applies. Not applicable for the removal of uncomplicated wax in the absence of other disorders of the ear 41650 01DEC1991 31DEC9999 Y TYMPANIC MEMBRANE, microinspection of 1 or both ears under general anaesthesia, not being a service associated with a service to which another item in this Group applies 41653 01DEC1991 31DEC9999 Y EXAMINATION OF NASAL CAVITY or POSTNASAL SPACE, or NASAL CAVITY AND POSTNASAL SPACE, UNDER GENERAL ANAESTHESIA, not being a service associated with a service to which another item in this Group applies 41656 01DEC1991 31DEC9999 Y NASAL HAEMORRHAGE, POSTERIOR, ARREST OF, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding aftercare) 41659 01DEC1991 31DEC9999 Y NOSE, removal of FOREIGN BODY IN, other than by simple probing 41662 01DEC1991 28FEB2023 N NASAL POLYP OR POLYPI (SIMPLE), removal of 41662 01MAR2023 31DEC9999 Y Nasal polyp or polypi (simple), removal of, other than a service associated with a service to which item 41702, 41703 or 41705 applies on the same side 41665 01DEC1991 31DEC9999 Y NASAL POLYP OR POLYPI (requiring admission to hospital), removal of 41668 01DEC1991 31OCT2017 N NASAL POLYP OR POLYPI (requiring admission to hospital), removal of 41668 01NOV2017 28FEB2023 N NASAL POLYP OR POLYPI, removal of 41668 01MAR2023 31DEC9999 Y Nasal polyp or polypi, removal of 41671 01DEC1991 28FEB2023 N NASAL SEPTUM, SEPTOPLASTY, SUBMUCOUS RESECTION or closure of septal perforation 41671 01MAR2023 31DEC9999 Y Septal surgery, including septoplasty, septal reconstruction, septectomy, closure of septal perforation or other modifications of the septum, not including cauterisation, by any approach, other than a service associated with a service to which item 41689, 41692 or 41693 applies (H) 41672 01MAY1997 31DEC9999 Y NASAL SEPTUM, reconstruction of 41674 01DEC1991 31OCT2017 N CAUTERISATION (other than by chemical means) OR CAUTERISATION by chemical means when performed under general anaesthesia OR DIATHERMY OF SEPTUM, TURBINATES OR PHARYNX - 1 or more of these procedures (including any consultation on the same occasion) not being a service associated with any other operation on the nose 41674 01NOV2017 31DEC9999 Y Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum or turbinates-one or more of these procedures (including any consultation on the same occasion) other than a service associated with another operation on the nose 41677 01DEC1991 31DEC9999 Y NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both 41680 01DEC1991 31DEC9999 Y CRYOTHERAPY TO NOSE in the treatment of nasal haemorrhage 41683 01DEC1991 31DEC9999 Y DIVISION OF NASAL ADHESIONS, with or without stenting not being a service associated with any other operation on the nose and not performed during the postoperative period of a nasal operation 41686 01DEC1991 31DEC9999 Y DISLOCATION OF TURBINATE OR TURBINATES, 1 or both sides, not being a service associated with a service to which another item in this Group applies 41689 01DEC1991 28FEB2023 N TURBINECTOMY or turbinectomies, partial or total, unilateral 41689 01MAR2023 31DEC9999 Y Turbinate reduction, partial or total, unilateral or bilateral, other than a service associated with a service to which item 41671, 41692 or 41693 applies 41692 01DEC1991 28FEB2023 N TURBINATES, submucous resection of, unilateral 41692 01MAR2023 31DEC9999 Y Turbinate, submucous resection with removal of bone, unilateral or bilateral, other than a service associated with a service to which item 41671, 41689 or 41693 applies (H) 41693 01MAR2023 31DEC9999 Y Septal surgery with submucous resection of turbinates, unilateral or bilateral, other than a service associated with a service to which item 41671, 41689, 41692 or 41764 applies (H) 41695 01DEC1991 31DEC9999 Y TURBINATES, cryotherapy to 41698 01DEC1991 28FEB2023 N MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF 41698 01MAR2023 31DEC9999 Y Maxillary antrum, proof puncture and lavage of, other than a service associated with a service to which item 41702, 41703, 41705, 41710, 41734 or 41737 applies on the same side 41701 01DEC1991 31DEC9999 Y MAXILLARY ANTRUM, proof puncture and lavage of, under general anaesthesia (requiring admission to hospital) not being a service associated with a service to which another item in this Group applies 41702 01MAR2023 31DEC9999 Y Functional sinus surgery of the ostiomeatal unit, including ethmoid, unilateral, other than a service associated with a service to which item 41662, 41698, 41703, 41705, 41710 or 41764 applies on the same side (H) 41703 01MAR2023 31DEC9999 Y Functional sinus surgery, complete dissection of all 5 sinuses and creation of single sinus cavity, unilateral, other than a service associated with a service to which item 41662, 41698, 41702, 41705, 41710, 41734, 41737, 41752 or 41764 applies on the same side (H) 41704 01DEC1991 31DEC9999 Y MAXILLARY ANTRUM, LAVAGE OF each attendance at which the procedure is performed, including any associated consultation 41705 01MAR2023 31DEC9999 Y Functional sinus surgery, complete dissection of all 5 sinuses to create a single sinus cavity, with extended drilling of frontal sinuses, unilateral, other than a service associated with a service to which item 41662, 41698, 41702, 41703, 41710, 41734, 41737, 41752 or 41764 applies on the same side (H) 41707 01DEC1991 28FEB2023 N MAXILLARY ARTERY, transantral ligation of 41707 01MAR2023 31DEC9999 Y Maxillary or sphenopalatine artery, ligation of (H) 41710 01DEC1991 28FEB2023 N ANTROSTOMY (RADICAL) 41710 01MAR2023 31DEC9999 Y Antrostomy by any approach, other than a service associated with a service to which item 41702, 41703, 41705 or 41698 applies on the same side (H) 41713 01DEC1991 28FEB2023 N ANTROSTOMY (RADICAL) with transantral ethmoidectomy or transantral vidian neurectomy 41713 01MAR2023 31DEC9999 Y Vidian neurectomy or exposure of vidian canal (H) 41716 01DEC1991 31DEC9999 Y ANTRUM, intranasal operation on, or removal of foreign body from 41719 01DEC1991 28FEB2023 N ANTRUM, drainage of, through tooth socket 41719 01MAR2023 31DEC9999 Y Antrum, drainage of, through tooth socket, other than a service associated with a service to which item 41722 applies 41722 01DEC1991 28FEB2023 N OROANTRAL FISTULA, plastic closure of 41722 01MAR2023 31DEC9999 Y Oroantral fistula, plastic closure of, other than a service associated with a service to which item 41719 or 45009 applies 41725 01DEC1991 28FEB2023 N ETHMOIDAL ARTERY OR ARTERIES, transorbital ligation of (unilateral) 41725 01MAR2023 31DEC9999 Y Ligation of ethmoidal artery or arteries, anterior, posterior or both, by any approach (unilateral) (H) 41728 01DEC1991 28FEB2023 N LATERAL RHINOTOMY with removal of tumour 41728 01MAR2023 31DEC9999 Y Removal of sinonasal or nasopharyngeal tumour, excluding inflammatory nasal polyps, by any approach (H) 41729 01NOV1994 31DEC9999 Y DERMOID OF NOSE, excision of, with intranasal extension 41731 01DEC1991 31OCT1993 N FRONTONASAL ETHMOIDECTOMY with or without sphenoidectomy 41731 01NOV1993 31DEC9999 Y FRONTONASAL ETHMOIDECTOMY by external approach with or without sphenoidectomy 41734 01DEC1991 28FEB2023 N RADICAL FRONTOETHMOIDECTOMY with osteoplastic flap 41734 01MAR2023 31DEC9999 Y Endoscopic Lothrop procedure or radical external frontal sinusotomy with osteoplastic flap, unilateral, other than a service associated with a service to which item 41698, 41703, 41705 or 41764 applies on the same side (H) 41737 01DEC1991 31OCT1999 N FRONTAL SINUS OR ETHMOIDAL SINUSES, intranasal operation on 41737 01NOV1999 28FEB2023 N FRONTAL SINUS, OR ETHMOIDAL SINUSES ON THE ONE SIDE, intranasal operation on 41737 01MAR2023 31DEC9999 Y Frontal sinus, unilateral, intranasal operation on, including complete dissection of frontal recess and exposure of frontal sinus ostium (excludes simple probing, dilatation or irrigation of frontal sinus), other than a service associated with a service to which item 41698, 41703, 41705 or 41764 applies on the same side (H) 41740 01DEC1991 28FEB2023 N FRONTAL SINUS, catheterisation of 41740 01MAR2023 31OCT2023 N Frontal sinus, catheterisation of, other than a service associated with a service to which item 41749 applies 41740 01NOV2023 31DEC9999 Y Frontal sinus, catheterisation of, other than a service associated with a service to which item 41749 applies on the same side (H) 41743 01DEC1991 28FEB2023 N FRONTAL SINUS, trephine of 41743 01MAR2023 31OCT2023 N Frontal sinus, trephine of, other than a service associated with a service to which item 41749 applies (H) 41743 01NOV2023 31DEC9999 Y Frontal sinus, trephine of, other than a service associated with a service to which item 41749 applies on the same side (H) 41746 01DEC1991 28FEB2023 N FRONTAL SINUS, radical obliteration of 41746 01MAR2023 31DEC9999 Y Paranasal sinus, radical obliteration of, including any graft harvest 41749 01DEC1991 28FEB2023 N ETHMOIDAL SINUSES, external operation on 41749 01MAR2023 31DEC9999 Y Paranasal sinus, external operation on, unilateral, other than a service associated with a service to which item 41740 or 41743 applies on the same side (H) 41752 01DEC1991 28FEB2023 N SPHENOIDAL SINUS, intranasal operation on 41752 01MAR2023 31DEC9999 Y Sphenoidal sinus, unilateral, intranasal operation on, other than a service associated with a service to which item 41703 or 41705 applies on the same side (H) 41755 01DEC1991 31DEC9999 Y EUSTACHIAN TUBE, catheterisation of 41758 01DEC1991 31DEC9999 Y DIVISION OF PHARYNGEAL ADHESIONS 41761 01DEC1991 31DEC9999 Y POSTNASAL SPACE, direct examination of, with or without biopsy 41764 01DEC1991 31OCT1993 N NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX and LARYNX 41764 01NOV1993 31OCT2006 N NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX and LARYNX, one or more of these procedures 41764 01NOV2006 28FEB2023 N NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX and LARYNX, one or more of these procedures, unilateral or bilateral examination 41764 01MAR2023 31DEC9999 Y Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx, one or more of these procedures, unilateral or bilateral examination, other than a service associated with a service to which item 41693, 41702, 41703, 41705, 41734 or 41737 applies 41767 01DEC1991 30JUN2011 N NASOPHARYNGEAL ANGIOFIBROMA, transpalatal removal 41767 01JUL2011 31DEC9999 Y NASOPHARYNGEAL ANGIOFIBROMA, removal of 41770 01DEC1991 31DEC9999 Y PHARYNGEAL POUCH, removal of, with or without cricopharyngeal myotomy 41773 01DEC1991 31DEC9999 Y PHARYNGEAL POUCH, ENDOSCOPIC RESECTION OF (Dohlman's operation) 41776 01DEC1991 28FEB2023 N CRICOPHARYNGEAL MYOTOMY with or without inversion of pharyngeal pouch 41776 01MAR2023 31DEC9999 Y Cricopharyngeal myotomy by any approach, including open inversion of pharyngeal pouch or endoscopic repair of pharyngeal pouch (H) 41779 01DEC1991 31DEC9999 Y PHARYNGOTOMY (lateral), with or without total excision of tongue 41782 01DEC1991 31DEC9999 Y PARTIAL PHARYNGECTOMY via PHARYNGOTOMY 41785 01DEC1991 28FEB2023 N PARTIAL PHARYNGECTOMY via PHARYNGOTOMY with partial or total glossectomy 41785 01MAR2023 31DEC9999 Y Partial pharyngectomy, by any approach, with or without partial glossectomy (H) 41786 01DEC1991 31OCT1994 N PHARYNGEAL FLAP or PHARYNGOPLASTY, with or without tonsillectomy 41786 01NOV1994 31DEC9999 Y UVULOPALATOPHARYNGOPLASTY, with or without tonsillectomy, by any means 41787 01NOV1994 31DEC9999 Y UVULECTOMY AND PARTIAL PALATECTOMY WITH LASER INCISION OF THE PALATE, with or without tonsillectomy, 1 or more stages, including any revision procedures within 12 months 41788 01DEC1991 31DEC9999 Y TONSILS OR TONSILS AND ADENOIDS, removal of, in a person aged LESS THAN 12 YEARS 41789 01DEC1991 31OCT2017 N TONSILS OR TONSILS AND ADENOIDS, removal of, in a person aged LESS THAN 12 YEARS 41789 01NOV2017 30JUN2021 N Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies 41789 01JUL2021 31DEC9999 Y Tonsils or tonsils and adenoids, removal of, in a patient aged less than 12 years (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies 41792 01DEC1991 31DEC9999 Y TONSILS OR TONSILS AND ADENOIDS, removal of, in a person 12 YEARS OF AGE OR OVER 41793 01DEC1991 31OCT2017 N TONSILS OR TONSILS AND ADENOIDS, removal of, in a person 12 YEARS OF AGE OR OVER 41793 01NOV2017 30JUN2021 N Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies 41793 01JUL2021 31DEC9999 Y Tonsils or tonsils and adenoids, removal of, in a patient 12 years of age or over (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies 41796 01DEC1991 31DEC9999 Y TONSILS OR TONSILS AND ADENOIDS, ARREST OF HAEMORRHAGE requiring general anaesthesia, following removal of 41797 01DEC1991 31DEC9999 Y TONSILS OR TONSILS AND ADENOIDS, ARREST OF HAEMORRHAGE requiring general anaesthesia, following removal of 41800 01DEC1991 31DEC9999 Y ADENOIDS, removal of 41801 01DEC1991 31OCT2017 N ADENOIDS, removal of 41801 01NOV2017 31DEC9999 Y Adenoids, removal of (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies 41804 01DEC1991 28FEB2023 N LINGUAL TONSIL OR LATERAL PHARYNGEAL BANDS, removal of 41804 01MAR2023 31DEC9999 Y Removal of lingual tonsil (H) 41807 01DEC1991 31DEC9999 Y PERITONSILLAR ABSCESS (quinsy), incision of 41810 01DEC1991 31DEC9999 Y UVULOTOMY or UVULECTOMY 41813 01DEC1991 31DEC9999 Y VALLECULAR OR PHARYNGEAL CYSTS, removal of 41816 01DEC1991 31DEC9999 Y OESOPHAGOSCOPY (with rigid oesophagoscope) 41819 01DEC1991 31OCT2000 N OESOPHAGEAL AND ANASTOMOTIC STRICTURE, endoscopic dilatation of 41819 01NOV2000 31DEC9999 Y DILATATION OF STRICTURE OF UPPER GASTRO-INTESTINAL TRACT using bougie or balloon over endoscopically inserted guidewire, including endoscopy with flexible or rigid endoscope 41820 01NOV2000 31DEC9999 Y DILATATION OF STRICTURE OF UPPER GASTRO-INTESTINAL TRACT using bougie or balloon over endoscopically inserted guidewire, including endoscopy with flexible or rigid endoscope, where the use of imaging intensification is clinically indicated 41822 01DEC1991 28FEB2023 N OESOPHAGOSCOPY (with rigid oesophagoscope), with biopsy 41822 01MAR2023 31DEC9999 Y Oesophagoscopy, with rigid oesophagoscope, with or without biopsy, other than a service associated with a service to which item 30473 or 30478 applies (H) 41825 01DEC1991 28FEB2023 N OESOPHAGOSCOPY (with rigid oesophagoscope), with removal of foreign body 41825 01MAR2023 31DEC9999 Y Removal of a foreign body from the pharynx, larynx or oesophagus, by any means, other than a service associated with a service to which item 30478 applies (H) 41828 01DEC1991 31DEC9999 Y OESOPHAGEAL STRICTURE, dilatation of, without oesophagoscopy 41831 01DEC1991 31OCT2017 N OESOPHAGUS, endoscopic pneumatic dilatation of 41831 01NOV2017 31DEC9999 Y Oesophagus, endoscopic pneumatic dilatation of, for treatment of achalasia 41832 01MAY1997 31DEC9999 Y OESOPHAGUS, balloon dilatation of, using interventional imaging techniques 41834 01DEC1991 28FEB2023 N LARYNGECTOMY (TOTAL) 41834 01MAR2023 31DEC9999 Y Total laryngectomy, including cricopharyngeal myotomy and tracheo oesophageal puncture (H) 41837 01DEC1991 28FEB2023 N VERTICAL HEMILARYNGECTOMY including tracheostomy 41837 01MAR2023 31DEC9999 Y Complete vertical hemi laryngectomy, involving removal of true and false vocal cords, including tracheostomy. Applicable only once per provider per patient per lifetime (H) 41840 01DEC1991 28FEB2023 N SUPRAGLOTTIC LARYNGECTOMY including tracheostomy 41840 01MAR2023 31DEC9999 Y Total supraglottic laryngectomy, involving removal of ventricular folds, epiglottis and aryepiglottic folds including tracheostomy. Applicable only once per provider per patient per lifetime (H) 41843 01DEC1991 31DEC9999 Y LARYNGOPHARYNGECTOMY or PRIMARY RESTORATION OF ALIMENTARY CONTINUITY after laryngopharyngectomy USING STOMACH OR BOWEL 41846 01DEC1991 31DEC9999 Y LARYNX, direct examination of the supraglottic, glottic and subglottic regions, not being a service associated with any other procedure on the larynx or with the administration of a general anaesthetic 41849 01DEC1991 31DEC9999 Y LARYNX, direct examination of, with biopsy 41852 01DEC1991 31DEC9999 Y LARYNX, direct examination of, WITH REMOVAL OF TUMOUR 41855 01DEC1991 28FEB2023 N MICROLARYNGOSCOPY 41855 01MAR2023 31DEC9999 Y Microlaryngoscopy, by any approach, with or without biopsy (H) 41858 01DEC1991 31DEC9999 Y MICROLARYNGOSCOPY with removal of juvenile papillomata 41861 01DEC1991 30JUN2011 N MICROLARYNGOSCOPY with removal of papillomata by laser surgery 41861 01JUL2011 28FEB2023 N MICROLARYNGOSCOPY with removal of benign lesions of the larynx by laser surgery 41861 01MAR2023 31DEC9999 Y Microlaryngoscopy with complete removal of benign or malignant lesions of the larynx, including papillomata, by any approach or technique, unilateral, other than a service associated with a service to which item 41870 applies on the same side (H) 41864 01DEC1991 31DEC9999 Y MICROLARYNGOSCOPY WITH REMOVAL OF TUMOUR 41867 01DEC1991 28FEB2023 N MICROLARYNGOSCOPY with arytenoidectomy 41867 01MAR2023 31DEC9999 Y Microlaryngoscopy, with partial or complete arytenoidectomy or arytenoid repositioning (H) 41868 01MAY1997 31DEC9999 Y LARYNGEAL WEB, division of, using microlarygoscopic techniques 41869 01MAY1997 31DEC9999 Y BOTULINUM TOXIN INJECTION INTO VOCAL CORDS, including associated consultation 41870 01DEC1991 31OCT1997 N INJECTION OF VOCAL CORD BY TEFLON, FAT, COLLAGEN OR GELFOAM 41870 01NOV1997 28FEB2023 N INJECTION OF VOCAL CORD BY TEFLON, FAT, COLLAGEN OR GELFOAM 41870 01MAR2023 31OCT2023 N Laryngeal augmentation or modification by injection techniques, other than a service associated with a service to which item 41861 or 41879 applies 41870 01NOV2023 31DEC9999 Y Laryngeal augmentation or modification by injection techniques, other than a service associated with a service to which item 41879 applies or item 41861 applies on the same side 41873 01DEC1991 28FEB2023 N LARYNX, FRACTURED, operation for 41873 01MAR2023 31DEC9999 Y Larynx, fractured, operation for (H) 41876 01DEC1991 31DEC9999 Y LARYNX, external operation on, OR LARYNGOFISSURE with or without cordectomy 41879 01DEC1991 28FEB2023 N LARYNGOPLASTY or TRACHEOPLASTY, including tracheostomy 41879 01MAR2023 31DEC9999 Y Tracheoplasty, laryngoplasty or thyroplasty, not by injection techniques, including tracheostomy, other than a service associated with a service to which item 41870 applies (H) 41880 23NOV1998 28FEB1999 N TRACHEOSTOMY by a percutaneous technique using sequential dilatation or partial splitting method to allow insertion of a cuffed tracheostomy tube 41880 01MAR1999 28FEB2023 N TRACHEOSTOMY by a percutaneous technique using sequential dilatation or partial splitting method to allow insertion of a cuffed tracheostomy tube 41880 01MAR2023 31DEC9999 Y Tracheostomy by a percutaneous technique (H) 41881 01JUL1998 28FEB1999 N TRACHEOSTOMY by open exposure of the trachea as an independent procedure 41881 01MAR1999 28FEB2023 N TRACHEOSTOMY by open exposure of the trachea, including separation of the strap muscles or division of the thyroid isthmus, where performed 41881 01MAR2023 31DEC9999 Y Tracheostomy by open exposure of the trachea (H) 41882 01DEC1991 31DEC9999 Y TRACHEOSTOMY 41883 01DEC1991 30JUN1998 N TRACHEOSTOMY 41883 01JUL1998 31DEC9999 Y TRACHEOSTOMY by open exposure of the trachea in association with another procedure 41884 01JUL1995 30JUN1998 N CRICOTHYROSTOMY, by direct stab or Seldinger technique, using Minitrach or similar device, for tracheobronchial toilet 41884 01JUL1998 28FEB1999 N CRICOTHYROSTOMY OR TRACHEOSTOMY, by direct stab or dilation technique, using Minitrach or similar device 41884 01MAR1999 31DEC2013 N CRICOTHYROSTOMY by direct stab or Seldinger technique, using Minitrach or similar device 41884 01JAN2014 28FEB2023 N CRICOTHYROSTOMY by direct stab or Seldinger technique, using mini tracheostomy device 41884 01MAR2023 31DEC9999 Y Cricothyrostomy (H) 41885 01JUL1998 31DEC9999 Y TRACHE-OESOPHAGEAL FISTULA, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures 41886 01DEC1991 31DEC9999 Y TRACHEA, removal of foreign body in 41887 01MAR2023 31DEC9999 Y Pituitary tumour, removal of, by trans-sphenoidal approach, including stereotaxy and dermis, dermofat or fascia grafting, as part of conjoint surgery, other than a service associated with a service to which item 40600 applies (H) 41888 01MAR2023 31DEC9999 Y Fractured skull, after trauma only, or spontaneous defects with cerebrospinal fluid rhinorrhoea or otorrhoea, repair of, including stereotaxy and dermofat graft (H) 41889 01DEC1991 31DEC9999 Y BRONCHOSCOPY, as an independent procedure 41890 01MAR2023 31DEC9999 Y Orbit, decompression of, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, one eye by endonasal approach (H) 41892 01DEC1991 31DEC9999 Y BRONCHOSCOPY with 1 or more endobronchial biopsies or other diagnostic or therapeutic procedures 41895 01DEC1991 31DEC9999 Y BRONCHUS, removal of foreign body in 41898 01DEC1991 31DEC9999 Y FIBREOPTIC BRONCHOSCOPY with 1 or more transbronchial lung biopsies, with or without bronchial or bronchoalveolar lavage, with or without the use of interventional imaging 41901 01DEC1991 31DEC9999 Y ENDOSCOPIC LASER RESECTION OF ENDOBRONCHIAL TUMOURS for relief of obstruction including any associated endoscopic procedures 41904 01DEC1991 31DEC9999 Y BRONCHOSCOPY with dilatation of tracheal stricture 41905 01NOV1995 31DEC9999 Y TRACHEA OR BRONCHUS, dilatation of stricture and endoscopic insertion of stent 41907 01DEC1991 31DEC9999 Y NASAL SEPTUM BUTTON, insertion of 41910 01JUL1993 31DEC9999 Y DUCT OF MAJOR SALIVARY GLAND, transposition of 42503 01DEC1991 31DEC9999 Y OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies 42504 01MAY2020 31DEC9999 Y Glaucoma, implantation of a micro-bypass surgery stent system into the trabecular meshwork, if: (a) conservative therapies have failed, are likely to fail, or are contraindicated; and (b) the service is performed by a specialist with training that is recognised by the Conjoint Committee for the Recognition of Training in Micro-Bypass Glaucoma Surgery 42505 01NOV2018 31JAN2019 N Complete removal from the eye of a trans-trabecular drainage device or devices, with or without replacement, following device related medical complications necessitating complete removal. 42505 01FEB2019 31DEC9999 Y Complete removal from the eye of a trans-trabecular drainage device or devices, with or without replacement, following device related medical complications necessitating complete removal. 42506 01DEC1991 31DEC9999 Y EYE, ENUCLEATION OF, with or without sphere implant 42509 01DEC1991 31DEC9999 Y EYE, ENUCLEATION OF, with insertion of integrated implant 42510 01MAY1994 30JUN1998 N EYE, enucleation of, with insertion of hydroxy apatite implant (coral implant), by 1 or more stages 42510 01JUL1998 31DEC9999 Y EYE, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant 42512 01DEC1991 31DEC9999 Y GLOBE, EVISCERATION OF 42515 01DEC1991 31DEC9999 Y GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE 42518 01DEC1991 31OCT1996 N ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET 42518 01NOV1996 31DEC9999 Y ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant 42521 01DEC1991 31DEC9999 Y ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure 42524 01DEC1991 31DEC9999 Y ORBIT, SKIN GRAFT TO, as a delayed procedure 42527 01DEC1991 31DEC9999 Y CONTRACTED SOCKET, RECONSTRUCTION INCLUDING MUCOUS MEMBRANE GRAFTING AND STENT MOULD 42530 01DEC1991 31DEC9999 Y ORBIT, EXPLORATION with or without biopsy, requiring REMOVAL OF BONE 42533 01DEC1991 31DEC9999 Y ORBIT, EXPLORATION OF, with drainage or biopsy not requiring removal of bone 42536 01DEC1991 31DEC9999 Y ORBIT, EXENTERATION OF, with or without skin graft and with or without temporalis muscle transplant 42539 01DEC1991 31DEC9999 Y ORBIT, EXPLORATION OF, with removal of tumour or foreign body, requiring removal of bone 42542 01DEC1991 30JUN1998 N ORBIT, EXPLORATION OF, with removal of tumour or of foreign body 42542 01JUL1998 31DEC9999 Y ORBIT, exploration of anterior aspect with removal of tumour or foreign body 42543 01JUL1998 31DEC9999 Y ORBIT, exploration of retrobulbar aspect with removal of tumour or foreign body 42545 01DEC1991 30JUN1998 N ORBIT, decompression of, for dysthyroid eye disease, 2 or more walls, 1 eye 42545 01JUL1998 31DEC9999 Y ORBIT, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye 42548 01DEC1991 31DEC9999 Y OPTIC NERVE MENINGES, incision of 42551 01DEC1991 31OCT2012 N EYEBALL, PERFORATING WOUND OF, not involving intraocular structures repair involving suture of cornea or sclera, or both, not being a service to which item 42632 applies 42551 01NOV2012 31DEC9999 Y EYE, PENETRATING WOUND OR RUPTURE OF, not involving intraocular structures repair involving suture of cornea or sclera, or both, not being a service to which item 42632 applies 42554 01DEC1991 31OCT2012 N EYEBALL, PERFORATING WOUND OF, with incarceration or prolapse of uveal tissue repair 42554 01NOV2012 31DEC9999 Y EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration or prolapse of uveal tissue repair 42557 01DEC1991 31OCT2012 N EYEBALL, PERFORATING WOUND OF, with incarceration of lens or vitreous repair 42557 01NOV2012 31DEC9999 Y EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration of lens or vitreous repair 42560 01DEC1991 31DEC9999 Y INTRAOCULAR FOREIGN BODY, magnetic removal from anterior segment 42561 01JUL1998 31DEC9999 Y Historical item included for item mapping purposes 42563 01DEC1991 31OCT2012 N INTRAOCULAR FOREIGN BODY, nonmagnetic removal from anterior segment 42563 01NOV2012 31DEC9999 Y INTRAOCULAR FOREIGN BODY, removal from anterior segment 42566 01DEC1991 31DEC9999 Y INTRAOCULAR FOREIGN BODY, magnetic removal from posterior segment 42569 01DEC1991 31OCT2012 N INTRAOCULAR FOREIGN BODY, nonmagnetic removal from posterior segment 42569 01NOV2012 31DEC9999 Y INTRAOCULAR FOREIGN BODY, removal from posterior segment 42572 01DEC1991 31DEC9999 Y ORBITAL ABSCESS OR CYST, drainage of 42573 01NOV1994 31AUG2015 N DERMOID, periorbital, excision of 42573 01SEP2015 30JUN2021 N DERMOID, periorbital, excision of, on a person 10 years of age or over 42573 01JUL2021 31DEC9999 Y DERMOID, periorbital, excision of, on a patient 10 years of age or over 42574 01NOV1994 31DEC9999 Y DERMOID, orbital, excision of 42575 01DEC1991 31DEC9999 Y TARSAL CYST, extirpation of 42576 01SEP2015 30JUN2021 N DERMOID, periorbital, excision of, on a person under 10 years of age 42576 01JUL2021 31DEC9999 Y DERMOID, periorbital, excision of, on a patient under 10 years of age 42578 01DEC1991 31DEC9999 Y TARSAL CARTILAGE, excision of 42581 01DEC1991 31DEC9999 Y ECTROPION OR ENTROPION, tarsal cauterisation of 42584 01DEC1991 31DEC9999 Y TARSORRHAPHY 42587 01DEC1991 30APR1994 N CRYOTHERAPY or ELECTROLYSIS EPILATION for trichiasis - each eyelid 42587 01MAY1994 31OCT2018 N TRICHIASIS, treatment of by cryotherapy, laser or electrolysis - each eyelid 42587 01NOV2018 31DEC9999 Y TRICHIASIS (due to causes other than trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid 42588 01NOV2018 31DEC9999 Y TRICHIASIS (due to trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid 42590 01DEC1991 31DEC9999 Y CANTHOPLASTY, medial or lateral 42593 01DEC1991 31DEC9999 Y LACRIMAL GLAND, excision of palpebral lobe 42596 01DEC1991 31DEC9999 Y LACRIMAL SAC, excision of, or operation on 42599 01DEC1991 31DEC9999 Y LACRIMAL CANALICULAR SYSTEM, establishment of patency by closed operation using silicone tubes or similar, 1 eye 42602 01DEC1991 31DEC9999 Y LACRIMAL CANALICULAR SYSTEM, establishment of patency by open operation, 1 eye 42605 01DEC1991 31DEC9999 Y LACRIMAL CANALICULUS, immediate repair of 42608 01DEC1991 31DEC9999 Y LACRIMAL DRAINAGE by insertion of glass tube, as an independent procedure 42610 01MAY1994 30JUN1998 N NASOLACRIMAL TUBE (unilateral) replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage - under general anaesthesia 42610 01JUL1998 31DEC9999 Y NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, unilateral, with or without lavage - under general anaesthesia 42611 01DEC1991 30APR1994 N NASOLACRIMAL TUBE (unilateral) replacement of, under general anaesthesia, or lacrimal passages, probing for obstruction, unilateral or bilateral, with or without lavage 42611 01MAY1994 30JUN1998 N NASOLACRIMAL TUBE (bilateral) replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage - under general anaesthesia 42611 01JUL1998 31DEC9999 Y NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, bilateral, with or without lavage - under general anaesthesia 42614 01DEC1991 30APR1994 N LACRIMAL PASSAGES, lavage of, unilateral, not being a service associated with a service to which item 42611 applies (excluding aftercare) 42614 01MAY1994 30JUN1998 N NASOLACRIMAL TUBE (unilateral) replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare) 42614 01JUL1998 31OCT2001 N NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, with or without lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare) 42614 01NOV2001 31DEC9999 Y NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare) 42615 01MAY1994 30JUN1998 N NASOLACRIMAL TUBE (bilateral) replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare) 42615 01JUL1998 31OCT2001 N NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or sit of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare) 42615 01NOV2001 31DEC9999 Y NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare) 42617 01DEC1991 31DEC9999 Y PUNCTUM SNIP operation 42620 01DEC1991 31DEC9999 Y PUNCTUM, occlusion of, by use of a plug 42621 01NOV1996 31DEC9999 Y PUNCTUM, temporary occlusion of, by use of electrical cautery 42622 01NOV1996 31DEC9999 Y PUNCTUM, permanent occlusion of, by use of electrical cautery 42623 01DEC1991 31DEC9999 Y DACRYOCYSTORHINOSTOMY 42626 01DEC1991 31DEC9999 Y DACRYOCYSTORHINOSTOMY where a previous dacryocystorhinostomy has been performed 42629 01DEC1991 31DEC9999 Y CONJUNCTIVORHINOSTOMY including dacryocystorhinostomy and fashioning of conjunctival flaps 42632 01DEC1991 31DEC9999 Y CONJUNCTIVAL PERITOMY OR REPAIR OF CORNEAL LACERATION by conjunctival flap 42635 01DEC1991 31DEC9999 Y CORNEAL PERFORATIONS, sealing of, with tissue adhesive 42638 01DEC1991 31DEC9999 Y CONJUNCTIVAL GRAFT OVER CORNEA 42641 01DEC1991 31DEC9999 Y AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft 42644 01DEC1991 30JUN2008 N CORNEA OR SCLERA, removal of imbedded foreign body from (excluding aftercare) 42644 01JUL2008 31OCT2012 N CORNEA OR SCLERA, removal of imbedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) 42644 01NOV2012 31DEC9999 Y CORNEA OR SCLERA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) 42647 01DEC1991 31DEC9999 Y CORNEAL SCARS, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies 42650 01DEC1991 31DEC9999 Y CORNEA, epithelial debridement for corneal ulcer or corneal erosion (excluding aftercare) 42651 01JUL1998 31DEC9999 Y CORNEA, epithelial debridement for eliminating band keratopathy 42652 01MAY2018 30JUN2021 N Corneal collagen cross linking, on a person with a corneal ectatic disorder, with evidence of progression-per eye. 42652 01JUL2021 31DEC9999 Y Corneal collagen cross linking, on a patient with a corneal ectatic disorder, with evidence of progression-per eye 42653 01DEC1991 31OCT1993 N CORNEA, transplantation of, full thickness, including collection of donor material 42653 01NOV1993 30JUN2014 N CORNEA, transplantation of, full thickness 42653 01JUL2014 31DEC9999 Y CORNEA transplantation of 42656 01DEC1991 31OCT1993 N CORNEA, transplantation of, full thickness, including collection of donor material where there have been 2 previous graft operations 42656 01NOV1993 31OCT2003 N CORNEA, transplantation of, where there have been 2 previous graft operations 42656 01NOV2003 31DEC9999 Y CORNEA, transplantation of, second and subsequent procedures 42659 01DEC1991 31OCT1993 N CORNEA, transplantation of, superficial or lamellar, including collection of donor material 42659 01NOV1993 31DEC9999 Y CORNEA, transplantation of, superficial or lamellar 42662 01DEC1991 31DEC9999 Y SCLERA, transplantation of, full thickness, including collection of donor material 42665 01DEC1991 31DEC9999 Y SCLERA, transplantation of, superficial or lamellar, including collection of donor material 42667 01MAY1997 31DEC9999 Y RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation 42668 01DEC1991 31DEC9999 Y CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope 42670 01MAY1997 31DEC9999 Y PHOTOTHERAPEUTIC KERATECTOMY by excimer laser 42671 01DEC1991 31DEC9999 Y REFRACTIVE KERATOPLASTY with penetrating incisions (excluding radial keratotomy) following corneal grafting or intraocular operation INCLUDING ANY MEASUREMENTS AND CALCULATIONS associated with the procedure 42672 01NOV2003 31DEC9999 Y CORNEAL INCISONS, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure 42673 01NOV2003 31DEC9999 Y ADDITIONAL CORNEAL INCISIONS, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery 42674 01DEC1991 31DEC9999 Y CORNEAL INCISIONS, non penetrating, for the correction of astigmatism following surgery of anterior chamber or corneal grafting, and including associated ultrasound pachymetry of corneal thickness, with or without compression sutures 42676 01MAY1997 31DEC9999 Y CONJUNCTIVA, biopsy of, as an independent procedure 42677 01DEC1991 31DEC9999 Y CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation 42680 01DEC1991 31DEC9999 Y CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 42683 01DEC1991 31DEC9999 Y CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility 42686 01DEC1991 31DEC9999 Y PTERYGIUM, removal of 42689 01DEC1991 31DEC9999 Y PINGUECULA, removal of, not being a service associated with the fitting of contact lenses 42692 01DEC1991 31OCT1998 N LIMBIC TUMOUR, removal of 42692 01NOV1998 31DEC9999 Y LIMBIC TUMOUR, removal of, excluding Pterygium 42695 01DEC1991 31OCT1998 N LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy 42695 01NOV1998 31DEC9999 Y LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium 42698 01DEC1991 31OCT2000 N LENS EXTRACTION 42698 01NOV2000 31OCT2001 N LENS EXTRACTION, excluding surgery performed for the correction of refractive error only 42698 01NOV2001 31DEC9999 Y LENS EXTRACTION, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42701 01DEC1991 31OCT2000 N ARTIFICIAL LENS, insertion of 42701 01NOV2000 31OCT2001 N ARTIFICIAL LENS, insertion of, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42701 01NOV2001 31OCT2012 N ARTIFICIAL LENS, insertion of, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42701 01NOV2012 31DEC9999 Y INTRAOCULAR LENS, insertion of, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42702 01NOV1996 31OCT2000 N LENS EXTRACTION AND INSERTION OF ARTIFICIAL LENS 42702 01NOV2000 31OCT2001 N LENS EXTRACTION AND INSERTION OF ARTIFICIAL LENS, excluding surgery performed for the correction of refractive error only 42702 01NOV2001 31OCT2012 N LENS EXTRACTION AND INSERTION OF ARTIFICIAL LENS, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42702 01NOV2012 31DEC9999 Y LENS EXTRACTION AND INSERTION OF INTRAOCULAR LENS, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42703 01NOV1996 31OCT2012 N ARTIFICIAL LENS, insertion of, into the posterior chamber and suture to the iris and sclera 42703 01NOV2012 31DEC9999 Y INTRAOCULAR LENS or IRIS PROSTHESIS insertion of, into the posterior chamber with fixation to the iris or sclera 42704 01DEC1991 31OCT2012 N ARTIFICIAL LENS, REMOVAL or REPOSITIONING of by open operation, not being a service associated with a service to which item 42701 applies 42704 01NOV2012 31DEC9999 Y INTRAOCULAR LENS, REMOVAL or REPOSITIONING of by open operation, not being a service associated with a service to which item 42701 applies 42705 01MAY2017 31DEC9999 Y LENS EXTRACTION AND INSERTION OF INTRAOCULAR LENS, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a trans-trabecular drainage device or devices, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti-glaucoma medications or who is intolerant of anti-glaucoma medication. 42707 01DEC1991 31OCT2005 N ARTIFICIAL LENS, REMOVAL of and REPLACEMENT with a different lens 42707 01NOV2005 31OCT2012 N ARTIFICIAL LENS, REMOVAL of and REPLACEMENT with a different lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42707 01NOV2012 31DEC9999 Y INTRAOCULAR LENS, REMOVAL of and REPLACEMENT with a different lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye 42710 01DEC1991 31OCT2012 N ARTIFICIAL LENS, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera 42710 01NOV2012 31DEC9999 Y INTRAOCULAR LENS, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera 42713 01DEC1991 31OCT2012 N INTRAOCULAR LENSES, repositioning of, by the use of a McCannell suture or similar 42713 01NOV2012 31DEC9999 Y IRIS SUTURING, McCannell technique or similar, for fixation of intraocular lens or repair of iris defect 42716 01DEC1991 31DEC9999 Y CATARACT, JUVENILE, removal of, including subsequent needlings 42718 01NOV2009 31DEC9999 Y COMPLEX LENS EXTRACTION AND INSERTION OF ARTIFICIAL LENS, with a surgical procedure time of 40 minutes or more, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 diopres following the removal of cataract in the first eye. 42719 01DEC1991 30JUN1998 N CAPSULECTOMY OR REMOVAL OF VITREOUS via the anterior chamber by any method, not being a service associated with any other intraocular operation on that eye 42719 01JUL1998 31OCT2005 N CAPSULECTOMY OR REMOVAL OF VITREOUS via the anterior chamber by any method, not being a service associated with a service to which item 42698, 42702 or 42716 applies 42719 01NOV2005 31OCT2012 N CAPSULECTOMY OR REMOVAL OF VITREOUS, or both, via the anterior chamber by any method, not being a service associated with a service to which item 42698, 42702 or 42716 applies 42719 01NOV2012 31DEC9999 Y REMOVAL OF VITREOUS, and/or CAPSULAR or LENS MATERIAL, via a limbal approach, not being a service associated with a service to which item 42698, 42702, 42716, 42725 or 42731 applies 42722 01DEC1991 30JUN1998 N CAPSULECTOMY by posterior chamber sclerotomy OR REMOVAL OF VITREOUS or VITREOUS BANDS from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with any other intraocular operation on that eye 1 or both procedures 42722 01JUL1998 31OCT2005 N CAPSULECTOMY by posterior chamber sclerotomy OR REMOVAL OF VITREOUS or VITREOUS BANDS from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with a service to which item 42698, 42702 or 42716 applies - 1 or both procedures 42722 01NOV2005 31DEC9999 Y CAPSULECTOMY by posterior chamber sclerotomy OR REMOVAL OF VITREOUS or VITREOUS BANDS, or both, from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and infusion, not being a service associated with a service to which item 42698, 42702 or 42716 applies - 1 or both procedures 42725 01DEC1991 30JUN1998 N VITRECTOMY by posterior chamber sclerotomy including the removal of vitreous, division of bands or removal of preretinal membranes by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with any other intraocular operation on that eye, other than a service to which item 42728 applies 42725 01JUL1998 31OCT2005 N VITRECTOMY by posterior chamber sclerotomy including the removal of vitreous, division of bands or removal of preretinal membranes by cutting and suction and replacement by saline, Hartmann's or similar solution 42725 01NOV2005 31OCT2012 N VITRECTOMY by posterior chamber sclerotomy including the removal of vitreous, division of bands or removal of preretinal membranes where performed, by cutting and suction and infusion 42725 01NOV2012 30APR2017 N VITRECTOMY via pars plana sclerotomies including the removal of vitreous, division of bands or removal of epiretinal membranes 42725 01MAY2017 31DEC9999 Y Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy 42728 01DEC1991 31DEC9999 Y CRYOTHERAPY OF RETINA or other intraocular structures with an internal probe, being a service associated with a service to which item 42725 applies 42731 01DEC1991 31OCT2005 N CAPSULECTOMY or LENSECTOMY by posterior chamber sclerotomy in conjunction with the removal of vitreous or division of vitreous bands or removal of preretinal membrane from the posterior chamber by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with any other intraocular operation 42731 01NOV2005 31OCT2012 N CAPSULECTOMY or LENSECTOMY, or both, by posterior chamber sclerotomy in conjunction with the removal of vitreous or division of vitreous bands or removal of preretinal membrane from the posterior chamber by cutting and suction and infusion, not being a service associated with any other intraocular operation 42731 01NOV2012 31DEC9999 Y LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 42734 01DEC1991 30APR2017 N CAPSULOTOMY, other than by laser 42734 01MAY2017 31DEC9999 Y Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies 42737 01DEC1991 31DEC9999 Y NEEDLING OF POSTERIOR CAPSULE 42738 01MAR2012 31DEC9999 Y PARACENTESIS OF ANTERIOR CHAMBER OR VITREOUS CAVITY, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, 1 or more of, as an independent procedure. 42739 01MAR2012 28FEB2021 N PARACENTESIS OF ANTERIOR CHAMBER OR VITREOUS CAVITY, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, 1 or more of, as an independent procedure, for a patient requiring anaesthetic services. 42739 01MAR2021 30JUN2021 N PARACENTESIS OF ANTERIOR CHAMBER OR VITREOUS CAVITY, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, 1 or more of, as an independent procedure, for a patient requiring the administration of anaesthetic by a specialist anaesthetist. 42739 01JUL2021 31DEC9999 Y PARACENTESIS OF ANTERIOR CHAMBER OR VITREOUS CAVITY, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, one or more of, as an independent procedure, for a patient requiring the administration of anaesthetic by an anaesthetist. 42740 01DEC1991 31OCT2006 N PARACENTESIS OF ANTERIOR OR POSTERIOR CHAMBER OR BOTH, for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, 1 or more of 42740 01NOV2006 29FEB2012 N PARACENTESIS OF ANTERIOR OR POSTERIOR SEGMENT (including the vitreous) OR BOTH, for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, 1 or more of 42740 01MAR2012 31DEC9999 Y INTRAVITREAL INJECTION OF THERAPEUTIC SUBSTANCES, or the removal of vitreous humour for diagnostic purposes, 1 or more of, as a procedure associated with other intraocular surgery. 42741 01JUL2008 31DEC9999 Y Posterior juxtascleral depot injection of a therapeutic substance, for the treatment of subfoveal choroidal neovascularisation due to age-related macular degeneration, 1 or more of 42743 01DEC1991 31DEC9999 Y ANTERIOR CHAMBER, IRRIGATION OF BLOOD FROM, as an independent procedure 42744 01NOV2005 30JUN2014 N NEEDLING FOR DRAINAGE OF ENCYSTED BLEB, following trabeculectomy 42744 01JUL2014 31DEC9999 Y Needle revision of glaucoma filtration bleb, following glaucoma filtering procedure 42746 01DEC1991 31OCT2012 N GLAUCOMA, filtering operation for 42746 01NOV2012 31DEC9999 Y GLAUCOMA, filtering operation for, where conservative therapies have failed, are likely to fail, or are contraindicated 42749 01DEC1991 31DEC9999 Y GLAUCOMA, filtering operation for, where previous filtering operation has been performed 42752 01DEC1991 31OCT2012 N GLAUCOMA, insertion of Molteno valve for, 1 or more stages 42752 01NOV2012 31DEC9999 Y GLAUCOMA, insertion of drainage device incorporating an extraocular reservoir for, such as a Molteno device 42755 01DEC1991 31OCT2012 N GLAUCOMA, removal of Molteno valve 42755 01NOV2012 31DEC9999 Y GLAUCOMA, removal of drainage device incorporating an extraocular reservoir for, such as a Molteno device 42758 01DEC1991 30APR2017 N GONIOTOMY 42758 01MAY2017 31DEC9999 Y Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices 42761 01DEC1991 31DEC9999 Y DIVISION OF ANTERIOR OR POSTERIOR SYNECHIAE, as an independent procedure, other than by laser 42764 01DEC1991 31DEC9999 Y IRIDECTOMY (including excision of tumour of iris) OR IRIDOTOMY, as an independent procedure, other than by laser 42767 01DEC1991 31DEC9999 Y TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of 42770 01DEC1991 31OCT1996 N CYCLODIATHERMY OR CYCLOCRYOTHERAPY 42770 01NOV1996 31DEC9999 Y CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42771 01NOV2001 31DEC9999 Y CYCLODESTRUCTIVE PROCEDURES for the treatment of intractable glaucoma, treatment to one eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which 42770 applies) is indicated in a 2 year period (Anaes.) 42773 01DEC1991 31OCT2012 N DETACHED RETINA, diathermy or cryotherapy for, not being a service associated with a service to which item 42776 applies 42773 01NOV2012 31DEC9999 Y DETACHED RETINA, pneumatic retinopexy for, not being a service associated with a service to which item 42776 applies 42776 01DEC1991 31DEC9999 Y DETACHED RETINA, buckling or resection operation for 42779 01DEC1991 31OCT2012 N DETACHED RETINA, revision operation for 42779 01NOV2012 31DEC9999 Y DETACHED RETINA, revision of scleral buckling operation for 42782 01DEC1991 31OCT2012 N LASER TRABECULOPLASTY - each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period 42782 01NOV2012 31DEC9999 Y LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period 42783 19JUN1997 31OCT1997 N LASER TRABECULOPLASTY - each treatment to 1 eye - where it can be demonstrated that a 5th or subsequent treatment to that eye (including any treatments to which item 42782 applies) is indicated in a 2 year period 42783 01NOV1997 31OCT2012 N LASER TRABECULOPLASTY - each treatment to 1 eye - where it can be demonstrated that a 5th or subsequent treatment to that eye (including any treatments to which item 42782 applies) is indicated in a 2 year period 42783 01NOV2012 31DEC9999 Y LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye - where it can be demonstrated that a 5th or subsequent treatment to that eye (including any treatments to which item 42782 applies) is indicated in a 2 year period 42785 01DEC1991 31OCT2006 N LASER IRIDOTOMY - each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42785 01NOV2006 31OCT2018 N LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42785 01NOV2018 31DEC9999 Y LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period 42786 19JUN1997 31OCT1997 N LASER IRIDOTOMY - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42785 applies) is indicated in a 2 year period 42786 01NOV1997 31OCT2006 N LASER IRIDOTOMY - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42785 applies) is indicated in a 2 year period 42786 01NOV2006 31DEC9999 Y LASER IRIDOTOMY - each treatment episode to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42785 applies) is indicated in a 2 year period 42788 01DEC1991 31OCT2006 N LASER CAPSULOTOMY - each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42788 01NOV2006 30APR2017 N LASER CAPSULOTOMY - each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42788 01MAY2017 31DEC9999 Y Laser capsulotomy-each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period-other than a service associated with a service to which item 42702 applies 42789 19JUN1997 31OCT1997 N LASER CAPSULOTOMY - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42788 applies) is indicated in a 2 year period 42789 01NOV1997 31OCT2006 N LASER CAPSULOTOMY - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42788 applies) is indicated in a 2 year period 42789 01NOV2006 30APR2017 N LASER CAPSULOTOMY - each treatment episode to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42788 applies) is indicated in a 2 year period 42789 01MAY2017 31DEC9999 Y Laser capsulotomy-each treatment episode to one eye-if it can be demonstrated that a third or subsequent treatment to that eye (including any treatments to which item 42788 applies) is indicated in a 2 year period-other than a service associated with a service to which item 42702 applies 42791 01DEC1991 30APR2017 N LASER VITREOLYSIS OR CORTICOLYSIS OF LENS MATERIAL OR FIBRINOLYSIS -each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42791 01MAY2017 31OCT2018 N Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity-each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period 42791 01NOV2018 31DEC9999 Y Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity-each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period 42792 19JUN1997 31OCT1997 N LASER VITREOLYSIS OR CORTICOLYSIS OF LENS MATERIAL OR FIBRINOLYSIS - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42791 applies) is indicated in a 2 year period 42792 01NOV1997 30APR2017 N LASER VITREOLYSIS OR CORTICOLYSIS OF LENS MATERIAL OR FIBRINOLYSIS - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42791 applies) is indicated in a 2 year period 42792 01MAY2017 31DEC9999 Y Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity -each treatment to one eye-if it can be demonstrated that a third or subsequent treatment to that eye (including any treatments to which item 42791 applies) is indicated in a 2 year period 42794 01DEC1991 31OCT1994 N DIVISION OF SUTURE BY LASER - each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42794 01NOV1994 30JUN2014 N DIVISION OF SUTURE BY LASER following trabeculoplasty, each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42794 01JUL2014 31DEC9999 Y DIVISION OF SUTURE BY LASER following glaucoma filtration surgery, each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period 42797 01DEC1991 31DEC9999 Y LASER COAGULATION OF CORNEAL OR SCLERAL BLOOD VESSELS - each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period 42800 01DEC1991 31DEC9999 Y PTERYGIUM, removal by laser in 1 or more stages 42801 01NOV2006 31DEC9999 Y EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of 42802 01NOV2006 31DEC9999 Y EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of 42803 01DEC1991 31DEC9999 Y PINGUECULA, removal of by laser in 1 or more stages (not for contact lenses) 42805 01NOV2005 31DEC9999 Y TANTALUM MARKERS, surgical insertion to the sclera to localise the tumour base to assist in planning of radiotherapy of choroidal melanomas, 1 or more 42806 01DEC1991 31DEC9999 Y IRIS TUMOUR, laser photocoagulation of 42807 01MAY1997 31DEC9999 Y PHOTOMYDRIASIS, laser 42808 01MAY1997 30JUN2014 N PHOTOIRIDOSYNERESIS, laser 42808 01JUL2014 31DEC9999 Y Laser peripheral iridoplasty 42809 01DEC1991 31OCT2002 N RETINA, photocoagulation of 42809 01NOV2002 31DEC9999 Y RETINA, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin 42810 01NOV1996 31DEC9999 Y PHOTOTHERAPEUTIC KERATECTOMY, by laser, for corneal scarring or disease, excluding surgery for refractive error 42811 01NOV2005 31DEC9999 Y TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and retinal tumours or vascular malformations 42812 01DEC1991 31OCT2012 N DETACHED RETINA, removal of encircling silicone band from 42812 01NOV2012 31DEC9999 Y Removal of scleral buckling material, from an eye having undergone previous scleral buckling surgery 42815 01DEC1991 31OCT2012 N POSTERIOR CHAMBER, removal of silicone oil from 42815 01NOV2012 31DEC9999 Y VITREOUS CAVITY, removal of silicone oil or other liquid vitreous substitutes from, during a procedure other than that in which the vitreous substitute is inserted 42818 01DEC1991 31OCT2012 N RETINA, CRYOTHERAPY TO, as an independent procedure, with external probe 42818 01NOV2012 31DEC9999 Y RETINA, CRYOTHERAPY TO, as an independent procedure, or when performed in conjunction with item 42809 or 42770 42821 01DEC1991 31OCT2003 N RETROBULBAR TRANSILLUMINATION, as an independent procedure 42821 01NOV2003 31OCT2005 N OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours, as independent procedure 42821 01NOV2005 31DEC9999 Y OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours 42824 01DEC1991 31DEC9999 Y RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an independent procedure 42827 01DEC1991 31DEC9999 Y BOTULINUS TOXIN, injection of, for blepharospasm, including all such injections on any 1 day 42830 01DEC1991 31DEC9999 Y BOTULINUS TOXIN, injection of, for strabismus including all such injections on any 1 day and associated electromyography 42833 01DEC1991 31OCT2006 N SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES 42833 01NOV2006 31DEC9999 Y SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES on a patient aged 15 years or over 42836 01DEC1991 31OCT2006 N SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES where there have been 2 or more previous squint operations on the eye or eyes 42836 01NOV2006 31DEC9999 Y SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease 42839 01DEC1991 31OCT2006 N SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 OR MORE MUSCLES 42839 01NOV2006 31DEC9999 Y SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 OR MORE MUSCLES on a patient aged 15 years or over 42842 01DEC1991 31OCT2006 N SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 OR MORE MUSCLES where there have been 2 or more previous squint operations on the eye or eyes 42842 01NOV2006 31DEC9999 Y SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 or MORE MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease 42845 01DEC1991 31DEC9999 Y READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an independent procedure following an operation for correction of squint 42848 01DEC1991 31OCT2006 N SQUINT, muscle transplant for (Hummelsheim type, or similar operation) 42848 01NOV2006 31DEC9999 Y SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over 42851 01DEC1991 31OCT2006 N SQUINT, muscle transplant for (Hummelsheim type, or similar operation) where there have been 2 or more previous squint operations on the eye or eyes 42851 01NOV2006 31DEC9999 Y SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease 42854 01DEC1991 31DEC9999 Y RUPTURED MEDIAL PALPEBRAL LIGAMENT or ruptured EXTRAOCULAR MUSCLE, repair of 42857 01DEC1991 31DEC9999 Y RESUTURING OF WOUND FOLLOWING INTRAOCULAR PROCEDURES with or without excision of prolapsed iris 42860 01DEC1991 30JUN1998 N LID, upper or lower, scleral graft to, with recession of the lid retractors 42860 01JUL1998 31DEC9999 Y EYELID (upper or lower), scleral or Goretex or other non-autogenous graft to, with recession of the lid retractors 42863 01DEC1991 30JUN1998 N EYELID UPPER, recession of 42863 01JUL1998 31DEC9999 Y EYELID, recession of 42866 01DEC1991 30JUN1998 N ENTROPION, repair of, by tightening, shortening or repair of inferior retractors by open operation 42866 01JUL1998 31DEC9999 Y ENTROPION or TARSAL ECTROPION, repair of, by tightening, shortening or repair of inferior retractors by open operation across the entire width of the eyelid 42869 01DEC1991 31DEC9999 Y EYELID closure in facial nerve paralysis, insertion of foreign implant for 42872 01DEC1991 31OCT2018 N EYEBROW, elevation of, for paretic states 42872 01NOV2018 31DEC9999 Y EYEBROW, elevation of, by skin excision, to correct for a reduced field of vision caused by paretic, involutional, or traumatic eyebrow descent/ptosis to a position below the superior orbital rim 42875 01JUN2002 31DEC9999 Y Photodynamic therapy, first treatment on or after 1 June 2002, one eye, for patients having commenced therapy prior to 1 June 2002, (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wavelength of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) other than a service to which item 42887 applies. 42878 01JUN2002 31DEC9999 Y Photodynamic therapy, first treatment on or after 1 June 2002, both eyes, for patients having commenced therapy prior to 1 June 2002, (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wavelength of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) other than a service to which item 42996 applies. 42881 01JUN2002 31DEC9999 Y Photodynamic therapy, initial treatment, one eye, for patients commencing therapy after 1 June 2002, (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wavelength of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200). 42884 01JUN2002 31DEC9999 Y Photodynamic therapy, 2nd to 4th treatments on the same eye where it has been demonstrated that the patient is eligible for further treatments subsequent to item 42875 or 42878 or 42881, (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) 42887 01JUN2002 31DEC9999 Y Photodynamic therapy, 5th treatment on the same eye (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) 42990 01JUN2002 31DEC9999 Y Photodynamic therapy, 6th to 10th treatment on the same eye, where it has been demonstrated that the patient is eligible for further treatments subsequent to item 42875 or 42887, as the case may be, (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) 42991 01NOV2005 31DEC9999 Y Photodynamic therapy, 11th to 15th treatment on the same eye, subsequent to item 42990 (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) 42993 01JUN2002 31DEC9999 Y Photodynamic therapy, 2nd to 4th treatments on both eyes where it has been demonstrated that the patient is eligible for further treatments on both eyes subsequent to item 42875 or 42878 or 42881, (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200). 42996 01JUN2002 31DEC9999 Y Photodynamic therapy, 5th treatment on both eyes (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration and has received treatment under; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200). 42999 01JUN2002 31DEC9999 Y Photodynamic therapy, 6th to 10th treatment on both eyes where it has been demonstrated that the patient is eligible for further treatments on both eyes subsequent to item 42878 or item 42996, as the case may be, (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) 43000 01NOV2005 31DEC9999 Y Photodynamic therapy, 11th to 15th treatment on both eyes, subsequent to item 42999 (including the infusion of verteporfin continuously through a peripheral vein) using a non-thermal laser at a wave length of 689nm, for the treatment of patients: diagnosed at baseline with predominantly classic (>50%) subfoveal choroidal neovascularisation secondary to macular degeneration; and with a baseline best-corrected visual acuity equal to or better than 6/60 (20/200) 43002 01JUN2002 31DEC9999 Y Infusion of verteporfin for discontinued photodynamic therapy, where a session of therapy which would have been provided under item 42875, 42878, 42881, 42884, 42887, 42990, 42993, 42996 or 42999 has been discontinued on medical grounds 43005 01NOV2002 31DEC9999 Y Photodynamic therapy, one eye, for patients who commenced photodynamic therapy on that eye prior to 1 November 2002, initial treatment after 1 November 2002, including the infusion of verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation resulting from an ocular disease or condition, not being a service covered by items 42875 through to 42999 inclusive 43008 01NOV2002 31DEC9999 Y Photodynamic therapy, one eye, for patients who commenced photodynamic therapy on that eye prior to 1 November 2002, ongoing treatment following item 43005 or 43011, including the infusion of verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation resulting from an ocular disease or condition, not being a service covered by items 42875 through to 42999 inclusive 43011 01NOV2002 31DEC9999 Y Photodynamic therapy, both eyes, for patients who commenced photodynamic therapy prior to 1 November 2002, initial treatment after 1 November 2002, including the infusion of verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation resulting from an ocular disease or condition, not being a service covered by items 42875 through to 42999 inclusive 43014 01NOV2002 31DEC9999 Y Photodynamic therapy, both eyes, for patients who commenced photodynamic therapy prior to 1 November 2002, ongoing treatment following item 43005 or 43011, including the infusion of verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation resulting from an ocular disease or condition, not being a service covered by items 42875 through to 42999 inclusive 43017 01NOV2002 31DEC9999 Y Infusion of verteporfin for discontinued photodynamic therapy, where a session of therapy which would have been provided under item 43005, 43008, 43011 or 43014 has been discontinued on medical grounds 43021 01AUG2007 31DEC9999 Y Photodynamic therapy, one eye, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. 43022 01AUG2007 31DEC9999 Y Photodynamic therapy, both eyes, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. 43023 01AUG2007 31DEC9999 Y Infusion of Verteporfin for discontinued photodynamic therapy, where a session of therapy which would have been provided under item 43021 or 43022 has been discontinued on medical grounds. 43500 01DEC1991 31DEC9999 Y OPERATION ON PHALANX 43503 01DEC1991 31DEC9999 Y OPERATION ON STERNUM, CLAVICLE, RIB, ULNA, RADIUS, CARPUS, TIBIA, FIBULA, TARSUS, SKULL, MANDIBLE OR MAXILLA (other than alveolar margins) 1 BONE 43506 01DEC1991 31DEC9999 Y OPERATION ON HUMERUS OR FEMUR 1 BONE 43509 01DEC1991 31DEC9999 Y OPERATION ON SPINE OR PELVIC BONES 1 BONE 43512 01DEC1991 31DEC9999 Y OPERATION ON SCAPULA, STERNUM, CLAVICLE, RIB, ULNA, RADIUS, METACARPUS, CARPUS, PHALANX, TIBIA, FIBULA, METATARSUS, TARSUS, MANDIBLE OR MAXILLA (other than alveolar margins) 1 BONE or ANY COMBINATION OF ADJOINING BONES 43515 01DEC1991 31DEC9999 Y OPERATION ON HUMERUS OR FEMUR 1 BONE 43518 01DEC1991 31DEC9999 Y OPERATION ON SPINE OR PELVIC BONES 1 BONE 43521 01DEC1991 31DEC9999 Y OPERATION ON SKULL 43524 01DEC1991 31DEC9999 Y OPERATION ON ANY COMBINATION OF ADJOINING BONES, being bones referred to in item 43515, 43518 or 43521 43527 01JUL2021 31DEC9999 Y Operation on sternum, clavicle, rib, metacarpus, carpus, phalanx, metatarsus, tarsus, mandible or maxilla (other than alveolar margins), by open or arthroscopic means, for septic arthritis or osteomyelitis-one approach, inclusive of the adjoining joint (H) 43530 01JUL2021 31DEC9999 Y Operation on scapula, ulna, radius, tibia, fibula, humerus or femur, by open or arthroscopic means, for septic arthritis or osteomyelitis-one approach, inclusive of the adjoining joint 43533 01JUL2021 31DEC9999 Y Operation on spine or pelvic bones, by open or arthroscopic means, for septic arthritis or osteomyelitis-one approach, inclusive of the adjoining joint 43800 01DEC1991 31DEC9999 Y OPERATIONS FOR CORRECTION OF CONGENITAL ABNORMALITIES HYPERTELORISM, correction of 43801 01NOV1994 31DEC9999 Y INTESTINAL MALROTATION with or without volvulus, laparotomy for, not involving bowel resection 43803 01DEC1991 31DEC9999 Y CHOANAL ATRESIA, plastic repair of 43804 01NOV1994 31DEC9999 Y INTESTINAL MALROTATION with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma 43805 01SEP2015 30JUN2021 N UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, on a person under 10 years of age 43805 01JUL2021 31DEC9999 Y UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, on a patient under 10 years of age 43806 01DEC1991 31DEC9999 Y CHOANAL ATRESIA, repair of by puncture and dilatation 43807 01NOV1994 31DEC9999 Y DUODENAL ATRESIA or STENOSIS, duodenoduodenostomy or duodenojejunostomy for 43809 01DEC1991 31DEC9999 Y MACROCHEILIA, MACROGLOSSIA OR MACROSTOMIA, operation for 43810 01NOV1994 31DEC9999 Y JEJUNAL ATRESIA, bowel resection and anastomosis for, with or without tapering 43812 01DEC1991 31DEC9999 Y TORTICOLLIS, operation for 43813 01NOV1994 31DEC9999 Y MECONIUM ILEUS, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intesinal perforation with or without meconium peritonitis 43815 01DEC1991 31DEC9999 Y OESOPHAGUS, correction of congenital stenosis by oesophagectomy and anastomosis 43816 01NOV1994 31DEC9999 Y ILEAL ATRESIA, COLONIC ATRESIA OR MECONIUM ILEUS not being a service associated with a service to which item 43813 applies, laparotomy for 43818 01DEC1991 31DEC9999 Y TRACHEOOESOPHAGEAL FISTULA (with or without atresia), ligation and division of 43819 01NOV1994 31AUG2015 N HIRSCHSPRUNG'S DISEASE, laparotomy for, with or without frozen section biopsies and formation of stoma 43819 01SEP2015 31DEC9999 Y Agangliosis Coli, laparotomy for, with or without frozen section biopsies and formation of stoma 43821 01DEC1991 31DEC9999 Y OESOPHAGEAL ATRESIA, with or without fistula, correction of 43822 01NOV1994 31DEC9999 Y ANORECTAL MALFORMATION, laparotomy and colostomy for 43824 01DEC1991 31DEC9999 Y NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, with or without resection, including reduction of volvulus 43825 01NOV1994 31DEC9999 Y NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a service to which any other item in this Subgroup applies 43827 01DEC1991 31DEC9999 Y ANAL SPHINCTEROTOMY as an independent procedure for Hirschsprung's disease 43828 01NOV1994 31DEC9999 Y ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, with resection, including any anastomoses or stoma formation 43830 01DEC1991 31DEC9999 Y RECTOSIGMOIDECTOMY for Hirschsprung's disease 43831 01NOV1994 31DEC9999 Y ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no definitive procedure is possible, laparotomy for 43832 01SEP2015 30JUN2021 N BRANCHIAL FISTULA, on a person under 10 years of age. Removal of, 43832 01JUL2021 31DEC9999 Y Branchial fistula, removal of, on a patient under 10 years of age 43833 01DEC1991 31DEC9999 Y EXOMPHALOS OR GASTROSCHISIS, operation for 43834 01NOV1994 31DEC9999 Y BOWEL RESECTION for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation 43835 01SEP2015 30JUN2021 N STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection, on a person under 10 years of age 43835 01JUL2021 31DEC9999 Y STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection, on a patient under 10 years of age 43836 01DEC1991 31DEC9999 Y EXOMPHALOS OR GASTROSCHISIS, operation for, by plastic flap 43837 01NOV1994 31DEC9999 Y CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life 43838 01SEP2015 30JUN2021 N Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a person under 10 years of age 43838 01JUL2021 31DEC9999 Y Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a patient under 10 years of age 43839 01DEC1991 31DEC9999 Y ANORECTAL MALFORMATION, perineal anoplasty, primary or secondary repair 43840 01NOV1994 31DEC9999 Y CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age 43841 01SEP2015 30JUN2021 N Femoral or inguinal hernia or infantile hydrocele, repair of, on a person under 10 years of age, other than a service to which item 30651 or 43835 applies (H) 43841 01JUL2021 06JUL2021 N FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not being a service to which item 30403 or 43835 applies, on a patient under 10 years of age 43841 07JUL2021 06AUG2021 N Femoral or inguinal hernia or infantile hydrocele, repair of, on a patient under 10 years of age, other than a service to which item 30651 or 43835 applies (H) (Anaes.) (Assist.) 43841 07AUG2021 31DEC9999 Y Femoral or inguinal hernia or infantile hydrocele, repair of, on a patient under 10 years of age, other than a service to which item 30651 or 43835 applies (H) 43842 01DEC1991 31DEC9999 Y ANORECTAL MALFORMATION, rectoplasty, primary or secondary repair, not being a service to which item 43839 applies 43843 01NOV1994 31DEC9999 Y OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies 43845 01DEC1991 31DEC9999 Y CONTRACTED BLADDER NECK (congenital), wedge excision or perurethral resection of 43846 01NOV1994 31DEC9999 Y OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams 43848 01DEC1991 31DEC9999 Y URACHAL FISTULA, operation for 43849 01NOV1994 31DEC9999 Y OESOPHAGEAL ATRESIA, gastrostomy for 43851 01DEC1991 31DEC9999 Y SPHINCTER RECONSTRUCTION for ectopia vesicae, ectopia cloacae or congenital incontinence 43852 01NOV1994 31AUG2015 N OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis 43852 01SEP2015 31DEC9999 Y OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis 43854 01DEC1991 31DEC9999 Y URETHRAL VALVES OR URETHRAL MEMBRANE, open removal of 43855 01NOV1994 31DEC9999 Y OESOPHAGEAL ATRESIA, delayed primary anastomosis for 43857 01DEC1991 31DEC9999 Y LYMPHANGIECTASIS OF LIMB (Milroy's disease) limited excision of 43858 01NOV1994 31AUG2015 N OESOPHAGEAL ATRESIA, cervical oesophagostomy for 43858 01SEP2015 31DEC9999 Y OESOPHAGEAL ATRESIA, cervical oesophagostomy for 43860 01DEC1991 31DEC9999 Y LYMPHANGIECTASIS OF LIMB (Milroy's disease) - radical excision of 43861 01NOV1994 31DEC9999 Y CONGENITAL CYSTADENOMATOID MALFORMATION OR CONGENITAL LOBAR EMPHYSEMA, thoracotomy and lung resection for 43864 01NOV1994 31DEC9999 Y GASTROSCHISIS, operation for 43867 01NOV1994 31AUG2015 N GASTROSCHISIS, secondary operation for, with removal of silo and closure of abdominal wall 43867 01SEP2015 31DEC9999 Y GASTROSCHISIS or Exomphalos, secondary operation for, with removal of silo 43870 01NOV1994 31DEC9999 Y EXOMPHALOS containing small bowel only, operation for 43873 01NOV1994 31DEC9999 Y EXOMPHALOS containing small bowel and other viscera, operation for 43876 01NOV1994 31DEC9999 Y SACROCOCCYGEAL TERATOMA, excision of, by posterior approach 43879 01NOV1994 31DEC9999 Y SACROCOCCYGEAL TERATOMA, excision of, by combined posterior and abdominal approach 43882 01NOV1994 31OCT2022 N CLOACAL EXSTROPHY, operation for 43882 01NOV2022 31DEC9999 Y Cloacal exstrophy, operation for (H) 43900 01NOV1994 31DEC9999 Y TRACHEO-OESOPHAGEAL FISTULA without atresia, division and repair of 43903 01NOV1994 31DEC9999 Y OESOPHAGEAL ATRESIA or CORROSIVE OESOPHAGEAL STRICTURE, oesophageal replacement for, utilizing gastric tube, jejunum or colon 43906 01NOV1994 31DEC9999 Y OESOPHAGUS, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies 43909 01NOV1994 31DEC9999 Y TRACHEOMALACIA, aortopexy for 43912 01NOV1994 31DEC9999 Y THORACOTOMY and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma 43915 01NOV1994 31AUG2015 N EVENTRATION, plication of diaphragm for 43915 01SEP2015 31DEC9999 Y EVENTRATION, plication of diaphragm for 43930 01NOV1994 31DEC9999 Y HYPERTROPHIC PYLORIC STENOSIS, pyloromyotomy for 43933 01NOV1994 31DEC9999 Y IDIOPATHIC INTUSSUSCEPTION, laparotomy and manipulative reduction of 43936 01NOV1994 31DEC9999 Y INTUSSUSCEPTION, laparotomy and resection with anastomosis 43939 01NOV1994 31DEC9999 Y VENTRAL HERNIA following neonatal closure of exomphalos or gastroschisis, repair of 43942 01NOV1994 31AUG2015 N ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of 43942 01SEP2015 31DEC9999 Y ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of 43945 01NOV1994 31DEC9999 Y PATENT VITELLO INTESTINAL DUCT, excision of 43948 01NOV1994 31AUG2015 N UMBILICAL GRANULOMA, excision of, under general anaesthesia 43948 01SEP2015 31DEC9999 Y UMBILICAL GRANULOMA, excision of, under general anaesthesia 43951 01NOV1994 31DEC9999 Y GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy 43954 01NOV1994 31DEC9999 Y GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy 43957 01NOV1994 31DEC9999 Y GASTRO-OESOPHAGEAL REFLUX, LAPAROTOMY AND FUNDOPLICATION for, with or without hiatus hernia, in child with neurological disease, with gastrostomy 43960 01NOV1994 31DEC9999 Y ANORECTAL MALFORMATION, perineal anoplasty of 43963 01NOV1994 31DEC9999 Y ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of 43966 01NOV1994 31DEC9999 Y ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of, with laparotomy 43969 01NOV1994 31DEC9999 Y PERSISTENT CLOACA, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy 43972 01NOV1994 31DEC9999 Y CHOLEDOCHAL CYST, resection of, with 1 duct anastomosis 43975 01NOV1994 31DEC9999 Y CHOLEDOCHAL CYST, resection of, with 2 duct anastomoses 43978 01NOV1994 31DEC9999 Y BILIARY ATRESIA, portoenterostomy for 43981 01NOV1994 31DEC9999 Y NEPHROBLASTOMA, NEUROBLASTOMA OR OTHER MALIGNANT TUMOUR, laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed 43984 01NOV1994 31DEC9999 Y NEPHROBLASTOMA, radical nephrectomy for 43987 01NOV1994 31DEC9999 Y NEUROBLASTOMA, radical excision of 43990 01NOV1994 31AUG2015 N HIRSCHSPRUNG'S DISEASE, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon 43990 01SEP2015 31DEC9999 Y Aganglionosis Coli, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon 43993 01NOV1994 31AUG2015 N HIRSCHSPRUNG'S DISEASE, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends into descending or transverse colon with or without resiting of stoma 43993 01SEP2015 31DEC9999 Y Aganglionosis Coli, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends into descending or transverse colon with or without resiting of stoma 43996 01NOV1994 31AUG2015 N HIRSCHSPRUNG'S DISEASE, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolic anastomosis 43996 01SEP2015 31DEC9999 Y Aganglionosis Coli, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolic anastomosis 43999 01NOV1994 31AUG2015 N HIRSCHSPRUNG'S DISEASE, anal sphincterotomy as an independent procedure for 43999 01SEP2015 31DEC9999 Y Aganglionosis Coli, anal sphincterotomy as an independent procedure for 44100 01DEC1991 31DEC9999 Y OPERATIONS FOR EXCISION OF CONGENITAL ABNORMALITIES EXTRA DIGIT, ligation of pedicle 44101 01SEP2015 30JUN2021 N RECTUM, examination of, on a person under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion 44101 01JUL2021 31DEC9999 Y RECTUM, examination of, on a patient under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion 44102 01NOV1994 31AUG2015 N RECTUM, examination of, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion 44102 01SEP2015 30JUN2021 N RECTUM, examination of, on a person 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion 44102 01JUL2021 31DEC9999 Y RECTUM, examination of, on a patient 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion 44103 01DEC1991 31DEC9999 Y EXTRA DIGIT, amputation of 44104 01SEP2015 30JUN2021 N RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, on a person under 2 years of age, under general anaesthesia 44104 01JUL2021 31DEC9999 Y RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, on a patient under 2 years of age, under general anaesthesia 44105 01NOV1994 31AUG2015 N RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, under general anaesthesia 44105 01SEP2015 30JUN2021 N RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, on a person 2 years of age or over, under general anaesthesia 44105 01JUL2021 31DEC9999 Y RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, on a patient 2 years of age or over, under general anaesthesia 44106 01DEC1991 31DEC9999 Y DERMOID, periorbital or superficial nasal, excision of 44107 01DEC1991 31DEC9999 Y DERMOID, periorbital or superficial nasal, excision of 44108 01NOV1994 31AUG2015 N INGUINAL HERNIA repair at age less than 3 months 44108 01SEP2015 31OCT2022 N INGUINAL HERNIA repair at age less than 12 months 44108 01NOV2022 31DEC9999 Y Inguinal hernia, laparoscopic or open repair of, at age less than 12 months (H) 44110 01DEC1991 31DEC9999 Y DERMOID, ORBITAL, excision of 44111 01NOV1994 31AUG2015 N OBSTRUCTED OR STRANGULATED INGUINAL HERNIA, repair of, at age less than 3 months, including orchidopexy when performed 44111 01SEP2015 31OCT2022 N OBSTRUCTED OR STRANGULATED INGUINAL HERNIA, repair, at age, less than 12 months including orchidopexy when performed 44111 01NOV2022 31DEC9999 Y Obstructed or strangulated inguinal hernia, laparoscopic or open repair of, at age less than 12 months, including orchidopexy when performed (H) 44113 01DEC1991 31DEC9999 Y DERMOID OF NOSE, excision of, with intranasal extension 44114 01NOV1994 31AUG2015 N INGUINAL HERNIA repair at age less than 3 months when orchidopexy also required 44114 01SEP2015 31OCT2022 N INGUINAL HERNIA repair at age less than 12 months when orchidopexy also required 44114 01NOV2022 31DEC9999 Y Inguinal hernia, laparoscopic or open repair of, at age less than 12 months when orchidopexy also required (H) 44130 01NOV1994 31DEC9999 Y LYMPHADENECTOMY, for atypical mycobacterial infection or other granulomatous disease 44133 01NOV1994 31DEC9999 Y TORTICOLLIS, open division of sternomastoid muscle for 44136 01NOV1994 31DEC9999 Y INGROWN TOE NAIL, operation for, under general anaesthesia 44300 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44301 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44304 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44305 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44308 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44309 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44312 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44313 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44316 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44317 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44320 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44321 01DEC1991 31DEC9999 Y Historical item included for item mapping purposes 44324 01DEC1991 31DEC9999 Y HAND, MIDCARPAL OR TRANSMETACARPAL 44325 01DEC1991 31OCT1999 N HAND, MIDCARPAL OR TRANSMETACARPAL 44325 01NOV1999 30JUN2021 N HAND, MIDCARPAL OR TRANSMETACARPAL, amputation of 44325 01JUL2021 31DEC9999 Y Amputation of hand, transcarpal (H) 44328 01DEC1991 31OCT1999 N HAND, FOREARM OR THROUGH ARM 44328 01NOV1999 30JUN2021 N HAND, FOREARM OR THROUGH ARM, amputation of 44328 01JUL2021 31DEC9999 Y Amputation of hand, proximal to wrist radiocarpal joint, through forearm (H) 44331 01DEC1991 31OCT1999 N AT SHOULDER 44331 01NOV1999 31DEC9999 Y AMPUTATION AT SHOULDER 44334 01DEC1991 31OCT1999 N INTERSCAPULOTHORACIC 44334 01NOV1999 31DEC9999 Y INTERSCAPULOTHORACIC AMPUTATION 44337 01DEC1991 31DEC9999 Y 1 DIGIT of foot 44338 01DEC1991 31OCT1999 N 1 DIGIT of foot 44338 01NOV1999 30JUN2021 N 1 DIGIT of foot, amputation of 44338 01JUL2021 31DEC9999 Y Amputation of one digit of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) 44341 01DEC1991 31DEC9999 Y 2 DIGITS of 1 foot 44342 01DEC1991 31OCT1999 N 2 DIGITS of 1 foot 44342 01NOV1999 30JUN2021 N 2 DIGITS of 1 foot, amputation of 44342 01JUL2021 31DEC9999 Y Amputation of 2 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) 44345 01DEC1991 31DEC9999 Y 3 DIGITS of 1 foot 44346 01DEC1991 31OCT1999 N 3 DIGITS of 1 foot 44346 01NOV1999 30JUN2021 N 3 DIGITS of 1 foot, amputation of 44346 01JUL2021 31DEC9999 Y Amputation of 3 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) 44349 01DEC1991 31DEC9999 Y 4 DIGITS of 1 foot 44350 01DEC1991 31OCT1999 N 4 DIGITS of 1 foot 44350 01NOV1999 30JUN2021 N 4 DIGITS of 1 foot, amputation of 44350 01JUL2021 31DEC9999 Y Amputation of 4 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) 44353 01DEC1991 31DEC9999 Y 5 DIGITS of 1 foot 44354 01DEC1991 31OCT1999 N 5 DIGITS of 1 foot 44354 01NOV1999 30JUN2021 N 5 DIGITS of 1 foot, amputation of 44354 01JUL2021 31DEC9999 Y Amputation of 5 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) 44357 01DEC1991 31DEC9999 Y TOE, including metatarsal or part of metatarsal each toe 44358 01DEC1991 31OCT1999 N TOE, including metatarsal or part of metatarsal each toe 44358 01NOV1999 30JUN2021 N TOE, including metatarsal or part of metatarsal each toe , amputation of 44358 01JUL2021 31DEC9999 Y Amputation of one ray of one foot, proximal to the metatarsal head, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover or recontouring with homodigital flaps (H) 44359 01NOV1999 30JUN2021 N ONE OR MORE TOES OF ONE FOOT, amputation of, including if performed, excision of 1 or more metatarsal bones of the foot, performed for diabetic or other microvascular disease, excluding aftercare 44359 01JUL2021 31DEC9999 Y Amputation of one or more toes of one foot, or amputation at midfoot or hindfoot of one foot, for diabetic or other microvascular disease; (a) including any of the following (if performed): (i) resection of bone; (ii) excision of neuromas; (iii) excision of one or more bones of the foot; (iv) treatment of underlying infection; (v) skin cover or recontouring with homodigital flaps; and (b) excluding aftercare; -applicable only once per foot per occasion on which the service is performed (H) 44361 01DEC1991 31OCT1999 N FOOT AT ANKLE (Syme, Pirogoff types) 44361 01NOV1999 30JUN2021 N FOOT AT ANKLE (Syme, Pirogoff types), amputation of 44361 01JUL2021 31DEC9999 Y Amputation of foot, at ankle or hindfoot, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) 44364 01DEC1991 31OCT1999 N FOOT, MIDTARSAL OR TRANSMETATARSAL 44364 01NOV1999 30JUN2021 N FOOT, MIDTARSAL OR TRANSMETATARSAL, amputation of 44364 01JUL2021 31DEC9999 Y Amputation of foot, transtarsal, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) 44367 01DEC1991 31OCT1999 N THROUGH THIGH, AT KNEE OR BELOW KNEE 44367 01NOV1999 30JUN2021 N AMPUTATION THROUGH THIGH, AT KNEE OR BELOW KNEE 44367 01JUL2021 14JUL2021 N Amputation through thigh, at knee or below knee (H) (Anaes.) (Assist.) 44367 15JUL2021 31DEC9999 Y Amputation through thigh, at knee or below knee (H) 44370 01DEC1991 31OCT1999 N AT HIP 44370 01NOV1999 31DEC9999 Y AMPUTATION AT HIP 44373 01DEC1991 31OCT1999 N HINDQUARTER 44373 01NOV1999 31DEC9999 Y HINDQUARTER, amputation of 44376 01DEC1991 30JUN2021 N AMPUTATION STUMP, reamputation of, to provide adequate skin and muscle cover 44376 01JUL2021 14JUL2021 N Amputation stump, re?amputation of, to provide adequate skin and muscle cover (Anaes.) (Assist.) 44376 15JUL2021 31DEC9999 Y Amputation stump, re-amputation of, to provide adequate skin and muscle cover 45000 01DEC1991 31OCT2016 N "METICULOUS REPAIR DESIGNED TO OBTAIN MAXIMUM FUNCTIONAL RESULTS INCLUDING THE PREPARATION OF THE DEFECT REQUIRING REPAIR (Note: See Explanatory notes to this Category for definition of ""Local skin flap"") SINGLE STAGE LOCAL MUSCLE FLAP REPAIR, on eyelid, nose, lip, neck, hand, thumb, finger or genitals" 45000 01NOV2016 30JUN2023 N Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals not in association with any of items 31356 to 31376 45000 01JUL2023 31DEC9999 Y Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals not in association with any of items 31356 to 31383 45003 01DEC1991 31OCT2016 N SINGLE STAGE LOCAL MYOCUTANEOUS FLAP REPAIR to 1 defect, simple and small 45003 01NOV2016 30JUN2023 N Single stage local myocutaneous flap repair to one defect, simple and small not in association with any of items 31356 to 31376 45003 01JUL2023 31DEC9999 Y Single stage local myocutaneous flap repair to one defect, simple and small not in association with any of items 31356 to 31383 45006 01DEC1991 30JUN2023 N SINGLE STAGE LARGE MYOCUTANEOUS FLAP REPAIR to 1 defect, (pectoralis major, latissimus dorsi, or similar large muscle) 45006 01JUL2023 31DEC9999 Y Single stage large myocutaneous flap repair to one defect (pectoralis major, latissimus dorsi, or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) 45009 01DEC1991 28FEB2023 N SINGLE STAGE LOCAL muscle flap repair to 1 defect, simple and small 45009 01MAR2023 31DEC9999 Y Single stage local muscle flap repair to 1 defect, simple and small, other than a service associated with a service to which item 30278, 30281 or 41722 applies (H) 45012 01DEC1991 30JUN2023 N SINGLE STAGE LARGE MUSCLE FLAP REPAIR to 1 defect, (pectoralis major, gastrocnemius, gracilis or similar large muscle) 45012 01JUL2023 31DEC9999 Y Single stage large muscle flap repair to one defect (pectoralis major, gastrocnemius, gracilis or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) 45015 01DEC1991 31DEC9999 Y MUSCLE OR MYOCUTANEOUS FLAP, delay of 45018 01DEC1991 31OCT2016 N DERMIS, DERMOFAT OR FASCIA GRAFT (excluding transfer of fat by injection) 45018 01NOV2016 31OCT2018 N Dermis, dermofat or fascia graft (excluding transfer of fat by injection), if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items 40300 to 40351 45018 01NOV2018 31OCT2020 N Dermis, dermofat or fascia graft (excluding transfer of fat by injection), if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items 51011 to 51171 45018 01NOV2020 31DEC9999 Y Dermis, dermofat or fascia graft (other than transfer of fat by injection): (a) if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items 51011 to 51171; and (b) other than a service associated with a service to which item 39615, 39715, 40106 or 40109 applies 45019 19JUN1997 31OCT1997 N FULL FACE CHEMICAL PEEL for severely sun-damaged skin, where it can be demonstrated that the damage affects 75% of the facial skin surface area involving photodamage (dermatoheliosis) typically consisting of solar keratoses, solar lentigines, freckling, yellowing and leathering of the skin, where at least medium depth peeling agents are used, performed in the operating theatre of a hospital or approved day-hospital facility by a specialist in the practice of his or her specialty - 1 session only in a 12 month period 45019 01NOV1997 31OCT2018 N FULL FACE CHEMICAL PEEL for severely sun-damaged skin, where it can be demonstrated that the damage affects 75% of the facial skin surface area involving photodamage (dermatoheliosis) typically consisting of solar keratoses, solar lentigines, freckling, yellowing and leathering of the skin, where at least medium depth peeling agents are used, performed in the operating theatre of a hospital by a specialist in the practice of his or her specialty - 1 session only in a 12 month period 45019 01NOV2018 31DEC9999 Y Full face chemical peel for severely sun-damaged skin, if: (a) the damage affects at least 75% of the facial skin surface area; and (b) the damage involves photo-damage (dermatoheliosis); and (c) the photo-damage involves: (i) a solar keratosis load exceeding 30 individual lesions; or (ii) solar lentigines; or (iii) freckling, yellowing or leathering of the skin; or (iv) solar kertoses which have proven refractory to, or recurred following, medical therapies; and (d) at least medium depth peeling agents are used; and (e) the chemical peel is performed in the operating theatre of a hospital by a medical practitioner recognised as a specialist in the specialty of dermatology or plastic surgery. Applicable once only in any 12 month period 45020 19JUN1997 31OCT1997 N FULL FACE CHEMICAL PEEL for severe chloasma or melasma refractory to all other treatments, where it can be demonstrated that the chloasma or melasma affects 75% of the facial skin surface area involving diffuse pigmentation visible at a distance of 4 metres, where at least medium depth peeling agents are used, performed in the operating theatre of a hospital or approved day-hospital facility by a specialist in the practice of his or her specialty - 1 session only in a 12 month period 45020 01NOV1997 31DEC9999 Y FULL FACE CHEMICAL PEEL for severe chloasma or melasma refractory to all other treatments, where it can be demonstrated that the chloasma or melasma affects 75% of the facial skin surface area involving diffuse pigmentation visible at a distance of 4 metres, where at least medium depth peeling agents are used, performed in the operating theatre of a hospital by a specialist in the practice of his or her specialty - 1 session only in a 12 month period 45021 01DEC1991 28FEB1999 N ABRASIVE THERAPY, limited to 1 aesthetic area 45021 01MAR1999 31OCT1999 N ABRASIVE THERAPY for serverely scarring resulting from trauma, burns or cystic acne - limited to 1 aesthetic area 45021 01NOV1999 30JUN2023 N ABRASIVE THERAPY for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area 45021 01JUL2023 31DEC9999 Y Abrasive therapy for severely disfiguring scarring of face resulting from trauma, burns or acne, if sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes-limited to one claim per patient per episode 45024 01DEC1991 28FEB1999 N ABRASIVE THERAPY to more than 1 aesthetic area 45024 01MAR1999 31OCT1999 N ABRASIVE THERAPY for severey disfiguring scarring resulting from trauma, burns or cystic acne - more than 1 aesthetic area 45024 01NOV1999 31DEC9999 Y ABRASIVE THERAPY for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area 45025 01NOV1995 31OCT1999 N CARBON DIOXIDE LASER resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or cystic acne - limited to 1 aesthetic area 45025 01NOV1999 31OCT2007 N CARBON DIOXIDE LASER OR ERBIUM LASER resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area 45025 01NOV2007 31DEC9999 Y CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area 45026 01NOV1995 31OCT1999 N CARBON DIOXIDE LASER resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or cystic acne - more than 1 aesthetic area 45026 01NOV1999 31OCT2007 N CARBON DIOXIDE LASER OR ERBIUM LASER resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area 45026 01NOV2007 31DEC9999 Y CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area 45027 01DEC1991 30JUN2023 N ANGIOMA, cauterisation of or injection into, where undertaken in the operating theatre of a hospital 45027 01JUL2023 29FEB2024 N Vascular anomaly, cauterisation of or injection into, if undertaken in the operating theatre of a hospital 45027 01MAR2024 31DEC9999 Y Vascular anomaly, cauterisation of or injection into, if undertaken in the operating theatre of a hospital (H) 45030 01DEC1991 31OCT1994 N ANGIOMA OF SKIN and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of 45030 01NOV1994 30JUN2023 N ANGIOMA (haemangioma or lymphangioma or both) of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of 45030 01JUL2023 31DEC9999 Y Vascular anomaly, of skin, mucous membrane and/or subcutaneous tissue, small, excision and suture of 45033 01DEC1991 30JUN1993 N ANGIOMA OF FACIAL MUSCLE OR BREAST, large or involving deeper tissue, excision and suture of 45033 01JUL1993 31OCT1994 N ANGIOMA, large or involving deeper tissue including facial muscle or breast, excision and suture of 45033 01NOV1994 30JUN2023 N ANGIOMA, (haemangioma or lymphangioma or both), large or involving deeper tissue including facial muscle or breast, excision and suture of 45033 01JUL2023 31DEC9999 Y Vascular anomaly, large or involving deeper tissue including facial muscle, excision and suture of 45035 01NOV1994 30JUN2023 N ANGIOMA (haemangioma or lymphangioma or both), large and deep, involving muscles or nerves, excision of 45035 01JUL2023 31DEC9999 Y Vascular anomaly, large, deep, and involving major neurovascular structures, excision of, including dissection of muscles, nerves or major vessels (H) 45036 01DEC1991 31OCT1994 N ANGIOMA OF NECK, deep, excision of 45036 01NOV1994 30JUN2023 N ANGIOMA (haemangioma or lymphangioma or both) of neck, deep, excision of 45036 01JUL2023 31DEC9999 Y Vascular anomaly, of neck, deep and involving major neurovascular structures, excision of, including dissection of cranial nerves and major vessels (H) 45039 01DEC1991 31DEC9999 Y ARTERIOVENOUS MALFORMATION (3 centimetres or less) of superficial tissue, excision of 45042 01DEC1991 31DEC9999 Y ARTERIOVENOUS MALFORMATION, (greater than 3 centimetres), excision of 45045 01DEC1991 30JUN1993 N ARTERIOVENOUS MALFORMATION on eyelid, nose, lip, neck, hand, thumb, finger or genitals, excision of 45045 01JUL1993 30JUN2023 N ARTERIOVENOUS MALFORMATION on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of 45045 01JUL2023 31DEC9999 Y Vascular anomaly on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of 45048 01DEC1991 31OCT1994 N LYMPHOEDEMATOUS TISSUE of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of 45048 01NOV1994 31DEC9999 Y LYMPHOEDEMATOUS tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of 45051 01DEC1991 30JUN1993 N FOREIGN IMPLANT, (non biological), insertion of, for contour reconstruction for pathological deformity 45051 01JUL1993 31OCT2015 N CONTOUR RECONSTRUCTION for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation 45051 01NOV2015 31OCT2018 N Contour reconstruction for open repair of contour defects, due to deformity, requiring insertion of a non-biological implant, if it can be demonstrated that contour reconstructive surgery is indicated because the deformity is secondary to congenital absence of tissue or has arisen from trauma (other than trauma from previous cosmetic surgery), excluding the following: (a) insertion of a non-biological implant that is a component of another service listed in Group T8; (b) injection of liquid or semisolid material; (c) oral and maxillofacial implant services provided under item 52321; (d) services to insert mesh 45051 01NOV2018 31DEC9999 Y Contour reconstruction by open repair of contour defects, due to deformity, if: (a) contour reconstructive surgery is indicated because the deformity is secondary to congenital absence of tissue or has arisen from trauma (other than trauma from previous cosmetic surgery); and (b) insertion of a non-biological implant is required, other than one or more of the following: (i) insertion of a non-biological implant that is a component of another service specified in Group T8; (ii) injection of liquid or semisolid material; (iii) an oral and maxillofacial implant service to which item 52321 applies; (iv) a service to insert mesh; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45054 01NOV1999 30JUN2023 N LIMB OR CHEST, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn 45054 01JUL2023 31DEC9999 Y Limb or chest, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (H) 45060 01NOV2018 31DEC9999 Y Developmental breast abnormality, single stage correction of, if: (a) the correction involves either: (i) bilateral mastopexy for symmetrical tubular breasts; or (ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided 45061 01NOV2018 31DEC9999 Y Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if: (a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes. Applicable only once per occasion on which the service is provided 45062 01NOV2018 31DEC9999 Y Developmental breast abnormality, 2 stage correction of, second stage, involving surgery on both breasts with a combination of exchange of one or more tissue expanders for one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if: (a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes. Applicable only once per occasion on which the service is provided 45200 01DEC1991 31OCT2006 N "SKIN FLAP SURGERY (Note: See Explanatory notes to this Category for definition of ""Local skin flap"") SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, simple and small, excluding flap for male pattern baldness" 45200 01NOV2006 31OCT2016 N "(Note: See Explanatory notes to this Category for definition of ""Local skin flap"") SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, simple and small, excluding flap for male pattern baldness and excluding H-flap or double advancement flap" 45200 01NOV2016 30JUN2023 N Single stage local flap, if indicated to repair one defect, simple and small, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31376 45200 01JUL2023 31DEC9999 Y Single stage local flap, if indicated to repair one defect, simple and small, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31383 45201 01NOV2016 31OCT2018 N Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion (only in association with items 31000, 31001, 31002, 31358, 31359, 31360, 31363, 31364, 31369, 31370, 31371, 31373 or 31376)-may be claimed only once per defect 45201 01NOV2018 30JUN2023 N Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion (only in association with items 31000, 31001, 31002, 31003, 31004, 31005, 31358, 31359, 31360, 31363, 31364, 31369, 31370, 31371, 31373 or 31376)-may be claimed only once per defect 45201 01JUL2023 31DEC9999 Y Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion (only in association with items 31000, 31001, 31002, 31003, 31004, 31005, 31358, 31359, 31360, 31363, 31364, 31369, 31370, 31371, 31373, 31376, 31378, 31380 or 31383)-may be claimed only once per defect 45202 01NOV2016 31DEC9999 Y Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion in a patient, if the clinical relevance of the procedure is clearly annotated in the patient's record and either: (a) item 45201 applies and additional flap repair is required for the same defect; or (b) item 45201 does not apply and either: (i) the patient has severe pre-existing scarring, severe skin atrophy or sclerodermoid changes; or (ii) the repair is contiguous with a free margin 45203 01DEC1991 31OCT2006 N SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness 45203 01NOV2006 31OCT2016 N SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness and excluding H-flap or double advancement flap 45203 01NOV2016 30JUN2023 N Single stage local flap, if indicated to repair one defect, complicated or large, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31376 45203 01JUL2023 31DEC9999 Y Single stage local flap, if indicated to repair one defect, complicated or large, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31383 45206 01DEC1991 30JUN1993 N SINGLE STAGE LOCAL FLAP where indicated to repair 1 defect, on eyelid, nose, lip, neck, hand, thumb, finger or genitals 45206 01JUL1993 31OCT2006 N SINGLE STAGE LOCAL FLAP where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals 45206 01NOV2006 31OCT2016 N SINGLE STAGE LOCAL FLAP where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, and excluding H-flap or double advancement flap 45206 01NOV2016 30JUN2023 N Single stage local flap if indicated to repair one defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals and excluding H-flap or double advancement flap not in association with any of items 31356 to 31376 45206 01JUL2023 31DEC9999 Y Single stage local flap if indicated to repair one defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals and excluding H-flap or double advancement flap not in association with any of items 31356 to 31383 45207 01NOV2006 31OCT2016 N H-FLAP OR DOUBLE ADVANCEMENT FLAP where indicated to repair 1 defect, on eyelid, eyebrow or forehead 45207 01NOV2016 30JUN2023 N H-flap or double advancement flap if indicated to repair one defect, on eyelid, eyebrow or forehead not in association with any of items 31356 to 31376 45207 01JUL2023 31DEC9999 Y H-flap or double advancement flap if indicated to repair one defect, on eyelid, eyebrow or forehead not in association with any of items 31356 to 31383 45209 01DEC1991 30JUN2023 N DIRECT FLAP REPAIR (cross arm, abdominal or similar), first stage 45209 01JUL2023 29FEB2024 N Pedicled flap repair (forehead, cross arm, cross leg, abdominal or similar), first stage of a multistage procedure 45209 01MAR2024 31DEC9999 Y Pedicled flap repair (forehead, cross arm, cross leg, abdominal or similar), first stage of a multistage procedure (H) 45212 01DEC1991 30JUN2023 N DIRECT FLAP REPAIR (cross arm, abdominal or similar), second stage 45212 01JUL2023 31DEC9999 Y Pedicled flap repair (forehead, cross arm, cross leg, abdominal or similar), subsequent stage of a multistage procedure 45215 01DEC1991 31DEC9999 Y DIRECT FLAP REPAIR, cross leg, first stage 45218 01DEC1991 31DEC9999 Y DIRECT FLAP REPAIR, cross leg, second stage 45221 01DEC1991 31DEC9999 Y DIRECT FLAP REPAIR, small (cross finger or similar), first stage 45224 01DEC1991 31DEC9999 Y DIRECT FLAP REPAIR, small (cross finger or similar), second stage 45227 01DEC1991 31DEC9999 Y INDIRECT FLAP OR TUBED PEDICLE, formation of 45230 01DEC1991 31DEC9999 Y DIRECT OR INDIRECT FLAP OR TUBED PEDICLE, delay of 45233 01DEC1991 31DEC9999 Y INDIRECT FLAP OR TUBED PEDICLE, preparation of intermediate or final site and attachment to the site 45236 01DEC1991 31DEC9999 Y INDIRECT FLAP OR TUBED PEDICLE, spreading of pedicle, as a separate procedure 45239 01DEC1991 31OCT2006 N DIRECT, INDIRECT OR LOCAL FLAP, revision of 45239 01NOV2006 30JUN2023 N DIRECT, INDIRECT OR LOCAL FLAP, revision of, by incision and suture, not being a service to which item 45240 applies 45239 01JUL2023 31DEC9999 Y Direct, indirect, free or local flap, revision of, by incision and suture and/or liposuction, applicable once per flap, not being a service associated with a service to which item 45497 applies 45240 01NOV2006 31DEC9999 Y DIRECT, INDIRECT OR LOCAL FLAP, revision of, by liposuction, not being a service to which item 45239, 45497, 45498 or 45499 applies 45400 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) of a granulating area, small 45403 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) of a granulating area, extensive 45406 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving not more than 3 per cent of total body surface 45409 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 3 per cent or more but less than 6 per cent of total body surface 45412 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 6 per cent or more but less than 9 per cent of total body surface 45415 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 9 per cent or more but less than 12 per cent of total body surface 45418 01DEC1991 31OCT1999 N FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 12 per cent or more of total body surface 45418 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 12 per cent or more but less than 15 per cent of total body surface 45419 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 15 percent or more of total body surface 45421 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue, on eyelid, nose, lip, neck, hand, thumb, finger or genitals 45424 01DEC1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to burns including excision of burnt tissue - involving not more than 3 per cent of total body surface 45427 01DEC1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to burns including excision of burnt tissue - involving 3 per cent or more but less than 6 per cent of total body surface 45430 01DEC1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to burns including excision of burnt tissue - involving 6 per cent or more but less than 9 per cent of total body surface 45433 01DEC1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to burns including excision of burnt tissue - involving 9 per cent or more but less than 12 per cent of total body surface 45436 01DEC1991 31DEC9999 Y FREE GRAFTING (xenograft or homograft split skin) to burns including excision of burnt tissue - involving 12 per cent or more of total body surface 45439 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to 1 defect, including elective dissection, small 45440 01JUL2023 31DEC9999 Y Split thickness skin graft to a small defect that is:(a) less than 40 mm in diameter: (i) on areas below the knee; or(ii) distal to the ulnar styloid; or(iii) on the genital area; or(iv) on areas above the clavicle; or (b) less than 80 mm in diameter on any other part of the body 45442 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to 1 defect, including elective dissection, extensive 45443 01JUL2023 31DEC9999 Y Split thickness skin graft to a large defect that is:(a) 40 mm or more in diameter: (i) on areas below the knee; or(ii) distal to the ulnar styloid; or(iii) on the genital area; or(iv) on areas above the clavicle; or (b) 80 mm or more in diameter on any other part of the body 45445 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) as inlay graft to 1 defect including elective dissection using a mould (including insertion of, and removal of mould) 45448 01DEC1991 31DEC9999 Y FREE GRAFTING (split skin) to 1 defect, including elective dissection on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not being a service to which item 45442 or 45445 applies 45451 01DEC1991 30JUN2023 N FREE GRAFTING (full thickness), to 1 defect, excluding grafts for male pattern baldness 45451 01JUL2023 31DEC9999 Y Full thickness skin graft to one defect, with an average diameter of 5 mm or more 45460 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 15 percent or more but less than 20 percent of total body surface - one surgeon 45461 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 15 percent or more but less than 20 percent of total body surface - conjoint surgery, principal surgeon 45462 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 15 percent or more but less than 20 percent of total body surface - conjoint surgery, co- surgeon 45464 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 20 percent or more but less than 30 percent of total body surface - one surgeon 45465 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 20 percent or more but less than 30 percent of total body surface - conjoint surgery, principal surgeon 45466 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 20 percent or more but less than 30 percent of total body surface - conjoint surgery, co-surgeon 45468 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 30 percent or more but less than 40 percent of total body surface - conjoint surgery, principal surgeon 45469 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 30 percent or more but less than 40 percent of total body surface - conjoint surgery, co-surgeon 45471 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 40 percent or more but less than 50 percent of total body surface - conjoint surgery, principal surgeon 45472 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 40 percent or more but less than 50 percent of total body surface - conjoint surgery, co-surgeon 45474 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 50 percent or more but less than 60 percent of total body surface - conjoint surgery, principal surgeon 45475 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 50 percent or more but less than 60 percent of total body surface - conjoint surgery, co-surgeon 45477 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 60 percent or more but less than 70 percent of total body surface - conjoint surgery, principal surgeon 45478 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 60 percent or more but less than 70 percent of total body surface - conjoint surgery, co-surgeon 45480 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 70 percent or more but less than 80 percent of total body surface - conjoint surgery, principal surgeon 45481 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 70 percent or more but less than 80 percent of total body surface - conjoint surgery, co-surgeon 45483 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 80 percent or more of total body surface - conjoint surgery, principal surgeon 45484 01MAY2000 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 80 percent or more of total body surface - conjoint surgery, co-surgeon 45485 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - upper eyelid, nose, lip, ear or palm of the hand 45486 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - forehead, cheek, anterior aspect of the neck, chin, plantar aspect of the foot, heel or genitalia 45487 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - whole of toe 45488 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 1 digit of the hand 45489 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 2 digits of the hand 45490 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 3 digits of the hand 45491 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 4 digits of the hand 45492 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 5 digits of the hand 45493 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - portion of digit of hand 45494 01NOV1999 31DEC9999 Y FREE GRAFTING (split skin) to burns, including excision of burnt tissue - whole of face (excluding ears) 45496 01MAY2000 31DEC9999 Y FLAP, free tissue transfer using microvascular techniques - revision of, by open operation 45497 01MAY2000 31OCT2006 N FLAP, free tissue transfer using microvascular techniques - complete revision of, by liposuction 45497 01NOV2006 30JUN2023 N FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - complete revision of, by liposuction 45497 01JUL2023 31DEC9999 Y Flap, free tissue transfer using microvascular techniques or any autologous breast reconstruction, revision of, by liposuction, other than a service associated with a service to which item 45239 applies (H) 45498 01MAY2000 31OCT2006 N FLAP, free tissue transfer using microvascular techniques - staged revision of, by liposuction - first stage 45498 01NOV2006 31DEC9999 Y FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - staged revision of, by liposuction - first stage 45499 01MAY2000 31OCT2006 N FLAP, free tissue transfer using microvascular techniques - staged revision of, by liposuction - second stage 45499 01NOV2006 31DEC9999 Y FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - staged revision of, by liposuction - second stage 45500 01DEC1991 30JUN2023 N MICROVASCULAR REPAIR using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit 45500 01JUL2023 31DEC9999 Y Microvascular repair using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit; cannot be claimed by the same provider for both artery and vein (H) 45501 01MAR1999 30JUN2023 N MICROVASCULAR ANASTOMOSIS of artery using microsurgical techniques, for re-implantation of limb or digit 45501 01JUL2023 31DEC9999 Y Microvascular anastomosis of artery or vein using microsurgical techniques, for replantation or revascularisation of limb or digit, if the limb or digit is devitalised and the repair is critical for restoration of blood supply, other than a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies (H) 45502 01JUL1993 28FEB1999 N MICROVASCULAR ANASTOMOSIS of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue 45502 01MAR1999 30JUN2023 N MICROVASCULAR ANASTOMOSIS of vein using microsurgical techniques, for re-implantation of limb or digit 45502 01JUL2023 31DEC9999 Y Microvascular anastomoses of artery and vein using microsurgical techniques, for replantation or revascularisation of limb or digit, if the limb or digit is devitalised and the repair is critical for restoration of blood supply, including anastomoses of all required vessels for that extremity or digit, unless a micro-arterial or micro-venous graft is being used, other than a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies (H) 45503 01DEC1991 30JUN2023 N MICRO-ARTERIAL OR MICRO-VENOUS GRAFT using microsurgical techniques 45503 01JUL2023 31DEC9999 Y Micro-arterial or micro-venous graft using microsurgical techniques, if the graft is critical for restoration of blood supply, including harvest of graft and suturing of all related anastomoses (not to be claimed in the context of cardiac surgery) (H) 45504 01MAR1999 30JUN2023 N MICROVASCULAR ANASTOMOSIS of artery using microsurgical techniques, for free transfer of tissue including setting in of free flap 45504 01JUL2023 31DEC9999 Y Microvascular anastomosis of artery, vein or veins, using microsurgical techniques, for free transfer of tissue, including setting in of free flap, other than:(a) a service for the purpose of breast reconstruction; or(b) a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies(H) 45505 01MAR1999 30JUN2023 N MICROVASCULAR ANASTOMOSIS of vein using microsurgical techniques, for free transfer of tissue including setting in of free flap 45505 01JUL2023 31DEC9999 Y Microvascular anastomoses of artery and vein or veins, using microsurgical techniques, for free transfer of tissue, including setting in of free flap, other than:(a) a service for the purpose of breast reconstruction; or(b) a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies(H) 45506 01DEC1991 30JUN1993 N SCAR, of face or neck, revision of, NOT MORE THAN 3 cms IN LENGTH, where undertaken in the operating theatre of a hospital or approved day-hospital facility 45506 01JUL1993 31DEC9999 Y SCAR, of face or neck, not more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital, or where performed by a specialist in the practice of his or her specialty 45507 01JUL2023 31DEC9999 Y Microvascular repair using microsurgical techniques, with restoration of continuity of artery and vein of distal extremity or digit, including anastomoses of all required vessels for that extremity or digit, other than a service associated with a service to which item 45564, 45565 or 45567 applies (H) 45509 01DEC1991 31DEC9999 Y MICROVASCULAR ANASTOMOSIS of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue 45510 01JUL2023 31DEC9999 Y Scar, of face or neck, not more than 3 cm in length, revision of, if:(a) undertaken in the operating theatre of a hospital; or(b) performed by a specialist in the practice of the specialist's specialty 45512 01DEC1991 30JUN1993 N SCAR, of face or neck, revision of, MORE THAN 3 cms IN LENGTH, where undertaken in the operating theatre of a hospital or approved day-hospital facility 45512 01JUL1993 31DEC9999 Y SCAR, of face or neck, more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital, or where performed by a specialist in the practice of his or her specialty 45515 01DEC1991 30JUN1993 N SCAR, other than on face or neck, not more than 7 cms in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure 45515 01JUL1993 30JUN2023 N SCAR, other than on face or neck, not more than 7 cms in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or where performed by a specialist in the practice of his or her specialty 45515 01JUL2023 31DEC9999 Y Scar, other than on face or neck, not more than 7 cm in length, revision of, if:(a) the service is:(i) undertaken in the operating theatre of a hospital; or(ii) performed by a specialist in the practice of the specialist's specialty; and(b) the service is not performed in conjunction with the insertion of breast implants for cosmetic purposes; and(c) the incision made for revision of the scar is not used as an approach for another procedure (including a non rebatable procedure); and(d) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes 45518 01DEC1991 30JUN1993 N SCAR, other than on face or neck, more than 7 cms in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure 45518 01JUL1993 30JUN2023 N SCAR, other than on face or neck, more than 7 cms in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital, or where performed by a specialist in the practice of his or her speciality 45518 01JUL2023 31DEC9999 Y Scar, other than on face or neck, more than 7 cm in length, revision of, if:(a) the service is:(i) undertaken in the operating theatre of a hospital; or(ii) performed by a specialist in the practice of the specialist's specialty; and(b) the service is not performed in conjunction with the insertion of breast implants for cosmetic purposes; and(c) the incision made for revision of the scar is not used as an approach for another procedure (including a non rebatable procedure); and(d) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes 45519 01NOV1996 31DEC9999 Y EXTENSIVE BURN SCARS OF SKIN (more than 1 percent of body surface area), excision of, for correction of scar contracture 45520 01JUL1998 31OCT2018 N REDUCTION MAMMAPLASTY (unilateral) with surgical repositioning of nipple 45520 01NOV2018 30JUN2023 N Reduction mammaplasty (unilateral) with surgical repositioning of nipple, in the context of breast cancer or developmental abnormality of the breast 45520 01JUL2023 31DEC9999 Y Reduction mammaplasty (unilateral) with surgical repositioning of nipple, in the context of breast cancer or developmental abnormality of the breast, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H) 45521 01DEC1991 31DEC9999 Y MAMMAPLASTY, reduction (unilateral), with or without repositioning of nipple 45522 01JUL1998 31OCT2006 N REDUCTION MAMMAPLASTY (unilateral) without surgical repositioning of nipple 45522 01NOV2006 31DEC2014 N REDUCTION MAMMAPLASTY (unilateral) without surgical repositioning of nipple, excluding the treatment of gynaecomastia 45522 01JAN2015 31OCT2018 N REDUCTION MAMMAPLASTY (unilateral) without surgical repositioning of nipple, excluding the treatment of gynaecomastia (H) 45522 01NOV2018 30JUN2023 N Reduction mammaplasty (unilateral) without surgical repositioning of the nipple: (a) excluding the treatment of gynaecomastia; and (b) not with insertion of any prosthesis 45522 01JUL2023 31DEC9999 Y Reduction mammaplasty (unilateral) without surgical repositioning of the nipple:(a) excluding the treatment of gynaecomastia; and(b) not with insertion of any prosthesis;other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H) 45523 01NOV2018 30JUN2023 N Reduction mammaplasty (bilateral) with surgical repositioning of the nipple: (a) for patients with macromastia and experiencing pain in the neck or shoulder region; and (b) not with insertion of any prosthesis 45523 01JUL2023 31DEC9999 Y Reduction mammaplasty (bilateral) with surgical repositioning of the nipple:(a) for patients with macromastia who are experiencing pain in the neck or shoulder region; and(b) not with insertion of any prosthesis;other than a service associated with a service to which item 31512, 31513 or 31514 applies (H) 45524 01DEC1991 31OCT2018 N MAMMAPLASTY, AUGMENTATION, for significant breast asymmetry where the augmentation is limited to 1 breast 45524 01NOV2018 30JUN2023 N Mammaplasty, augmentation (unilateral) in the context of: (a) breast cancer; or (b) developmental abnormality of the breast, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds. Applicable only once per occasion on which the service is provided 45524 01JUL2023 31DEC9999 Y Mammaplasty, augmentation (unilateral) in the context of: (a) breast cancer; or (b) developmental abnormality of the breast, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds. Applicable only once per occasion on which the service is provided, other than a service associated with a service to which item 45006 or 45012 applies (H) 45527 01DEC1991 31OCT2018 N MAMMAPLASTY, AUGMENTATION, (unilateral), following mastectomy 45527 01NOV2018 30JUN2023 N Breast reconstruction (unilateral), following mastectomy, using a permanent prosthesis 45527 01JUL2023 31DEC9999 Y Breast reconstruction (unilateral), following mastectomy, using a permanent prosthesis, other than a service associated with a service to which item 45006 or 45012 applies (H) 45528 19JUN1997 31OCT1997 N MAMMAPLASTY, AUGMENTATION, bilateral, not being a service to which Item 45524 or 45527 applies, where it can be demonstrated that surgery is indicated because of disease, trauma or congenital malformation 45528 01NOV1997 30APR2001 N MAMMAPLASTY, AUGMENTATION, bilateral, not being a service to which Item 45524 or 45527 applies, where it can be demonstrated that surgery is indicated because of disease, trauma or congenital malformation 45528 01MAY2001 30APR2003 N MAMMAPLASTY, AUGMENTATION, bilateral, not being a service to which Item 45524 or 45527 applies, where it can be demonstrated that surgery is indicated because of disease, trauma or congenital malformation of the breast 45528 01MAY2003 31OCT2004 N MAMMAPLASTY, AUGMENTATION, bilateral, not being a service to which Item 45527 applies, where it can be demonstrated that surgery is indicated because of congenital malformation, disease or trauma of the breast (other than trauma resulting from previous elective cosmetic surgery) 45528 01NOV2004 31OCT2018 N MAMMAPLASTY, AUGMENTATION, bilateral, not being a service to which Item 45527 applies, where it can be demonstrated that surgery is indicated because of malformation of breast tissue (excluding hypomastia), disease or trauma of the breast (other than trauma resulting from previous elective cosmetic surgery) 45528 01NOV2018 30JUN2023 N Mammaplasty, augmentation, bilateral (other than a service to which item 45527 applies), if: (a) reconstructive surgery is indicated because of: (i) developmental malformation of breast tissue (excluding hypomastia); or (ii) disease of or trauma to the breast (other than trauma resulting from previous elective cosmetic surgery); or (iii) amastia secondary to a congenital endocrine disorder; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45528 01JUL2023 31DEC9999 Y Mammaplasty, augmentation, bilateral (other than a service to which item 45527 applies), if: (a) reconstructive surgery is indicated because of: (i) developmental malformation of breast tissue (excluding hypomastia); or (ii) disease of or trauma to the breast (other than trauma resulting from previous elective cosmetic surgery); or (iii) amastia secondary to a congenital endocrine disorder; and (b) photographic or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes other than a service associated with a service to which item 45006 or 45012 applies (H) 45529 01JUL2023 31DEC9999 Y Breast reconstruction (bilateral), following mastectomy, using permanent prostheses, other than a service associated with a service to which item 45006 or 45012 applies (H) 45530 01DEC1991 31OCT1995 N BREAST RECONSTRUCTION (unilateral) using a latissimus dorsi or other large myocutaneous flap, including repair of secondary skin defect, excluding repair of muscular aponeurotic layer 45530 01NOV1995 31OCT2004 N BREAST RECONSTRUCTION (unilateral) using a latissimus dorsi or other large muscle or myocutaneous flap, including repair of secondary skin defect, if required, excluding repair of muscular aponeurotic layer 45530 01NOV2004 31OCT2006 N BREAST RECONSTRUCTION (unilateral) using a latissimus dorsi or other large muscle or myocutaneous flap, including repair of secondary skin defect, if required, excluding repair of muscular aponeurotic layer, being a service associated with item 30178 45530 01NOV2006 31DEC2015 N BREAST RECONSTRUCTION (unilateral) using a latissimus dorsi or other large muscle or myocutaneous flap, including repair of secondary skin defect, if required, excluding repair of muscular aponeurotic layer, not being a service associated with a service to which items 30165, 30168, 30171, 30174 or 30177 applies 45530 01JAN2016 30JUN2023 N Breast reconstruction (unilateral), using a latissimus dorsi or other large muscle or myocutaneous flap, including repair of secondary skin defect, if required, excluding repair of muscular aponeurotic layer, other than a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177 or 30179 applies (H) 45530 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous (unilateral), using a large muscle or myocutaneous flap, isolated on its vascular pedicle, excluding repair of muscular aponeurotic layer, other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45006 or 45012 applies (H) 45531 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous (bilateral), using a large muscle or myocutaneous flap, isolated on its vascular pedicle, excluding repair of muscular aponeurotic layer, other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45006 or 45012 applies (H) 45532 01JUL2023 31DEC9999 Y Revision of post-mastectomy breast reconstruction, other than a service associated with a service to which item 45006 or 45012 applies (H) 45533 01DEC1991 31OCT2003 N BREAST RECONSTRUCTION using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure 45533 01NOV2003 31OCT2004 N BREAST RECONSTRUCTION using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177 applies 45533 01NOV2004 31OCT2005 N BREAST RECONSTRUCTION using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177 and 30178 applies 45533 01NOV2005 31DEC9999 Y BREAST RECONSTRUCTION using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure 45534 01NOV2021 30JUN2023 N Autologous fat grafting, unilateral service (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for one or more of the following purposes: (i) the correction of defects arising from treatment and prevention of breast cancer in patients with contour defects, greater than or equal to 20% volume asymmetry, post-treatment pain or poor prosthetic coverage; (ii) the preparation of post mastectomy thin or irradiated skin flaps in patients intending to have breast reconstruction; (iii) breast reconstruction in breast cancer patients; (iv) the correction of developmental disorders of the breast; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Up to a total of 4 services per side (for total treatment of a single breast) (H) 45534 01JUL2023 31DEC9999 Y Autologous fat grafting, unilateral service (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for one or more of the following purposes: (i) the correction of defects arising from treatment and prevention of breast cancer in patients with contour defects, greater than or equal to 20% volume asymmetry, post-treatment pain or poor prosthetic coverage; (ii) the preparation of post mastectomy thin or irradiated skin flaps in patients intending to have breast reconstruction; (iii) breast reconstruction in breast cancer patients; (iv) the correction of developmental disorders of the breast; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Up to a total of 4 services per side (for total treatment of a single breast), other than a service associated with a service to which item 45006 or 45012 applies (H) 45535 01NOV2021 30JUN2023 N Autologous fat grafting, bilateral service (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for one or more of the following purposes: (i) the correction of defects arising from treatment and prevention of breast cancer in patients with contour defects, greater than or equal to 20% volume asymmetry, post-treatment pain or poor prosthetic coverage; (ii) the preparation of post mastectomy thin or irradiated skin flaps in patients intending to have breast reconstruction; (iii) breast reconstruction in breast cancer patients; (iv) the correction of developmental disorders of the breast; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Up to a total of 4 services (H) 45535 01JUL2023 31DEC9999 Y Autologous fat grafting, bilateral service (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for one or more of the following purposes: (i) the correction of defects arising from treatment and prevention of breast cancer in patients with contour defects, greater than or equal to 20% volume asymmetry, post-treatment pain or poor prosthetic coverage; (ii) the preparation of post mastectomy thin or irradiated skin flaps in patients intending to have breast reconstruction; (iii) breast reconstruction in breast cancer patients; (iv) the correction of developmental disorders of the breast; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Up to a total of 4 services, other than a service associated with a service to which item 45006 or 45012 applies (H) 45536 01DEC1991 31DEC9999 Y BREAST RECONSTRUCTION using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure 45537 01JUL2023 31DEC9999 Y Perforator flap, such as a thoracodorsal artery perforator (TDAP) flap or a lateral intercostal artery perforator (LICAP) flap, or similar, raising on a named source vessel, for reconstruction of a partial mastectomy defect, other than a service associated with a service to which item 45006 or 45012 applies (H) 45538 01JUL2023 31DEC9999 Y Perforator flap, such as a deep inferior epigastric perforator (DIEP) flap or similar, raising in preparation for microsurgical transfer of a free flap for post mastectomy breast reconstruction, other than a service associated with a service to which item 45006 or 45012 applies (H) 45539 01DEC1991 30JUN2023 N BREAST RECONSTRUCTION (unilateral), following mastectomy, using tissue expansion - insertion of tissue expansion unit and all attendances for subsequent expansion injections 45539 01JUL2023 31DEC9999 Y Breast reconstruction (unilateral), following mastectomy, using tissue expansion-insertion of tissue expansion unit and all attendances for subsequent expansion injections, other than a service associated with a service to which item 45006 or 45012 applies (H) 45540 01JUL2023 31DEC9999 Y Breast reconstruction (bilateral), following mastectomy, using tissue expansion-insertion of tissue expansion unit and all attendances for subsequent expansion injections, other than a service associated with a service to which item 45006 or 45012 applies (H) 45541 01JUL2023 31DEC9999 Y Breast reconstruction (bilateral), following mastectomy, using tissue expansion-removal of tissue expansion unit and insertion of permanent prosthesis, other than a service associated with a service to which item 45006 or 45012 applies (H) 45542 01DEC1991 30JUN2023 N BREAST RECONSTRUCTION (unilateral), following mastectomy, using tissue expansion - removal of tissue expansion unit and insertion of permanent prosthesis 45542 01JUL2023 31DEC9999 Y Breast reconstruction (unilateral), following mastectomy, using tissue expansion-removal of tissue expansion unit and insertion of permanent prosthesis, other than a service associated with a service to which item 45006 or 45012 applies (H) 45543 01NOV1999 30APR2001 N BREAST PTOSIS, correction of (unilateral), to match the position of the contralateral breast 45543 01MAY2001 31DEC9999 Y BREAST PTOSIS, correction of (unilateral), to match the position of the contralateral breast 45544 01NOV1999 30APR2001 N BREAST PTOSIS, correction of (unilateral), following pregnancy and lactation, when performed within 6 years of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove 45544 01MAY2001 31DEC9999 Y BREAST PTOSIS, correction of (bilateral), following pregnancy and lactation, when performed within 6 years of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove 45545 01DEC1991 30JUN1998 N NIPPLE OR AREOLA or both, reconstruction of by any technique 45545 01JUL1998 31DEC9999 Y NIPPLE OR AREOLA or both, reconstruction of, by any surgical technique 45546 01NOV1998 31DEC9999 Y NIPPLE OR AREOLA or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple 45547 01JUL2023 31DEC9999 Y Revision of breast prosthesis pocket, if:(a) breast prosthesis or tissue expander has been placed for the purpose of breast reconstruction in the context of breast cancer or for developmental breast abnormality; and(b) the prosthesis or tissue expander has migrated or rotated from its intended position or orientation; and(c) the existing prosthesis is used(H) 45548 01DEC1991 31DEC9999 Y BREAST PROSTHESIS, removal of, as an independent procedure 45551 01DEC1991 30JUN1993 N FIBROUS CAPSULE SURROUNDING BREAST PROSTHESIS, excision or multiple incisions to, as an independent procedure 45551 01JUL1993 31OCT1995 N BREAST PROSTHESIS, removal of, with complete excision of fibrous capsule, as an independent procedure 45551 01NOV1995 31OCT2006 N BREAST PROSTHESIS, removal of, with complete excision of fibrous capsule 45551 01NOV2006 31OCT2018 N BREAST PROSTHESIS, removal of, with excision of fibrous capsule 45551 01NOV2018 31DEC9999 Y Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report 45552 01JUL1993 31OCT2006 N BREAST PROSTHESIS, removal of, with complete excision of fibrous capsule and replacement of prosthesis 45552 01NOV2006 31DEC9999 Y BREAST PROSTHESIS, removal of, with excision of fibrous capsule and replacement of prosthesis 45553 01NOV2006 31OCT2018 N BREAST PROSTHESIS, removal and replacement with another prosthesis, following medical complications (such as rupture, migration of prosthetic material, or capsule formation). 45553 01NOV2018 31DEC9999 Y Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45554 01DEC1991 30JUN1993 N BREAST PROSTHESIS, replacement of, following medical complications, (including rupture, migration, or capsule formation) where new pocket is formed 45554 01JUL1993 31OCT2006 N BREAST PROSTHESIS, replacement of, following medical complications (such as rupture, migration of prosthetic material, or capsule formation), where new pocket is formed, including excision of fibrous capsule 45554 01NOV2006 31OCT2018 N BREAST PROSTHESIS, removal and replacement with another prosthesis, following medical complications (such as rupture, migration of prosthetic material, or capsule formation), where new pocket is formed, including excision of fibrous capsule 45554 01NOV2018 31DEC9999 Y Breast prosthesis, removal and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), including excision of at least half of the fibrous capsule or formation of a new pocket, or both, if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) the excised specimen is sent for histopathology and the volume removed is documented in the histopathology report; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45555 01MAY1997 31DEC9999 Y SILICONE BREAST PROSTHESIS, removal of and replacement with prosthesis other than silicone gel prosthesis 45556 01NOV2001 31DEC2014 N BREAST PTOSIS, correction of (unilateral), to match the position of the contralateral breast 45556 01JAN2015 31OCT2018 N BREAST PTOSIS, correction of (unilateral), to match the position of the contralateral breast (H) 45556 01NOV2018 30JUN2023 N Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided 45556 01JUL2023 31DEC9999 Y Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H) 45557 01NOV2001 30APR2003 N BREAST PTOSIS, correction of (unilateral), following pregnancy and lactation, when performed within 6 years of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove 45557 01MAY2003 30JUN2009 N BREAST PTOSIS, correction of by mastopexy of (unilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years after the end of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove 45557 01JUL2009 31DEC9999 Y BREAST PTOSIS, correction of by mastopexy by any means (unilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years after the end of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove, not being a service associated with a service to which item 45522 applies 45558 01NOV2001 30APR2003 N BREAST PTOSIS, correction of (bilateral), following pregnancy and lactation, when performed within 6 years of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove 45558 01MAY2003 30JUN2009 N BREAST PTOSIS, correction of by mastopexy of (bilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years after the end of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove 45558 01JUL2009 31OCT2018 N BREAST PTOSIS, correction of by mastopexy by any means (bilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years after the end of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove, not being a service associated with a service to which item 45522 applies 45558 01NOV2018 31OCT2021 N Breast ptosis, correction by mastopexy of (bilateral), if: (a) at least two-thirds of the breast tissue, including the nipple, lies inferior to the infra-mammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and (b) if the patient has been pregnant-the correction is performed not less than 1 year, or more than 7 years, after completion of the most recent pregnancy of the patient; and (c) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes Applicable only once per lifetime 45558 01NOV2021 30JUN2023 N Correction of bilateral breast ptosis by mastopexy, if: (a) at least two-thirds of the breast tissue, including the nipple, lies inferior to the inframammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and (b) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes Applicable only once per lifetime (H) 45558 01JUL2023 31DEC9999 Y Correction of bilateral breast ptosis by mastopexy, if: (a) at least two-thirds of the breast tissue, including the nipple, lies inferior to the inframammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and (b) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes Applicable only once per lifetime, other than a service associated with a service to which item 31512, 31513 or 31514 applies (H) 45559 01NOV2006 31DEC9999 Y TUBEROUS, TUBULAR OR CONSTRICTED BREAST, where it can be demonstrated, correction of by simultaneous mastopexy and augmentation of (unilateral) 45560 01DEC1991 31DEC9999 Y HAIR TRANSPLANTATION for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this Group applies 45561 01MAY2007 30JUN2023 N MICROVASCULAR ANASTOMOSIS of artery or vein using microsurgical techniques, for supercharging of pedicled flaps 45561 01JUL2023 31DEC9999 Y Microvascular anastomosis of artery and/or vein, if considered necessary to salvage a vascularly compromised pedicled or free flap, either during the primary procedure or at a subsequent return to theatre (H) 45562 01MAR1999 30JUN2023 N FREE TRANSFER OF TISSUE involving raising of tissue on vascular or neurovascular pedicle, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness 45562 01JUL2023 29FEB2024 N Free transfer of tissue (microvascular free flap) for non-breast defect involving raising of tissue on vascular pedicle, including direct repair of secondary cutaneous defect (if performed), other than a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies 45562 01MAR2024 31DEC9999 Y Free transfer of tissue (microvascular free flap) for non-breast defect involving raising of tissue on vascular pedicle, including direct repair of secondary cutaneous defect (if performed), other than a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies (H) 45563 01DEC1991 28FEB1999 N NEUROVASCULAR ISLAND FLAP, or free transfer of tissue with vascular or neurovascular pedicle, including repair of secondary defect excluding flap for male pattern baldness 45563 01MAR1999 30JUN2023 N NEUROVASCULAR ISLAND FLAP, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness 45563 01JUL2023 29FEB2024 N Neurovascular island flap for restoration of essential sensation in the digits or sole of the foot, or for genital reconstruction, including:(a) direct repair of secondary cutaneous defect (if performed); and(b) formal dissection of the neurovascular pedicle;other than a service performed on simple V-Y flaps or other standard flaps, such as rotation or keystone 45563 01MAR2024 31DEC9999 Y Neurovascular island flap for restoration of essential sensation in the digits or sole of the foot, or for genital reconstruction, including:(a) direct repair of secondary cutaneous defect (if performed); and(b) formal dissection of the neurovascular pedicle;other than a service performed on simple V-Y flaps or other standard flaps, such as rotation or keystone (H) 45564 01NOV1999 31OCT2003 N FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, principal specialist surgeon 45564 01NOV2003 30APR2007 N FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, principal specialist surgeon 45564 01MAY2007 31DEC2015 N FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of up to 2 of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, principal specialist surgeon 45564 01JAN2016 30JUN2023 N Free transfer of tissue reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of up to 2 vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, other than a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 applies-conjoint surgery, principal specialist surgeon (H) 45564 01JUL2023 31DEC9999 Y Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies-conjoint surgery, principal specialist surgeon (H) 45565 01NOV1999 31OCT2003 N FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, conjoint specialist surgeon 45565 01NOV2003 30APR2007 N FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, conjoint specialist surgeon 45565 01MAY2007 31DEC2015 N FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of up to 2 of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, conjoint specialist surgeon 45565 01JAN2016 30JUN2023 N Free transfer of tissue reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of up to 2 vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, other than a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 applies-conjoint surgery, conjoint specialist surgeon (H) 45565 01JUL2023 31DEC9999 Y Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies-conjoint surgery, conjoint specialist surgeon (H) 45566 01DEC1991 30JUN2023 N TISSUE EXPANSION not being a service to which item 45539 or 45542 applies - insertion of tissue expansion unit and all attendances for subsequent expansion injections 45566 01JUL2023 31DEC9999 Y Insertion of a temporary prosthetic tissue expander which requires subsequent removal, including all attendances for subsequent expansion injections, other than a service for breast or post-mastectomy tissue expansion (H) 45567 01JUL2023 31DEC9999 Y Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562, 45564 or 45565 applies-single surgeon (H) 45568 01NOV2003 30JUN2023 N TISSUE EXPANDER, removal of, with complete excision of fibrous capsule 45568 01JUL2023 31DEC9999 Y Tissue expander, removal of, including complete excision of fibrous capsule if performed (H) 45569 01NOV2006 31DEC9999 Y CLOSURE OF ABDOMEN WITH RECONSTRUCTION OF UMBILICUS, with or without lipectomy, being a service associated with items 45562, 45564, 45565 or 45530 45570 01NOV2006 31DEC9999 Y CLOSURE OF ABDOMEN, repair of musculoaponeurotic layer, being a service associated with item 45569 45571 01JUL2023 31OCT2023 N Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, to be used following the harvest of an autologous flap, being a service associated with a service to which item 45530, 45531, 45562, 45564, 45565 or 45567 applies, including repair of the musculoaponeurotic layer of the abdomen (including insertion of prosthetic mesh if used) (H) 45571 01NOV2023 31DEC9999 Y Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, to be used following the harvest of an autologous flap, being a service associated with a service to which item 45530, 45531, 45562, 45564, 45565, 45567, 46080, 46082, 46084, 46086, 46088 or 46090 applies, including repair of the musculoaponeurotic layer of the abdomen (including insertion of prosthetic mesh if used) (H) 45572 01DEC1991 30JUN2023 N INTRA OPERATIVE TISSUE EXPANSION performed during an operation when combined with a service to which another item in Group T8 applies including expansion injections and excluding treatment of male pattern baldness 45572 01JUL2023 31DEC9999 Y Intra-operative tissue expansion using a prosthetic tissue expander, performed under general anaesthetic or intravenous sedation during an operation, if combined with a service to which another item in Group T8 applies (including expansion injections), not to be used for breast tissue expansion 45575 01DEC1991 31DEC9999 Y FACIAL NERVE PARALYSIS, free fascia graft for 45578 01DEC1991 31DEC9999 Y FACIAL NERVE PARALYSIS, muscle transfer for 45581 01DEC1991 30JUN2023 N FACIAL NERVE PALSY, excision of tissue for 45581 01JUL2023 31DEC9999 Y Facial nerve paralysis, excision of tissue for 45584 01DEC1991 31OCT2018 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma 45584 01NOV2018 31DEC9999 Y Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), for treatment of post traumatic pseudolipoma, if photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45585 19JUN1997 31OCT1997 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service to which item 45584 applies, where it can be demonstrated that the treatment is for pathological lipodystrophy of hips, buttocks, thighs and lower legs (excluding knees), gynaecomastia, lymphoedema or similar conditions 45585 01NOV1997 31OCT1999 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service to which item 45584 applies, where it can be demonstrated that the treatment is for pathological lipodystrophy of hips, buttocks, thighs and lower legs (excluding knees), gynaecomastia, lymphoedema or similar conditions 45585 01NOV1999 30APR2003 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service to which item 45584 applies, where it can be demonstrated that the treatment is for pathological lipodystrophy of hips, buttocks, thighs and lower legs (including knees), gynaecomastia, lymphoedema or similar conditions 45585 01MAY2003 31OCT2003 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service to which item 45584 or 45586 apply, where it can be demonstrated that the treatment is for pathological lipodystrophy of hips, buttocks, thighs and lower legs, including knees (Barraquer-Simon's Syndrome), gynaecomastia, or lymphoedema 45585 01NOV2003 31OCT2006 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service associated with a service to which item 31521 or 31527 applies, where it can be demonstrated that the treatment is for pathological lipodystrophy of hips, buttocks, thighs, knees or lower legs (Barraquer-Simon's Syndrome), gynaecomastia, or lymphoedema 45585 01NOV2006 31OCT2012 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service associated with a service to which item 31521 or 31527 applies, where it can be demonstrated that the treatment is for pathological lipodystrophy of hips, buttocks, thighs, knees or lower legs (Barraquer-Simon's Syndrome), gynaecomastia, lymphoedema or macrodystrophia lipomatosa 45585 01NOV2012 30JUN2014 N LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service associated with a service to which item 31521 or 31527 applies, where it can be demonstrated that the treatment is for Barraquer-Simon's Syndrome (pathological lipodystrophy of hips, buttocks, thighs, knees or lower legs), lymphoedema or macrodystrophia lipomatosa 45585 01JUL2014 31OCT2018 N Liposuction (suction assisted lipolysis) to one regional area, other than a service associated with a service to which item 31525 applies, if it can be demonstrated that the treatment is for Barraquer-Simon's syndrome (pathological lipodystrophy of hips, buttocks, thighs, knees or lower legs), lymphoedema or macrodystrophia lipomatosa 45585 01NOV2018 30JUN2023 N Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), other than a service associated with a service to which item 31525 applies, if: (a) the liposuction is for: (i) the treatment of Barraquer-Simons syndrome, lymphoedema or macrodystrophia lipomatosa; or (ii) the reduction of a buffalo hump that is secondary to an endocrine disorder or pharmacological treatment of a medical condition; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45585 01JUL2023 31DEC9999 Y Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), other than a service associated with a service to which item 31525 or 31526 applies, if: (a) the liposuction is for: (i) the treatment of Barraquer-Simons syndrome, lymphoedema or macrodystrophia lipomatosa; or (ii) the reduction of a buffalo hump that is secondary to an endocrine disorder or pharmacological treatment of a medical condition; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (H) 45586 01MAY2003 31DEC9999 Y LIPOSUCTION (suction assisted lipolysis) for reduction of a buffalo hump, where it can be demonstrated that the buffalo hump is secondary to an endocrine disorder or pharmacological treatment of a medical condition 45587 01DEC1991 31OCT2018 N MELOPLASTY for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to 1 side of the face 45587 01NOV2018 31DEC9999 Y Meloplasty for correction of facial asymmetry if: (a) the asymmetry is secondary to trauma (including previous surgery), a congenital condition or a medical condition (such as facial nerve palsy); and (b) the meloplasty is limited to one side of the face 45588 19JUN1997 31OCT1997 N MELOPLASTY, bilateral, not being a service to which Item 45587 applies, where it can be demonstrated that surgery is indicated because of disease, trauma or congenital conditions 45588 01NOV1997 30APR2003 N MELOPLASTY, bilateral, not being a service to which Item 45587 applies, where it can be demonstrated that surgery is indicated because of disease, trauma or congenital conditions 45588 01MAY2003 31OCT2018 N MELOPLASTY, (excluding browlifts and chinlift platysmaplasties), bilateral where it can be demonstrated that surgery is indicated because of congenital conditions, disease or trauma (other than trauma resulting from previous elective cosmetic surgery) 45588 01NOV2018 31DEC9999 Y Meloplasty (excluding browlifts and chinlift platysmaplasties), bilateral, if: (a) surgery is indicated to correct a functional impairment due to a congenital condition, disease (excluding post-acne scarring) or trauma (other than trauma resulting from previous elective cosmetic surgery); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45589 01NOV2021 31DEC9999 Y Autologous fat grafting (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for either or both of the following purposes: (i) the correction of asymmetry arising from volume and contour defects in craniofacial disorders-up to a total of 4 services if each service is provided at least 3 months after the previous service; (ii) the treatment of burn scar or associated skin graft in the context of scar contracture, contour deformity or neuropathic pain, for patients who have undergone a minimum of 3 months of topical therapies, including silicone and pressure therapy, with an unsatisfactory or minimal level of improvement-up to a total of 4 services per region of the body (upper or lower limbs, trunk, neck or face) if each service provided per region of the body is provided at least 3 months after the previous such service; and (b) both: (i) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes; and (ii) for craniofacial disorders, evidence of diagnosis of the qualifying craniofacial disorder is documented in the patient notes (H) 45590 01DEC1991 30JUN2023 N ORBITAL CAVITY, reconstruction of a wall or floor, with or without foreign implant 45590 01JUL2023 31DEC9999 Y Orbital cavity, reconstruction of wall or floor, with or without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 45594 applies on the same side (H) 45592 01JUL2023 31DEC9999 Y Orbital cavity, reconstruction of wall and floor with bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 45594 applies on the same side (H) 45593 01DEC1991 31DEC9999 Y ORBITAL CAVITY, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents 45594 01JUL2023 31DEC9999 Y Orbital cavity, exploration of wall or floor without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 45590 or 45592 applies on the same side (H) 45596 01DEC1991 30JUN2023 N MAXILLA, total resection of 45596 01JUL2023 31DEC9999 Y Hemimaxillectomy (H) 45597 01APR1992 30JUN2023 N MAXILLA, total resection of both maxillae 45597 01JUL2023 31DEC9999 Y Total maxillectomy (bilateral) (H) 45599 01DEC1991 30JUN2023 N MANDIBLE, total resection of both sides, including condylectomies where performed 45599 01JUL2023 31DEC9999 Y Mandible, total resection of, other than a service associated with a service to which item 45608 applies (H) 45602 01DEC1991 31DEC9999 Y MANDIBLE, including lower border, OR MAXILLA, sub-total resection of 45605 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, segmental resection of, for tumours or cysts 45608 01DEC1991 30JUN2023 N MANDIBLE, hemimandibular reconstruction with bone graft, not being a service associated with a service to which item 45599 applies 45608 01JUL2023 31DEC9999 Y Mandible, segmental mandibular or maxilla reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (H) 45609 01JUL2023 31DEC9999 Y Mandible, maxilla or skull base, reconstruction of, using bony free flap, all osteotomies, shaping, inset and fixation by any means, including all necessary 3 dimensional planning, if performed in conjunction with one or more services covered by items 46060 to 46068 (H) 45611 01DEC1991 30JUN2023 N MANDIBLE, condylectomy 45611 01JUL2023 31DEC9999 Y Mandible, condylectomy of (H) 45614 01DEC1991 30JUN2023 N EYELID, WHOLE THICKNESS RECONSTRUCTION OF other than by direct suture only 45614 01JUL2023 29FEB2024 N Eyelid, reconstruction of a defect (greater than one quarter of the length of the lid) involving all 3 layers of the eyelid, if unable to be closed by direct suture or wedge excision, including all flaps and grafts that may be required 45614 01MAR2024 31DEC9999 Y Eyelid, reconstruction of a defect (greater than one quarter of the length of the lid) involving all 3 layers of the eyelid, if unable to be closed by direct suture or wedge excision, including all flaps and grafts that may be required (H) 45617 01DEC1991 30JUN1998 N UPPER EYELID, REDUCTION OF, for skin redundancy obscuring vision, herniation of orbital fat in exophthalmos, facial nerve palsy or posttraumatic scarring, or, in respect of 1 of these conditions, the restoration of symmetry of the contralateral upper eyelid 45617 01JUL1998 31OCT2018 N UPPER EYELID, REDUCTION OF, for skin redundancy obscuring vision (as evidenced by upper eyelid skin resting on lashes on straight ahead gaze), herniation of orbital fat in exophthalmos, facial nerve palsy or posttraumatic scarring, or the restoration of symmetry of contralateral upper eyelid in respect of 1 of these conditions 45617 01NOV2018 31OCT2022 N Upper eyelid, reduction of, if: (a) the reduction is for any of the following: (i) skin redundancy that causes a visual field defect (confirmed by an optometrist or ophthalmologist) or intertriginous inflammation of the eyelid; (ii) herniation of orbital fat in exophthalmos; (iii) facial nerve palsy; (iv) post-traumatic scarring; (v) the restoration of symmetry of contralateral upper eyelid in respect of one of the conditions mentioned in subparagraphs (i) to (iv); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45617 01NOV2022 31DEC9999 Y Upper eyelid, reduction of, if: (a) the reduction is for any of the following: (i) history of a demonstrated visual impairment; (ii) intertriginous inflammation of the eyelid; (iii) herniation of orbital fat in exophthalmos; (iv) facial nerve palsy; (v) post-traumatic scarring; (vi) the restoration of symmetry of contralateral upper eyelid in respect of one of the conditions mentioned in subparagraphs (i) to (v); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45620 01DEC1991 31OCT2018 N LOWER EYELID, REDUCTION OF, for herniation of orbital fat in exophthalmos, facial nerve palsy or posttraumatic scarring, or, in respect of 1 of these conditions, the restoration of symmetry of the contralateral lower eyelid 45620 01NOV2018 31DEC9999 Y Lower eyelid, reduction of, if: (a) the reduction is for: (i) herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring; or (ii) the restoration of symmetry of the contralateral lower eyelid in respect of one of these conditions; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes 45623 01DEC1991 30JUN1993 N PTOSIS (unilateral), correction of 45623 01JUL1993 31OCT2018 N PTOSIS of eyelid (unilateral), correction of 45623 01NOV2018 31DEC9999 Y Ptosis of upper eyelid (unilateral), correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller's or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; Not applicable to a service for repair of mechanical ptosis to which item 45617 applies 45624 01JUL1998 31OCT2018 N PTOSIS of eyelid, correction of, where previous ptosis surgery has been performed on that side 45624 01NOV2018 31DEC9999 Y Ptosis of upper eyelid, correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller's or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; if a previous ptosis surgery has been performed on that side 45625 01JUL1998 31DEC9999 Y PTOSIS of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital 45626 01DEC1991 31OCT2019 N ECTROPION OR ENTROPION, correction of (unilateral) 45626 01NOV2019 31DEC9999 Y Ectropion or entropion, not caused by trachoma, correction of (unilateral) 45627 01NOV2019 31DEC9999 Y Ectropion or entropion, caused by trachoma, correction of (unilateral) 45629 01DEC1991 31DEC9999 Y SYMBLEPHARON, grafting for 45632 01DEC1991 31OCT2014 N RHINOPLASTY, correction of lateral or alar cartilages 45632 01NOV2014 31OCT2018 N RHINOPLASTY, correction of lateral or alar cartilages for correction of nasal obstruction 45632 01NOV2018 31OCT2021 N Rhinoplasty, partial, involving correction of lateral or alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes 45632 01NOV2021 31DEC9999 Y Rhinoplasty, partial, involving correction of one or both lateral cartilages, one or both alar cartilages or one or both lateral cartilages and alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes 45635 01DEC1991 31OCT2014 N RHINOPLASTY, correction of bony vault only 45635 01NOV2014 31OCT2018 N RHINOPLASTY, correction of vault only, for correction of nasal obstruction or post-traumatic deformity (other than deformity resulting from previous elective cosmetic surgery), or both 45635 01NOV2018 31DEC9999 Y Rhinoplasty, partial, involving correction of bony vault only, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes 45638 01DEC1991 30JUN1998 N RHINOPLASTY TOTAL, including correction of all bony and cartilaginous elements of the external nose 45638 01JUL1998 30APR2003 N RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose, for correction of post-traumatic deformity or nasal obstruction, or both 45638 01MAY2003 31DEC2014 N RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose, for correction of nasal obstruction or post-traumatic deformity (but not as a result of previous elective cosmetic surgery), or both 45638 01JAN2015 31DEC9999 Y RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose, for correction of nasal obstruction or post-traumatic deformity (but not as a result of previous elective cosmetic surgery), or both (H) 45639 01JUL1998 31DEC2014 N RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose, where it can be demonstrated that there is a need for correction of significant developmental deformity 45639 01JAN2015 31DEC9999 Y RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose, where it can be demonstrated that there is a need for correction of significant developmental deformity (H) 45641 01DEC1991 30JUN1998 N RHINOPLASTY involving nasal or septal cartilage graft 45641 01JUL1998 31OCT2014 N RHINOPLASTY involving nasal or septal cartilage graft, or nasal bone graft, or nasal bone and nasal cartilage graft 45641 01NOV2014 31OCT2018 N RHINOPLASTY involving nasal or septal cartilage graft, or nasal bone graft, or nasal bone and nasal cartilage graft for correction of nasal obstruction or post-traumatic deformity (other than deformity resulting from previous elective cosmetic surgery), or both. (H) 45641 01NOV2018 31DEC9999 Y Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes 45644 01DEC1991 31OCT2014 N RHINOPLASTY involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft 45644 01NOV2014 31OCT2018 N RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft For correction of nasal obstruction or post-traumatic deformity (other than deformity resulting from previous elective cosmetic surgery), or both. (H) 45644 01NOV2018 30JUN2023 N Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes 45644 01JUL2023 31DEC9999 Y Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes; other than a service associated with a service to which item 45718 applies (H) 45645 01NOV1994 31DEC9999 Y CHOANAL ATRESIA, repair of by puncture and dilatation 45646 01NOV1994 31DEC9999 Y CHOANAL ATRESIA - correction by open operation with bone removal 45647 01DEC1991 31OCT2003 N FACE, contour restoration of 1 region, using autogenous bone or cartilage graft (not being a service to which item 45644 applies) 45647 01NOV2003 31DEC9999 Y FACE, contour restoration of 1 region, using autogenous bone or cartilage graft (not being a service to which item 45644 applies) 45650 01DEC1991 31OCT2014 N RHINOPLASTY, secondary revision of 45650 01NOV2014 31OCT2018 N RHINOPLASTY, secondary revision of, for correction of nasal obstruction, post-traumatic deformity (other than deformity resulting from previous elective cosmetic surgery) or significant developmental deformity 45650 01NOV2018 31DEC9999 Y Rhinoplasty, revision of, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes 45652 01NOV1995 30APR2001 N RHINOPHYMA, carbon dioxide laser excision-ablation of 45652 01MAY2001 31OCT2018 N RHINOPHYMA, carbon dioxide laser or erbium laser excision-ablation of 45652 01NOV2018 31DEC9999 Y Rhinophyma of a moderate or severe degree, carbon dioxide laser or erbium laser excision - ablation of 45653 01DEC1991 31DEC9999 Y RHINOPHYMA, shaving of 45656 01DEC1991 31DEC9999 Y COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid 45658 01MAR2021 31DEC9999 Y Correction of a congenital deformity of the ear if: (a) the congenital deformity is not related to a prominent ear; and (b) the deformity has been clinically diagnosed as a constricted ear, Stahl's ear, or a similar congenital deformity; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes. 45659 01DEC1991 31OCT2018 N LOP EAR, BAT EAR OR SIMILAR DEFORMITY, correction of 45659 01NOV2018 31DEC9999 Y Correction of a congenital deformity of the ear if: (a) the patient is less than 18 years of age; and (b) the deformity is characterised by an absence of the antihelical fold and/or large scapha and/or large concha; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes 45660 01NOV2000 30JUN2023 N EXTERNAL EAR, COMPLEX TOTAL RECONSTRUCTION OF, using multiple costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of his or her specialty 45660 01JUL2023 31DEC9999 Y External ear, complex total reconstruction of, using costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of the specialist's specialty (H) 45661 01NOV2000 30JUN2023 N EXTERNAL EAR, COMPLEX TOTAL RECONSTRUCTION OF, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and full thickness skin graft to cover cartilage (second stage) - performed by a specialist in the practice of his or her specialty 45661 01JUL2023 31DEC9999 Y External ear, complex total reconstruction of, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and skin graft to cover cartilage (second stage) - performed by a specialist in the practice of the specialist's specialty (H) 45662 01DEC1991 31DEC9999 Y CONGENITAL ATRESIA, reconstruction of external auditory canal 45665 01DEC1991 30JUN2023 N LIP, EYELID OR EAR, FULL THICKNESS WEDGE EXCISION OF, with repair by direct sutures 45665 01JUL2023 31DEC9999 Y Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures, excluding eyelid wedge when performed in conjunction with a cosmetic eyelid procedure 45668 01DEC1991 31OCT1995 N VERMILIONECTOMY 45668 01NOV1995 31DEC9999 Y VERMILIONECTOMY, by surgical excision 45669 01NOV1995 30APR2001 N VERMILIONECTOMY, using carbon dioxide laser excision-ablation 45669 01MAY2001 31OCT2018 N VERMILIONECTOMY, using carbon dioxide laser or erbium laser excision-ablation 45669 01NOV2018 31DEC9999 Y Vermilionectomy for biopsy-confirmed cellular atypia, using carbon dioxide laser or erbium laser excision - ablation 45671 01DEC1991 30JUN2023 N LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or similar), first stage 45671 01JUL2023 29FEB2024 N Lip or eyelid reconstruction, single stage or first stage of a two-stage flap reconstruction of a defect involving all 3 layers of tissue, if the flap is switched from the opposing lip or eyelid respectively 45671 01MAR2024 31DEC9999 Y Lip or eyelid reconstruction, single stage or first stage of a two-stage flap reconstruction of a defect involving all 3 layers of tissue, if the flap is switched from the opposing lip or eyelid respectively (H) 45674 01DEC1991 30JUN2023 N LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or similar), second stage 45674 01JUL2023 31DEC9999 Y Lip or eyelid reconstruction, second stage of a two-stage flap reconstruction, division of the pedicle and inset of flap and closure of the donor 45675 01NOV1994 31DEC9999 Y MACROCHEILIA or macroglossia, operation for 45676 01NOV1994 31DEC9999 Y MACROSTOMIA, operation for 45677 01DEC1991 30JUN2023 N CLEFT LIP, unilateral primary repair, 1 stage, without anterior palate repair 45677 01JUL2023 31DEC9999 Y Cleft lip, unilateral-primary repair of nasolabial complex, one stage, without anterior palate repair (H) 45680 01DEC1991 30JUN2023 N CLEFT LIP, unilateral - primary repair, 1 stage, with anterior palate repair 45680 01JUL2023 31DEC9999 Y Cleft lip, unilateral-primary repair of nasolabial complex, one stage, with anterior palate repair (H) 45683 01DEC1991 30JUN2023 N CLEFT LIP, bilateral - primary repair, 1 stage, without anterior palate repair 45683 01JUL2023 31DEC9999 Y Cleft lip, bilateral-primary repair of nasolabial complex, one stage, without anterior palate repair (H) 45686 01DEC1991 30JUN2023 N CLEFT LIP, bilateral - primary repair, 1 stage, with anterior palate repair 45686 01JUL2023 31DEC9999 Y Cleft lip, bilateral-primary repair of nasolabial complex, one stage, with anterior palate repair (H) 45689 01DEC1991 31DEC9999 Y CLEFT LIP, lip adhesion procedure, unilateral or bilateral 45692 01DEC1991 31DEC9999 Y CLEFT LIP, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed 45695 01DEC1991 31DEC9999 Y CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity 45698 01DEC1991 31DEC9999 Y CLEFT LIP, primary columella lengthening procedure, bilateral 45701 01DEC1991 31DEC9999 Y CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage 45704 01DEC1991 31DEC9999 Y CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), second stage 45707 01DEC1991 31DEC9999 Y CLEFT PALATE, primary repair 45710 01DEC1991 31DEC9999 Y CLEFT PALATE, secondary repair, closure of fistula using local flaps 45713 01DEC1991 31DEC9999 Y CLEFT PALATE, secondary repair, lengthening procedure 45714 01NOV1995 30JUN2023 N ORO-NASAL FISTULA, plastic closure of, including services to which item 45200, 45203 or 45239 applies 45714 01JUL2023 31DEC9999 Y Oro-nasal fistula, repair of, including a local flap for closure (H) 45716 01DEC1991 31DEC9999 Y VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for 45717 01JUL2023 31DEC9999 Y Alveolar cleft (congenital), unilateral, bone grafting of, including local flap closure of associated oro-nasal fistulae and ridge augmentation, other than a service associated with a service to which item 45718 applies (H) 45718 01JUL2023 31DEC9999 Y Face, contour restoration of one region, for the correction of deformity using autogenous bone or cartilage, if the deformity:(a) is secondary to congenital absence of tissue; or(b) has arisen from:(i) trauma (other than from previous cosmetic surgery); or(ii) a diagnosed pathological process;other than a service associated with a service to which item 45644 or 45717 (alveolar bone grafting) applies (H) 45719 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45720 01JUL1998 30APR2009 N MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site 45720 01MAY2009 31OCT2021 N MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and excluding services to which item 47933or 47936 apply 45720 01NOV2021 31DEC9999 Y Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site 45722 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45723 01JUL1998 31OCT2000 N MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45723 01NOV2000 30APR2009 N MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 45723 01MAY2009 31OCT2021 N MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply 45723 01NOV2021 31DEC9999 Y Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) 45725 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site 45726 01JUL1998 30APR2009 N MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site 45726 01MAY2009 31OCT2021 N MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply 45726 01NOV2021 31DEC9999 Y Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (H) 45728 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site 45729 01JUL1998 31OCT2000 N MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45729 01NOV2000 30APR2009 N MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 45729 01MAY2009 31OCT2021 N MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply 45729 01NOV2021 31DEC9999 Y Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) 45731 01DEC1991 30APR2009 N MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site 45731 01MAY2009 31OCT2021 N MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply 45731 01NOV2021 31DEC9999 Y Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (H) 45732 01JUL1998 31OCT2000 N MANDIBLE OR MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45732 01NOV2000 30APR2009 N MANDIBLE OR MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 45732 01MAY2009 31OCT2021 N MANDIBLE OR MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply 45732 01NOV2021 31DEC9999 Y Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) 45734 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site 45735 01JUL1998 30APR2009 N MANDIBLE AND MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site 45735 01MAY2009 31OCT2021 N MANDIBLE AND MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply 45735 01NOV2021 31DEC9999 Y Mandible and maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (H) 45737 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, complex bilateral osteotomies or osteectomies of involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site 45738 01JUL1998 31OCT2000 N MANDIBLE AND MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45738 01NOV2000 30APR2009 N MANDIBLE AND MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 45738 01MAY2009 31OCT2021 N MANDIBLE AND MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply 45738 01NOV2021 31DEC9999 Y Mandible and maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) 45740 01DEC1991 31DEC9999 Y MANDIBLE or MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site 45741 01JUL1998 30APR2009 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site 45741 01MAY2009 31OCT2021 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply 45741 01NOV2021 31DEC9999 Y Mandible and maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (H) 45743 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45744 01JUL1998 31OCT2000 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45744 01NOV2000 30APR2009 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 45744 01MAY2009 31OCT2021 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply 45744 01NOV2021 31DEC9999 Y Mandible and maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) 45746 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, osteotomies or oteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45747 01JUL1998 30APR2009 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site 45747 01MAY2009 31OCT2021 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply 45747 01NOV2021 31DEC9999 Y MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site 45749 01DEC1991 31DEC9999 Y MANDIBLE OR MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45752 01DEC1991 30JUN1998 N MANDIBLE OR MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45752 01JUL1998 31OCT2000 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45752 01NOV2000 30APR2009 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 45752 01MAY2009 31OCT2021 N MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply 45752 01NOV2021 31DEC9999 Y MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) 45753 01JUL1993 31DEC9999 Y MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III(Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site 45754 01JUL1993 31OCT2000 N MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 45754 01NOV2000 31DEC9999 Y MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 45755 01DEC1991 31OCT2006 N TEMPOROMANDIBULAR MENISCECTOMY 45755 01NOV2006 31DEC9999 Y TEMPOROMANDIBULAR PARTIAL OR TOTAL MENISCECTOMY 45758 01DEC1991 31DEC9999 Y TEMPORO-MANDIBULAR JOINT, arthroplasty 45761 01DEC1991 30JUN1998 N GENIOPLASTY, including transposition of nerves and bone grafts taken from the same site 45761 01JUL1998 30JUN2023 N GENIOPLASTY, including transposition of nerves and vessels and bone grafts taken from the same site 45761 01JUL2023 31DEC9999 Y Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site, if:(a) the deformity: (i) is secondary to congenital absence of tissue; or(ii) has arisen from trauma (other than from previous cosmetic surgery) or a diagnosed pathological process; and (b) the service is required for maintaining lip competency; and(c) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes(H) 45764 01DEC1991 30JUN1998 N GENIOPLASTY being a service associated with a service to which item 45719, 45722, 45725, 45728, 45731, 45734, 45743 or 45746 applies 45764 01JUL1998 31DEC9999 Y GENIOPLASTY being a service associated with a service to which item 45720, 45723, 45726, 45729, 45731, 45732, 45735 or 45738 applies 45767 01DEC1991 30JUN2023 N HYPERTELORISM, correction of, intracranial 45767 01JUL2023 31DEC9999 Y Hypertelorism, correction of, using intracranial approach (H) 45770 01DEC1991 31DEC9999 Y HYPERTELORISM, correction of, subcranial 45773 01DEC1991 30JUN2023 N TREACHER COLLINS SYNDROME, PERIORBITAL CORRECTION OF, with rib and iliac bone grafts 45773 01JUL2023 31DEC9999 Y Syndromic orbital dystopia, such as Treacher Collins Syndrome, bilateral facial or periorbital reconstruction, with bone grafts from a distant site (H) 45776 01DEC1991 31DEC9999 Y ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial 45779 01DEC1991 31DEC9999 Y ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial 45782 01DEC1991 30JUN2023 N FRONTOORBITAL ADVANCEMENT, UNILATERAL 45782 01JUL2023 31DEC9999 Y Fronto-orbital advancement (H) 45785 01DEC1991 30JUN2023 N CRANIAL VAULT RECONSTRUCTION for oxycephaly, brachycephaly, turricephaly or similar condition (bilateral frontoorbital advancement) 45785 01JUL2023 31DEC9999 Y Cranial vault reconstruction for single suture synostosis (H) 45788 01DEC1991 30JUN2023 N GLENOID FOSSA, ZYGOMATIC ARCH AND TEMPORAL BONE, RECONSTRUCTION OF, (Obwegeser technique) 45788 01JUL2023 31DEC9999 Y Glenoid fossa, construction of, from bone and cartilage graft, and creation of condyle and ascending ramus of mandible, in hemifacial microsomia, not including harvesting of graft material (H) 45791 01DEC1991 30JUN2023 N ABSENT CONDYLE AND ASCENDING RAMUS in hemifacial microsomia, CONSTRUCTION OF, not including harvesting of graft material 45791 01JUL2023 31DEC9999 Y Absent condyle and ascending ramus in craniofacial microsomia, construction of, not including harvesting of graft material (H) 45794 01DEC1991 31OCT2006 N OSSEO-INTEGRATION PROCEDURE - extra-oral, implantation of titanium fixture 45794 01NOV2006 30JUN2023 N OSSEO-INTEGRATION PROCEDURE - extra-oral, implantation of titanium fixture, not for implantable bone conduction hearing system device 45794 01JUL2023 31OCT2023 N Osseo-integration procedure, first stage, implantation of fixture, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 or 41604 applies 45794 01NOV2023 31DEC9999 Y Osseo-integration procedure, first stage, implantation of fixture, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies 45797 01DEC1991 31OCT2006 N OSSEO-INTEGRATION PROCEDURE, fixation of transcutaneous abutment 45797 01NOV2006 30JUN2023 N OSSEO-INTEGRATION PROCEDURE, fixation of transcutaneous abutment, not for implantable bone conduction hearing system device 45797 01JUL2023 31OCT2023 N Osseo-integration procedure, second stage, fixation of transcutaneous abutment, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 or 41604 applies 45797 01NOV2023 31DEC9999 Y Osseo-integration procedure, second stage, fixation of transcutaneous abutment, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies 45799 01NOV2004 31DEC9999 Y ASPIRATION BIOPSY of 1 or MORE JAW CYSTS as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day 45801 01NOV2004 30JUN2023 N TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation),in the oral and maxillofacial region, up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 45803 applies 45801 01JUL2023 31DEC9999 Y Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral cavity, removal from mucosa or submucosal tissues, if the removal is by surgical excision and suture 45803 01NOV2004 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions 45805 01NOV2004 31DEC9999 Y TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane 45807 01NOV2004 31DEC9999 Y TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue 45809 01NOV2004 31DEC9999 Y TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, not being a service to which another item in this Subgroup applies 45811 01NOV2004 31DEC9999 Y TUMOUR, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft 45813 01NOV2004 31DEC9999 Y TUMOUR, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft 45815 01NOV2004 30JUN2023 N OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for chronic osteomyelitis - 1 bone or in combination with adjoining bones 45815 01JUL2023 31DEC9999 Y Operation on:(a) mandible or maxilla (other than alveolar margins) for chronic osteomyelitis with radiological and laboratory evidence of osteomyelitis; or(b) mandible or maxilla for necrosis of the jaw from any cause including medication or radiation that requires debridement of the alveolar bone or beyond 45817 01NOV2004 31DEC9999 Y OPERATION on SKULL for OSTEOMYELITIS 45819 01NOV2004 31DEC9999 Y OPERATION ON ANY COMBINATION OF ADJOINING BONES IN THE ORAL AND MAXILLOFACIAL REGION, being bones referred to in item 45817 45821 01NOV2004 31DEC9999 Y BONE GROWTH STIMULATOR IN THE ORAL AND MAXILLOFACIAL REGION, insertion of 45823 01NOV2004 30JUN2023 N ARCH BARS, 1 or more, which were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia where undertaken in the operating theatre of a hospital 45823 01JUL2023 31DEC9999 Y Arch bars or similar, one or more, that were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia, if the service is undertaken in the operating theatre of a hospital (H) 45825 01NOV2004 31DEC9999 Y MANDIBULAR OR PALATAL EXOSTOSIS, excision of 45827 01NOV2004 31DEC9999 Y MYLOHYOID RIDGE, reduction of 45829 01NOV2004 31DEC9999 Y MAXILLARY TUBEROSITY, reduction of 45831 01NOV2004 30JUN2023 N PAPILLARY HYPERPLASIA OF THE PALATE, removal of - less than 5 lesions 45831 01JUL2023 31DEC9999 Y Papillary hyperplasia of the palate, surgical reduction of-cannot be claimed more than once per occasion of service 45833 01NOV2004 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of - 5 to 20 lesions 45835 01NOV2004 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of - more than 20 lesions 45837 01NOV2004 31DEC9999 Y VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral 45839 01NOV2004 31DEC9999 Y FLOOR OF MOUTH LOWERING (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed - unilateral 45841 01NOV2004 31DEC9999 Y ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral 45843 01NOV2004 31DEC9999 Y ALVEOLAR RIDGE AUGMENTATION - unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for 45845 01NOV2004 30JUN2023 N OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours 45845 01JUL2023 31DEC9999 Y Osseo-integration procedure, intra-oral implantation of titanium or similar fixture to facilitate restoration of the dentition following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures 45847 01NOV2004 30JUN2023 N OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours 45847 01JUL2023 31DEC9999 Y Osseo-integration procedure, fixation of transmucosal abutment to fixtures that are placed following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures 45849 01NOV2004 30JUN2023 N MAXILLARY SINUS, BONE GRAFT to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) 45849 01JUL2023 31DEC9999 Y Maxillary sinus, allograft, bone graft or both, to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral 45851 01NOV2004 30JUN2023 N TEMPOROMANDIBULAR JOINT, manipulation of, performed in the operating theatre of a hospital, not being a service associated with a service to which another item in this Subgroup applies 45851 01JUL2023 31DEC9999 Y Temporomandibular joint, manipulation of, as an independent procedure performed in the operating theatre of a hospital, other than a service associated with a service to which any other item in this Group applies (H) 45853 01NOV2004 31DEC9999 Y ABSENT CONDYLE and ASCENDING RAMUS in hemifacial microsomia, construction of, not including harvesting of graft material 45855 01NOV2004 30JUN2023 N TEMPOROMANDIBULAR JOINT, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint 45855 01JUL2023 29FEB2024 N Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint 45855 01MAR2024 31DEC9999 Y Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint (H) 45857 01NOV2004 30APR2009 N TEMPOROMANDIBULAR JOINT, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions - 1 or more such procedures 45857 01MAY2009 30JUN2023 N TEMPOROMANDIBULAR JOINT, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions - 1 or more such procedure of that joint, not being a service associated with any other arthroscopic procedure of the temporomandibular joint 45857 01JUL2023 29FEB2024 N Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or lysis and lavage or biopsy (including repositioning of meniscus where indicated)-one or more such procedures of that joint, other than a service associated with any other arthroscopic or open procedure of the temporomandibular joint 45857 01MAR2024 31DEC9999 Y Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or lysis and lavage or biopsy (including repositioning of meniscus where indicated)-one or more such procedures of that joint, other than a service associated with any other arthroscopic or open procedure of the temporomandibular joint (H) 45859 01NOV2004 31DEC9999 Y TEMPOROMANDIBULAR JOINT, arthrotomy of, not being a service to which another item in this Subgroup applies 45861 01NOV2004 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without microsurgical techniques 45863 01NOV2004 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques 45865 01NOV2004 31DEC9999 Y ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) 45867 01NOV2004 31DEC9999 Y TEMPOROMANDIBULAR JOINT, synovectomy of, not being a service to which another item in this Subgroup applies 45869 01NOV2004 31OCT2006 N TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without meniscus or capsular surgery, including meniscectomy when performed, with or without microsurgical techniques 45869 01NOV2006 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without meniscus or capsular surgery, including partial or total meniscectomy when performed, with or without microsurgical techniques 45871 01NOV2004 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques 45873 01NOV2004 30JUN2023 N TEMPOROMANDIBULAR JOINT, surgery of, involving procedures to which items 45863, 45867, 45869 and 45871 apply and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques 45873 01JUL2023 31DEC9999 Y Temporomandibular joint, surgery of, involving procedures to which item 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques 45874 01JUL2023 31DEC9999 Y Temporomandibular joint, including condylar head and glenoid fossa, total alloplastic replacement (H) 45875 01NOV2004 31DEC9999 Y TEMPOROMANDIBULAR JOINT, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this Subgroup applies 45877 01NOV2004 30APR2009 N TEMPOROMANDIBULAR JOINT, arthrodesis of, not being a service to which another item in this Subgroup applies 45877 01MAY2009 31DEC9999 Y TEMPOROMANDIBULAR JOINT, arthrodesis of, with synovectomy if performed, not being a service to which another item in this Subgroup applies 45879 01NOV2004 31DEC9999 Y TEMPOROMANDIBULAR JOINT OR JOINTS, application of external fixator to, other than for treatment of fractures 45882 01NOV2007 31DEC9999 Y The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser. 45885 01NOV2007 31DEC9999 Y Facial, mandibular or lingual artery or vein or artery and vein, ligation of, not being a service to which item 41707 applies 45888 01NOV2007 31DEC9999 Y FOREIGN BODY, in the oral and maxillofacial region, deep, removal of using interventional imaging techniques 45891 01NOV2007 31DEC9999 Y SINGLE-STAGE LOCAL FLAP where indicated, repair to 1 defect, using temporalis muscle 45894 01NOV2007 30JUN2023 N FREE GRAFTING, in the oral and maxillofacial region, (mucosa or split skin) of a granulating area 45894 01JUL2023 31DEC9999 Y Grafting (mucosa or split skin), in the oral cavity of a mucosal defect 45897 01NOV2007 31DEC9999 Y ALVEOLAR CLEFT (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation 45900 01NOV2007 31DEC9999 Y MANDIBLE, fixation by intermaxillary wiring, excluding wiring for obesity 45903 01NOV2007 31DEC9999 Y MANDIBULAR OR PALATAL EXOSTOSIS, excision of 45906 01NOV2007 31DEC9999 Y MYLOHYOID RIDGE, reduction of 45909 01NOV2007 31DEC9999 Y MAXILLARY TUBEROSITY, reduction of 45912 01NOV2007 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of less than 5 lesions 45915 01NOV2007 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of 5 to 20 lesions 45918 01NOV2007 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of more than 20 lesions 45921 01NOV2007 31DEC9999 Y VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral 45924 01NOV2007 31DEC9999 Y FLOOR OF MOUTH LOWERING (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed - unilateral 45939 01NOV2007 31DEC9999 Y PERIPHERAL BRANCHES OF THE TRIGEMINAL NERVE, cryosurgery of, for pain relief 45945 01NOV2007 31DEC9999 Y MANDIBLE, treatment of a dislocation of, requiring open reduction 45975 01NOV2007 31DEC9999 Y MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting 45978 01NOV2007 31DEC9999 Y MANDIBLE, treatment of fracture of, not requiring splinting 45981 01NOV2007 31DEC9999 Y ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction 45984 01NOV2007 31DEC9999 Y MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves requiring open reduction not involving plate(s) 45987 01NOV2007 31DEC9999 Y MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) 45990 01NOV2007 31DEC9999 Y MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves requiring open reduction involving the use of plate(s) 45993 01NOV2007 31DEC9999 Y MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) 45996 01NOV2007 31DEC9999 Y MANDIBLE, treatment of a closed fracture of, involving a joint surface 46050 01JUL2023 31DEC9999 Y Perforator flap, raising on a named source vessel, for pedicled transfer for head or neck or other non-breast reconstruction (H) 46052 01JUL2023 31DEC9999 Y Perforator Flap, such as anterolateral thigh flap or similar, raising in preparation for microsurgical transfer of a free flap for head or neck or other non-breast reconstruction (H) 46060 01JUL2023 31DEC9999 Y Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesSingle surgeon (H) 46062 01JUL2023 31DEC9999 Y Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) 46064 01JUL2023 31DEC9999 Y Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) 46066 01JUL2023 31DEC9999 Y Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) 46068 01JUL2023 31DEC9999 Y Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) 46070 01JUL2023 31DEC9999 Y Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation, including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) 46072 01JUL2023 31DEC9999 Y Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) 46080 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous, single surgeon (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) 46082 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous, single surgeon (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) 46084 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies-conjoint surgery, principal specialist surgeon (H) 46086 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies-conjoint surgery, conjoint specialist surgeon (H) 46088 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies-conjoint surgery, principal specialist surgeon (H) 46090 01JUL2023 31DEC9999 Y Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies-conjoint surgery, conjoint specialist surgeon (H) 46092 01JUL2023 29FEB2024 N Lower pole coverage of reconstructive breast prosthesis, following mastectomy, using muscle or fascia turnover flap or autologous dermal flaps, if the service is performed in combination with a service to which item 31522, 31523, 31528, 31529, 45527, 45539 or 45542 applies 46092 01MAR2024 31DEC9999 Y Lower pole coverage of reconstructive breast prosthesis, following mastectomy, using muscle or fascia turnover flap or autologous dermal flaps, if the service is performed in combination with a service to which item 31522, 31523, 31528, 31529, 45527, 45539 or 45542 applies (H) 46094 01JUL2023 29FEB2024 N Lower pole coverage or complete implant coverage of reconstructive breast prosthesis, following mastectomy, using allograft or synthetic products 46094 01MAR2024 31DEC9999 Y Lower pole coverage or complete implant coverage of reconstructive breast prosthesis, following mastectomy, using allograft or synthetic products (H) 46100 01JUL2023 31DEC9999 Y Excision of burnt tissue, or definitive burn wound closure, if:(a) the area of burn excised involves more than 1% of hands, face or anterior neck; and(b) the service is performed in conjunction with a service (the co-claimed service) to which any of items 46101 to 46135 (other than item 46112 or 46124) apply;other than a service to which item 46136 applies 46101 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves not more than 1% of the total body surface 46102 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves more than 1% but less than 3% of the total body surface (H) 46103 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 3% or more but less than 10% of the total body surface (H) 46104 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 10% or more but less than 20% of the total body surface, excluding aftercare (H) 46105 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 20% or more but less than 30% of total body surface, excluding aftercare (H) 46106 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 30% or more but less than 40% of total body surface, excluding aftercare (H) 46107 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 40% or more but less than 50% of total body surface, excluding aftercare (H) 46108 01JUL2023 31OCT2023 N Excision of burnt tissue, if the area of burn excised involves 50% or more but less than 60% of total body surface (H) 46108 01NOV2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 50% or more but less than 60% of total body surface, excluding aftercare (H) 46109 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 60% or more but less than 70% of total body surface, excluding aftercare (H) 46110 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 70% or more but less than 80% of total body surface, excluding aftercare (H) 46111 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves 80% or more of total body surface, excluding aftercare (H) 46112 01JUL2023 31DEC9999 Y Excision of burnt tissue, if the area of burn excised involves whole of face (excluding ears)-may be claimed with any one of items 46101 to 46111, based on the percentage total body surface (excluding the face), other than a service associated with a service to which item 46100 applies and excluding aftercare (H) 46113 01JUL2023 31DEC9999 Y Excised burn wound closure, or closure of skin defect secondary to burns contracture release, if the defect area is not more than 1% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound 46114 01JUL2023 31DEC9999 Y Excised burn wound closure, or closure of skin defect secondary to burns contracture release, if the defect area is more than 1% but not more than 3% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound (H) 46115 01JUL2023 31DEC9999 Y Excised burn wound closure or closure of skin defect secondary to burns contracture release, if the defect area is more than 3% but not more than 10% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound (H) 46116 01JUL2023 31OCT2023 N Excised burn wound closure or closure of skin defect secondary to burns contracture release, if the defect area is more than 10% but not more than 20% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46116 01NOV2023 31DEC9999 Y Excised burn wound closure or closure of skin defect secondary to burns contracture release, if the defect area is more than 10% but less than 20% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46117 01JUL2023 31DEC9999 Y Excised burn wound closure, if the defect area is 20% or more but less than 30% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46118 01JUL2023 31DEC9999 Y Excised burn wound closure, if the defect area is 30% or more but less than 40% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46119 01JUL2023 31DEC9999 Y Excised burn wound closure, if the defect area is 40% or more but less than 50% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46120 01JUL2023 31OCT2023 N Excised burn wound closure, if the defect area is 50% or more but less than 60% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46120 01NOV2023 31DEC9999 Y Excised burn wound closure, if the defect area is 50% or more but less than 60% of total body surface and if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and (b) involves: (i) autologous skin grafting for definitive closure; or (ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46121 01JUL2023 31DEC9999 Y Excised burn wound closure, if the defect area is 60% or more but less than 70% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46122 01JUL2023 31OCT2023 N Excised burn wound closure, if the defect area is 70% or more but less than 80% of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46122 01NOV2023 31DEC9999 Y Excised burn wound closure, if the defect area is 70% or more but less than 80% of total body surface and if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and (b) involves: (i) autologous skin grafting for definitive closure; or (ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46123 01JUL2023 31DEC9999 Y Excised burn wound closure, if the defect area is 80% or more of total body surface and if the service:(a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) 46124 01JUL2023 31DEC9999 Y Excised burn wound closure of whole of face, if the service:(a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare, other than a service associated with a service to which item 46100 applies (H) 46125 01JUL2023 31DEC9999 Y Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves less than 1% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) 46126 01JUL2023 31DEC9999 Y Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 1% or more but less than 3% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) 46127 01JUL2023 31DEC9999 Y Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 3% or more but less than 10% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) (H) 46128 01JUL2023 31DEC9999 Y Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 10% or more but less than 30% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements), excluding aftercare (H) 46129 01JUL2023 31DEC9999 Y Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 30% or more of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements), excluding aftercare (H) 46130 01JUL2023 31DEC9999 Y Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, if the defect area involves less than 1% of total body surface, using autologous tissue (split skin graft or other) following previous procedure using non-autologous temporary wound closure or simple dressings 46131 01JUL2023 31DEC9999 Y Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, if the defect area involves 1% or more but less than 3% of total body surface, using autologous tissue (split skin graft or other) following previous procedure using non-autologous temporary wound closure or simple dressings (H) 46132 01JUL2023 31DEC9999 Y Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, if the defect area involves 3% or more but less than 10% of total body surface, using autologous tissue (split skin graft or other) following previous procedure using non-autologous temporary wound closure or simple dressings (H) 46133 01JUL2023 31DEC9999 Y Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, if the defect area involves 10% or more but less than 20% of total body surface, using autologous tissue (split skin graft or other) following previous procedure using non-autologous temporary wound closure or simple dressings, excluding aftercare (H) 46134 01JUL2023 31DEC9999 Y Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis, if the defect area involves 20% or more but less than 30% of total body surface, using autologous tissue (split skin graft or other) following previous procedure using non-autologous temporary wound closure, excluding aftercare (H) 46135 01JUL2023 31DEC9999 Y Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis, if the defect area involves 30% or more of total body surface, using autologous tissue (split skin graft or other) following previous procedure using non-autologous temporary wound closure, excluding aftercare (H) 46136 01JUL2023 31DEC9999 Y Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis, of whole of face, using autologous tissue (split skin graft or other) following previous procedure using non-autologous temporary wound closure, excluding aftercare, other than a service associated with a service to which item 46100 applies (H) 46140 01JUL2023 31DEC9999 Y Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is less than 1% of total body surface, including direct repair if performed 46141 01JUL2023 31DEC9999 Y Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is 1% or more but less than 3% of total body surface (H) 46142 01JUL2023 31DEC9999 Y Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is 3% or more but less than 10% of total body surface (H) 46143 01JUL2023 31DEC9999 Y Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is 10% or more but less than 20% of total body surface (H) 46150 01JUL2023 31DEC9999 Y Mandible or maxilla, procedure for advancement, retrusion or alteration of tilt, by osteotomy in standard planes, including fixation by any means (including application of distractors if used)-one service per patient on the same occasion (H) 46151 01JUL2023 31DEC9999 Y Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)-conjoint surgery, principal specialist surgeon, one service per patient on the same occasion (H) 46152 01JUL2023 31DEC9999 Y Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)-conjoint surgery, conjoint specialist surgeon, one service per patient on the same occasion (H) 46153 01JUL2023 31DEC9999 Y Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)-single surgeon, one service per patient on the same occasion (H) 46154 01JUL2023 31DEC9999 Y Maxilla, procedure for reshaping arch of, by complex segmental osteotomies, including fixation by any means (including application of distractors if used), one service per patient on the same occasion (H) 46155 01JUL2023 31DEC9999 Y Mandible, procedure for reshaping arch of, by complex segmental osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used), one service per patient on the same occasion (H) 46156 01JUL2023 31DEC9999 Y Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)-conjoint surgery, principal specialist surgeon, one service per patient on the same occasion (H) 46157 01JUL2023 31DEC9999 Y Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)-conjoint surgery, conjoint specialist surgeon, one service per patient on the same occasion (H) 46158 01JUL2023 31DEC9999 Y Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)-single surgeon, one service per patient on the same occasion (H) 46159 01JUL2023 31DEC9999 Y Midfacial osteotomies, Le Fort II or Le Fort III-conjoint surgery, principal specialist surgeon (H) 46160 01JUL2023 31DEC9999 Y Midfacial osteotomies, Le Fort II or Le Fort III-conjoint surgery, conjoint specialist surgeon (H) 46161 01JUL2023 31DEC9999 Y Midfacial osteotomies, Le Fort II or Le Fort III-single surgeon (H) 46170 01JUL2023 31DEC9999 Y Decompression of thoracic outlet, primary, for thoracic outlet syndrome, using any approach, including (if performed) division of scalene muscles, cervical rib and/or first rib resection (H) 46171 01JUL2023 31DEC9999 Y Decompression of thoracic outlet, repeat (revision) procedure, for thoracic outlet syndrome, using any approach, including (if performed) division of scalene muscles, cervical rib and/or first rib resection (H) 46172 01JUL2023 31DEC9999 Y Removal or debulking of brachial plexus tumour, involving intraneural dissection, either supraclavicular or infraclavicular dissection (H) 46173 01JUL2023 31DEC9999 Y Removal or debulking of brachial plexus tumour, involving intraneural dissection, both supraclavicular and infraclavicular dissection (H) 46174 01JUL2023 31DEC9999 Y Exploration of the brachial plexus, either supraclavicular or infraclavicular, including any neurolyses performed and intraoperative neurophysiological recordings, but excluding reconstruction of elements(H) 46175 01JUL2023 31DEC9999 Y Exploration of the brachial plexus, both supraclavicular and infraclavicular, including any neurolyses performed and intraoperative neurophysiological recordings, but excluding reconstruction of elements(H) 46176 01JUL2023 31DEC9999 Y Exploration of the brachial plexus, posterior subscapular approach, all necessary elements of the operation including (but not limited to):(a) resection of the first rib and/or second rib; and(b) vertebral laminectomies or facetectomies, if performed; and(c) any neurolyses performed; and(d) intraoperative neurophysiological recordings;excluding the following:(e) reconstruction of elements of the plexus;(f) spinal instrumentation(H) 46177 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, single cord or trunk, by any appropriate method, single surgeon (H) 46178 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, single cord or trunk, by any appropriate method, conjoint surgery, principal surgeon (H) 46179 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, single cord or trunk, by any appropriate method, conjoint surgery, conjoint surgeon (H) 46180 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, more than a single cord or trunk, but less than the whole plexus, by any appropriate method, single surgeon (H) 46181 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, more than a single cord or trunk, but less than the whole plexus, by any appropriate method, conjoint surgery, principal surgeon (H) 46182 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, more than a single cord or trunk, but less than the whole plexus, by any appropriate method, conjoint surgery, conjoint surgeon (H) 46183 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, whole plexus, by any appropriate method, single surgeon (H) 46184 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, whole plexus, by any appropriate method, conjoint surgery, principal surgeon (H) 46185 01JUL2023 31DEC9999 Y Reconstruction of deficit of the brachial plexus, whole plexus, by any appropriate method, conjoint surgery, conjoint surgeon (H) 46300 01DEC1991 30APR2009 N Note: Items 46300 to 46534 are restricted to surgery on the hand/s. INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, arthrodesis of 46300 01MAY2009 30JUN2021 N Note: Items 46300 to 46534 are restricted to surgery on the hand/s. INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, arthrodesis of, with synovectomy if performed 46300 01JUL2021 31DEC9999 Y Arthrodesis of interphalangeal or metacarpophalangeal joint of hand, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy -one joint (H) 46303 01DEC1991 30APR2009 N CARPOMETACARPAL JOINT, arthrodesis of 46303 01MAY2009 30JUN2021 N CARPOMETACARPAL JOINT, arthrodesis of, with synovectomy if performed 46303 01JUL2021 31DEC9999 Y Arthrodesis of carpometacarpal joint of hand, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy -one joint (H) 46306 01DEC1991 31OCT1994 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, interposition arthroplasty of (including volar plate arthroplasty), and including tendon transfers or realignment on the 1 ray 46306 01NOV1994 31DEC9999 Y INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, interposition arthroplasty of and including tendon transfers or realignment on the 1 ray 46307 01NOV1994 31DEC9999 Y INTERPHALANGEAL JOINT OR METACARPOPHALANGEAL JOINT - volar plate arthroplasty for traumatic deformity including tendon transfers or realignment on the 1 ray 46308 01JUL2021 31DEC9999 Y Volar plate or soft tissue interposition arthroplasty of interphalangeal or metacarpophalangeal joint of hand, including either or both of the following (if performed): (a) realignment procedures; (b) tendon transfer -one joint 46309 01DEC1991 31OCT1996 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment - 1 joint 46309 01NOV1996 30JUN2021 N INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 1 joint 46309 01JUL2021 31DEC9999 Y Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer -one joint (H) 46312 01DEC1991 31OCT1996 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment - 2 joints 46312 01NOV1996 30JUN2021 N INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 2 joints 46312 01JUL2021 31DEC9999 Y Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer -2 joints of one hand (H) 46315 01DEC1991 31OCT1996 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment - 3 joints 46315 01NOV1996 30JUN2021 N INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 3 joints 46315 01JUL2021 31DEC9999 Y Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer -3 joints of one hand (H) 46318 01DEC1991 31OCT1996 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment - 4 joints 46318 01NOV1996 30JUN2021 N INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 4 joints 46318 01JUL2021 31DEC9999 Y Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer -4 joints of one hand (H) 46321 01DEC1991 31OCT1996 N INTER-PHALANGEAL JOINT OR METACARPOPHALANGEAL JOINT, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment - 5 or more joints 46321 01NOV1996 30JUN2021 N INTERPHALANGEAL JOINT OR METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 5 or more joints 46321 01JUL2021 31DEC9999 Y Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer; -5 joints of one hand (H) 46322 01JUL2021 31DEC9999 Y Revision of prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpal joint of hand, including any of the following (if performed): (a) bone grafting; (b) ligament reconstruction; (c) ligament realignment; (d) synovectomy; (e) tendon or ligament reconstruction; (f) tendon transfer; -one joint (H) 46324 01DEC1991 31OCT1994 N CARPAL BONE replacement arthroplasty including associated tendon transfer or realignment when performed 46324 01NOV1994 30JUN2021 N CARPAL BONE REPLACEMENT ARTHROPLASTY including associated tendon transfer or realignment when performed 46324 01JUL2021 29FEB2024 N Trapezium replacement arthroplasty or prosthetic interpositional replacement of carpometacarpal joint of thumb, including either or both of the following (if performed): (a) ligament and tendon transfers; (b) rebalancing procedures (H) 46324 01MAR2024 31DEC9999 Y Prosthetic interpositional replacement of carpometacarpal joint, including either or both of the following (if performed): (a) ligament and tendon transfers; (b) rebalancing procedures (H) 46325 01NOV1994 31OCT1996 N CARPAL BONE REPLACEMENT ARTHROPLASTY using adjacent tendon or other soft tissue including associated tendon transfer or realignment when performed 46325 01NOV1996 30JUN2021 N CARPAL BONE REPLACEMENT OR RESECTION ARTHROPLASTY using adjacent tendon or other soft tissue including associated tendon transfer or realignment when performed 46325 01JUL2021 29FEB2024 N Excisional arthroplasty of carpometacarpal joint of thumb, with excision of adjacent trapezoid, including either or both of the following (if performed): (a) ligament and tendon transfers; (b) realignment procedures (H) 46325 01MAR2024 31DEC9999 Y Excisional arthroplasty of carpometacarpal joint, including any of the following (if performed): (a) ligament and tendon transfers; (b) realignment procedures; (c) excision of adjacent trapezoid (H) 46327 01DEC1991 31DEC9999 Y INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, arthrotomy of 46330 01DEC1991 31OCT2006 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, arthrotomy of, with ligamentous or capsular repair 46330 01NOV2006 30JUN2021 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, ligamentous or capsular repair with or without arthrotomy 46330 01JUL2021 31DEC9999 Y Ligamentous or capsular repair or reconstruction of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) arthrotomy; (b) joint stabilisation; (c) synovectomy; -one joint (H) 46333 01DEC1991 30JUN2021 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, ligamentous repair of, using free tissue graft or implant 46333 01JUL2021 31DEC9999 Y Ligamentous or capsular repair or reconstruction of interphalangeal or metacarpophalangeal joint of hand with graft, using graft or implant, including any of the following (if performed): (a) arthrotomy; (b) harvest of graft; (c) joint stabilisation; (d) synovectomy; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 apply-one joint (H) 46335 01JUL2021 29FEB2024 N Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed): (a) reconstruction of extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with a service to which item 30023, 39331 or 39330 applies-applicable only once per occasion on which the service is performed 46335 01MAR2024 31DEC9999 Y Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed): (a) reconstruction of extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with: (e) a service to which item 39330 applies; or (f) a service to which item 30023 applies that is performed at the same site Applicable once per hand per occasion on which the service is performed 46336 01DEC1991 30JUN2021 N INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, synovectomy, capsulectomy or debridement of, not being a service associated with any procedure related to that joint 46336 01JUL2021 31DEC9999 Y Synovectomy of interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed): (a) capsulectomy; (b) debridement; (c) ligament or tendon realignment (or both); other than a service combined with a service to which item 46495 applies-one joint 46339 01DEC1991 30JUN2021 N EXTENSOR TENDONS or FLEXOR TENDONS of hand or wrist, synovectomy of 46339 01JUL2021 29FEB2024 N Synovectomy of digital flexor tendons at wrist level, for diagnosed inflammatory arthritis, including either or both of the following (if performed): (a) tenolysis; (b) release of median nerve and carpal tunnel; other than a service associated with a service to which item 30023, 39331 or 39330 applies-applicable only once per occasion on which the service is performed (H) 46339 01MAR2024 31DEC9999 Y Synovectomy of digital flexor tendons at wrist level, for diagnosed inflammatory arthritis, including either or both of the following (if performed): (a) tenolysis; (b) release of median nerve and carpal tunnel; other than a service associated with: (c) a service to which item 39330 or 39331 applies; or (d) a service to which item 30023 applies that is performed at the same site Applicable once per wrist per occasion on which the service is performed (H) 46340 01JUL2021 29FEB2024 N Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed): (a) reconstruction of flexor or extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with a service to which item 30023, 39331 or 39330 applies-one or more compartments (H) 46340 01MAR2024 31DEC9999 Y Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed): (a) reconstruction of flexor or extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with: (e) a service to which item 39330 applies; or (f) if this service is performed on the wrist flexor tendons-a service to which item 39331 applies; or (g) a service to which item 30023 applies that is performed at the same site -one or more compartments per limb (H) 46341 01JUL2021 29FEB2024 N Synovectomy of wrist flexor or extensor tendons of hand or wrist, for non-inflammatory tenosynovitis or post traumatic synovitis, including any of the following (if performed): (a) reconstruction of flexor or extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with a service to which item 30023, 39331 or 39330 applies-one or more compartments (H) 46341 01MAR2024 31DEC9999 Y Synovectomy of wrist flexor or extensor tendons of hand or wrist, for non-inflammatory tenosynovitis or post traumatic synovitis, including any of the following (if performed): (a) reconstruction of flexor or extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with: (e) a service to which item 39330 applies; or (f) if this service is performed on the wrist flexor tendons-a service to which item 39331 applies; or (g) a service to which item 30023 applies that is performed at the same site -one or more compartments per limb (H) 46342 01DEC1991 30JUN2021 N DISTAL RADIOULNAR JOINT or CARPOMETACARPAL JOINT OR JOINTS, synovectomy of 46342 01JUL2021 31DEC9999 Y Synovectomy of distal radioulnar or carpometacarpal joint of hand-one or more joints (H) 46345 01DEC1991 31OCT1996 N RECONSTRUCTION of DISTAL RADIOULNAR JOINT 46345 01NOV1996 30JUN2021 N DISTAL RADIOULNAR JOINT, reconstruction or stabilisation of, including fusion, or ligamentous arthroplasty and excision of distal ulna, when performed 46345 01JUL2021 31DEC9999 Y Resection arthroplasty of distal radioulnar joint of hand, partial or complete, including any of the following (if performed): (a) ligament or tendon reconstruction; (b) joint stabilisation; (c) synovectomy (H) 46348 01DEC1991 30JUN2021 N DIGIT, synovectomy of flexor tendon or tendons - 1 digit 46348 01JUL2021 29FEB2024 N Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies-one ray (H) 46348 01MAR2024 31DEC9999 Y Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with: (d) a service to which item 30023 applies that is performed at the same site; or (e) a service to which item 46363 applies that is performed on the same ray -one ray (H) 46351 01DEC1991 30JUN2021 N DIGIT, synovectomy of flexor tendon or tendons - 2 digits 46351 01JUL2021 29FEB2024 N Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies-2 rays of one hand (H) 46351 01MAR2024 31DEC9999 Y Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with: (d) a service to which item 30023 applies that is performed at the same site; or (e) a service to which item 46363 applies that is performed on one of the same rays -2 rays of one hand (H) 46354 01DEC1991 30JUN2021 N DIGIT, synovectomy of flexor tendon or tendons - 3 digits 46354 01JUL2021 29FEB2024 N Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies-3 rays of one hand (H) 46354 01MAR2024 31DEC9999 Y Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with: (d) a service to which item 30023 applies that is performed at the same site; or (e) a service to which item 46363 applies that is performed on one of the same rays -3 rays of one hand (H) 46357 01DEC1991 30JUN2021 N DIGIT, synovectomy of flexor tendon or tendons - 4 digits 46357 01JUL2021 29FEB2024 N Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies-4 rays of one hand (H) 46357 01MAR2024 31DEC9999 Y Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with: (d) a service to which item 30023 applies that is performed at the same site; or (e) a service to which item 46363 applies that is performed on one of the same rays -4 rays of one hand (H) 46360 01DEC1991 30JUN2021 N DIGIT, synovectomy of flexor tendon or tendons - 5 digits 46360 01JUL2021 29FEB2024 N Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies-5 rays of one hand (H) 46360 01MAR2024 31DEC9999 Y Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with: (d) a service to which item 30023 applies that is performed at the same site; or (e) a service to which item 46363 applies that is performed on one of the same rays -5 rays of one hand (H) 46363 01DEC1991 30JUN2021 N TENDON SHEATH OF HAND OR WRIST, open operation on, for STENOSING TENOVAGINITIS 46363 01JUL2021 29FEB2024 N Trigger finger release, for stenosing tenosynoviti, including either or both of the following (if performed): (a) synovectomy; (b) synovial biopsy; -one ray 46363 01MAR2024 31DEC9999 Y Trigger finger release, for stenosing tenosynovitis, including either or both of the following (if performed): (a) synovectomy; (b) synovial biopsy; -one ray 46364 01JUL2021 29FEB2024 N Digital sympathectomy of hand, using microsurgical techniques, other than a service associated with a service to which item 30023 or 46363 applies-one digit or palmer arch (or both) or radial or ulnar artery (or both) 46364 01MAR2024 31DEC9999 Y Digital sympathectomy of hand, using microsurgical techniques, other than a service associated with: (a) a service to which item 46363 applies; or (b) a service to which item 30023 applies that is performed at the same site -one digit or palmer arch (or both) or radial or ulnar artery (or both) 46365 01JUL2021 31DEC9999 Y Excision of rheumatoid nodules of hand -one lesion 46366 01DEC1991 31OCT1994 N DUPUYTREN'S CONTRACTURE, subcutaneous fasciotomy for - 1 hand 46366 01NOV1994 31DEC9999 Y DUPUYTREN'S CONTRACTURE, subcutaneous fasciotomy for - each hand 46367 01JUL2021 31DEC9999 Y De Quervain's release, including any of the following (if performed): (a) synovectomy of extensor pollicis brevis; (b) synovectomy of abductor pollicis longus tendons; (c) retinaculum reconstruction; other than a service associated with a service to which item 46339 applies 46369 01DEC1991 31DEC9999 Y DUPUYTREN'S CONTRACTURE, palmar fasciectomy for - 1 hand 46370 01JUL2021 31DEC9999 Y Percutaneous fasciotomy for Dupuytren's contracture, by needle or chemical method, including either or both of the following (if performed): (a) immediate or delayed manipulation; (b) local or regional nerve block; -one ray 46372 01DEC1991 30JUN2021 N DUPUYTREN'S CONTRACTURE, fasciectomy for, from 1 ray, including dissection of nerves - 1 hand 46372 01JUL2021 31DEC9999 Y Fasciectomy for Dupuytren's contracture, including dissection of nerves (if performed)-one ray (H) 46375 01DEC1991 30JUN2021 N DUPUYTREN'S CONTRACTURE, fasciectomy for, from 2 rays, including dissection of nerves - 1 hand 46375 01JUL2021 31DEC9999 Y Fasciectomy for Dupuytren's contracture, including dissection of nerves (if performed)-2 rays (H) 46378 01DEC1991 30JUN2021 N DUPUYTREN'S CONTRACTURE, fasciectomy for, from 3 or more rays, including dissection of nerves - 1 hand 46378 01JUL2021 31DEC9999 Y Fasciectomy for Dupuytren's contracture, including dissection of nerves (if performed)-3 rays (H) 46379 01JUL2021 31DEC9999 Y Fasciectomy for Dupuytren's contracture, including dissection of nerves (if performed)-4 rays (H) 46380 01JUL2021 31DEC9999 Y Fasciectomy for Dupuytren's contracture, including dissection of nerves (if performed)-5 rays (H) 46381 01DEC1991 30JUN2021 N INTER-PHALANGEAL JOINT, joint capsule release when performed in conjunction with operation for Dupuytren's Contracture - each procedure 46381 01JUL2021 31DEC9999 Y Release of interphalangeal joint of hand, by open procedure, when performed in conjunction with an operation for Dupuytren's contracture-one joint (H) 46384 01DEC1991 30JUN2021 N Z PLASTY (or similar local flap procedure) when performed in conjunction with operation for Dupuytren's Contracture - 1 such procedure 46384 01JUL2021 31DEC9999 Y Z-plasty or similar local flap procedure, when performed in conjunction with an operation for Dupuytren's contracture, including raising, transfer in-setting and suturing of both components (flaps)-one Z-plasty or local flap procedure (H) 46387 01DEC1991 30JUN2021 N DUPUYTREN'S CONTRACTURE, fasciectomy for, from 1 ray, including dissection of nerves - operation for recurrence in that ray 46387 01JUL2021 29FEB2024 N Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies-one ray (H) 46387 01MAR2024 31DEC9999 Y Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-one ray (H) 46390 01DEC1991 30JUN2021 N DUPUYTREN'S CONTRACTURE, fasciectomy for, from 2 rays, including dissection of nerves - operation for recurrence in those rays 46390 01JUL2021 29FEB2024 N Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies-2 rays (H) 46390 01MAR2024 31DEC9999 Y Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-2 rays (H) 46393 01DEC1991 30JUN2021 N DUPUYTREN'S CONTRACTURE, fasciectomy for, from 3 or more rays, including dissection of nerves - operation for recurrence in those rays 46393 01JUL2021 29FEB2024 N Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies-3 rays (H) 46393 01MAR2024 31DEC9999 Y Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-3 rays (H) 46394 01JUL2021 29FEB2024 N Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies-4 rays (H) 46394 01MAR2024 31DEC9999 Y Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-4 rays (H) 46395 01JUL2021 29FEB2024 N Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies-5 rays (H) 46395 01MAR2024 31DEC9999 Y Fasciectomy for recurrence of Dupuytren's contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-5 rays (H) 46396 01DEC1991 30APR2009 N PHALANX OR METACARPAL OF THE HAND, osteotomy or osteectomy of 46396 01MAY2009 31DEC9999 Y PHALANX OR METACARPAL OF THE HAND, osteotomy or osteectomy of, and excluding services to which item 47933 or 47936 apply 46399 01DEC1991 30JUN2021 N PHALANX OR METACARPAL OF THE HAND, osteotomy of, with internal fixation 46399 01JUL2021 31DEC9999 Y Osteotomy of phalanx or metacarpal of hand, with internal fixation-one bone (H) 46401 01JUL2021 31DEC9999 Y Operative treatment of non-union of phalanx or metacarpal of hand, including internal fixation (if performed) 46402 01DEC1991 31DEC9999 Y PHALANX or METACARPAL, bone grafting of, for pseudarthrosis (non-union), including obtaining of graft material 46405 01DEC1991 31DEC9999 Y PHALANX or METACARPAL, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft material 46408 01DEC1991 30JUN2021 N TENDON, reconstruction of, by tendon graft 46408 01JUL2021 29FEB2024 N Reconstruction of tendon of hand or wrist, by tendon graft, including either or both of the following (if performed): (a) harvest of graft; (b) tenolysis; other than a service associated with a service to which item 30023 applies (H) 46408 01MAR2024 31DEC9999 Y Reconstruction of tendon of hand or wrist, by tendon graft, including either or both of the following (if performed): (a) harvest of graft; (b) tenolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) 46411 01DEC1991 30JUN2021 N FLEXOR TENDON PULLEY, reconstruction of, by graft 46411 01JUL2021 31DEC9999 Y Reconstruction of complete flexor tendon pulley of hand or wrist, with graft, including harvest of graft (if performed)-one pulley (H) 46414 01DEC1991 30JUN2021 N ARTIFICIAL TENDON PROSTHESIS, INSERTION OF, in preparation for tendon grafting 46414 01JUL2021 29FEB2024 N Insertion of artificial tendon prosthesis in preparation for grafting of tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies 46414 01MAR2024 31DEC9999 Y Insertion of artificial tendon prosthesis in preparation for grafting of tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site 46417 01DEC1991 30JUN2021 N TENDON transfer for restoration of hand function, each transfer 46417 01JUL2021 31DEC9999 Y Transfer of tendon of hand or wrist, for restoration of hand or digit motion, including harvest of donor motor unit (if performed)-one transfer (H) 46420 01DEC1991 30JUN2021 N EXTENSOR TENDON OF HAND OR WRIST, primary repair of, each tendon 46420 01JUL2021 31DEC9999 Y Primary repair of extensor tendon of hand or wrist-one tendon 46423 01DEC1991 30JUN2021 N EXTENSOR TENDON OF HAND OR WRIST, secondary repair of, each tendon 46423 01JUL2021 29FEB2024 N Delayed repair of extensor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies 46423 01MAR2024 31DEC9999 Y Delayed repair of extensor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site 46426 01DEC1991 30JUN2021 N FLEXOR TENDON OF HAND OR WRIST, primary repair of, proximal to A1 pulley, each tendon 46426 01JUL2021 29FEB2024 N Primary repair of flexor tendon of hand or wrist, proximal to A1 pulley, other than a service to repair a tendon of a digit if 2 tendons of the same digit have been repaired during the same procedure-one tendon (H) 46426 01MAR2024 31DEC9999 Y Primary repair of flexor tendon of hand or wrist, proximal to A1 pulley-one tendon (H) 46429 01DEC1991 31DEC9999 Y FLEXOR TENDON OF HAND OR WRIST, secondary repair of, proximal to A1 pulley, each tendon 46432 01DEC1991 30JUN2021 N FLEXOR TENDON OF HAND, primary repair of, distal to A1 pulley, each tendon 46432 01JUL2021 29FEB2024 N Primary repair of flexor tendon of hand or wrist, distal to A1 pulley, other than a service to repair a tendon of a digit if 2 tendons of the same digit have been repaired during the same procedure-one tendon (H) 46432 01MAR2024 31DEC9999 Y Primary repair of flexor tendon of hand, distal to A1 pulley, other than a service to repair a tendon of a digit if 2 tendons of the same digit have been repaired during the same procedure-one tendon (H) 46434 01JUL2021 29FEB2024 N Delayed repair of flexor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies 46434 01MAR2024 31DEC9999 Y Delayed repair of flexor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site 46435 01DEC1991 31DEC9999 Y FLEXOR TENDON OF HAND, secondary repair of, distal to A1 pulley, each tendon 46438 01DEC1991 30JUN2021 N MALLET FINGER, closed pin fixation of 46438 01JUL2021 31DEC9999 Y Closed pin fixation of mallet finger 46441 01DEC1991 30JUN2021 N MALLET FINGER, open repair of, including pin fixation when performed 46441 01JUL2021 31DEC9999 Y Open reduction of mallet finger, including any of the following (if performed): (a) joint release; (b) pin fixation; (c) tenolysis 46442 01NOV1994 31DEC9999 Y MALLET FINGER with intra articular fracture involving more than one third of base of terminal phalanx - open reduction 46444 01DEC1991 30JUN2021 N BOUTONNIERE DEFORMITY without joint contracture, reconstruction of 46444 01JUL2021 31DEC9999 Y Reconstruction of Boutonniere or swan neck deformity of hand, including either or both of the following (if performed): (a) tendon graft harvest; (b) tendon transfer -one joint (H) 46447 01DEC1991 31DEC9999 Y BOUTONNIERE DEFORMITY with joint contracture, reconstruction of 46450 01DEC1991 30JUN2021 N EXTENSOR TENDON, TENOLYSIS OF, following tendon injury, repair or graft 46450 01JUL2021 29FEB2024 N Tenolysis of extensor tendon of hand or wrist, following tendon injury or graft, other than a service: (a) for acute, traumatic injury; or (b) associated with a service to which item 30023 applies -one ray (H) 46450 01MAR2024 31DEC9999 Y Tenolysis of extensor tendon of hand or wrist, following tendon injury or graft, other than a service: (a) for acute, traumatic injury; or (b) associated with a service to which item 30023 applies that is performed at the same site; -one ray (H) 46453 01DEC1991 30JUN2021 N FLEXOR TENDON, TENOLYSIS OF, following tendon injury, repair or graft 46453 01JUL2021 29FEB2024 N Tenolysis of flexor tendon of hand or wrist, following tendon injury, repair or graft, other than a service: (a) for acute, traumatic injury; or (b) associated with a service to which item 30023 applies (H) 46453 01MAR2024 31DEC9999 Y Tenolysis of flexor tendon of hand or wrist, following tendon injury, repair or graft, other than a service: (a) for acute, traumatic injury; or (b) associated with a service to which item 30023 applies that is performed at the same site (H) 46456 01DEC1991 30JUN2021 N FINGER, percutaneous tenotomy of 46456 01JUL2021 31DEC9999 Y Percutaneous tenotomy of digit of hand 46459 01DEC1991 31DEC9999 Y OPERATION for OSTEOMYELITIS on distal phalanx 46462 01DEC1991 31DEC9999 Y OPERATION for OSTEOMYELITIS on middle or proximal phalanx, metacarpal or carpus 46464 01NOV1994 30JUN2021 N AMPUTATION of a supernumerary complete digit 46464 01JUL2021 31DEC9999 Y Amputation of a supernumerary complete digit of hand (H) 46465 01DEC1991 30JUN2021 N AMPUTATION of SINGLE DIGIT, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover 46465 01JUL2021 31DEC9999 Y Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps -one ray (H) 46468 01DEC1991 30JUN2021 N AMPUTATION of 2 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover 46468 01JUL2021 31DEC9999 Y Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps -2 rays (H) 46471 01DEC1991 30JUN2021 N AMPUTATION of 3 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover 46471 01JUL2021 31DEC9999 Y Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps -3 rays (H) 46474 01DEC1991 30JUN2021 N AMPUTATION of 4 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover 46474 01JUL2021 31DEC9999 Y Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps -4 rays (H) 46477 01DEC1991 30JUN2021 N AMPUTATION of 5 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover 46477 01JUL2021 31DEC9999 Y Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps -5 rays (H) 46480 01DEC1991 30JUN2021 N AMPUTATION of SINGLE DIGIT, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including metacarpal 46480 01JUL2021 31DEC9999 Y Amputation of ray of hand, proximal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) recontouring; (c) resection of bone; (d) skin cover with local flaps -one ray (H) 46483 01DEC1991 30JUN2021 N REVISION of AMPUTATION STUMP to provide adequate soft tissue cover 46483 01JUL2021 31DEC9999 Y Revision of amputation stump of hand to provide adequate cover, including any of the following (if performed): (a) bone shortening; (b) excision of nail bed remnants; (c) excision of neuroma (H) 46486 01DEC1991 30JUN2021 N NAIL BED, accurate reconstruction of nail bed laceration using magnification, undertaken in the operating theatre of a hospital 46486 01JUL2021 31OCT2021 N Accurate reconstruction of nail bed laceration using magnification (H) 46486 01NOV2021 31DEC9999 Y Accurate reconstruction of acute nail bed laceration using magnification (H) 46489 01DEC1991 30JUN2021 N NAIL BED, secondary exploration and accurate repair of nail bed deformity using magnification, undertaken in the operating theatre of a hospital 46489 01JUL2021 31DEC9999 Y Secondary reconstruction of nail bed deformity using magnification, including removal of nail (if performed), other than a service associated with a service to which item 46513 or 45451 applies (H) 46492 01DEC1991 31OCT1996 N FLEXION CONTRACTURE of HAND OR DIGIT, correction of, involving tissues deeper than skin and subcutaneous tissue 46492 01NOV1996 30JUN2021 N CONTRACTURE OF DIGITS OF HAND, flexor or extensor, correction of, involving tissues deeper than skin and subcutaneous tissue 46492 01JUL2021 31DEC9999 Y Surgical correction of contracture of joint of hand, flexor or extensor tendon, involving tissues deeper than skin and subcutaneous tissue-one joint (H) 46493 01JUL2021 31DEC9999 Y Resection of boss of metacarpal base of hand, including either or both of the following (if performed): (a) excision of ganglion; (b) synovectomy 46494 01NOV1995 31DEC9999 Y GANGLION OF HAND, excision of, not being a service associated with a service to which another item in this Group applies 46495 01DEC1991 31OCT2017 N GANGLION OR MUCOUS CYST OF DISTAL DIGIT, excision of, not being a service associated with a service to which item 30106 or 30107 applies 46495 01NOV2017 30JUN2021 N GANGLION OR MUCOUS CYST OF DISTAL DIGIT, excision of, other than a service associated with a service to which item 30107 applies 46495 01JUL2021 31DEC9999 Y Complete excision of one or more ganglia or mucous cysts of interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed): (a) arthrotomy; (b) osteophyte resections (c) synovectomy other than a service associated with a service to which item 30107 or 46336 applies-one joint (H) 46498 01DEC1991 31OCT2017 N GANGLION OF FLEXOR TENDON SHEATH, excision of, not being a service associated with a service to which item 30106 or 30107 applies 46498 01NOV2017 30JUN2021 N GANGLION OF FLEXOR TENDON SHEATH, excision of, other than a service associated with a service to which item 30107 applies 46498 01JUL2021 31OCT2021 N Excision of ganglion of flexor tendon sheath of hand, including any of the following (if performed): (a) flexor tenosynovectomy; (b) sheath excision; (c) skin closure by any method other than a service associated with a service to which item 30106, 30107 or 46363 applies 46498 01NOV2021 29FEB2024 N Excision of ganglion of flexor tendon sheath of hand, including any of the following (if performed): (a) flexor tenosynovectomy; (b) sheath excision; (c) skin closure by any method other than a service associated with a service to which item 30107 or 46363 applies 46498 01MAR2024 31DEC9999 Y Excision of ganglion of flexor tendon sheath of hand, including any of the following (if performed): (a) flexor tenosynovectomy; (b) sheath excision; (c) skin closure by any method; other than a service associated with: (d) a service to which item 30107 applies; or (e) a service to which item 46363 applies that is performed on the same ray 46500 01NOV1994 31OCT2017 N GANGLION OF DORSAL WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies 46500 01NOV2017 30JUN2021 N GANGLION OF DORSAL WRIST JOINT, excision of, other than a service associated with a service to which item 30107 applies 46500 01JUL2021 31OCT2021 N Excision of ganglion of dorsal wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy other than a service associated with a service to which item 30106 or 30107 applies 46500 01NOV2021 31DEC9999 Y Excision of ganglion of dorsal wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy other than a service associated with a service to which item 30107 applies 46501 01DEC1991 31OCT1994 N GANGLION OF VOLAR OR DORSAL WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies 46501 01NOV1994 31OCT2017 N GANGLION OF VOLAR WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies 46501 01NOV2017 30JUN2021 N GANGLION OF VOLAR WRIST JOINT, excision of, other than a service associated with a service to which item 30107 applies 46501 01JUL2021 31OCT2021 N Excision of ganglion of volar wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy; other than a service associated with a service to which item 30106, 30107 or 46325 applies 46501 01NOV2021 31DEC9999 Y Excision of ganglion of volar wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy; other than a service associated with a service to which item 30107 or 46325 applies 46502 01NOV1994 31OCT2017 N RECURRENT GANGLION OF DORSAL WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies 46502 01NOV2017 30JUN2021 N RECURRENT GANGLION OF DORSAL WRIST JOINT, excision of, other than a service associated with a service to which item 30107 applies 46502 01JUL2021 31DEC9999 Y Excision of recurrent ganglion of dorsal wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy 46503 01NOV1994 31OCT2017 N RECURRENT GANGLION OF VOLAR WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies 46503 01NOV2017 30JUN2021 N RECURRENT GANGLION OF VOLAR WRIST JOINT, excision of, other than a service associated with a service to which item 30107 applies 46503 01JUL2021 31OCT2021 N Excision of recurrent ganglion of volar wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy; other than a service associated with a service to which item 30106 or 30107 applies 46503 01NOV2021 31DEC9999 Y Excision of recurrent ganglion of volar wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy; other than a service associated with a service to which item 30107 applies 46504 01DEC1991 30JUN2021 N NEUROVASCULAR ISLAND FLAP, for pulp innervation 46504 01JUL2021 31DEC9999 Y Neurovascular island flap, heterodigital, for pulp re-innervation and soft tissue cover 46507 01DEC1991 31OCT1995 N DIGIT, transposition of, complete procedure 46507 01NOV1995 30JUN2021 N DIGIT OR RAY, transposition or transfer of, on vascular pedicle, complete procedure 46507 01JUL2021 31DEC9999 Y Transposition or transfer of digit or ray on vascular pedicle of hand, including any of the following (if performed): (a) nerve transfer; (b) skin closure, by any means; (c) rebalancing procedures (H) 46510 01DEC1991 30JUN2021 N MACRODACTYLY, surgical reduction of enlarged elements - each digit 46510 01JUL2021 31DEC9999 Y Surgical reduction of enlarged elements resulting from macrodactyly, including any of the following (if performed): (a) nerve transfer; (b) skin closure, by any means; (c) rebalancing procedures -one digit (H) 46513 01NOV1994 30JUN2021 N DIGITAL NAIL OF FINGER OR THUMB, removal of, not being a service to which item 46516 applies 46513 01JUL2021 31DEC9999 Y Removal of nail of finger or thumb-one nail 46516 01NOV1994 31DEC9999 Y DIGITAL NAIL OF FINGER OR THUMB, removal of, in the operating theatre of a hospital 46519 01NOV1994 30JUN2021 N MIDDLE PALMAR, THENAR OR HYPOTHENAR SPACES OF HAND, drainage of (excluding aftercare) 46519 01JUL2021 31DEC9999 Y Drainage of midpalmar, thenar or hypothenar spaces or dorsum of hand, excluding aftercare 46522 01NOV1994 30JUN2021 N FLEXOR TENDON SHEATH OF FINGER OR THUMB, open operation and drainage for infection 46522 01JUL2021 29FEB2024 N Open operation and drainage of infection for flexor tendon sheath of finger or thumb, including either or both of the following (if performed): (a) synovectomy; (b) tenolysis; other than a service associated with a service to which item 30023 applies-one digit (H) 46522 01MAR2024 31DEC9999 Y Open operation and drainage of infection for flexor tendon sheath of finger or thumb, including either or both of the following (if performed): (a) synovectomy; (b) tenolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-one digit (H) 46525 01NOV1994 31OCT1996 N PULP SPACE INFECTION, PARONYCHIA OF HAND, incision for, not being a service to which another item in this Group applies (excluding after-care) 46525 01NOV1996 30JUN2021 N PULP SPACE INFECTION, PARONYCHIA OF HAND, incision for, when performed in an operating theatre of a hospital, not being a service to which another item in this Group applies (excluding after-care) 46525 01JUL2021 29FEB2024 N Incision for pulp space infection of hand: (a) other than a service: (i) to which another item in this Group applies; or (ii) associated with a service to which item 30023 applies; and (b) excluding aftercare (H) 46525 01MAR2024 31DEC9999 Y Incision for pulp space infection of hand: (a) other than a service: (i) to which another item in this Group applies; or (ii) associated with a service to which item 30023 applies that is performed at the same site; and (b) excluding aftercare (H) 46528 01NOV1994 30JUN2021 N INGROWING NAIL OF FINGER OR THUMB, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed 46528 01JUL2021 31DEC9999 Y Wedge resection for ingrowing nail of finger or thumb: (a) including each of the following: (i) excision and partial ablation of germinal matrix; (ii) removal of segment of nail; (iii) removal of ungual fold; and (b) including phenolisation (if performed) 46531 01NOV1994 30JUN2021 N INGROWING NAIL OF FINGER OR THUMB, partial resection of nail, including phenolisation but not including excision of nail bed 46531 01JUL2021 31DEC9999 Y Partial resection of ingrowing nail of finger or thumb, including phenolisation 46534 01NOV1994 30JUN2021 N NAIL PLATE INJURY OR DEFORMITY, radical excision of nail germinal matrix 46534 01JUL2021 31DEC9999 Y Complete ablation of nail germinal matrix (H) 47000 01DEC1991 30JUN2021 N MANDIBLE, treatment of dislocation of, by closed reduction 47000 01JUL2021 30JUN2023 N Treatment of dislocation of mandible, by closed reduction 47000 01JUL2023 31DEC9999 Y Mandible, treatment of dislocation of, by closed reduction, requiring general anaesthesia or intravenous sedation, if performed in the operating theatre of a hospital (H) 47003 01DEC1991 30JUN2021 N CLAVICLE, treatment of dislocation of, by closed reduction 47003 01JUL2021 31DEC9999 Y Treatment of dislocation of clavicle, by closed reduction 47006 01DEC1991 31DEC9999 Y CLAVICLE, treatment of dislocation of, by open reduction 47007 01JUL2021 31DEC9999 Y Repair of acromioclavicular or sternoclavicular joint dislocation (acute or chronic), by open, mini-open or arthroscopic technique, including either or both of the following (if performed): (a) ligament augmentation; (b) tendon transfers 47009 01DEC1991 30JUN2021 N SHOULDER, treatment of dislocation of, requiring general anaesthesia, not being a service to which item 47012 applies 47009 01JUL2021 31DEC9999 Y Treatment of dislocation of shoulder, requiring general anaesthesia, other than a service to which item 47012 applies 47012 01DEC1991 30JUN2021 N SHOULDER, treatment of dislocation of, requiring general anaesthesia, open reduction 47012 01JUL2021 31DEC9999 Y Treatment of dislocation of shoulder, requiring general anaesthesia, by open reduction (H) 47015 01DEC1991 30JUN2021 N SHOULDER, treatment of dislocation of, not requiring general anaesthesia 47015 01JUL2021 31DEC9999 Y Treatment of dislocation of shoulder, not requiring general anaesthesia 47018 01DEC1991 30JUN2021 N ELBOW, treatment of dislocation of, by closed reduction 47018 01JUL2021 31DEC9999 Y Treatment of dislocation of elbow, by closed reduction 47021 01DEC1991 30JUN2021 N ELBOW, treatment of dislocation of, by open reduction 47021 01JUL2021 31DEC9999 Y Treatment of dislocation of elbow, by open reduction (H) 47024 01DEC1991 30JUN2021 N RADIOULNAR JOINT, DISTAL or PROXIMAL, treatment of dislocation of, by closed reduction, not being a service associated with fracture or dislocation in the same region 47024 01JUL2021 31DEC9999 Y Treatment of dislocation of distal or proximal radioulnar joint, by closed reduction, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of treating fracture or dislocation in the same region 47027 01DEC1991 30JUN2021 N RADIOULNAR JOINT, DISTAL or PROXIMAL, treatment of dislocation of, by open reduction, not being a service associated with fracture or dislocation in the same region 47027 01JUL2021 31DEC9999 Y Treatment of dislocation of distal or proximal radioulnar joint, by open reduction, including either or both of the following (if performed): (a) styloid fracture; (b) triangular fibrocartilage complex repair; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of treating fracture or dislocation in the same region 47030 01DEC1991 30JUN2021 N CARPUS, or CARPUS on RADIUS and ULNA, or CARPOMETACARPAL JOINT, treatment of dislocation of, by closed reduction 47030 01JUL2021 31DEC9999 Y Treatment of dislocation of carpus, carpus on radius and ulna or carpometacarpal joint, by closed reduction 47033 01DEC1991 30JUN2021 N CARPUS, or CARPUS on RADIUS and ULNA, or CARPOMETACARPAL JOINT, treatment of dislocation of, by open reduction 47033 01JUL2021 31DEC9999 Y Treatment of dislocation of carpus, carpus on radius and ulna or carpometacarpal joint, by open reduction, including ligament repair (if performed) 47036 01DEC1991 31DEC9999 Y INTERPHALANGEAL JOINT, treatment of dislocation of, by closed reduction 47039 01DEC1991 31DEC9999 Y INTERPHALANGEAL JOINT, treatment of dislocation of, by open reduction 47042 01DEC1991 30JUN2021 N METACARPOPHALANGEAL JOINT, treatment of dislocation of, by closed reduction 47042 01JUL2021 31DEC9999 Y Treatment of dislocation of interphalangeal or metacarpophalangeal joint, by closed reduction 47045 01DEC1991 30JUN2021 N METACARPOPHALANGEAL JOINT, treatment of dislocation of, by open reduction 47045 01JUL2021 31DEC9999 Y Treatment of dislocation of interphalangeal or metacarpophalangeal joint, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) ligament repair; (d) volar plate repair 47047 01JUL2021 31DEC9999 Y Treatment of dislocation of prosthetic hip, by closed reduction 47048 01DEC1991 31DEC9999 Y HIP, treatment of dislocation of, by closed reduction 47049 01JUL2021 31DEC9999 Y Treatment of dislocation of prosthetic hip, by open reduction 47051 01DEC1991 31DEC9999 Y HIP, treatment of dislocation of, by open reduction 47052 01JUL2021 31DEC9999 Y Treatment of dislocation of native hip, by closed reduction 47053 01JUL2021 31DEC9999 Y Treatment of dislocation of native hip, by open reduction, with internal fixation (if performed) 47054 01DEC1991 30JUN2021 N KNEE, treatment of dislocation of, by closed reduction 47054 01JUL2021 31DEC9999 Y Treatment of dislocation of knee, by closed reduction, including application of external fixator (if performed) 47057 01DEC1991 30JUN2021 N PATELLA, treatment of dislocation of, by closed reduction 47057 01JUL2021 31DEC9999 Y Treatment of dislocation of patella, by closed reduction 47060 01DEC1991 30JUN2021 N PATELLA, treatment of dislocation of, by open reduction 47060 01JUL2021 31DEC9999 Y Treatment of dislocation of patella, by open reduction 47063 01DEC1991 30JUN2021 N ANKLE or TARSUS, treatment of dislocation of, by closed reduction 47063 01JUL2021 31DEC9999 Y Treatment of dislocation of ankle or tarsus, by closed reduction 47066 01DEC1991 30JUN2021 N ANKLE or TARSUS, treatment of dislocation of, by open reduction 47066 01JUL2021 31DEC9999 Y Treatment of dislocation of ankle or tarsus, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint (H) 47069 01DEC1991 30JUN2021 N TOE, treatment of dislocation of, by closed reduction 47069 01JUL2021 06AUG2021 N Treatment of dislocation of toe, by open reduction-one toe 47069 07AUG2021 31DEC9999 Y Treatment of dislocation of toe, by closed reduction-one toe 47072 01DEC1991 31DEC9999 Y TOE, treatment of dislocation of, by open reduction 47300 01DEC1991 31DEC9999 Y DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by closed reduction, including percutaneous fixation where used 47301 01MAY2016 30JUN2021 N Phalanx, middle or proximal, treatment of fracture of, by closed reduction, requiring anaesthesia, not provided on the same occasion as a service described in item 47304, 47307, 47310, 47313, 47316 or 47319 47301 01JUL2021 31DEC9999 Y Treatment of fracture of middle or proximal phalanx, by closed reduction, requiring anaesthesia-one bone 47303 01DEC1991 31DEC9999 Y DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular fracture of, by closed reduction 47304 01MAY2016 30JUN2021 N Metacarpal, treatment of fracture of, by closed reduction, requiring anaesthesia, not provided on the same occasion as a service described in item 47301, 47307, 47310, 47313, 47316 or 47319 47304 01JUL2021 31DEC9999 Y Treatment of fracture of metacarpal, by closed reduction, requiring anaesthesia-one bone (H) 47306 01DEC1991 31DEC9999 Y DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by open reduction 47307 01MAY2016 30JUN2021 N Phalanx or metacarpal, treatment of fracture of, by closed reduction with percutaneous K wire fixation 47307 01JUL2021 31DEC9999 Y Treatment of fracture of phalanx or metacarpal, by closed reduction, including percutaneous K-wire fixation (if performed)-one bone (H) 47309 01DEC1991 31DEC9999 Y DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular fracture of, by open reduction 47310 01MAY2016 30JUN2021 N Phalanx or metacarpal, treatment of fracture of, by open reduction with fixation 47310 01JUL2021 31DEC9999 Y Treatment of fracture of phalanx or metacarpal, by open reduction, with internal fixation (H) 47312 01DEC1991 31DEC9999 Y MIDDLE PHALANX of FINGER, treatment of fracture of, by closed reduction 47313 01MAY2016 30JUN2021 N Phalanx or metacarpal, treatment of intra articular fracture of, by closed reduction with percutaneous K wire fixation 47313 01JUL2021 31DEC9999 Y Treatment of intra-articular fracture of phalanx or metacarpal, by closed reduction, including: (a) percutaneous K-wire fixation; and (b) external or dynamic fixation (if performed) (H) 47315 01DEC1991 31DEC9999 Y MIDDLE PHALANX of FINGER, treatment of intra-articular fracture of, by closed reduction 47316 01MAY2016 30JUN2021 N Phalanx or metacarpal, treatment of intra articular fracture of, by open reduction with fixation, not provided on the same occasion as a service to which item 47319 applies 47316 01JUL2021 31DEC9999 Y Treatment of intra-articular fracture of phalanx or metacarpal, by open reduction with fixation, other than a service provided on the same occasion as a service to which item 47319 applies (H) 47318 01DEC1991 31DEC9999 Y MIDDLE PHALANX OF FINGER, treatment of fracture of, by open reduction 47319 01MAY2016 30JUN2021 N Middle phalanx, proximal end, treatment of intra articular fracture of, by open reduction with fixation, not provided on the same occasion as a service to which item 47316 applies 47319 01JUL2021 31DEC9999 Y Treatment of intra-articular fracture of proximal end of middle phalanx, by open reduction, with fixation, other than a service provided on the same occasion as a service to which item 47316 applies (H) 47321 01DEC1991 31DEC9999 Y MIDDLE PHALANX OF FINGER, treatment of intra-articular fracture of, by open reduction 47324 01DEC1991 31DEC9999 Y PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture of, by closed reduction 47327 01DEC1991 31DEC9999 Y PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intra-articular fracture of, by closed reduction 47330 01DEC1991 31DEC9999 Y PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture of, by open reduction 47333 01DEC1991 31DEC9999 Y PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intra-articular fracture of, by open operation 47336 01DEC1991 31DEC9999 Y METACARPAL, treatment of fracture of, by closed reduction 47339 01DEC1991 31DEC9999 Y METACARPAL, treatment of intra-articular fracture of, by closed reduction 47342 01DEC1991 31DEC9999 Y METACARPAL, treatment of fracture of, by open reduction 47345 01DEC1991 31DEC9999 Y METACARPAL, treatment of intra-articular fracture of, by open reduction 47348 01DEC1991 30JUN2021 N CARPUS (excluding scaphoid), treatment of fracture of, not being a service to which item 47351 applies 47348 01JUL2021 31DEC9999 Y Treatment of fracture of carpus (excluding scaphoid), by cast immobilisation, other than a service associated with a service to which item 47351 applies 47351 01DEC1991 30JUN2021 N CARPUS (excluding scaphoid), treatment of fracture of, by open reduction 47351 01JUL2021 31DEC9999 Y Treatment of fracture of carpus (excluding scaphoid), by open reduction, with internal fixation 47354 01DEC1991 30JUN2021 N CARPAL SCAPHOID, treatment of fracture of, not being a service to which item 47357 applies 47354 01JUL2021 31DEC9999 Y Treatment of fracture of carpal scaphoid, by cast immobilisation, other than a service associated with a service to which item 47357 applies 47357 01DEC1991 30JUN2021 N CARPAL SCAPHOID, treatment of fracture of, by open reduction 47357 01JUL2021 29FEB2024 N Treatment of fracture of carpal scaphoid, by open reduction, with internal or percutaneous fixation 47357 01MAR2024 31DEC9999 Y Treatment of fracture of carpal scaphoid, by reduction, with fixation by any means 47360 01DEC1991 30JUN1993 N RADIUS OR ULNA, distal end of, treatment of fracture of, not being a service to which item 47363 or 47366 applies 47360 01JUL1993 31DEC9999 Y RADIUS OR ULNA, distal end of, treatment of fracture of, by cast immobilisation, not being a service to which item 47363 or 47366 applies 47361 01MAY2016 30JUN2021 N Radius or ulna, or radius and ulna, distal end of, treatment of fracture of, by cast immobilisation, other than a service associated with a service to which item 47362, 47364, 47367, 47370 or 47373 applies 47361 01JUL2021 31DEC9999 Y Treatment of fracture of distal end of radius or ulna (or both), by cast immobilisation, other than a service associated with a service to which item 47362, 47364, 47367, 47370 or 47373 applies 47362 01MAY2016 30JUN2021 N Radius or ulna, or radius and ulna, distal end of, treatment of fracture of, by closed reduction, requiring general or major regional anaesthesia, but excluding local infiltration, other than a service associated with a service to which item 47361, 47364, 47367, 47370 or 47373 applies 47362 01JUL2021 31DEC9999 Y Treatment of fracture of distal end of radius or ulna (or both), by closed reduction, requiring general or major regional anaesthesia, but excluding local infiltration, other than a service associated with a service to which item 47361, 47364, 47367, 47370 or 47373 applies 47363 01DEC1991 31DEC9999 Y RADIUS OR ULNA, distal end of, treatment of fracture of, by closed reduction 47364 01MAY2016 30JUN2021 N Radius or ulna, distal end of, not involving joint surface, treatment of fracture of, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies 47364 01JUL2021 31DEC9999 Y Treatment of fracture of distal end of radius or ulna (not involving joint surface), by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) 47366 01DEC1991 31DEC9999 Y RADIUS OR ULNA, distal end of, treatment of fracture of, by open reduction 47367 01MAY2016 30JUN2021 N Radius, distal end of, treatment of fracture of, by closed reduction with percutaneous fixation, other than a service associated with a service to which item 47361 or 47362 applies 47367 01JUL2021 31DEC9999 Y Treatment of fracture of distal end of radius, by closed reduction with percutaneous fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) 47369 01DEC1991 30JUN1993 N RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture, not being a service to which item 47372 or 47375 applies 47369 01JUL1993 31DEC9999 Y RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture of, by cast immobilisation, not being a service to which item 47372 or 47375 applies 47370 01MAY2016 30JUN2021 N Radius, distal end of, treatment of intra articular fracture of, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies 47370 01JUL2021 31DEC9999 Y Treatment of intra-articular fracture of distal end of radius, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) 47372 01DEC1991 31DEC9999 Y RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction 47373 01MAY2016 30JUN2021 N Ulna, distal end of, treatment of intra articular fracture of, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies 47373 01JUL2021 31DEC9999 Y Treatment of intra-articular fracture of distal end of ulna, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H) 47375 01DEC1991 31DEC9999 Y RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture of, by open reduction 47378 01DEC1991 30JUN1993 N RADIUS OR ULNA, shaft of, treatment of fracture of, not being a service to which item 47381, 47384, 47385 or 47386 applies 47378 01JUL1993 31DEC9999 Y RADIUS OR ULNA, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47381, 47384, 47385 or 47386 applies 47381 01DEC1991 30JUN2021 N RADIUS OR ULNA, shaft of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital 47381 01JUL2021 31DEC9999 Y Treatment of fracture of shaft of radius or ulna, by closed reduction (H) 47384 01DEC1991 30JUN2021 N RADIUS OR ULNA, shaft of, treatment of fracture of, by open reduction 47384 01JUL2021 31DEC9999 Y Treatment of fracture of shaft of radius or ulna, by open reduction with internal fixation (H) 47385 01DEC1991 30JUN2021 N RADIUS OR ULNA, shaft of, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital 47385 01JUL2021 31DEC9999 Y Treatment of: (a) fracture of shaft of radius or ulna; and (b) dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury); by closed reduction (H) 47386 01DEC1991 30JUN2021 N RADIUS OR ULNA, shaft of, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by open reduction or internal fixation 47386 01JUL2021 31DEC9999 Y Treatment of: (a) fracture of shaft of radius or ulna; and (b) dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury); by open reduction, with internal fixation, including reduction of dislocation (if performed) (H) 47387 01DEC1991 30JUN1993 N RADIUS AND ULNA, shafts of, treatment of fracture of, not being a service to which item 47390 or 47393 applies 47387 01JUL1993 30JUN2021 N RADIUS AND ULNA, shafts of, treatment of fracture of, by cast immobilisation, not being a service to which item 47390 or 47393 applies 47387 01JUL2021 31DEC9999 Y Treatment of fracture of distal or shaft of radius or ulna (or both), by cast immobilisation, other than a service to which item 47390 or 47393 applies 47390 01DEC1991 30JUN2021 N RADIUS AND ULNA, shafts of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital 47390 01JUL2021 31DEC9999 Y Treatment of fracture of shafts of radius and ulna, by closed reduction (H) 47393 01DEC1991 30JUN2021 N RADIUS AND ULNA, shafts of, treatment of fracture of, by open reduction 47393 01JUL2021 31DEC9999 Y Treatment of fracture of shafts of radius and ulna, by open reduction, with internal fixation (H) 47396 01DEC1991 30JUN2021 N OLECRANON, treatment of fracture of, not being a service to which item 47399 applies 47396 01JUL2021 31DEC9999 Y Treatment of fracture of olecranon, by closed reduction 47399 01DEC1991 30JUN2021 N OLECRANON, treatment of fracture of, by open reduction 47399 01JUL2021 31DEC9999 Y Treatment of fracture of olecranon, by open reduction (H) 47402 01DEC1991 30JUN2021 N OLECRANON, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon 47402 01JUL2021 31DEC9999 Y Treatment of fracture of olecranon, with excision of olecranon fragment and reimplantation of tendon 47405 01DEC1991 31OCT2006 N RADIUS, treatment of fracture of head or neck of, closed management of 47405 01NOV2006 30JUN2021 N RADIUS, treatment of fracture of head or neck of, closed reduction of 47405 01JUL2021 31DEC9999 Y Treatment of fracture of head or neck of radius, by closed reduction 47408 01DEC1991 31OCT2006 N RADIUS, treatment of fracture of head or neck of, open management of, including internal fixation and excision where performed 47408 01NOV2006 30JUN2021 N RADIUS, treatment of fracture of head or neck of, open reduction of, including internal fixation and excision where performed 47408 01JUL2021 31DEC9999 Y Treatment of fracture of head or neck of radius, by open reduction, including internal fixation and excision (if performed) (H) 47411 01DEC1991 30JUN2021 N HUMERUS, treatment of fracture of tuberosity of, not being a service to which item 47417 applies 47411 01JUL2021 31DEC9999 Y Treatment of fracture of tuberosity of humerus, other than a service to which item 47417 applies 47414 01DEC1991 30JUN2021 N HUMERUS, treatment of fracture of tuberosity of, by open reduction 47414 01JUL2021 31DEC9999 Y Treatment of fracture of tuberosity of humerus, by open reduction 47417 01DEC1991 30JUN2021 N HUMERUS, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction 47417 01JUL2021 31DEC9999 Y Treatment of fracture of tuberosity of humerus and associated dislocation of shoulder, by closed reduction 47420 01DEC1991 30JUN2021 N HUMERUS, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction 47420 01JUL2021 31DEC9999 Y Treatment of fracture of tuberosity of humerus and associated dislocation of shoulder, by open reduction (H) 47423 01DEC1991 30JUN2021 N HUMERUS, proximal, treatment of fracture of, not being a service to which item 47426, 47429 or 47432 applies 47423 01JUL2021 31DEC9999 Y Humerus, proximal, treatment of fracture of, other than a service to which item 47426, 47429 or 47432 applies 47426 01DEC1991 30JUN2021 N HUMERUS, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital 47426 01JUL2021 31DEC9999 Y Humerus, proximal, treatment of fracture of, by closed reduction (H) 47429 01DEC1991 30JUN2021 N HUMERUS, proximal, treatment of fracture of, by open reduction 47429 01JUL2021 31DEC9999 Y Humerus, proximal, treatment of fracture of, by open reduction (H) 47432 01DEC1991 30JUN2021 N HUMERUS, proximal, treatment of intra-articular fracture of, by open reduction 47432 01JUL2021 14JUL2021 N Humerus, proximal, treatment of fracture of, by open reduction (H) 47432 15JUL2021 31DEC9999 Y Humerus, proximal, treatment of intra-articular fracture of, by open reduction (H) 47435 01DEC1991 30JUN2021 N HUMERUS, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction 47435 01JUL2021 31DEC9999 Y Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction 47438 01DEC1991 30JUN2021 N HUMERUS, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction 47438 01JUL2021 31DEC9999 Y Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (H) 47441 01DEC1991 30JUN2021 N HUMERUS, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction 47441 01JUL2021 31DEC9999 Y Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (H) 47444 01DEC1991 30JUN2021 N HUMERUS, shaft of, treatment of fracture of, not being a service to which item 47447 or 47450 applies 47444 01JUL2021 31DEC9999 Y Humerus, shaft of, treatment of fracture of, other than a service to which item 47447 or 47450 applies 47447 01DEC1991 30JUN2021 N HUMERUS, shaft of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital 47447 01JUL2021 31DEC9999 Y Humerus, shaft of, treatment of fracture of, by closed reduction (H) 47450 01DEC1991 31OCT1996 N HUMERUS, shaft of, treatment of fracture of, by open reduction 47450 01NOV1996 30JUN2021 N HUMERUS, shaft of, treatment of fracture of, by internal or external fixation 47450 01JUL2021 31OCT2021 N Humerus, shaft of, treatment of fracture of, by internal or external (H) 47450 01NOV2021 31DEC9999 Y Humerus, shaft of, treatment of fracture of, by internal or external fixation (H) 47451 01NOV1996 30JUN2021 N HUMERUS, shaft of, treatment of fracture of, by intramedullary fixation 47451 01JUL2021 31DEC9999 Y Humerus, shaft of, treatment of fracture of, by intramedullary fixation (H) 47453 01DEC1991 30JUN2021 N HUMERUS, distal, (supracondylar or condylar), treatment of fracture of, not being a service to which item 47456 or 47459 applies 47453 01JUL2021 31DEC9999 Y Humerus, distal, (supracondylar or condylar), treatment of fracture of, other than a service to which item 47456 or 47459 applies 47456 01DEC1991 30JUN2021 N HUMERUS, distal (supracondylar or condylar), treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital 47456 01JUL2021 31DEC9999 Y Humerus, distal (supracondylar or condylar), treatment of fracture of, by closed reduction (H) 47459 01DEC1991 30JUN2021 N HUMERUS, distal (supracondylar or condylar), treatment of fracture of, by open reduction, undertaken in the operating theatre of a hospital 47459 01JUL2021 31DEC9999 Y Humerus, distal (supracondylar or condylar), treatment of fracture of, by open reduction (H) 47462 01DEC1991 30JUN2021 N CLAVICLE, treatment of fracture of, not being a service to which item 47465 applies 47462 01JUL2021 31DEC9999 Y Clavicle, treatment of fracture of, other than a service to which item 47465 applies 47465 01DEC1991 30JUN2021 N CLAVICLE, treatment of fracture of, by open reduction 47465 01JUL2021 31DEC9999 Y Clavicle, treatment of fracture of, by open reduction 47466 01DEC1991 30JUN2021 N STERNUM, treatment of fracture of, not being a service to which item 47467 applies 47466 01JUL2021 31DEC9999 Y Sternum, treatment of fracture of, other than a service to which item 47467 applies 47467 01DEC1991 30JUN2021 N STERNUM, treatment of fracture of, by open reduction 47467 01JUL2021 31DEC9999 Y Sternum, treatment of fracture of, by open reduction (H) 47468 01DEC1991 31DEC9999 Y SCAPULA, neck or glenoid region of, treatment of fracture of, by open reduction 47471 01DEC1991 30JUN2021 N RIBS (1 or more), treatment of fracture of - each attendance 47471 01JUL2021 31DEC9999 Y RIBS (one or more), treatment of fracture of - each attendance 47474 01DEC1991 31OCT1994 N PELVIC RING, treatment of fracture of, not involving disrupting pelvic ring or acetabulum 47474 01NOV1994 31DEC9999 Y PELVIC RING, treatment of fracture of, not involving disruption of pelvic ring or acetabulum 47477 01DEC1991 31OCT1994 N PELVIC RING, treatment of fracture of, with disrupting pelvic ring or acetabulum 47477 01NOV1994 31DEC9999 Y PELVIC RING, treatment of fracture of, with disruption of pelvic ring or acetabulum 47480 01DEC1991 30JUN2021 N PELVIC RING, treatment of fracture of, requiring traction 47480 01JUL2021 31DEC9999 Y PELVIC RING, treatment of fracture of, requiring traction (H) 47483 01DEC1991 30JUN2021 N PELVIC RING, treatment of fracture of, requiring control by external fixation 47483 01JUL2021 31DEC9999 Y PELVIC RING, treatment of fracture of, requiring control by external fixation (H) 47486 01DEC1991 30JUN2021 N PELVIC RING, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic symphysis 47486 01JUL2021 31DEC9999 Y Treatment of fracture of anterior pelvic ring or sacroiliac joint disruption (or both), by open reduction, with internal fixation (H) 47489 01DEC1991 30JUN2021 N PELVIC RING, treatment of fracture of, by open reduction and involving internal fixation of posterior segment (including sacro-iliac joint), with or without fixation of anterior segment 47489 01JUL2021 31DEC9999 Y Treatment of fracture of posterior pelvic ring or sacroiliac joint disruption (or both), by open reduction, with internal fixation (H) 47491 01JUL2021 31DEC9999 Y Combined anterior and posterior pelvic ring disruption, including sacroiliac joint disruption, treatment of fracture by open reduction and internal fixation of both anterior and posterior ring segments (H) 47492 01DEC1991 31DEC9999 Y ACETABULUM, treatment of fracture of, and associated dislocation of hip 47495 01DEC1991 30JUN2021 N ACETABULUM, treatment of fracture of, and associated dislocation of hip, requiring traction 47495 01JUL2021 31DEC9999 Y Treatment of fracture of acetabulum and associated dislocation of hip, including the application and management of traction (if performed), excluding aftercare 47498 01DEC1991 30JUN2021 N ACETABULUM, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction 47498 01JUL2021 31DEC9999 Y Treatment of isolated posterior wall fracture of acetabulum and associated dislocation of hip, by open reduction, with internal fixation, including the application and management of traction (if performed) (H) 47501 01DEC1991 30APR2009 N ACETABULUM, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair 47501 01MAY2009 30JUN2021 N ACETABULUM, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply 47501 01JUL2021 31DEC9999 Y Treatment of anterior or posterior column fracture of acetabulum, by open reduction, with internal fixation, including any of the following (if performed): (a) capsular stabilisation; (b) capsulotomy; (c) osteotomy (H) 47504 01DEC1991 30APR2009 N ACETABULUM, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair 47504 01MAY2009 31DEC9999 Y ACETABULUM, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply 47507 01DEC1991 30APR2009 N ACETABULUM, treatment of transverse fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair 47507 01MAY2009 31DEC9999 Y ACETABULUM, treatment of transverse fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply 47510 01DEC1991 30APR2009 N ACETABULUM, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair 47510 01MAY2009 31DEC9999 Y ACETABULUM, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply 47511 01JUL2021 31DEC9999 Y Treatment of combined column T-Type, transverse, anterior column or posterior hemitransverse fractures of acetabulum, by open reduction, with internal fixation, performed through single or dual approach (including fixation of the posterior wall fracture), including any of the following (if performed): (a) capsular stabilisation; (b) capsulotomy; (c) osteotomy (H) 47513 01DEC1991 31DEC9999 Y SACRO-ILIAC JOINT DISRUPTION, treatment of, requiring internal fixation, being a service associated with a service to which items 47501 to 47510 apply 47514 01JUL2021 31DEC9999 Y Treatment of posterior wall fracture of acetabulum and associated femoral head fracture, by open reduction, with internal fixation (H) 47516 01DEC1991 31DEC9999 Y FEMUR, treatment of fracture of, by closed reduction or traction 47519 01DEC1991 30JUN2021 N FEMUR, treatment of trochanteric or subcapital fracture of, by internal fixation 47519 01JUL2021 31DEC9999 Y FEMUR, treatment of trochanteric or subcapital fracture of, by internal fixation (H) 47522 01DEC1991 31DEC9999 Y FEMUR, treatment of subcapital fracture of, by hemi-arthroplasty 47525 01DEC1991 31DEC9999 Y FEMUR, treatment of fracture of, for slipped capital femoral epiphysis 47528 01DEC1991 30JUN2021 N FEMUR, treatment of fracture of, by internal fixation or external fixation 47528 01JUL2021 31DEC9999 Y FEMUR, treatment of fracture of, by internal fixation or external fixation (H) 47531 01DEC1991 30APR1994 N FEMUR, treatment of fracture of shaft, by internal fixation and cross fixation 47531 01MAY1994 30JUN2021 N FEMUR, treatment of fracture of shaft, by intramedullary fixation and cross fixation 47531 01JUL2021 31DEC9999 Y FEMUR, treatment of fracture of shaft, by intramedullary fixation and cross fixation (H) 47534 01DEC1991 30JUN2021 N FEMUR, condylar region of, treatment of intra-articular (T-shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of 1 or more osteochondral fragments 47534 01JUL2021 31DEC9999 Y Femur, condylar region of, treatment of intra-articular (T-shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of one or more osteochondral fragments (H) 47537 01DEC1991 30JUN2021 N FEMUR, condylar region of, treatment of fracture of, requiring internal fixation of 1 or more osteochondral fragments, not being a service associated with a service to which item 47534 applies 47537 01JUL2021 31DEC9999 Y Femur, condylar region of, treatment of fracture of, requiring internal fixation of one or more osteochondral fragments, other than a service associated with a service to which item 47534 applies 47540 01DEC1991 30JUN1993 N HIP SPICA, application of, as an independent procedure 47540 01JUL1993 30JUN2021 N HIP SPICA OR SHOULDER SPICA, application of, as an independent procedure 47540 01JUL2021 31DEC9999 Y Hip spica or shoulder spica, application of, as an independent procedure 47543 01DEC1991 30JUN2021 N TIBIA, plateau of, treatment of medial or lateral fracture of, not being a service to which item 47546 or 47549 applies 47543 01JUL2021 31DEC9999 Y Tibia, plateau of, treatment of medial or lateral fracture of, other than a service to which item 47546 or 47549 applies 47546 01DEC1991 30JUN2021 N TIBIA, plateau of, treatment of medial or lateral fracture of, by closed reduction 47546 01JUL2021 31DEC9999 Y Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction 47549 01DEC1991 30JUN2021 N TIBIA, plateau of, treatment of medial or lateral fracture of, by open reduction 47549 01JUL2021 31DEC9999 Y Treatment of medial or lateral fracture of plateau of tibia, by open reduction, with internal fixation, including any of the following (if performed): (a) arthroscopy; (b) arthrotomy; (c) meniscal repair (H) 47552 01DEC1991 30JUN2021 N TIBIA, plateau of, treatment of both medial and lateral fractures of, not being a service to which item 47555 or 47558 applies 47552 01JUL2021 31DEC9999 Y Tibia, plateau of, treatment of both medial and lateral fractures of, other than a service to which item 47555 or 47558 applies 47555 01DEC1991 30JUN2021 N TIBIA, plateau of, treatment of both medial and lateral fractures of, by closed reduction 47555 01JUL2021 31DEC9999 Y Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (H) 47558 01DEC1991 30JUN2021 N TIBIA, plateau of, treatment of both medial and lateral fractures of, by open reduction 47558 01JUL2021 31DEC9999 Y Treatment of medial and lateral fractures of tibia, by open reduction, with internal fixation, including any of the following (if performed): (a) arthroscopy; (b) arthrotomy; (c) meniscal repair (H) 47559 01JUL2021 31DEC9999 Y Treatment of medial or lateral (or both) fracture of plateau of tibia, with application of a bridging external fixator to the plateau 47561 01DEC1991 30JUN1993 N TIBIA, shaft of, treatment of fracture of, not being a service to which item 47564, 47567, 47570 or 47573 applies, with or without treatment of fibular fracture 47561 01JUL1993 30JUN2021 N TIBIA, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47564, 47567, 47570 or 47573 applies 47561 01JUL2021 31DEC9999 Y Treatment of fracture of shaft of tibia, by cast immobilisation, other than a service to which item 47570 or 47573 applies 47564 01DEC1991 31DEC9999 Y TIBIA, shaft of, treatment of fracture of, by closed reduction, with or without treatment of fibular fracture 47565 01MAY1994 30JUN2021 N TIBIA, shaft of, treatment of fracture of, by internal fixation or external fixation 47565 01JUL2021 31DEC9999 Y Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (H) 47566 01MAY1994 30JUN2021 N TIBIA, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation 47566 01JUL2021 31DEC9999 Y Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (H) 47567 01DEC1991 31DEC9999 Y TIBIA, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without treatment of fibular fracture 47568 01JUL2021 31DEC9999 Y Closed reduction of proximal tibia, distal tibia or shaft of tibia, with or without treatment of fibular fracture 47570 01DEC1991 30JUN2021 N TIBIA, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture 47570 01JUL2021 31DEC9999 Y Tibia, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture 47573 01DEC1991 30JUN2021 N TIBIA, shaft of, treatment of intra-articular fracture of, by open reduction, with or without treatment of fibula fracture 47573 01JUL2021 31DEC9999 Y Treatment of proximal or distal intra-articular fracture of shaft of tibia, by open reduction, with or without treatment of fibular fracture, including any of the following (if performed): (a) arthroscopy; (b) arthrotomy; (c) capsule repair; (d) removal of intervening soft tissue; (e) removal of loose fragments; (f) washout of joint; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of treating a medial malleolus fracture of the distal tibia (H) 47576 01DEC1991 31DEC9999 Y FIBULA, treatment of fracture of 47577 01MAR2024 31DEC9999 Y Treatment of fracture of fibula proximal to ankle, by open reduction, with internal fixation, including any of the following (if performed): (a) internal fixation; (b) arthrotomy; (c) capsule repair; (d) removal of loose fragments or intervening soft tissue; (e) washout of joint (H) 47579 01DEC1991 30JUN2021 N PATELLA, treatment of fracture of, not being a service to which item 47582 or 47585 applies 47579 01JUL2021 31DEC9999 Y Treatment of fracture of patella, other than a service to which item 47582 or 47585 applies 47582 01DEC1991 30JUN2021 N PATELLA, treatment of fracture of, by excision of patella or pole with reattachment of tendon 47582 01JUL2021 31DEC9999 Y Treatment of fracture of patella, with internal fixation, including bone grafting (if performed), other than a service associated with a service to which item 47579 or 47585 applies (H) 47585 01DEC1991 30JUN2021 N PATELLA, treatment of fracture of, by internal fixation 47585 01JUL2021 31DEC9999 Y Treatment of proximal or distal fracture of patella, by open reduction, with internal fixation, including any of the following (if performed): (a) arthrotomy; (b) excision of patellar pole, with reattachment of tendon; (c) removal of loose fragments; (d) repair of quadriceps or patellar tendon (or both); (e) stabilisation of patello-femoral joint (H) 47588 01DEC1991 30JUN2021 N KNEE JOINT, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments 47588 01JUL2021 31DEC9999 Y Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (H) 47591 01DEC1991 30JUN2021 N KNEE JOINT, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments 47591 01JUL2021 31DEC9999 Y Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (H) 47592 01JUL2021 31DEC9999 Y Repair or reconstruction (or both) of acute traumatic chondral injury to the distal femoral or proximal tibial articular surfaces of the knee, when chondral or osteochondral implants or transfers are utilised (H) 47593 01JUL2021 31DEC9999 Y Repair or reconstruction (or both) of acute traumatic chondral injury to the distal femoral and proximal tibial articular surfaces of the knee, using chondral or osteochondral implants or transfers (H) 47594 01DEC1991 31DEC9999 Y ANKLE JOINT, treatment of fracture of, not being a service to which item 47597 applies 47595 01JUL2021 31DEC9999 Y Treatment of fracture of ankle joint, hindfoot, midfoot, metatarsals or toes, by non-surgical management-one leg 47597 01DEC1991 30JUN2021 N ANKLE JOINT, treatment of fracture of, by closed reduction 47597 01JUL2021 31DEC9999 Y Treatment of fracture of ankle joint, by closed reduction 47600 01DEC1991 30JUN2021 N ANKLE JOINT, treatment of fracture of, by internal fixation of 1 of malleolus, fibula or diastasis 47600 01JUL2021 31DEC9999 Y Treatment of fracture of ankle joint: (a) by internal fixation of the malleolus, fibula or diastasis; and (b) including any of the following (if performed): (i) arthrotomy; (ii) capsule repair; (iii) removal of loose fragments or intervening soft tissue; (iv) washout of joint (H) 47603 01DEC1991 30JUN2021 N ANKLE JOINT, treatment of fracture of, by internal fixation of more than 1 of malleolus, fibula or diastasis 47603 01JUL2021 31DEC9999 Y Treatment of fracture of ankle joint: (a) by internal fixation of 2 or more of the malleolus, fibula, diastasis and medial tissue interposition; and (b) including any of the following (if performed): (i) arthrotomy; (ii) capsule repair; (iii) removal of loose fragments or intervening soft tissue; (iv) washout of joint (H) 47606 01DEC1991 31DEC9999 Y CALCANEUM OR TALUS, treatment of fracture of, not being a service to which item 47609, 47612, 47615 or 47618 applies, with or without dislocation 47609 01DEC1991 31DEC9999 Y CALCANEUM OR TALUS, treatment of fracture of, by closed reduction, with or without dislocation 47612 01DEC1991 30JUN2021 N CALCANEUM OR TALUS, treatment of intra-articular fracture of, by closed reduction, with or without dislocation 47612 01JUL2021 31DEC9999 Y Treatment of intra-articular fracture of hindfoot, by closed reduction, with or without dislocation-one foot 47615 01DEC1991 30JUN2021 N CALCANEUM OR TALUS, treatment of fracture of, by open reduction, with or without dislocation 47615 01JUL2021 29FEB2024 N Treatment of fracture of hindfoot, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint -one foot 47615 01MAR2024 31DEC9999 Y Treatment of fracture of hindfoot, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint -one hindfoot bone 47618 01DEC1991 30JUN2021 N CALCANEUM OR TALUS, treatment of intra-articular fracture of, by open reduction, with or without dislocation 47618 01JUL2021 29FEB2024 N Treatment of intra-articular fracture of hindfoot, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint -one foot (H) 47618 01MAR2024 31DEC9999 Y Treatment of intra-articular fracture of hindfoot, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint -one hindfoot bone (H) 47621 01DEC1991 30JUN2021 N TARSO-METATARSAL, treatment of intra-articular fracture of, by closed reduction, with or without dislocation 47621 01JUL2021 31DEC9999 Y Treatment of intra-articular fracture of midfoot, by closed reduction, with or without dislocation-one foot 47624 01DEC1991 30JUN2021 N TARSO-METATARSAL, treatment of fracture of, by open reduction, with or without dislocation 47624 01JUL2021 31DEC9999 Y Treatment of fracture of tarso-metatarsal, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule or ligament repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint -one joint (H) 47627 01DEC1991 31DEC9999 Y TARSUS (excluding calcaneum or talus), treatment of fracture of 47630 01DEC1991 30JUN2021 N TARSUS (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation 47630 01JUL2021 31DEC9999 Y Treatment of fracture of cuneiform, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule or ligament repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint -one bone 47633 01DEC1991 31DEC9999 Y METATARSAL, 1 of, treatment of fracture of 47636 01DEC1991 31DEC9999 Y METATARSAL, 1 of, treatment of fracture of, by closed reduction 47637 01JUL2021 31DEC9999 Y Treatment of fractures of metatarsal, by closed reduction-one or more metatarsals of one foot 47639 01DEC1991 30JUN2021 N METATARSAL, 1 of, treatment of fracture of, by open reduction 47639 01JUL2021 29FEB2024 N Treatment of fracture of metatarsal, by open reduction, including removal of loose fragments or intervening soft tissue (if performed)-one metatarsal 47639 01MAR2024 31DEC9999 Y Treatment of fracture of metatarsal, by open reduction, including removal of loose fragments or intervening soft tissue (if performed)-one metatarsal of one foot 47642 01DEC1991 31DEC9999 Y METATARSALS, 2 of, treatment of fracture of 47645 01DEC1991 31DEC9999 Y METATARSALS, 2 of, treatment of fracture of, by closed reduction 47648 01DEC1991 30JUN2021 N METATARSALS, 2 of, treatment of fracture of, by open reduction 47648 01JUL2021 31DEC9999 Y Treatment of fracture of metatarsal, by open reduction, including removal of loose fragments or intervening soft tissue (if performed)-2 metatarsals of one foot (H) 47651 01DEC1991 31DEC9999 Y METATARSALS, 3 or more of, treatment of fracture of 47654 01DEC1991 31DEC9999 Y METATARSALS, 3 or more of, treatment of fracture of, by closed reduction 47657 01DEC1991 30JUN2021 N METATARSALS, 3 or more of, treatment of fracture of, by open reduction 47657 01JUL2021 31DEC9999 Y Treatment of fracture of metatarsal, by open reduction, including removal of loose fragments or intervening soft tissue (if performed)-3 or more metatarsals of one foot (H) 47660 01DEC1991 31DEC9999 Y PHALANX OF GREAT TOE, treatment of fracture of 47663 01DEC1991 30JUN2021 N PHALANX OF GREAT TOE, treatment of fracture of, by closed reduction 47663 01JUL2021 31DEC9999 Y Treatment of fracture of phalanx of toe, by closed reduction-one toe 47666 01DEC1991 30JUN2021 N PHALANX OF GREAT TOE, treatment of fracture of, by open reduction 47666 01JUL2021 31DEC9999 Y Treatment of fracture or dislocation of phalanx of great toe, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments; (d) removal of intervening soft tissue; (e) washout of joint - one great toe 47669 01DEC1991 31DEC9999 Y PHALANX OF TOE (other than great toe), 1 of, treatment of fracture of 47672 01DEC1991 30JUN2021 N PHALANX OF TOE (other than great toe), 1 of, treatment of fracture of, by open reduction 47672 01JUL2021 31DEC9999 Y Treatment of fracture or dislocation of phalanx of toe, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments; (d) removal of intervening soft tissue; (e) washout of joint -one toe (other than great toe) of one foot 47675 01DEC1991 31DEC9999 Y PHALANX OF TOE (other than great toe), more than 1 of, treatment of fracture of 47678 01DEC1991 30JUN2021 N PHALANX OF TOE (other than great toe), more than 1 of, treatment of fracture of, by open reduction 47678 01JUL2021 31DEC9999 Y Treatment of fracture or dislocation of phalanx of toe, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments; (d) removal of intervening soft tissue; (e) washout of joint -2 or more toes (other than great toe) of one foot 47681 01DEC1991 31DEC9999 Y SPINE (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements - each attendance 47684 01DEC1991 31OCT2005 N SPINE, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, including immobilisation by calipers 47684 01NOV2005 30APR2006 N SPINE, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, with immobilisation by calipers 47684 01MAY2006 31DEC9999 Y SPINE, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, with immobilisation by calipers or halo 47687 01DEC1991 31OCT2005 N SPINE, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, including immobilisation by calipers, and including up to 14 days post-operative care 47687 01NOV2005 30APR2006 N SPINE, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, with immobilisation by calipers, and including up to 14 days post-operative care 47687 01MAY2006 31DEC9999 Y SPINE, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, with immobilisation by calipers or halo, and including up to 14 days post-operative care 47690 01DEC1991 31OCT2005 N SPINE, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation 47690 01NOV2005 30APR2006 N SPINE, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, with immobilisation by calipers, requiring reduction by closed manipulation 47690 01MAY2006 31DEC9999 Y SPINE, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, with immobilisation by calipers or halo, requiring reduction by closed manipulation 47693 01DEC1991 31OCT2005 N SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation, including up to 14 days post-operative care 47693 01NOV2005 30APR2006 N SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, with immobilisation by calipers, requiring reduction by closed manipulation, including up to 14 days post-operative care 47693 01MAY2006 31DEC9999 Y SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, with immobilisation by calipers or halo, requiring reduction by closed manipulation, including up to 14 days post-operative care 47696 01DEC1991 31DEC9999 Y SPINE, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital 47699 01DEC1991 31DEC9999 Y SPINE, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, requiring open reduction with or without internal fixation 47702 01DEC1991 31DEC9999 Y SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, requiring open reduction with or without internal fixation, including up to 14 days post-operative care 47703 01DEC1991 31DEC9999 Y SKULL, treatment of fracture of, each attendance 47705 01DEC1991 31DEC9999 Y SKULL CALIPERS, insertion of, as an independent procedure 47708 01DEC1991 31DEC9999 Y PLASTER JACKET, application of, as an independent procedure 47711 01DEC1991 31DEC9999 Y HALO, application of, as an independent procedure 47714 01DEC1991 31DEC9999 Y HALO, application of, in addition to spinal fusion for scoliosis, or other conditions 47717 01DEC1991 31DEC9999 Y HALO-THORACIC TRACTION - application of both halo and thoracic jacket 47720 01DEC1991 31DEC9999 Y HALO-FEMORAL TRACTION, as an independent procedure 47723 01DEC1991 31DEC9999 Y HALO-FEMORAL TRACTION, in conjunction with a major spine operation 47726 01DEC1991 31OCT1992 N BONE GRAFT, harvesting of, via separate incision, associated with any item in this Group - Autogenous - small quantity 47726 01NOV1992 31DEC9999 Y BONE GRAFT, harvesting of, via separate incision, in conjunction with another service - autogenous - small quantity 47729 01DEC1991 31OCT1992 N BONE GRAFT, harvesting of, via separate incision, associated with any item in this Group - Autogenous - large quantity 47729 01NOV1992 31DEC9999 Y BONE GRAFT, harvesting of, via separate incision, in conjunction with another service - autogenous - large quantity 47732 01DEC1991 31OCT1992 N VASCULARISED PEDICLE BONE GRAFT, harvesting of, associated with any item in this Group 47732 01NOV1992 31DEC9999 Y VASCULARISED PEDICLE BONE GRAFT, harvesting of, in conjunction with another service 47735 01DEC1991 31OCT1994 N NASAL BONES, treatment of fracture of, not being a service to which item 47738 or 47741 applies 47735 01NOV1994 30JUN2021 N NASAL BONES, treatment of fracture of, not being a service to which item 47738 or 47741 applies - each attendance 47735 01JUL2021 31DEC9999 Y Nasal bones, treatment of fracture of, other than a service to which item 47738 or 47741 applies-each attendance 47738 01DEC1991 31MAR1992 N NASAL BONES, treatment of fracture of, by open reduction 47738 01APR1992 30JUN2021 N NASAL BONES, treatment of fracture of, by reduction 47738 01JUL2021 31DEC9999 Y Nasal bones, treatment of fracture of, by reduction 47741 01DEC1991 30JUN2021 N NASAL BONES, treatment of fracture of, by open reduction involving osteotomies 47741 01JUL2021 31DEC9999 Y Nasal bones, treatment of fracture of, by open reduction involving osteotomies (H) 47744 01DEC1991 31DEC9999 Y ZYGOMA, treatment of fracture of 47753 01APR1992 30JUN2021 N MAXILLA, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation 47753 01JUL2021 30JUN2023 N Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) 47753 01JUL2023 31DEC9999 Y Maxilla or mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) 47756 01APR1992 30JUN2021 N MANDIBLE, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation 47756 01JUL2021 31DEC9999 Y Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) 47762 01APR1992 30JUN2021 N ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach 47762 01JUL2021 30JUN2023 N Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach 47762 01JUL2023 31DEC9999 Y Zygomatic arch, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach, other than a service associated with a service to which another item in this Group applies 47765 01APR1992 30JUN2021 N ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site 47765 01JUL2021 30JUN2023 N Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (H) 47765 01JUL2023 31DEC9999 Y Zygomaticomaxillary complex/malar, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one or more sites (H) 47766 01JUL2023 31DEC9999 Y Naso-orbital-ethmoidal complex, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one or more sites (H) 47768 01APR1992 30JUN2021 N ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites 47768 01JUL2021 31DEC9999 Y Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (H) 47771 01APR1992 30JUN2021 N ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites 47771 01JUL2021 31DEC9999 Y Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (H) 47774 01APR1992 30JUN2021 N MAXILLA, treatment of fracture of, requiring open operation 47774 01JUL2021 31DEC9999 Y Maxilla, treatment of fracture of, requiring open operation (H) 47777 01APR1992 30JUN2021 N MANDIBLE, treatment of fracture of, requiring open reduction 47777 01JUL2021 31DEC9999 Y Mandible, treatment of fracture of, requiring open reduction (H) 47780 01APR1992 30JUN2021 N MAXILLA, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) 47780 01JUL2021 31DEC9999 Y Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate (H) 47783 01APR1992 30JUN2021 N MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) 47783 01JUL2021 31DEC9999 Y Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate 47786 01APR1992 30JUN2021 N MAXILLA, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) 47786 01JUL2021 30JUN2023 N Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate (H) 47786 01JUL2023 31DEC9999 Y Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving one or more plates (H) 47789 01APR1992 30JUN2021 N MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) 47789 01JUL2021 30JUN2023 N Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate (H) 47789 01JUL2023 31DEC9999 Y Mandible, treatment of fracture of, requiring open reduction and internal fixation involving one or more plates (H) 47790 01NOV2022 31DEC9999 Y Tendon, large, lengthening of, as an independent procedure 47791 01NOV2022 31DEC9999 Y Tenosynovectomy, not being a service associated with a service to which another item in this Group applies 47792 01NOV2022 29FEB2024 N Joint stabilisation procedure of acromio-clavicular joint or scapulo-thoracic joint, including any of the following (if performed): (a) arthrotomy; (b) osteotomy, with or without fixation; (c) local tendon transfer; (d) local tendon lengthening or release; (e) ligament repair; (f) joint debridement; not being a service associated with a service to which another item in this Group applies 47792 01MAR2024 31DEC9999 Y Joint stabilisation procedure of acromioclavicular joint or sternoclavicular joint, including any of the following (if performed): (a) arthrotomy; (b) osteotomy, with or without fixation; (c) local tendon transfer; (d) local tendon lengthening or release; (e) ligament repair; (f) joint debridement; not being a service associated with a service to which another item in this Group applies (H) 47795 01MAR2024 31DEC9999 Y Joint stabilisation procedure of scapulothoracic joint, other than a service associated with a service to which another item in this Group (other than item 38828 or 48406) applies (H) 47804 01APR1992 31DEC9999 Y Historical item included for item mapping purposes 47900 01DEC1991 30JUN2021 N BONE CYST, injection into or aspiration of 47900 01JUL2021 31DEC9999 Y Injection into, or aspiration of, unicameral bone cyst 47903 01DEC1991 30JUN2021 N EPICONDYLITIS, open operation for 47903 01JUL2021 31DEC9999 Y Epicondylitis, open operation for 47904 01DEC1991 31OCT1994 N DIGITAL NAIL, removal of, not being a service to which item 47906 applies 47904 01NOV1994 30JUN2021 N DIGITAL NAIL OF TOE, removal of, not being a service to which item 47906 applies 47904 01JUL2021 31DEC9999 Y Digital nail of toe, removal of, not being a service to which item 47906 applies 47906 01DEC1991 31OCT1994 N DIGITAL NAIL, removal of, in the operating theatre of a hospital or approved day hospital facility 47906 01NOV1994 30JUN2021 N DIGITAL NAIL OF TOE, removal of, in the operating theatre of a hospital 47906 01JUL2021 31DEC9999 Y Digital nail of toe, removal of, in the operating theatre of a hospital (H) 47909 01DEC1991 31DEC9999 Y MIDDLE PALMAR, THENAR OR HYPOTHENAR SPACES, drainage of (excluding aftercare) 47912 01DEC1991 31OCT1994 N PULP SPACE INFECTION, PARONYCHIA of HANDS or FEET, incision for, not being a service to which another item in this Group applies (excluding aftercare) 47912 01NOV1994 31DEC9999 Y PULP SPACE INFECTION, PARONYCHIA of FOOT, incision for, not being a service to which another item in this Group applies (excluding aftercare) 47915 01DEC1991 30JUN1993 N INGROWING TOENAIL, wedge resection for, not being a service associated with a service to which item 47918 applies 47915 01JUL1993 31OCT1994 N INGROWING nail of finger or toe, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed 47915 01NOV1994 30JUN2011 N INGROWING NAIL OF TOE, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed 47915 01JUL2011 30JUN2021 N INGROWING NAIL OF TOE, wedge resection for, with removal of segment of nail, ungual fold and portion of the nail bed 47915 01JUL2021 31DEC9999 Y Wedge resection for ingrowing nail of toe: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and partial ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) 47916 01JUL1993 31OCT1994 N INGROWING nail of finger or toe, partial resection of nail, including phenolisation but not including excision of nail bed 47916 01NOV1994 30JUN2011 N INGROWING NAIL OF TOE, partial resection of nail, including phenolisation but not including excision of nail bed 47916 01JUL2011 30JUN2021 N INGROWING NAIL OF TOE, partial resection of nail, with destruction of nail matrix by phenolisation, electrocautery, laser, sodium hydroxide or acid but not including excision of nail bed 47916 01JUL2021 31DEC9999 Y Partial resection for ingrowing nail of toe, including phenolisation 47918 01DEC1991 30JUN2021 N INGROWING TOENAIL, radical excision of nailbed 47918 01JUL2021 31DEC9999 Y Complete ablation of nail germinal matrix: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) 47920 01MAY1997 31DEC9999 Y BONE GROWTH STIMULATOR, insertion of 47921 01DEC1991 30JUN2021 N ORTHOPAEDIC PIN OR WIRE, insertion of, as an independent procedure 47921 01JUL2021 31DEC9999 Y Orthopaedic pin or wire, insertion of, as an independent procedure 47924 01DEC1991 30JUN2021 N BURIED WIRE, PIN OR SCREW, 1 or more of, which were inserted for internal fixation purposes, removal of requiring incision and suture, not being a service to which item 47927 or 47930 applies - per bone 47924 01JUL2021 31DEC9999 Y Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes), with incision, other than a service associated with a service to which item 47927 or 47929 applies-one bone 47927 01DEC1991 30JUN2021 N BURIED WIRE, PIN OR SCREW, 1 or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital - per bone 47927 01JUL2021 31DEC9999 Y Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes)-one bone (H) 47929 01JUL2021 31DEC9999 Y Removal of fixation elements (including plate, rod or nail and associated wires, pins, screws or external fixation), other than a service associated with a service to which item 47924 or 47927 applies-one bone (H) 47930 01DEC1991 31DEC9999 Y PLATE, ROD OR NAIL AND ASSOCIATED WIRES, PINS OR SCREWS, 1 or more of, all of which were inserted for internal fixation purposes, removal of, not being a service associated with a service to which item 47924 or 47927 applies - per bone 47933 01DEC1991 30APR2009 N EXOSTOSIS OF SMALL BONE, excision of, including simple removal of bunion and any associated bursa 47933 01MAY2009 31DEC9999 Y SMALL EXOSTOSIS (NOT MORE THAN 20MM OF GROWTH ABOVE BONE), excision of, or simple removal of bunion and any associated bursa, not being a service associated with a service for removal of bursa 47936 01DEC1991 30APR2009 N EXOSTOSIS OF LARGE BONE, excision of 47936 01MAY2009 31DEC9999 Y LARGE EXOSTOSIS (GREATER THAN 20MM GROWTH ABOVE BONE), excision of 47939 01DEC1991 30JUN1993 N LIMB LENGTHENING (single or first stage) osteotomy for, including application of distracting apparatus 47939 01JUL1993 31DEC9999 Y LIMB LENGTHENING (first stage), osteotomy for, including application of distracting apparatus 47942 01DEC1991 31DEC9999 Y LIMB LENGTHENING (second stage) internal fixation with bone grafting, including removal of distracting apparatus 47943 01JUL1993 31DEC9999 Y LIMB LENGTHENING requiring slow distraction and application of ring fixator, not being a service to which item 47939 applies 47945 01DEC1991 31DEC9999 Y DISTRACTING APPARATUS, removal of, without internal fixation 47948 01DEC1991 31DEC9999 Y EXTERNAL FIXATION, removal of, in the operating theatre of a hospital 47951 01DEC1991 31DEC9999 Y EXTERNAL FIXATION, removal of, in conjunction with operations involving internal fixation or bone grafting or both 47953 01JUL2021 31DEC9999 Y Repair of distal biceps brachii tendon, by any method, performed as an independent procedure 47954 01DEC1991 31OCT1996 N TENDON, large rupture, repair of, not being a service to which another item in this Group applies 47954 01NOV1996 30APR2009 N TENDON, repair of, not being a service to which another item in this Group applies 47954 01MAY2009 30JUN2021 N TENDON, repair of, as an independent procedure 47954 01JUL2021 14JUL2021 N Repair of traumatic tear or rupture of tendon, other than a service associated with: (a) a service to which item 39330 applies; or (b) a service to which another item in this Schedule applies if the service decribed in the other item is for the purpose of repairing peripheral nerve items in the same region 47954 15JUL2021 31DEC9999 Y Repair of traumatic tear or rupture of tendon, other than a service associated with: (a) a service to which item 39330 applies; or (b) a service to which another item in this Schedule applies if the service described in the other item is for the purpose of repairing peripheral nerve items in the same region 47955 01JUL2021 31DEC9999 Y Repair of gluteal or rectus femoris tendon, by open or arthroscopic means, when performed as an independent procedure, including either or both of the following (if performed): (a) bursectomy; (b) preparation of greater trochanter; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) 47956 01JUL2021 31DEC9999 Y Repair of proximal hamstring tendon, performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) 47957 01DEC1991 30APR2009 N TENDON, large, lengthening of, not being a service to which another item in this Group applies 47957 01MAY2009 31DEC9999 Y TENDON, large, lengthening of, as an independent procedure 47960 01DEC1991 31DEC9999 Y TENOTOMY, SUBCUTANEOUS, not being a service to which another item in this Group applies 47963 01DEC1991 31DEC9999 Y TENOTOMY, OPEN, with or without tenoplasty, not being a service to which another item in this Group applies 47964 01JUL2021 31DEC9999 Y Iliopsoas tenotomy, by open or arthroscopic means, when performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) 47966 01DEC1991 30APR2009 N TENDON OR LIGAMENT, TRANSFER, not being a service to which another item in this Group applies 47966 01MAY2009 31DEC9999 Y TENDON OR LIGAMENT, TRANSFER, as an independent procedure 47967 01JUL2021 31OCT2022 N Restoration of shoulder function by major muscle tendon transfer, including associated dissection of neurovascular pedicle, excluding micro-anastomosis and biceps tenodesis-one transfer (H) 47967 01NOV2022 31DEC9999 Y Restoration of shoulder or elbow function by major muscle tendon transfer, including associated dissection of neurovascular pedicle, excluding micro-anastomosis and biceps tenodesis-one transfer (H) 47968 01MAR2024 31DEC9999 Y Open tenotomy of one or more tendons of shoulder, with or without tenoplasty, to restore shoulder function, other than a service to which another item in this Group applies-applicable once per joint per occasion on which this service is performed 47969 01DEC1991 31DEC9999 Y TENOSYNOVECTOMY, not being a service to which another item in this Group applies 47970 01MAR2024 31DEC9999 Y Open tenotomy of one or more tendons of scapula, with or without tenoplasty, to restore scapula function, other than a service to which another item in this Group applies-applicable once per joint per occasion on which this service is performed 47972 01DEC1991 31DEC9999 Y TENDON SHEATH, open operation for teno-vaginitis, not being a service to which another item in this Group applies 47973 01MAR2024 31DEC9999 Y Open tenotomy of one or more tendons of elbow, with or without tenoplasty, to restore elbow function, other than a service to which another item in this Group applies-applicable once per joint per occasion on which this service is performed 47975 01JUL1993 30JUN2021 N FOREARM OR CALF, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue 47975 01JUL2021 31DEC9999 Y Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (H) 47978 01JUL1993 30JUN2021 N FOREARM OR CALF, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue 47978 01JUL2021 31DEC9999 Y Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (H) 47981 01JUL1993 30JUN2021 N FOREARM, CALF OR INTEROSSEOUS MUSCLE SPACE OF HAND, decompression fasciotomy of, not being a service to which another item applies 47981 01JUL2021 31DEC9999 Y Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, other than a service to which another item in this Group applies 47982 01MAY1997 30JUN2021 N FORAGE (Drill decompression), of NECK OR HEAD of FEMUR, or BOTH 47982 01JUL2021 31DEC9999 Y Forage (Drill decompression), of neck or head of femur, or both (H) 47983 01JUL2021 31DEC9999 Y Stabilisation of slipped capital femoral epiphysis, by internal fixation (H) 47984 01JUL2021 31DEC9999 Y Open subcapital realignment of slipped capital femoral epiphysis, other than a service associated with a service to which item 48427 applies (H) 48200 01DEC1991 31DEC9999 Y FEMUR, bone graft to 48203 01DEC1991 31DEC9999 Y FEMUR, bone graft to, with internal fixation 48206 01DEC1991 31DEC9999 Y TIBIA, bone graft to 48209 01DEC1991 31DEC9999 Y TIBIA, bone graft to, with internal fixation 48212 01DEC1991 31DEC9999 Y HUMERUS, bone graft to 48215 01DEC1991 31DEC9999 Y HUMERUS, bone graft to, with internal fixation 48218 01DEC1991 31DEC9999 Y RADIUS AND ULNA, bone graft to 48221 01DEC1991 31DEC9999 Y RADIUS AND ULNA, bone graft to, with internal fixation of 1 or both bones 48224 01DEC1991 31DEC9999 Y RADIUS OR ULNA, bone graft to 48227 01DEC1991 31DEC9999 Y RADIUS OR ULNA, bone graft to, with internal fixation of 1 or both bones 48230 01DEC1991 31DEC9999 Y SCAPHOID, bone graft to, for non-union 48233 01DEC1991 31DEC9999 Y SCAPHOID, bone graft to, for non-union, with internal fixation 48236 01DEC1991 31DEC9999 Y SCAPHOID, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation 48239 01DEC1991 31DEC9999 Y BONE GRAFT, not being a service to which another item in this Group applies 48242 01DEC1991 31DEC9999 Y BONE GRAFT, with internal fixation, not being a service to which another item in this Group applies 48245 01JUL2021 31DEC9999 Y Harvesting and insertion of bone graft (autograft) via separate incisions and at separate surgical fields (H) 48248 01JUL2021 31DEC9999 Y Harvesting and insertion of bone graft (autograft) via separate incisions, including internal fixation of the graft or fusion fixation (or both) (H) 48251 01JUL2021 31DEC9999 Y Harvesting and insertion of osteochondral graft (autograft) via separate incisions at the same joint or joint complex (H) 48254 01JUL2021 31DEC9999 Y Harvesting and insertion of pedicled bone flap (autograft), including internal fixation of the bone flap (if performed), other than a service associated with a service to which item 45562, 45504 or 45505 applies (H) 48257 01JUL2021 31DEC9999 Y Preparation and insertion of metallic, cortical or other graft substitute (allograft), where substitute is structural cortico-cancellous bone or structural bone (or both), including internal fixation (if performed) (H) 48400 01DEC1991 30APR2009 N PHALANX, METATARSAL, ACCESSORY BONE OR SESAMOID BONE, osteotomy or osteectomy of, excluding services to which item 49848 or 49851 applies 48400 01MAY2009 30JUN2021 N PHALANX, METATARSAL, ACCESSORY BONE OR SESAMOID BONE, osteotomy or osteectomy of, excluding services to which item 49848 or 49851 applies, any of items 49848, 49851, 47933 or 47936 apply 48400 01JUL2021 29FEB2024 N Osteotomy of phalanx or metatarsal of foot, for correction of deformity, excision of accessory bone or sesamoid bone, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; -one bone (H) 48400 01MAR2024 31DEC9999 Y Operation on foot: (a) with either or both of the following: (i) osteotomy of phalanx or metatarsal for correction of deformity; (ii) excision of accessory bone or sesamoid bone; and (b) including any of the following (if performed): (i) removal of bone; (ii) excision of surrounding osteophytes; (iii) synovectomy; (iv) joint release; -one bone (H) 48403 01DEC1991 30APR2009 N PHALANX OR METATARSAL, osteotomy or osteectomy of, with internal fixation 48403 01MAY2009 30JUN2021 N PHALANX OR METATARSAL, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply 48403 01JUL2021 29FEB2024 N Osteotomy of phalanx or metatarsal of first toe of foot, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; -one bone (H) 48403 01MAR2024 31DEC9999 Y Osteotomy of phalanx of first toe or metatarsal, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; -one bone (H) 48406 01DEC1991 30APR2009 N FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than acromion), RIB, TARSUS OR CARPUS, osteotomy or osteectomy of 48406 01MAY2009 30JUN2021 N FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than acromion), RIB, TARSUS OR CARPUS, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply 48406 01JUL2021 31DEC9999 Y Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; -one bone (H) 48409 01DEC1991 30APR2009 N FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than Acromion), RIB, TARSUS OR CARPUS, osteotomy or osteectomy of, with internal fixation 48409 01MAY2009 30JUN2021 N FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than Acromion), RIB, TARSUS OR CARPUS, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply 48409 01JUL2021 31DEC9999 Y Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; -one bone (H) 48412 01DEC1991 30APR2009 N HUMERUS, osteotomy or osteectomy of 48412 01MAY2009 30JUN2021 N HUMERUS, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply 48412 01JUL2021 31DEC9999 Y Osteotomy of humerus, without internal fixation (H) 48415 01DEC1991 30APR2009 N HUMERUS, osteotomy or osteectomy of, with internal fixation 48415 01MAY2009 30JUN2021 N HUMERUS, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply 48415 01JUL2021 31DEC9999 Y Osteotomy of humerus, with internal fixation (H) 48418 01DEC1991 30APR2009 N TIBIA, osteotomy or osteectomy of 48418 01MAY2009 31DEC9999 Y TIBIA, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply 48419 01JUL2021 31DEC9999 Y Osteotomy of distal tibia, for correction of deformity, without internal or external fixation, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; -one bone (H) 48420 01JUL2021 31DEC9999 Y Osteotomy of distal tibia, for correction of deformity, with internal or external fixation by any method, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; -one bone (H) 48421 01DEC1991 30APR2009 N TIBIA, osteotomy or osteectomy of, with internal fixation 48421 01MAY2009 30JUN2021 N TIBIA, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply 48421 01JUL2021 31DEC9999 Y Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) 48422 01JUL2021 31DEC9999 Y Osteotomy of distal femur, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) 48423 01JUL2021 31DEC9999 Y Osteotomy of pelvis, in a patient aged 18 years or over, including any of the following (if performed): (a) associated intra-articular procedures; (b) bone grafting; (c) internal fixation (H) 48424 01DEC1991 30APR2009 N FEMUR OR PELVIS, osteotomy or osteectomy of 48424 01MAY2009 31OCT2016 N FEMUR OR PELVIS, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply 48424 01NOV2016 30JUN2021 N Femur or pelvis, osteotomy or osteectomy of, other than a service associated with surgery for femoroacetabular impingement, or to which item 47933 or 47936 applies (H) 48424 01JUL2021 31DEC9999 Y Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 48426 01JUL2021 31DEC9999 Y Osteotomy of femur, in a patient aged 18 years or over, including either or both of the following (if performed): (a) bone grafting; (b) internal fixation (H) 48427 01DEC1991 30APR2009 N FEMUR OR PELVIS, osteotomy or osteectomy of, with internal fixation 48427 01MAY2009 30JUN2021 N FEMUR OR PELVIS, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply 48427 01JUL2021 31DEC9999 Y Osteotomy of femur, in a patient aged less than 18 years, including internal fixation (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 48430 01JUL2021 31DEC9999 Y Excision of one or more osteophytes of the foot or ankle, or simple removal of bunion, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; -each incision (H) 48433 01JUL2021 31DEC9999 Y Treatment of non-union or malunion, with preservation of the joint, for ankle or hindfoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; -one bone (H) 48435 01JUL2021 31DEC9999 Y Treatment of non-union or malunion, with preservation of the joint, for midfoot or forefoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; -one bone (H) 48436 01MAR2024 31DEC9999 Y Excision of one or more exostoses of the hand, distal to the wrist, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of ligaments; (c) removal of one or more associated bursae or ganglia; (d) removal of bone; (e) synovectomy; other than a service associated with a service to which another item in this Schedule applies that: (f) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (g) is performed on the same joint or bone; -each incision (H) 48438 01MAR2024 31DEC9999 Y Excision of one or more exostoses in the wrist including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48436 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; -each incision (H) 48440 01MAR2024 31DEC9999 Y Excision of one or more exostoses in the arm or shoulder, including the radius, ulna, humerus, acromion, clavicle, or scapula, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48438 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; -each incision (H) 48442 01MAR2024 31DEC9999 Y Excision of one or more exostoses in the hip, including pelvis and femur, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48444 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; -each incision (H) 48444 01MAR2024 31DEC9999 Y Excision of one or more exostoses in the knee, tibia or fibula, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which item 48430 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; -each incision (H) 48446 01MAR2024 31DEC9999 Y Treatment of non-union or malunion of fracture of pelvis, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone -one bone (H) 48448 01MAR2024 31DEC9999 Y Treatment of non-union or malunion of fracture of femur, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone -one bone (H) 48450 01MAR2024 31DEC9999 Y Treatment of non-union or malunion of fracture of tibia or fibula, proximal to ankle, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone -one bone (H) 48452 01MAR2024 31DEC9999 Y Treatment of non-union or malunion of fracture of humerus, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone -one bone (H) 48454 01MAR2024 31DEC9999 Y Treatment of non-union or malunion of fracture of radius, ulna, or carpus including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone -one bone (H) 48456 01MAR2024 31DEC9999 Y Treatment of non-union or malunion of fracture of hand, distal to wrist, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone -one bone (H) 48500 01DEC1991 31DEC9999 Y FEMUR, epiphysiodesis of 48503 01DEC1991 31DEC9999 Y TIBIA AND FIBULA, epiphysiodesis of 48506 01DEC1991 31DEC9999 Y FEMUR, TIBIA AND FIBULA, epiphysiodesis of 48507 01JUL2021 31DEC9999 Y Epiphysiodesis of a long bone, in a patient less than 18 years of age (H) 48509 01DEC1991 30JUN2021 N EPIPHYSIODESIS, staple arrest of hemiepiphysis 48509 01JUL2021 31DEC9999 Y Hemiepiphysiodesis, partial growth plate arrest using internal fixation, in a patient less than 18 years of age (H) 48512 01DEC1991 31OCT1992 N EPIPHYSIODESIS, operation to prevent closure of plate 48512 01NOV1992 30JUN2021 N EPIPHYSIOLYSIS, operation to prevent closure of plate 48512 01JUL2021 31DEC9999 Y Epiphysiolysis, release of focal growth plate closure, in a patient less than 18 years of age (H) 48600 01DEC1991 31DEC9999 Y SPINE, MANIPULATION OF, performed in the operating theatre of a hospital 48603 01DEC1991 31DEC9999 Y SPINE, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital, not being a service associated with a service to which item 48600 or 50115 applies 48606 01DEC1991 31DEC9999 Y SCOLIOSIS or KYPHOSIS, spinal fusion for (without instrumentation) 48609 01DEC1991 31DEC9999 Y SCOLIOSIS or KYPHOSIS, spinal fusion for, using Harrington or other nonsegmental fixation 48612 01DEC1991 31DEC9999 Y SCOLIOSIS, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) 48613 01JUL1998 31DEC9999 Y SCOLIOSIS OR KYPHOSIS, spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches 48615 01DEC1991 31DEC9999 Y SCOLIOSIS, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure 48618 01DEC1991 31DEC9999 Y SCOLIOSIS, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation 48621 01DEC1991 31DEC9999 Y SCOLIOSIS, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar) - not more than 4 levels 48624 01DEC1991 31DEC9999 Y SCOLIOSIS, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels 48627 01DEC1991 31DEC9999 Y SCOLIOSIS, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis 48630 01DEC1991 31DEC9999 Y SCOLIOSIS, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement 48632 01JUL1993 31DEC9999 Y SCOLIOSIS, congenital, vertebral resection and fusion for 48636 01DEC1991 30APR2003 N PERCUTANEOUS LUMBAR DISCECTOMY, 1 or more levels 48636 01MAY2003 31OCT2006 N PERCUTANEOUS LUMBAR DISCECTOMY, 1 or more levels not being a service associated with intradiscal electrothermal annuloplasty 48636 01NOV2006 31DEC9999 Y PERCUTANEOUS LUMBAR PARTIAL OR TOTAL DISCECTOMY, 1 or more levels, not being a service associated with intradiscal electrothermal annuloplasty 48639 01DEC1991 31DEC9999 Y VERTEBRAL BODY, total or subtotal excision of, including bone grafting or other form of fixation 48640 01JUL1998 31DEC9999 Y VERTEBRAL BODY, disease of, excision and spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches 48642 01DEC1991 31DEC9999 Y SPINE, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - 1 or 2 levels 48645 01DEC1991 31DEC9999 Y SPINE, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - more than 2 levels 48648 01DEC1991 31DEC9999 Y SPINE, bone graft to, (postero-lateral fusion) - 1 or 2 levels 48651 01DEC1991 31DEC9999 Y SPINE, bone graft to, (postero-lateral fusion) - more than 2 levels 48654 01DEC1991 31OCT2006 N SPINAL FUSION (posterior interbody), with laminectomy, 1 level 48654 01NOV2006 31DEC9999 Y SPINAL FUSION (posterior interbody), with partial or total laminectomy, 1 level 48657 01DEC1991 31OCT2006 N SPINAL FUSION (posterior interbody), with laminectomy, more than 1 level 48657 01NOV2006 31DEC9999 Y SPINAL FUSION (posterior interbody), with partial or total laminectomy, more than 1 level 48660 01DEC1991 31OCT2006 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level 48660 01NOV2006 31DEC2013 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level, not being a service associated with artificial intervertebral total disc replacement 48660 01JAN2014 31DEC9999 Y SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level 48663 01DEC1991 31DEC2013 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (where an assisting surgeon performs the approach) - principal surgeon 48663 01JAN2014 31DEC9999 Y SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level - principal surgeon 48666 01DEC1991 31DEC2013 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (where an assisting surgeon performs the approach) - assisting surgeon 48666 01JAN2014 31DEC9999 Y SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level - assisting surgeon 48669 01DEC1991 31OCT2006 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level 48669 01NOV2006 31DEC2013 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level, not being a service associated with artificial intervertebral total disc replacement 48669 01JAN2014 31DEC9999 Y SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level 48672 01DEC1991 31DEC2013 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (where an assisting surgeon performs the approach) - principal surgeon 48672 01JAN2014 31DEC9999 Y SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level - principal surgeon 48675 01DEC1991 31DEC2013 N SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (where an assisting surgeon performs the approach) - assisting surgeon 48675 01JAN2014 31DEC9999 Y SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level - assisting surgeon 48678 01DEC1991 31DEC9999 Y SPINE, simple internal fixation of, involving 1 or more of facetal screw, wire loop or similar, being a service associated with a service to which items 48642 to 48675 apply 48681 01DEC1991 31DEC9999 Y SPINE, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies 48684 01DEC1991 31OCT2006 N SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels 48684 01NOV2006 31DEC2013 N SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels, not being a service associated with artificial intervertebral total disc replacement 48684 01JAN2014 31DEC9999 Y SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels 48687 01DEC1991 31DEC9999 Y SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - 3 or 4 levels 48690 01DEC1991 31DEC9999 Y SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - more than 4 levels 48691 01NOV2006 31DEC2013 N LUMBAR ARTIFICIAL INTERVERTEBRAL TOTAL DISC REPLACEMENT including removal of disc, 1 level, in patients with single-level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who have failed conservative therapy, with fluoroscopy 48691 01JAN2014 31DEC9999 Y Lumbar artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal fusion surgery at the same lumbar level; and (b) does not have vertebral osteoporosis; and (c) has failed conservative therapy; other than a service associated with item 40300 or 40301 48692 01NOV2006 31DEC2013 N LUMBAR ARTIFICIAL INTERVERTEBRAL TOTAL DISC REPLACEMENT including removal of disc, 1 level, in patients with single-level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who have failed conservative therapy, with fluoroscopy (where an assisting surgeon performs the approach) - principal surgeon 48692 01JAN2014 31DEC9999 Y Lumbar artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal fusion surgery at the same lumbar level; and (b) does not have vertebral osteoporosis; and (c) has failed conservative therapy; other than a service associated with item 40300 or 40301-principal surgeon 48693 01NOV2006 31DEC2013 N LUMBAR ARTIFICIAL INTERVERTEBRAL TOTAL DISC REPLACEMENT including removal of disc, 1 level, in patients with single-level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who have failed conservative therapy, (where an assisting surgeon performs the approach) - assisting surgeon 48693 01JAN2014 31DEC9999 Y Lumbar artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal fusion surgery at the same lumbar level; and (b) does not have vertebral osteoporosis; and (c) has failed conservative therapy; other than a service associated with item 40300 or 40301-assisting surgeon 48694 01NOV2012 31DEC9999 Y Cervical artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal surgery at the same cervical level; and (b) is skeletally mature; and (c) has symptomatic degenerative disc disease with radiculopathy; and (d) does not have vertebral osteoporosis; and (e) has failed conservative therapy; other than a service associated with item 40300 or 40301 48900 01DEC1991 30JUN2021 N SHOULDER, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both 48900 01JUL2021 31DEC9999 Y Shoulder, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both 48903 01DEC1991 31OCT1996 N SHOULDER, decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination 48903 01NOV1996 30JUN2021 N SHOULDER, decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination 48903 01JUL2021 31DEC9999 Y Shoulder, decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination (H) 48906 01DEC1991 30JUN2021 N SHOULDER, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both - not being a service associated with a service to which item 48900 applies 48906 01JUL2021 31DEC9999 Y Shoulder, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both-other than a service associated with a service to which item 48900 applies (H) 48909 01DEC1991 31OCT1996 N SHOULDER, repair of rotator cuff, including decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination, not being a service associated with a service to which item 48903 applies 48909 01NOV1996 30JUN2021 N SHOULDER, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination, not being a service associated with a service to which item 48903 applies 48909 01JUL2021 31DEC9999 Y Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination, other than a service associated with a service to which item 48903 applies (H) 48912 01DEC1991 31DEC9999 Y SHOULDER, arthrotomy of 48915 01DEC1991 30JUN2021 N SHOULDER, hemi-arthroplasty of 48915 01JUL2021 31DEC9999 Y Shoulder, hemi-arthroplasty of (H) 48918 01DEC1991 30JUN2021 N SHOULDER, total replacement arthroplasty of, including any associated rotator cuff repair 48918 01JUL2021 31DEC9999 Y Anatomic or reverse total shoulder replacement, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by open or arthroscopic means (H) 48919 01MAR2024 31DEC9999 Y Anatomic or reverse total shoulder replacement with bone graft, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with: (d) a service to which another item in this Schedule applies that is performed on the shoulder region by open or arthroscopic means; or (e) a service to which item 48245, 48248, 48251, 48254 or 48257 applies that is performed on the same joint (H) 48921 01DEC1991 30JUN2021 N SHOULDER, total replacement arthroplasty, revision of 48921 01JUL2021 31DEC9999 Y Shoulder, total replacement arthroplasty, revision of (H) 48924 01DEC1991 30JUN2021 N SHOULDER, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both 48924 01JUL2021 31DEC9999 Y Revision of total shoulder replacement, including either or both of the following (if performed): (a) bone graft to humerus; (b) bone graft to scapula (H) 48925 01MAR2024 31DEC9999 Y Arthroplasty of shoulder, other than: (a) a service to which another item applies; or (b) a service associated with a service to which any of items 48900 to 48909, 48948, 48951, or 48960 applies that is performed on the same joint (H) 48927 01DEC1991 30JUN2021 N SHOULDER prosthesis, removal of 48927 01JUL2021 31DEC9999 Y Shoulder prosthesis, removal of (H) 48930 01DEC1991 31OCT1996 N SHOULDER, anterior stabilisation procedure for recurrent dislocation 48930 01NOV1996 31DEC9999 Y SHOULDER, stabilisation procedure for recurrent anterior or posterior dislocation 48932 01MAR2024 31DEC9999 Y Arthroplasty of acromioclavicular joint or sternoclavicular joint, other than: (a) a service to which another item applies; or (b) a service associated with a service to which another item in this Schedule applies that is performed on the same joint by arthroscopic means -one joint (H) 48933 01DEC1991 31OCT1996 N SHOULDER, stabilisation procedure for multi-directional instability 48933 01NOV1996 31DEC9999 Y SHOULDER, stabilisation procedure for multi-directional instability, including anterior or posterior (or both) repair when performed 48936 01DEC1991 31DEC9999 Y SHOULDER, synovectomy of, as an independent procedure 48939 01DEC1991 30APR2009 N SHOULDER, arthrodesis of 48939 01MAY2009 30JUN2021 N SHOULDER, arthrodesis of, with synovectomy if performed 48939 01JUL2021 31DEC9999 Y Shoulder, arthrodesis of, with synovectomy if performed (H) 48942 01DEC1991 30APR2009 N SHOULDER, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation 48942 01MAY2009 30JUN2021 N SHOULDER, arthrodesis of, with synovectomy if performed, with removal of prosthesis, requiring bone grafting or internal fixation 48942 01JUL2021 31DEC9999 Y Arthrodesis of shoulder, with bone grafting or internal fixation, including either or both of the following (if performed): (a) removal of prosthesis; (b) synovectomy; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 48943 01MAR2024 31DEC9999 Y Arthrodesis of acromioclavicular or sternoclavicular joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; -one joint (H) 48944 01MAR2024 31DEC9999 Y Arthrodesis of scapulothoracic joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; -one joint (H) 48945 01DEC1991 30JUN2021 N SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region 48945 01JUL2021 31DEC9999 Y SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (H) 48948 01DEC1991 31OCT1996 N SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region 48948 01NOV1996 30JUN2021 N SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region 48948 01JUL2021 31DEC9999 Y SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) 48951 01DEC1991 30JUN2021 N SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region 48951 01JUL2021 31DEC9999 Y SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) 48952 01MAR2024 31DEC9999 Y Surgery of acromioclavicular joint or sternoclavicular joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) 48953 01MAR2024 31DEC9999 Y Surgery of scapulothoracic joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) 48954 01DEC1991 31OCT1996 N SHOULDER, arthroscopic total synovectomy of - not being a service associated with any other arthroscopic procedure of the shoulder region 48954 01NOV1996 30JUN2021 N SHOULDER, arthroscopic total synovectomy of, including release of contracture when performed - not being a service associated with any other arthroscopic procedure of the shoulder region 48954 01JUL2021 31DEC9999 Y Synovectomy of shoulder, performed as an independent procedure, including release of contracture (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by arthroscopic means (H) 48957 01DEC1991 31OCT1996 N SHOULDER, arthroscopic stabilisation of, for recurrent instability - not being a service associated with any other arthroscopic procedure of the shoulder region 48957 01NOV1996 31DEC9999 Y SHOULDER, arthroscopic stabilisation of, for recurrent instability including labral repair or reattachment when performed - not being a service associated with any other arthroscopic procedure of the shoulder region 48958 01JUL2021 31OCT2021 N Joint stabilisation procedure for multi-directional instability of shoulder, anterior or posterior repair, by open or arthroscopic means, including labral repair or attachment (if performed), excluding bone grafting and removal of hardware, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by arthroscopic means (H) 48958 01NOV2021 31DEC9999 Y Joint stabilisation procedure for multi-directional instability of shoulder, anterior or posterior repair, by open or arthroscopic means, including labral repair or reattachment (if performed), excluding bone grafting and removal of hardware, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by arthroscopic means (H) 48959 01MAR2024 31DEC9999 Y Latarjet procedure by open or arthroscopic means, including any of the following (if performed) but excluding removal of hardware: (a) labral repair or reattachment; (b) bone grafting; (c) tendon transfer; other than a service associated with a service to which another item in this Schedule applies that is performed on the shoulder region by arthroscopic means (H) 48960 01DEC1991 31OCT1996 N SHOULDER, arthroscopic reconstruction of, including repair of rotator cuff - not being a service associated with any other arthroscopic procedure of the shoulder region 48960 01NOV1996 30JUN2021 N SHOULDER, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate approach when performed - not being a service associated with any other procedure of the shoulder region 48960 01JUL2021 31DEC9999 Y SHOULDER, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate approach when performed - not being a service associated with any other procedure of the shoulder region (H) 48972 01JUL2021 31DEC9999 Y Tenodesis of biceps, by open or arthroscopic means, performed as an independent procedure (H) 48980 01JUL2021 31DEC9999 Y Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the shoulder girdle (H) 48983 01JUL2021 31DEC9999 Y Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the elbow (H) 48986 01JUL2021 31DEC9999 Y Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the forearm (H) 49100 01DEC1991 30JUN2021 N ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture 49100 01JUL2021 31DEC9999 Y ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (H) 49103 01DEC1991 31DEC9999 Y ELBOW, ligamentous stabilisation of 49104 01JUL2021 31DEC9999 Y Repair of one or more ligaments of the elbow, for acute instability-within 6 weeks after the time of injury (H) 49105 01JUL2021 31DEC9999 Y Stabilisation of one or more ligaments of the elbow, for chronic instability, including harvesting of tendon graft-6 weeks or more after the time of injury (H) 49106 01DEC1991 30APR2009 N ELBOW, arthrodesis of 49106 01MAY2009 31DEC9999 Y ELBOW, arthrodesis of, with synovectomy if performed 49109 01DEC1991 30JUN2021 N ELBOW, total synovectomy of 49109 01JUL2021 31DEC9999 Y ELBOW, total synovectomy of (H) 49112 01DEC1991 30JUN2021 N ELBOW, silastic or other replacement of radial head 49112 01JUL2021 31DEC9999 Y Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) 49113 01MAR2024 31DEC9999 Y Removal of radial head prosthesis (H) 49114 01MAR2024 31DEC9999 Y Revision of radial head replacement (H) 49115 01DEC1991 30JUN2021 N ELBOW, total joint replacement of 49115 01JUL2021 31DEC9999 Y Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) 49116 01NOV2006 30JUN2021 N ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis 49116 01JUL2021 31DEC9999 Y ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) 49117 01NOV2006 30JUN2021 N ELBOW, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis 49117 01JUL2021 31DEC9999 Y Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) 49118 01DEC1991 30APR2009 N ELBOW, diagnostic arthroscopy of, including biopsy 49118 01MAY2009 30JUN2021 N ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow 49118 01JUL2021 31DEC9999 Y ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (H) 49121 01DEC1991 31OCT1996 N ELBOW, arthroscopic surgery involving any 1 or more of drilling of defect, removal of loose body or chondroplasty - not being a service associated with any other arthroscopic procedure of the elbow joint 49121 01NOV1996 30JUN2021 N ELBOW, arthroscopic surgery involving any 1 or more of: drilling of defect, removal of loose body; release of contracture or adhesions; chondroplasty; or osteoplasty - not being a service associated with any other arthroscopic procedure of the elbow 49121 01JUL2021 31DEC9999 Y Surgery of the elbow, by arthroscopic means, including any of the following (if performed): (a) chondroplasty; (b) drilling of defect; (c) osteoplasty; (d) removal of loose bodies; (e) release of contracture or adhesions; (f) treatment of epicondylitis; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow (H) 49124 01JUL2021 31DEC9999 Y Excision of olecranon bursa, including bony prominence, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow 49127 01MAR2024 31DEC9999 Y Elbow joint, arthroplasty of, other than a service to which another item applies (H) 49200 01DEC1991 30APR2009 N WRIST, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint 49200 01MAY2009 30JUN2021 N WRIST, arthrodesis of, with synovectomy if performed, with or without bone graft and internal fixation of the radiocarpal joint 49200 01JUL2021 31DEC2021 N Wrist, arthrodesis of, with synovectomy if performed, with or without bone graft and internal fixation of the radiocarpal joint (H) 49200 01JAN2022 31DEC9999 Y Wrist, arthrodesis of, with synovectomy if performed, with or without internal fixation of the radiocarpal joint (H) 49203 01DEC1991 30APR2009 N WRIST, limited arthrodesis of the intercarpal joint, including bone graft 49203 01MAY2009 30JUN2021 N WRIST, limited arthrodesis of the intercarpal joint, with synovectomy if performed, with or without bone graft 49203 01JUL2021 31DEC9999 Y Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) 49206 01DEC1991 31OCT1996 N WRIST, excision arthroplasty of, with radial styloidectomy and proximal carpectomy 49206 01NOV1996 30JUN2021 N WRIST, proximal carpectomy of, including styloidectomy when performed 49206 01JUL2021 31DEC9999 Y Proximal row carpectomy of wrist, including either or both of the following (if performed): (a) styloidectomy; (b) synovectomy (H) 49209 01DEC1991 30JUN2021 N WRIST, total replacement arthroplasty of 49209 01JUL2021 31DEC9999 Y Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed): (a) ligament realignment; (b) tendon realignment (H) 49210 01NOV2006 30JUN2021 N WRIST, total replacement arthroplasty of, revision procedure, including removal of prosthesis 49210 01JUL2021 31DEC9999 Y Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed): (a) ligament rebalancing; (b) removal of prosthesis; (c) tendon rebalancing (H) 49211 01NOV2006 31DEC9999 Y WRIST, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis 49212 01DEC1991 30JUN2021 N WRIST, arthrotomy of 49212 01JUL2021 31OCT2022 N Arthrotomy of wrist or distal radioulnar joint, for infection, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) 49212 01NOV2022 31DEC9999 Y Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) 49213 01JUL2021 31DEC9999 Y Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): a) radioulnar fusion; b) osteotomy; c) soft tissue reconstruction 49215 01DEC1991 30JUN2021 N WRIST, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy 49215 01JUL2021 31OCT2022 N Reconstruction of single or multiple ligaments or capsules of wrist, by open procedure, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) 49215 01NOV2022 31DEC9999 Y Reconstruction of single or multiple ligaments or capsules of wrist, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) 49218 01DEC1991 30JUN2021 N WRIST, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy) - not being a service associated with any other arthroscopic procedure of the wrist joint 49218 01JUL2021 31DEC9999 Y Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)-other than a service associated with another arthroscopic procedure of the wrist joint (H) 49219 01JUL2021 29FEB2024 N Diagnosis of carpometacarpal of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) 49219 01MAR2024 31DEC9999 Y Diagnosis of carpometacarpal joint of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) 49220 01JUL2021 29FEB2024 N Treatment of carpometacarpal of thumb or joint of digit, by arthroscopic means-one joint (H) 49220 01MAR2024 31DEC9999 Y Treatment of carpometacarpal joint of thumb or joint of digit, by arthroscopic means-one joint (H) 49221 01DEC1991 31OCT1996 N WRIST, arthroscopic surgery of, involving any 1 or more of drilling of defect, removal of loose body, local synovectomy or debridement - not being a service associated with any other arthroscopic procedure of the wrist joint 49221 01NOV1996 30JUN2021 N WRIST, arthroscopic surgery of, involving any 1 or more of: drilling of defect; removal of loose body; release of adhesions; local synovectomy; or debridement of one area - not being a service associated with any other arthroscopic procedure of the wrist joint 49221 01JUL2021 31DEC9999 Y Treatment of wrist, by arthroscopic means, including any of the following (if performed): (a) drilling of defect; (b) removal of loose bodies; (c) release of adhesions; (d) synovectomy; (e) debridement; (f) resection of dorsal or volar ganglia; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) 49224 01DEC1991 31OCT1996 N WRIST, arthroscopic debridement of or total synovectomy of - not being a service associated with any other arthroscopic procedure of the wrist joint 49224 01NOV1996 30APR2009 N WRIST, arthroscopic debridement of 2 or more distinct areas; or osteoplasty including excision of the distal ulna; or total synovectomy 49224 01MAY2009 30JUN2021 N WRIST, arthroscopic debridement of 2 or more distinct areas; or osteoplasty including excision of the distal ulna; or total synovectomy, not being a service associated with any other arthroscopic procedure of the wrist 49224 01JUL2021 31DEC9999 Y Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed): (a) excision of the distal ulna; (b) total synovectomy; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint-2 or more distinct areas (H) 49227 01DEC1991 31OCT1996 N WRIST, arthroscopic pinning of osteochondral fragment - not being a service associated with any other arthroscopic procedure of the wrist joint 49227 01NOV1996 30JUN2021 N WRIST, arthroscopic pinning of osteochondral fragment or stabilisation procedure for ligamentous disruption - not being a service associated with any other arthroscopic procedure of the wrist joint 49227 01JUL2021 31DEC9999 Y Treatment of wrist by one of the following: (a) pinning of osteochondral fragment, by arthroscopic means; (b) stabilisation procedure for ligamentous disruption; (c) partial wrist fusion or carpectomy, by arthroscopic means; (d) fracture management; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) 49230 01JUL2021 29FEB2024 N Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, for trauma or emergency, including all of the following: (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) 49230 01MAR2024 31DEC9999 Y Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed): (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) 49233 01JUL2021 29FEB2024 N Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including all of the following: (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a distal radial ulnar joint reconstruction, a proximal row carpectomy or another wrist procedure-applicable once for a single operation (H) 49233 01MAR2024 31DEC9999 Y Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including any of the following (if performed): (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a distal radioulnar joint reconstruction, a proximal row carpectomy or a limited wrist fusion-applicable once for a single operation (H) 49236 01JUL2021 31OCT2022 N Stabilisation of soft tissue of distal radioulnar joint, by open procedure, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) 49236 01NOV2022 31DEC9999 Y Stabilisation of soft tissue of distal radioulnar joint, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) 49239 01JUL2021 29FEB2024 N Excision of pisiform or hook of hamate, including release of ulnar nerve (if performed) (H) 49239 01MAR2024 31DEC9999 Y Excision of pisiform or hook of hamate or sesamoid bone of hand, including release of ulnar nerve (if performed) (H) 49300 01DEC1991 30JUN2021 N SACROILIAC JOINT arthrodesis of 49300 01JUL2021 31DEC9999 Y Sacro-iliac joint-arthrodesis of (H) 49303 01DEC1991 31OCT2016 N HIP, arthrotomy of, including lavage, drainage or biopsy when performed 49303 01NOV2016 30JUN2021 N Hip, arthrotomy of, including lavage, drainage or biopsy when performed, other than a service associated with surgery for femoroacetabular impingement (H) 49303 01JUL2021 31DEC9999 Y Arthrotomy of hip, by open procedure, including any of the following (if performed): (a) lavage; (b) drainage; (c) biopsy (H) 49306 01DEC1991 30APR2009 N HIP arthrodesis of 49306 01MAY2009 30JUN2021 N HIP arthrodesis of, with synovectomy if performed 49306 01JUL2021 31DEC9999 Y Hip, arthrodesis of, with synovectomy if performed (H) 49309 01DEC1991 30JUN2021 N HIP, arthrectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement )) 49309 01JUL2021 31DEC9999 Y Arthrectomy or excision arthroplasty (Girdlestone) of hip, other than a service performed: (a) for the purpose of implant removal; or (b) as stage 1 of a 2-stage procedure (H) 49312 01DEC1991 31DEC9999 Y HIP, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) 49315 01DEC1991 30JUN2021 N HIP, arthroplasty of, unipolar or bipolar 49315 01JUL2021 31DEC9999 Y Hip, arthroplasty of, unipolar or bipolar (H) 49318 01DEC1991 30JUN2021 N HIP, total replacement arthroplasty of, including minor bone grafting 49318 01JUL2021 31DEC9999 Y Total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49319 01NOV1996 30JUN2021 N HIP, total replacement arthroplasty of, including associated minor grafting, if performed - bilateral 49319 01JUL2021 31DEC9999 Y Bilateral total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49321 01DEC1991 30JUN2021 N HIP, total replacement arthroplasty of, including major bone grafting, including obtaining of graft 49321 01JUL2021 29FEB2024 N Total arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49321 01MAR2024 31DEC9999 Y Complex primary arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49324 01DEC1991 31DEC9999 Y HIP, total replacement arthroplasty of, revision procedure including removal of prosthesis 49327 01DEC1991 31DEC9999 Y HIP, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft 49330 01DEC1991 31DEC9999 Y HIP, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft 49333 01DEC1991 31DEC9999 Y HIP, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft 49336 01DEC1991 31DEC9999 Y HIP, treatment of a fracture of the femur where revision total hip replacement is required as part of the treatment of the fracture (not including intra-operative fracture), being a service associated with a service to which items 49324 to 49333 apply 49339 01DEC1991 31DEC9999 Y HIP, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cm in length 49342 01DEC1991 31DEC9999 Y HIP, revision total replacement of, requiring anatomic specific allograft of acetabulum 49345 01DEC1991 31DEC9999 Y HIP, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum 49346 01MAY1994 31DEC9999 Y HIP, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or acetabular shell 49348 01DEC1991 30JUN1993 N HIP, congenital dislocation of, manipulation of, with application of cast (excluding aftercare) 49348 01JUL1993 31DEC9999 Y HIP, congenital dislocation of, treatment of, by closed reduction 49351 01DEC1991 31DEC9999 Y HIP, congenital dislocation of, treatment of, involving supervision of splint, harness or cast - each attendance 49354 01DEC1991 31DEC9999 Y HIP, congenital dislocation of, open reduction of 49357 01JUL1993 31DEC9999 Y HIP SPICA, initial application of, for congenital dislocation of hip (excluding aftercare) 49360 01MAY1994 30APR2009 N HIP, diagnostic arthroscopy of 49360 01MAY2009 30JUN2021 N HIP, diagnostic arthroscopy of, not being a service associated with any other arthroscopic procedure of the hip 49360 01JUL2021 31DEC9999 Y Diagnostic arthroscopy of hip, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure of the hip joint by arthroscopic means (H) 49363 01MAY1994 30APR2009 N HIP, diagnostic arthroscopy of, with synovial biopsy 49363 01MAY2009 30JUN2021 N HIP, diagnostic arthroscopy of, with synovial biopsy, not being a service associated with any other arthroscopic procedure of the hip 49363 01JUL2021 29FEB2024 N Treatment of hip, by arthroscopic means, with synovial biopsy, including any procedures to treat bone or soft tissue in the same area (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing: (a) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) 49363 01MAR2024 31DEC9999 Y Diagnostic arthroscopy of hip, with synovial biopsy, other than a service associated with a service to which another item in this Schedule applies that is performed on the hip joint by arthroscopic means (H) 49366 01MAY1994 30APR2009 N HIP, arthroscopic surgery of 49366 01MAY2009 31OCT2016 N HIP, arthroscopic surgery of, not being a service associated with any other arthroscopic procedure of the hip 49366 01NOV2016 30JUN2021 N Hip, arthroscopic surgery of, other than a service associated with another arthroscopic procedure of the hip, or a service associated with surgery for femoroacetabular impingement (H) 49366 01JUL2021 31DEC9999 Y Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing: (a) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) 49369 01MAY1994 31DEC9999 Y Historical item included for item mapping purposes 49372 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, with exchange of head or liner (or both) (H) 49374 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H) 49376 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including major bone grafting (if performed) (H) 49378 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, with revision of femoral component (if there is no requirement for femoral osteotomy), including minor bone grafting (if performed) (H) 49380 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including minor bone grafting (if performed) (H) 49382 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including major bone grafting (H) 49384 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, for pelvic discontinuity, with revision of acetabular component (H) 49386 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, with revision of femoral component with femoral osteotomy, including minor bone grafting (if performed) (H) 49388 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) minor bone grafting (if performed) (H) 49390 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) major bone grafting (H) 49392 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, including: (a) either: (i) revision of femoral component with femoral osteotomy; or (ii) proximal femoral replacement; and (b) revision of acetabular component for pelvic discontinuity (H) 49394 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, including: (a) replacement of proximal femur; and (b) revision of the acetabular component; and (c) bone grafting (if performed) (H) 49396 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, including: (a) removal of prosthesis as stage 1 of a 2-stage revision arthroplasty or as a definitive stage procedure; and (b) insertion of temporary prosthesis (if performed) (H) 49398 01JUL2021 31DEC9999 Y Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) 49500 01DEC1991 30JUN2021 N KNEE, arthrotomy of, involving 1 or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body 49500 01JUL2021 31DEC9999 Y Knee, arthrotomy of, involving one or more of capsular release, biopsy or lavage, or removal of loose body or foreign body (H) 49503 01DEC1991 30JUN1993 N KNEE, meniscectomy of, repair of collateral ligament, patellectomy of, chondroplasty of, osteoplasty of, or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this Group applies) - any 1 procedure 49503 01JUL1993 31OCT2006 N KNEE, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this Group applies) - any 1 procedure 49503 01NOV2006 30JUN2008 N KNEE, partial or total meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this Groups applies) - any 1 procedure 49503 01JUL2008 30JUN2021 N KNEE, partial or total meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral stabilisation or single transfer of ligament or tendon (not being a service to which another item in this Group applies) - any 1 procedure 49503 01JUL2021 31DEC9999 Y Arthrotomy of knee, including one of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) 49506 01DEC1991 30JUN1993 N KNEE, meniscectomy of, repair of collateral ligament, patellectomy of, chondroplasty of, osteoplasty of, or single transfer of ligament or tendon or any other procedure (not being a service to which another item in this Group applies) - any 2 or more procedures 49506 01JUL1993 31OCT2006 N KNEE, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this Group applies) - any 2 or more procedures 49506 01NOV2006 30JUN2008 N KNEE, partial or total meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this Groups applies) - any 2 or more procedures (Anaes.) (Assist.) 49506 01JUL2008 30JUN2021 N KNEE, partial or total meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral stabilisation or single transfer of ligament or tendon (not being a service to which another item in this Group applies) - any 2 or more procedures 49506 01JUL2021 31DEC9999 Y Arthrotomy of knee, including 2 or more of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) 49509 01DEC1991 30JUN1993 N KNEE, total synovectomy of, arthrodesis of, patello-femoral stabilisation or repair of cruciate ligament - any 1 procedure 49509 01JUL1993 30APR2009 N KNEE, total synovectomy or arthrodesis of 49509 01MAY2009 30JUN2021 N KNEE, total synovectomy or arthrodesis with synovectomy if performed 49509 01JUL2021 31DEC9999 Y Total synovectomy of knee, by open procedure, other than a service performed in association with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroplasty (H) 49512 01DEC1991 30APR2009 N KNEE, arthrodesis of, with removal of prosthesis 49512 01MAY2009 30JUN2021 N KNEE, arthrodesis of, with synovectomy if performed, with removal of prosthesis 49512 01JUL2021 31DEC9999 Y Primary or revision arthrodesis of knee, including arthrodesis (H) 49515 01DEC1991 30JUN2021 N KNEE, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a 2 stage procedure 49515 01JUL2021 31DEC9999 Y Removal of cemented or uncemented knee prosthesis, performed as the first stage of a 2-stage procedure; including: (a) removal of associated cement; and (b) insertion of spacer (if required) (H) 49516 01JUL2021 31DEC9999 Y Bilateral unicompartmental arthroplasty of femur and proximal tibia of knee (H) 49517 01JUL1993 30JUN2021 N KNEE, hemiarthroplasty of 49517 01JUL2021 31DEC9999 Y Unicompartmental arthroplasty of femur and proximal tibia of knee (H) 49518 01DEC1991 30JUN2021 N KNEE, total replacement arthroplasty of 49518 01JUL2021 29FEB2024 N Total replacement arthroplasty of knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49518 01MAR2024 31DEC9999 Y Total arthroplasty of knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49519 01NOV1996 30JUN2021 N KNEE, total replacement arthroplasty of, including associated minor grafting, if performed - bilateral 49519 01JUL2021 29FEB2024 N Bilateral total replacement arthroplasty of knee, including patellar resurfacing, other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49519 01MAR2024 31DEC9999 Y Bilateral total arthroplasty of knee, including patellar resurfacing, other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49521 01DEC1991 30JUN2021 N KNEE, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft 49521 01JUL2021 29FEB2024 N Complex primary arthroplasty of knee, with revision of components to femur or tibia, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49521 01MAR2024 31DEC9999 Y Complex primary arthroplasty of knee, using revision femoral or tibial components, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49524 01DEC1991 30JUN2021 N KNEE, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft 49524 01JUL2021 29FEB2024 N Complex primary arthroplasty of knee, with revision of components to femur and tibia, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49524 01MAR2024 31DEC9999 Y Complex primary arthroplasty of knee: (a) using revision femoral and tibial components; or (b) using revision femoral or tibial components including anatomic specific allograft of femur or tibia; including either or both of the following (if performed): (c) ligament reconstruction; (d) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49525 01JUL2021 31DEC9999 Y Revision of uni-compartmental arthroplasty of the knee, with femoral or tibial components (or both) with uni-compartmental implants, other than a service associated with a service to which: (a) item 48245, 48248, 48251, 48254 or 48257 applies; or (b) another item in this Group applies if the service described in the other item is for the purpose of performing surgery on a knee (H) 49527 01DEC1991 30JUN2021 N KNEE, total replacement arthroplasty of, revision procedure, including removal of prosthesis 49527 01JUL2021 29FEB2024 N Minor revision of total or partial replacement of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49527 01MAR2024 31DEC9999 Y Minor revision of total or partial arthroplasty of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49530 01DEC1991 30JUN2021 N KNEE, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including removal of prosthesis 49530 01JUL2021 29FEB2024 N Revision of total or partial replacement of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (if performed); other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49530 01MAR2024 31DEC9999 Y Revision of total or partial arthroplasty of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (if performed); other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49533 01DEC1991 30JUN2021 N KNEE, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and including removal of prosthesis 49533 01JUL2021 29FEB2024 N Revision of total or partial replacement of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49533 01MAR2024 31DEC9999 Y Revision of total or partial arthroplasty of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49534 01NOV1996 30JUN2021 N KNEE, patello-femoral joint of, total replacement arthroplasty as a primary procedure 49534 01JUL2021 29FEB2024 N Replacement of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) 49534 01MAR2024 31DEC9999 Y Arthroplasty of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) 49536 01DEC1991 31OCT1996 N KNEE, repair or reconstruction of, for chronic instability involving either cruciate or collateral ligaments 49536 01NOV1996 30APR2009 N KNEE, repair or reconstruction of, for chronic instability (open or arthroscopic, or both) involving either cruciate or collateral ligaments, including notchplasty when performed 49536 01MAY2009 30JUN2021 N KNEE, repair or reconstruction of, for chronic instability (open or arthroscopic, or both) involving either cruciate or collateral ligaments, including notchplasty when performed, not being a service associated with any other arthroscopic procedure of the knee 49536 01JUL2021 31DEC9999 Y Either: (a) repair of cruciate ligaments of knee; or (b) repair or reconstruction of collateral ligaments of knee; by open or arthroscopic means, including either or both of the following (if performed): (c) graft harvest; (d) intraarticular knee surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) 49539 01DEC1991 31OCT1996 N KNEE, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including surgery to other internal derangements, not being a service to which another item in this Group applies 49539 01NOV1996 31OCT2006 N KNEE, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including notchplasty when performed and surgery to other internal derangements, not being a service to which another item in this Group applies 49539 01NOV2006 30APR2009 N KNEE, reconstructive surgery of cruciate ligament or ligaments (open or arthroscopic, or both), including notchplasty when performed and surgery to other internal derangements, not being a service to which another item in this Group applies 49539 01MAY2009 31DEC9999 Y KNEE, reconstructive surgery of cruciate ligament or ligaments (open or arthroscopic, or both), including notchplasty when performed and surgery to other internal derangements, not being a service to which another item in this Group applies or a service associated with any other arthroscopic procedure of the knee 49542 01DEC1991 31OCT1996 N KNEE, reconstructive surgery to cruciate ligaments (open or arthroscopic, or both), including meniscus repair, extracapsular procedure and debridement when performed 49542 01NOV1996 31OCT2006 N KNEE, reconstructive surgery to cruciate ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair, extracapsular procedure and debridement when performed 49542 01NOV2006 30APR2009 N KNEE, reconstructive surgery to cruciate ligament or ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair, extracapsular procedure and debridement when performed 49542 01MAY2009 30JUN2021 N KNEE, reconstructive surgery to cruciate ligament or ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair, extracapsular procedure and debridement when performed, not being a service associated with any other arthroscopic procedure of the knee 49542 01JUL2021 31DEC9999 Y Reconstruction of anterior or posterior cruciate ligament of knee, by open or arthroscopic means, including any of the following (if performed): (a) graft harvest; (b) donor site repair; (c) meniscal repair; (d) collateral ligament repair; (e) extra-articular tenodesis; (f) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) 49544 01JUL2021 31DEC9999 Y Reconstruction of 2 or more cruciate or collateral ligaments of knee, by open or arthroscopic means, including any of the following (if performed): (a) ligament repair; (b) graft harvest donor site repair; (c) meniscal repair; (d) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) 49545 01DEC1991 30APR2009 N KNEE, revision arthrodesis of 49545 01MAY2009 31DEC9999 Y KNEE, revision arthrodesis of, with synovectomy if performed 49548 01DEC1991 30JUN2021 N KNEE, revision of patello-femoral stabilisation 49548 01JUL2021 31DEC9999 Y Knee, revision of patello-femoral stabilisation (H) 49551 01DEC1991 30JUN2021 N KNEE, revision of procedures to which item 49536, 49539 or 49542 applies 49551 01JUL2021 31DEC9999 Y Knee, revision of procedures to which item 49536 or 49542 applies (H) 49554 01DEC1991 30JUN2021 N KNEE, revision of total replacement of, by anatomic specific allograft of tibia or femur 49554 01JUL2021 31DEC9999 Y Revision of total replacement of knee, by anatomic specific allograft of tibia or femur, other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) 49557 01DEC1991 31OCT2011 N KNEE, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica) - not being a service associated with any other arthroscopic procedure of the knee region 49557 01NOV2011 31DEC9999 Y KNEE, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica) - not being a service associated with autologous chondrocyte implantation or matrix-induced autologous chondrocyte implantation or any other arthroscopic procedure of the knee region 49558 01NOV1996 31DEC9999 Y KNEE, arthroscopic surgery of, involving 1 or more of: debridement, osteoplasty or chondroplasty - not associated with any other arthroscopic procedure of the knee region 49559 01NOV1996 31DEC9999 Y KNEE, arthroscopic surgery of, involving chondroplasty requiring multiple drilling or carbon fibre (or similar) implant; including any associated debridement or oestoplasty - not associated with any other arthroscopic procedure of the knee region 49560 01DEC1991 31OCT1996 N KNEE, arthroscopic surgery of, involving any 1 or more of: meniscectomy, removal of loose body, lateral release, or chondroplasty - not being a service associated with any other arthroscopic procedure of the knee region 49560 01NOV1996 31OCT2006 N KNEE, arthroscopic surgery of, involving 1 or more of: meniscectomy, removal of loose body or lateral release - not being a service associated with any other arthroscopic procedure of the knee region 49560 01NOV2006 31DEC9999 Y KNEE, arthroscopic surgery of, involving 1 or more of: partial or total meniscectomy, removal of loose body or lateral release - not being a service associated with any other arthroscopic procedure of the knee region 49561 01NOV1996 31OCT2006 N KNEE, ARTHROSCOPIC SURGERY OF, involving 1 or more of: meniscectomy, removal of loose body or lateral release; where the procedure includes associated debridement, osteoplasty or chrondoplasty - not associated with any other arthroscopic procedure of the knee region 49561 01NOV2006 31DEC9999 Y KNEE, ARTHROSCOPIC SURGERY OF, involving 1 or more of: partial or total meniscectomy, removal of loose body or lateral release; where the procedure includes associated debridement, osteoplasty or chondroplasty - not associated with any other arthroscopic procedure of the knee region 49562 01NOV1996 31OCT2006 N KNEE, ARTHROSCOPIC SURGERY OF, involving 1 or more of: meniscectomy, removal of loose body or lateral release; where the procedure includes chondroplasty requiring multiple drilling or carbon fibre (or similar) implant and associated debridement or osteoplasty - not associated with any other arthroscopic procedure of the knee region 49562 01NOV2006 31DEC9999 Y KNEE, ARTHROSCOPIC SURGERY OF, involving 1 or more of: partial or total meniscectomy, removal of loose body or lateral release; where the procedure includes chondroplasty requiring multiple drilling or carbon fibre (or similar) implant and associated debridement or osteoplasty - not associated with any other arthroscopic procedure of the knee region 49563 01DEC1991 31OCT1996 N KNEE, arthroscopic surgery of, involving meniscus repair or osteoplasty, or both 49563 01NOV1996 31OCT2011 N KNEE, arthroscopic surgery of, involving 1 or more of: meniscus repair; osteochondral graft; or chondral graft - not associated with any other arthroscopic procedure of the knee region 49563 01NOV2011 31DEC9999 Y KNEE, arthroscopic surgery of, involving 1 or more of: meniscus repair; osteochondral graft; or chondral graft (excluding autologous chondrocyte implantation or matrix-induced autologous chondrocyte implantation) -not associated with any other arthroscopic procedure of the knee region 49564 01MAY2000 30APR2009 N KNEE, patello-femoral stabilisation of, combined arthroscopic and open procedure, including lateral release, medial capsulorrhaphy and tendon transfer 49564 01MAY2009 30JUN2021 N KNEE, patello-femoral stabilisation of, combined arthroscopic and open procedure, including lateral release, medial capsulorrhaphy and tendon transfer, not being a service associated with any other arthroscopic procedure of the knee 49564 01JUL2021 31DEC9999 Y Stabilisation of patellofemoral joint of knee, by combined open and arthroscopic means, including either or both of the following (if performed): (a) medial soft tissue reconstruction and tendon transfer; (b) tibial tuberosity transfer with bone graft and internal fixation; other than a service associated a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) 49565 01JUL2021 31DEC9999 Y Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including: (a) both of the following: (i) medial soft tissue reconstruction; (ii) tibial tuberosity transfer; and (b) any of the following (if performed): (i) bone graft; (ii) internal fixation; (iii) trochleoplasty; other than a service associated a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) 49566 01DEC1991 30APR2009 N KNEE, arthroscopic total synovectomy of 49566 01MAY2009 31DEC9999 Y KNEE, arthroscopic total synovectomy of, not being a service associated with any other arthroscopic procedure of the knee 49569 01MAY1994 30JUN2021 N KNEE, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) 49569 01JUL2021 31DEC9999 Y Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) 49570 01JUL2021 31DEC9999 Y Diagnosis of knee, by arthroscopic means, when the pre-procedure diagnosis is undetermined, including either or both of the following (if performed): (a) biopsy; (b) lavage (H) 49572 01JUL2021 31DEC9999 Y Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) 49574 01JUL2021 31DEC9999 Y Removal of loose bodies of knee, by arthroscopic means-one or more bodies (H) 49576 01JUL2021 31DEC9999 Y Repair of chondral lesion of knee, by arthroscopic means, including either or both of the following (if performed): (a) microfracture; (b) microdrilling; other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing chondral or osteochondral grafts (H) 49578 01JUL2021 31DEC9999 Y Release of soft tissue, lateral release or osteoplasty of knee, by arthroscopic means, other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of stabilising the patellofemoral joint of the knee (H) 49580 01JUL2021 31DEC9999 Y Partial meniscectomy of knee, by arthroscopic means, for traumatic meniscus tear (H) 49582 01JUL2021 31DEC9999 Y Meniscal repair of knee, by arthroscopic means (H) 49584 01JUL2021 31DEC9999 Y Chondral, osteochondral or meniscal graft of knee, by arthroscopic means (H) 49586 01JUL2021 31DEC9999 Y Synovectomy of knee, by arthroscopic means, for neoplasia or inflammatory arthropathy, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating uncomplicated osteoarthritis 49590 01JUL2021 31DEC9999 Y Excision of ganglion, cyst or bursa of knee, by open or arthroscopic means, performed as an independent procedure, other than a service associated with a service to which another item in this Group applies 49592 01MAR2024 31DEC9999 Y Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the hip, including pelvis and proximal femur (H) 49594 01MAR2024 31DEC9999 Y Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the knee, including distal femur, proximal fibula and proximal tibia (H) 49596 01MAR2024 31DEC9999 Y Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the lower leg, other than a service to which item 49594 applies (H) 49700 01DEC1991 31DEC9999 Y ANKLE, diagnostic arthroscopy of, including biopsy 49703 01DEC1991 30APR2009 N ANKLE, arthroscopic surgery of 49703 01MAY2009 30JUN2021 N ANKLE, arthroscopic surgery of, not being a service associated with any other arthroscopic procedure of the ankle 49703 01JUL2021 31DEC9999 Y Surgery of ankle joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H) 49706 01DEC1991 30JUN2021 N ANKLE, arthrotomy of, involving 1 or more of: lavage, removal of loose body or division of contracture 49706 01JUL2021 30JUN2023 N Arthrotomy of joint of ankle, for infection, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) 49706 01JUL2023 31DEC9999 Y Arthrotomy of joint of ankle, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) 49709 01DEC1991 30JUN2021 N ANKLE, ligamentous stabilisation of 49709 01JUL2021 31DEC9999 Y Stabilisation of ligament of ankle or subtalar joint (or both), including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) joint debridement; -one ligament complex, each incision (H) 49712 01DEC1991 30APR2009 N ANKLE, arthrodesis of 49712 01MAY2009 30JUN2021 N ANKLE, arthrodesis of, with synovectomy if performed 49712 01JUL2021 31DEC9999 Y Arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) 49715 01DEC1991 30JUN2021 N ANKLE, total joint replacement of 49715 01JUL2021 31DEC9999 Y Total replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) 49716 01NOV2006 30JUN2021 N ANKLE, total replacement arthroplasty of, revision procedure, including removal of prosthesis 49716 01JUL2021 29FEB2024 N Revision of total ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) and plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which 30023 applies. (H) 49716 01MAR2024 31DEC9999 Y Revision of total ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) or plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which item 30023 applies (H) 49717 01NOV2006 30JUN2021 N ANKLE, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis 49717 01JUL2021 29FEB2024 N Revision of total ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies (H) 49717 01MAR2024 31DEC9999 Y Revision of total ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H) 49718 01DEC1991 30JUN2021 N ANKLE, Achilles' tendon or other major tendon, repair of 49718 01JUL2021 31DEC9999 Y Primary repair of major tendon of ankle, by any method, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy -one tendon (H) 49721 01DEC1991 31DEC9999 Y ANKLE, Achilles' tendon rupture managed by non-operative treatment 49724 01DEC1991 30JUN2021 N ANKLE, Achilles' tendon, secondary repair or reconstruction of 49724 01JUL2021 31DEC9999 Y Reconstruction of major tendon of ankle, by any method, including any of the following (if performed): (a) synovial biopsy; (b) synovectomy; (c) adjacent tendon transfer; (d) turn down flaps; other than a service associated with a service to which item 49718 applies (H) 49727 01DEC1991 30JUN2021 N ANKLE, Achilles' tendon, operation for lengthening 49727 01JUL2021 31DEC9999 Y Lengthening of major tendon of ankle, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy (H) 49728 01NOV2006 30JUN2021 N ANKLE, lengthening of the gastrocnemius aponeurosis and soleus fascia, for the correction of equinus deformity in children with cerebral palsy 49728 01JUL2021 31DEC9999 Y Lengthening of Achilles' tendon, by any method, with gastro-soleus lengthening for the correction of equinous deformity, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; other than a service associated with a service to which item 49727 applies (H) 49730 01JUL2021 06AUG2021 N Surgery of joint of hindfoot (other than ankle or first metatarsophalangeal joint), by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means-one joint (H) 49730 07AUG2021 31DEC9999 Y Surgery of joint of hindfoot (other than ankle) or first metatarsophalangeal joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means-one joint (H) 49732 01JUL2021 31DEC9999 Y Endoscopy of large tendons of foot, including any of the following (if performed): (a) debridement of tendon and sheath; (b) removal of loose bodies; (c) synovectomy; (d) excision of tendon impingement; other than a service associated with a service to which item 49718 or 49724 applies (H) 49734 01JUL2021 31OCT2022 N Arthrotomy of hindfoot, midfoot or metatarsophalangeal joint, for infection, including: (a) removal of loose bodies; and (b) either or both of the following: (i) joint debridement; (ii) release of joint contracture; -each incision (H) 49734 01NOV2022 31DEC9999 Y Arthrotomy of hindfoot, midfoot or metatarsophalangeal joint, including: (a) removal of loose bodies; and (b) either or both of the following: (i) joint debridement; (ii) release of joint contracture; -each incision (H) 49736 01JUL2021 31DEC9999 Y Transfer of major tendon of foot and ankle, including: (a) split or whole transfer to contralateral side of foot; and (b) passage of posterior or anterior tendon to, or through, interosseous membrane; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) tendon lengthening; (iv) insetting of tendon (H) 49738 01JUL2021 31DEC9999 Y Stabilisation of ligament of talonavicular or metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement (H) 49740 01JUL2021 29FEB2024 N Revision of arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which 30023 applies (H) 49740 01MAR2024 31DEC9999 Y Revision of arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) 49742 01JUL2021 31DEC9999 Y Arthrodesis of extended ankle and hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) 49744 01JUL2021 29FEB2024 N Revision of arthrodesis of extended ankle and hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which 30023 applies (H) 49744 01MAR2024 31DEC9999 Y Revision of arthrodesis of extended ankle and hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) 49760 01JUL2021 31DEC9999 Y Arthroereisis of subtalar joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) 49761 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsal, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -one metatarsal (H) 49762 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -2 metatarsals (H) 49763 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -3 metatarsals (H) 49764 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -4 metatarsals (H) 49765 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -5 metatarsals (H) 49766 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -6 metatarsals (H) 49767 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -7 metatarsals (H) 49768 01JUL2021 31DEC9999 Y Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; -8 metatarsals (H) 49769 01JUL2021 31DEC9999 Y Unilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49770 01JUL2021 31DEC9999 Y Bilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49771 01JUL2021 29FEB2024 N Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed): (a) tenolysis; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercule or osteophyte; (e) reconstruction of tendon retinaculum; (f) neurolysis; other than a service associated with a service to which item 30023 applies-each incision (H) 49771 01MAR2024 31DEC9999 Y Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed): (a) tenolysis; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercule or osteophyte; (e) reconstruction of tendon retinaculum; (f) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-each incision (H) 49772 01JUL2021 31DEC9999 Y Excision of rheumatoid nodules or gouty tophi, excluding aftercare, including any of the following (if performed): (a) capsulotomy; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercle or osteophyte; -each incision (H) 49773 01JUL2021 29FEB2024 N Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of tissues; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item 30023 applies-one web space (H) 49773 01MAR2024 31DEC9999 Y Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of tissues; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-one web space (H) 49774 01JUL2021 29FEB2024 N Release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies-one foot (H) 49774 01MAR2024 31DEC9999 Y Release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-one foot (H) 49775 01JUL2021 29FEB2024 N Revision of release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies-one foot (H) 49775 01MAR2024 31DEC9999 Y Revision of release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-one foot (H) 49776 01JUL2021 31OCT2021 N Revision of arthrodesis of joint of hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies (H) 49776 01NOV2021 29FEB2024 N Revision of arthrodesis of joint of hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies-may only be claimed once per joint (H) 49776 01MAR2024 31DEC9999 Y Revision of arthrodesis of joint of hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site-may only be claimed once per joint (H) 49777 01JUL2021 31DEC9999 Y Arthrodesis of joint of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; -one joint (H) 49778 01JUL2021 31DEC9999 Y Arthrodesis of joints of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; -2 joints (H) 49779 01JUL2021 31DEC9999 Y Arthrodesis of joints of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; -3 joints (H) 49780 01JUL2021 31DEC9999 Y Arthrodesis of joints of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; -4 joints (H) 49781 01JUL2021 31DEC9999 Y Revision of arthrodesis of joint of midfoot, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of ostephytes at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion; -one joint (H) 49782 01JUL2021 29FEB2024 N Revision of total ankle replacement, including: (a) bone grafting of perioperative cysts to the tibia or talus (or both); and (b) retention of implants; and (c) any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023 applies (H) 49782 01MAR2024 31DEC9999 Y Revision of total ankle replacement, including: (a) bone grafting of perioperative cysts to the tibia or talus (or both); and (b) retention of implants; and (c) any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) 49783 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; -3 joints (H) 49784 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; -4 joints (H) 49785 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; -5 joints (H) 49786 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; -6 joints (H) 49787 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; -7 joints (H) 49788 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; -8 joints (H) 49789 01JUL2021 31DEC9999 Y Bilateral arthrodesis of first metatarsophalangeal joint, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) 49790 01JUL2021 31DEC9999 Y Revision of arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of exostosis at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion (H) 49791 01JUL2021 31DEC9999 Y Arthrodesis of hallux interphalangeal or lesser metatarsophalangeal joint, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) 49792 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; -one or 2 toes (H) 49793 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; -3 toes (H) 49794 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; -4 toes (H) 49795 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; -5 toes (H) 49796 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; -6 toes (H) 49797 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; -7 toes (H) 49798 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; -8 toes (H) 49800 01DEC1991 30JUN2021 N FOOT, flexor or extensor tendon, primary repair of 49800 01JUL2021 31DEC9999 Y Primary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; -one toe 49803 01DEC1991 30JUN2021 N FOOT, flexor or extensor tendon, secondary repair of 49803 01JUL2021 31DEC9999 Y Secondary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; -one toe 49806 01DEC1991 30JUN2021 N FOOT, subcutaneous tenotomy of, 1 or more tendons 49806 01JUL2021 31DEC9999 Y Subcutaneous tenotomy of foot, by small percutaneous incisions-one or more tendons 49809 01DEC1991 30JUN2021 N FOOT, open tenotomy of, with or without tenoplasty 49809 01JUL2021 31DEC9999 Y Open tenotomy or lengthening of foot, by open incision, with or without tenoplasty, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; -one toe 49812 01DEC1991 30JUN2021 N FOOT, tendon or ligament transplantation of, not being a service to which another item in this Group applies 49812 01JUL2021 31DEC9999 Y Advancement of tendon or ligament transfer of foot, including: (a) side to side transfer, harvesting and transfer for ligament or minor foot tendon reconstruction; and (b) either or both of the following (if performed): (i) synovial biopsy; (ii) synovectomy; -one major tendon or toe (H) 49814 01JUL2021 31DEC9999 Y Reconstruction of major tendon of ankle, by any method, including: (a) osteotomy of hindfoot, with internal fixation; and (b) lengthening of major tendon of ankle; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) adjacent tendon transfer; (iv) turn down flaps; other than a service associated with a service to which item 49718 applies (H) 49815 01DEC1991 30APR2009 N FOOT, triple arthrodesis of 49815 01MAY2009 30JUN2021 N FOOT, triple arthrodesis of, with synovectomy if performed 49815 01JUL2021 31DEC9999 Y Triple arthrodesis of hindfoot joints, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints (H) 49818 01DEC1991 30JUN2021 N FOOT, excision of calcaneal spur 49818 01JUL2021 31DEC9999 Y Release of plantar fascia, including excision of calcaneal spur (if performed) (H) 49821 01DEC1991 30JUN2021 N FOOT, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) - unilateral 49821 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement -one joint (H) 49824 01DEC1991 30JUN2021 N FOOT, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) - bilateral 49824 01JUL2021 31DEC9999 Y Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; -2 joints (H) 49827 01DEC1991 30APR2000 N FOOT, correction of hallux valgus by transfer of adductor hallucis tendon - unilateral 49827 01MAY2000 30JUN2021 N FOOT, correction of hallux valgus by transfer of adductor hallucis tendon - unilateral 49827 01JUL2021 31DEC9999 Y Unilateral correction of hallux valgus or varus deformity of the foot, by local tendon transfer, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49830 01DEC1991 30APR2000 N FOOT, correction of hallux valgus by transfer of adductor hallucis tendon - bilateral 49830 01MAY2000 30JUN2021 N FOOT, correction of hallux valgus by transfer of adductor hallucis tendon - bilateral 49830 01JUL2021 31DEC9999 Y Bilateral correction of hallux valgus or varus deformity of the foot, by local tendon transfer, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49833 01DEC1991 30JUN2011 N FOOT, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed - unilateral 49833 01JUL2011 30JUN2021 N FOOT, correction of hallux valgus by osteotomy of first metatarsal with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - unilateral 49833 01JUL2021 31OCT2021 N Unilateral correction of hallus valgus or varus deformity of the foot, by osteotomy of first metatarsal, without internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49833 01NOV2021 31DEC9999 Y Unilateral correction of hallux valgus or varus deformity of the foot, by osteotomy of first metatarsal, without internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49836 01DEC1991 30JUN2011 N FOOT, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed - bilateral 49836 01JUL2011 30JUN2021 N FOOT, correction of hallux valgus by osteotomy of first metatarsal with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - bilateral 49836 01JUL2021 31OCT2021 N Bilateral correction of hallus valgus or varus deformity of the foot by osteotomy of first metatarsal, without internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49836 01NOV2021 31DEC9999 Y Bilateral correction of hallux valgus or varus deformity of the foot by osteotomy of first metatarsal, without internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49837 01MAY2000 30JUN2011 N FOOT, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, including internal fixation where performed - unilateral 49837 01JUL2011 30JUN2021 N FOOT, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - unilateral 49837 01JUL2021 31OCT2021 N Unilateral correction of hallus valgus or varus deformity of the foot, by osteotomy of first metatarsal, with internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49837 01NOV2021 31DEC9999 Y Unilateral correction of hallux valgus or varus deformity of the foot, by osteotomy of first metatarsal, with internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49838 01MAY2000 30JUN2011 N FOOT, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, including internal fixation where performed - bilateral 49838 01JUL2011 30JUN2021 N FOOT, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - bilateral 49838 01JUL2021 31OCT2021 N Bilateral correction of hallus valgus or varus deformity of the foot by osteotomy of first metatarsal, with internal fixation or arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49838 01NOV2021 31DEC9999 Y Bilateral correction of hallux valgus or varus deformity of the foot by osteotomy of first metatarsal, with internal fixation or arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) 49839 01DEC1991 30JUN2021 N FOOT, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty - unilateral 49839 01JUL2021 31DEC9999 Y Total replacement of first metatarsophalangeal joint, with replacement of both joint surfaces, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) 49842 01DEC1991 31DEC9999 Y FOOT, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty - bilateral 49845 01DEC1991 30APR2009 N FOOT, arthrodesis of, first metatarso-phalangeal joint 49845 01MAY2009 30JUN2021 N FOOT, arthrodesis of, first metatarso-phalangeal joint, with synovectomy if performed 49845 01JUL2021 31DEC9999 Y Unilateral arthrodesis of first metatarsophalangeal joint, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints (H) 49848 01DEC1991 31DEC9999 Y FOOT, correction of claw or hammer toe 49851 01DEC1991 30JUN2021 N FOOT, correction of claw or hammer toe with internal fixation 49851 01JUL2021 31DEC9999 Y Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal (or both) joints of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) tendon lengthening; (d) joint release; (e) synovectomy; (f) removal of osteophytes at joints; -one toe (H) 49854 01DEC1991 30JUN2021 N FOOT, radical plantar fasciotomy or fasciectomy of 49854 01JUL2021 31DEC9999 Y Radical plantar fasciotomy or fasciectomy, with extensive incision into foot and excision of fascia, including excision of calcaneal spur (if performed), other than a service associated with a service to which 49818 applies (H) 49857 01DEC1991 30JUN2021 N FOOT, metatarso-phalangeal joint replacement 49857 01JUL2021 31DEC9999 Y Hemi joint replacement of first or lesser metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) 49860 01DEC1991 30JUN2021 N FOOT, synovectomy of metatarso-phalangeal joint, single joint 49860 01JUL2021 31DEC9999 Y Synovectomy of metatarsophalangeal joints, including any of the following (if performed): (a) capsulotomy; (b) debridement; (c) release of ligament or tendon (or both); -one or more joints on one foot (H) 49863 01DEC1991 31DEC9999 Y FOOT, synovectomy of metatarso-phalangeal joint, 2 or more joints 49866 01DEC1991 30JUN2021 N FOOT, neurectomy for plantar or digital neuritis (Morton's or Bett's syndrome) 49866 01JUL2021 29FEB2024 N Excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of metatarsal or digital ligament; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item 30023 applies-one web space (H) 49866 01MAR2024 31DEC9999 Y Excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of metatarsal or digital ligament; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site-one web space (H) 49869 01DEC1991 31DEC9999 Y TALIPES EQUINOVARUS, posterior release of 49872 01DEC1991 31DEC9999 Y TALIPES EQUINOVARUS, medial release of 49875 01DEC1991 31DEC9999 Y TALIPES EQUINOVARUS, combined postero-medial release of 49878 01DEC1991 30JUN2021 N TALIPES EQUINOVARUS, calcaneo valgus or metatarus varus, treatment by cast, splint or manipulation - each attendance 49878 01JUL2021 31DEC9999 Y Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation-each attendance 49881 01JUL2021 29FEB2024 N Complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) skin closure, by any local method; other than a service associated with a service to which item 30023 applies-each incision (H) 49881 01MAR2024 31DEC9999 Y Complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) skin closure, by any local method; other than a service associated with a service to which item 30023 applies that is performed at the same site-each incision (H) 49884 01JUL2021 29FEB2024 N Complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of ankle, hindoot or midfoot joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) capsular or ligament repair; (vi) skin closure, by any method; other than a service associated with a service to which item 30023 applies-each incision (H) 49884 01MAR2024 31DEC9999 Y Complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of ankle, hindoot or midfoot joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) capsular or ligament repair; (vi) skin closure, by any method; other than a service associated with a service to which item 30023 applies that is performed at the same site-each incision (H) 49887 01JUL2021 29FEB2024 N Revision of complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) skin closure, by any method; other than a service associated with a service to which item 30023 or 49881 applies-each incision (H) 49887 01MAR2024 31DEC9999 Y Revision of complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) skin closure, by any method; other than a service associated with: (c) a service to which item 49881 applies; or (d) a service to which item 30023 applies that is performed at the same site -each incision (H) 49890 01JUL2021 29FEB2024 N Revision of complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of ankle, hindoot or midfoot joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) capsular or ligament repair; (vi) skin closure, by any method; other than a service associated with a service to which item 30023 or 49884 applies-each incision (H) 49890 01MAR2024 31DEC9999 Y Revision of complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of ankle, hindfoot or midfoot joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) capsular or ligament repair; (vi) skin closure, by any method; other than a service associated with: (c) a service to which item 49884 applies; or (d) a service to which item 30023 applies that is performed at the same site -each incision (H) 50100 01DEC1991 31DEC9999 Y JOINT, diagnostic arthroscopy of (including biopsy), not being a service to which another item in this Group applies and not being a service associated with any other arthroscopic procedure 50102 01NOV1996 31DEC9999 Y JOINT, arthroscopic surgery of, not being a service to which another item in this Group applies 50103 01DEC1991 31DEC9999 Y JOINT, arthrotomy of, not being a service to which another item in this Group applies 50104 01JUL1993 31DEC9999 Y JOINT, synovectomy of, not being a service to which another item in this Group applies 50106 01DEC1991 31DEC9999 Y JOINT, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this Group applies 50107 01JUL2021 31DEC9999 Y Stabilisation of joint of hip, by open means, including any of the following (if performed): (a) repair of capsule; (b) labrum; (c) capsulorraphy; (d) repair of ligament; (e) internal fixation; other than a service associated with a service to which another item in this Group applies (H) 50109 01DEC1991 30APR2009 N JOINT, arthrodesis of, not being a service to which another item in this Group applies 50109 01MAY2009 31DEC9999 Y JOINT, arthrodesis of, not being a service to which another item in this Group applies, with synovectomy if performed 50112 01DEC1991 31OCT1996 N CICATRICIAL FLEXION CONTRACTURE OF JOINT, correction of, involving tissues deeper than skin and subcutaneous tissue 50112 01NOV1996 30JUN2021 N CICATRICIAL FLEXION OR EXTENSION CONTRACTION OF JOINT, correction of, involving tissues deeper than skin and subcutaneous tissue, not being a service to which another item in this Group applies 50112 01JUL2021 31DEC9999 Y Cicatricial flexion or extension contraction of joint, correction of, involving tissues deeper than skin and subcutaneous tissue, other than a service to which another item in this Group applies (H) 50115 01DEC1991 30JUN2021 N JOINT or JOINTS, manipulation of, performed in the operating theatre of a hospital, not being a service associated with a service to which another item in this Group applies 50115 01JUL2021 31DEC9999 Y Manipulation of one or more joints, excluding spine, other than a service associated with a service to which another item in this Group applies (H) 50118 01DEC1991 30APR2009 N SUBTALAR JOINT, arthrodesis of 50118 01MAY2009 30JUN2021 N SUBTALAR JOINT, arthrodesis of, with synovectomy if performed 50118 01JUL2021 31DEC9999 Y Arthrodesis of joint of hindfoot, by any method, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; -one joint (H) 50121 01DEC1991 31DEC9999 Y GREATER TROCHANTER, transplantation of ileopsoas tendon to 50124 01DEC1991 31DEC9999 Y JOINT or other SYNOVIAL CAVITY, aspiration of, injection into, or both of these procedures; payable on not more than 25 occasions in any 12 month period 50125 19JUN1997 31OCT1997 N JOINT OR OTHER SYNOVIAL CAVITY, aspiration of, or injection into, or both of these procedures - where it can be demonstrated that a 26th or subsequent treatment (including any treatments to which item 50124 applies) is indicated in a 12 month period 50125 01NOV1997 31DEC9999 Y JOINT OR OTHER SYNOVIAL CAVITY, aspiration of, or injection into, or both of these procedures - where it can be demonstrated that a 26th or subsequent treatment (including any treatments to which item 50124 applies) is indicated in a 12 month period 50127 01JUL1993 31DEC9999 Y JOINT OR JOINTS, arthroplasty of, by any technique not being a service to which another item applies 50130 01JUL1993 30JUN2021 N JOINT OR JOINTS, application of external fixator to, other than for treatment of fractures 50130 01JUL2021 31DEC9999 Y Joint or joints, application of external fixator to, other than for treatment of fractures (H) 50200 01DEC1991 30JUN2021 N AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR, biopsy of (not including aftercare) 50200 01JUL2021 31DEC9999 Y Core needle biopsy of aggressive or potentially malignant bone or soft tissue tumour, excluding aftercare 50201 01NOV2004 30JUN2021 N AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR, involving neurovascular structures, open biopsy of (not including aftercare) 50201 01JUL2021 31DEC9999 Y Incisional biopsy of aggressive or potentially malignant bone or soft tissue tumour, excluding aftercare 50203 01DEC1991 30JUN2021 N BONE OR MALIGNANT DEEP SOFT TISSUE TUMOUR, lesional or marginal excision of 50203 01JUL2021 31DEC9999 Y Intralesional or marginal excision of bone or soft tissue tumour 50206 01DEC1991 30JUN2021 N BONE TUMOUR, lesional or marginal excision of, combined with any 1 of: liquid nitrogen freezing, autograft, allograft or cementation 50206 01JUL2021 31DEC9999 Y Intralesional or marginal excision of bone tumour, with at least one of the following: (a) autograft; (b) allograft; (c) cementation (H) 50209 01DEC1991 30JUN2021 N BONE TUMOUR, lesional or marginal excision of, combined with any 2 or more of: liquid nitrogen freezing, autograft, allograft or cementation 50209 01JUL2021 31DEC9999 Y Intralesional or marginal excision of bone tumour, with at least 2 of the following: (a) autograft; (b) allograft; (c) cementation (H) 50212 01DEC1991 30JUN2021 N MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, without reconstruction 50212 01JUL2021 31DEC9999 Y Wide excision of malignant or aggressive bone or soft tissue tumour (or both), affecting a limb, trunk or scapula (H) 50215 01DEC1991 30JUN2021 N MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, with intercalary reconstruction (prosthesis, allograft or autograft) 50215 01JUL2021 31DEC9999 Y Wide excision of malignant or aggressive bone or soft tissue tumour (or both), with intercalary reconstruction of bone by prosthesis, allograft or autograft (H) 50218 01DEC1991 30APR2009 N MALIGNANT TUMOUR of LONG BONE, enbloc resection of, with replacement or arthrodesis of adjacent joint 50218 01MAY2009 30JUN2021 N MALIGNANT TUMOUR of LONG BONE, enbloc resection of, with replacement or arthrodesis of adjacent joint, with synovectomy if performed 50218 01JUL2021 31DEC9999 Y Wide excision of malignant or aggressive bone or soft tissue tumour (or both), with reconstruction, replacement or arthrodesis of adjacent joint, by prosthesis, allograft or autograft (H) 50221 01DEC1991 30JUN2021 N MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR of PELVIS, SACRUM or SPINE; or SCAPULA and SHOULDER, enbloc resection of 50221 01JUL2021 31DEC9999 Y Wide excision of malignant or aggressive bone or soft tissue tumour (or both) of pelvis, sacrum or spine, without reconstruction (H) 50224 01DEC1991 30JUN2021 N MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR of PELVIS, SACRUM or SPINE; or SCAPULA and SHOULDER, enbloc resection of, with reconstruction by prosthesis, allograft or autograft 50224 01JUL2021 31OCT2021 N Wide excision of malignant or bone or soft tissue tumour (or both) of pelvis, sacrum or spine, with reconstruction of bone defect, or one or more joints, by any technique 50224 01NOV2021 31DEC9999 Y Wide excision of malignant or aggressive bone or soft tissue tumour (or both) of pelvis, sacrum or spine, with reconstruction of bone defect, or one or more joints, by any technique 50227 01DEC1991 31DEC9999 Y MALIGNANT BONE TUMOUR, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement 50230 01DEC1991 31DEC9999 Y BENIGN TUMOUR, resection of, requiring anatomic specific allograft, with or without internal fixation 50233 01DEC1991 30JUN2021 N MALIGNANT TUMOUR, amputation for, hemipelvectomy or interscapulo-thoracic 50233 01JUL2021 31DEC9999 Y Treatment of malignant or aggressive bone or soft tissue tumour (or both) by hindquarter or forequarter amputation (H) 50236 01DEC1991 30JUN2021 N MALIGNANT TUMOUR, amputation for, hip disarticulation, shoulder disarticulation or proximal third femur 50236 01JUL2021 31DEC9999 Y Treatment of malignant or aggressive bone or soft tissue tumour (or both), by hip disarticulation, shoulder disarticulation or amputation through the proximal one third of the femur (H) 50239 01DEC1991 30JUN2021 N MALIGNANT TUMOUR, amputation for, not being a service to which another item in this Group applies 50239 01JUL2021 31DEC9999 Y Treatment of malignant or aggressive bone or soft tissue tumour (or both), by amputation, other than a service associated with a service to which item 50233 or 50236 applies (H) 50242 01JUL2021 31DEC9999 Y Revision of endoprosthetic replacement, if item 50218 or 50224, or an item that describes a service substantially similar to either of those items, applied to the initial procedure: (a) including any of the following: (i) rebushing; (ii) patella resurfacing; (iii) polyethylene exchange or similar; and (b) excluding removal of prosthetic from bone (H) 50245 01JUL2021 31DEC9999 Y Revision of reconstructive procedure, if item 50215, 50218 or 50224, or an item that describes a service substantially similar to any of those items, applied to the initial procedure, by any technique or combination of techniques (H) 50300 01JUL1995 30JUN2021 N JOINT DEFORMITY, slow correction of, using ring fixator or similar device, including all associated attendances - payable only once in any 12 month period 50300 01JUL2021 31DEC9999 Y Gradual correction of joint deformity, with application of external fixator (H) 50303 01JUL1995 31OCT2005 N LIMB LENGTHENING, up to and including 5cm, requiring slow distraction under general anaesthesia in the operating theatre of a hospital or approved day-hospital facility, with or without application of a ring fixator or similar device, including all associated attendances - payable only once in any 12 month period 50303 01NOV2005 30JUN2021 N LIMB LENGTHENING, 5cm or less, by gradual distraction, with application of an external fixator or intra-medullary device, in the operating theatre of a hospital - payable only once per limb in any 12 month period 50303 01JUL2021 31DEC9999 Y Limb lengthening, by gradual distraction, with application of external fixator or intra-medullary device (H) 50306 01JUL1995 31OCT2005 N LIMB LENGTHENING , where the lengthening is bipolar, or bone transport is performed or where the fixator is extended to correct an adjacent joint deformity 50306 01NOV2005 30JUN2021 N LIMB LENGTHENING , where the lengthening is bipolar, or bone transport is performed or where the fixator is extended to correct an adjacent joint deformity, or where the lengthening is greater than 5cm 50306 01JUL2021 31DEC9999 Y Bipolar limb lengthening: (a) with application of external fixator or intra-medullary device; and (b) by any of the following: (i) gradual distraction; (ii) bone transport; (iii) fixator extension, to correct for an adjacent joint deformity (H) 50309 01JUL1995 30JUN2021 N RING FIXATOR OR SIMILAR DEVICE, adjustment of, with or without insertion or removal of fixation pins, performed under general anaesthesia in the operating theatre of a hospital, not being a service to which item 50303 or 50306 applies 50309 01JUL2021 31DEC9999 Y Ring fixator or similar device, adjustment of, with or without insertion or removal of fixation pins, performed under general anaesthesia, other than a service to which item 50303 or 50306 applies (H) 50310 01JUL2021 31DEC9999 Y Major adjustment of ring fixator or similar device, other than a service associated with a service to which item 50303, 50306, or 50309 applies 50312 01JUL1995 30APR2009 N ANKLE, synovectomy of 50312 01MAY2009 30JUN2021 N ANKLE, synovectomy of, by arthroscopic or open means - not associated with any other arthroscopic procedure of the ankle 50312 01JUL2021 31DEC9999 Y Synovectomy or debridement, and microfracture, of ankle joint for osteochondral large defect greater than 1.5cm2, by arthroscopic or open means, including any of the following (if performed): (a) capsulotomy; (b) debridement or release of ligament; (c) debridement or release of tendon; other than a service associated with a service to which any of the following apply: (d) item 49703; (e) another item in this Schedule if the service described in the other item is for the purpose of performing an arthroscopic procedure of the ankle (H) 50315 01JUL1995 31DEC9999 Y TALIPES EQUINOVARUS, posterior release of 50318 01JUL1995 31DEC9999 Y TALIPES EQUINOVARUS, medial release of 50321 01JUL1995 30JUN2021 N TALIPES EQUINOVARUS, combined postero-medial release of 50321 01JUL2021 31DEC9999 Y Release of soft tissue of talipes equinovarus, by open means (H) 50324 01JUL1995 30JUN2021 N TALIPES EQUINOVARUS, combined postero-medial release of, revision procedure 50324 01JUL2021 31DEC9999 Y Revision of release of soft tissue of talipes equinovarus, by open means (H) 50327 01JUL1995 31DEC9999 Y TALIPES EQUINOVARUS, bilateral procedures 50330 01JUL1995 30JUN2021 N TALIPES EQUINOVARUS, or talus, vertical congenital - post operative manipulation and change of plaster, performed under general anaesthesia in the operating theatre of a hospital, not being a service to which item 50315, 50318, 50321, 50324 or 50327 applies 50330 01JUL2021 31DEC9999 Y Post-operative manipulation, and change of plaster, of vertical, congenital talipes equinovarus or talus, other than a service to which item 50321 or 50324 applies (H) 50333 01JUL1995 30JUN2021 N TARSAL COALITION, excision of, with interposition of muscle, fat graft or similar graft 50333 01JUL2021 31DEC9999 Y Excision of tarsal coalition, with interposition of muscle, fat graft or similar graft, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) excision of osteophytes; -one coalition (H) 50335 01JUL2021 31DEC9999 Y Treatment of vertical, congenital talus, by percutaneous or open stabilisation of talonavicular joint and Achilles' tenotomy (H) 50336 01JUL1995 30JUN2021 N TALUS, VERTICAL, CONGENITAL, combined anterior and posterior reconstruction 50336 01JUL2021 31DEC9999 Y Talus, vertical, congenital, combined anterior and posterior reconstruction (H) 50339 01JUL1995 30JUN2021 N FOOT AND ANKLE, tibialis anterior tendon (split or whole) transfer to lateral column 50339 01JUL2021 31DEC9999 Y Tibialis anterior or tibialis posterior tendon transfer (split or whole) (H) 50342 01JUL1995 31DEC9999 Y FOOT AND ANKLE, tibialis or tibialis posterior tendon transfer, through the interosseous membrane to anterior or posterior aspect of foot 50345 01JUL1995 30JUN2021 N HYPEREXTENSION DEFORMITY OF TOE, release incorporating V-Y plasty of skin, lengthening of extensor tendons and release of capsule contracture 50345 01JUL2021 31DEC9999 Y Hyperextension deformity of toe, release incorporating V-Y plasty of skin, lengthening of extensor tendons and release of capsule contracture (H) 50348 01JUL1995 30JUN2021 N HIP, KNEE AND LEG PROCEDURES KNEE, deformity of, post-operative manipulation and change of plaster, performed under general anaesthesia in the operating theatre of a hospital 50348 01JUL2021 31DEC9999 Y Knee, deformity of, post-operative manipulation and change of plaster, performed under general anaesthesia (H) 50349 01MAY2001 31DEC9999 Y HIP, congenital dislocation of, treatment of, by closed reduction 50350 01MAY2001 31DEC9999 Y HIP, congenital dislocation of, open reduction of 50351 01JUL1995 30APR2001 N HIP, congenital or developmental dislocation of, open reduction of 50351 01MAY2001 30JUN2021 N HIP, developmental dislocation of, open reduction of 50351 01JUL2021 31DEC9999 Y Treatment of developmental dislocation of hip, by open reduction, including application of hip spica (H) 50352 01MAY2001 30JUN2021 N HIP, congenital dislocation of, treatment of, involving supervision of splint, harness or cast - each attendance 50352 01JUL2021 31DEC9999 Y Treatment of developmental dysplasia of hip, including supervision of initial application of splint, harness or cast, other than a service to which another item in this Group applies 50353 01MAY2001 31DEC9999 Y HIP SPICA, initial application of, for congenital dislocation of hip (excluding aftercare) 50354 01JUL1995 30JUN2021 N TIBIA, pseudarthrosis of, congenital, resection and internal fixation 50354 01JUL2021 31DEC9999 Y Resection and fixation of congenital pseudarthrosis of tibia 50357 01JUL1995 30JUN2021 N KNEE, LEG OR THIGH, rectus femoris tendon transfer, or medial or lateral hamstring tendon transfer 50357 01JUL2021 31DEC9999 Y Transfer of tendon of rectus femoris or medial or lateral hamstring (H) 50360 01JUL1995 30JUN2021 N KNEE, LEG OR THIGH, combined medial and lateral hamstring tendon transfer 50360 01JUL2021 31DEC9999 Y Combined medial and lateral hamstring tendon transfer (H) 50363 01JUL1995 31DEC9999 Y KNEE, contracture of, posterior release involving multiple tendon lengthening or tenotomies, unilateral 50366 01JUL1995 31DEC9999 Y KNEE, contracture of, posterior release involving multiple tendon lengthening or tenotomies, bilateral 50369 01JUL1995 30JUN2021 N KNEE, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with or without cruciate ligaments, unilateral 50369 01JUL2021 31DEC9999 Y Unilateral posterior release of knee contracture, with multiple tendon lengthening or tenotomies, including release of joint capsule (if performed), other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of knee replacement (H) 50372 01JUL1995 30JUN2021 N KNEE, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with or without cruciate ligaments, bilateral 50372 01JUL2021 31DEC9999 Y Bilateral posterior release of knee contracture, with multiple tendon lengthening or tenotomies, including release of joint capsule (if performed), other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of knee replacement (H) 50375 01JUL1995 30JUN2021 N HIP, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator nerve, unilateral 50375 01JUL2021 31DEC9999 Y Unilateral medial release of hip contracture, with lengthening or division of the adductors and psoas, including division of obturator nerve (if performed) (H) 50378 01JUL1995 30JUN2021 N HIP, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator nerve, bilateral 50378 01JUL2021 31DEC9999 Y Bilateral medial release of hip contracture, with lengthening or division of adductors and psoas, including division of obturator nerve (if performed) (H) 50381 01JUL1995 30JUN2021 N HIP, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, unilateral 50381 01JUL2021 31DEC9999 Y Unilateral anterior release of hip contracture, with lengthening or division of hip flexors and psoas, including division of joint capsule (if performed) (H) 50384 01JUL1995 30JUN2021 N HIP, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, bilateral 50384 01JUL2021 31DEC9999 Y Bilateral anterior release of hip contracture, with lengthening or division of hip flexors and psoas, including division of joint capsule (if performed) (H) 50387 01JUL1995 31DEC9999 Y HIP, iliopsoas tendon transfer to greater trochanter, or transfer of abdominal musculature to greater trochanter, or transfer of adductors to ischium 50390 01JUL1995 30JUN2021 N PERTHES, CEREBRAL PALSY, or other neuromuscular conditions, affecting hips or knees, application of cast under general anaesthesia, performed in the operating theatre of a hospital 50390 01JUL2021 31DEC9999 Y Application of cast under general anaesthesia, for patient with perthes, cerebral palsy, or other neuromuscular conditions, affecting hips or knees (H) 50393 01JUL1995 30JUN2021 N PELVIS, bone graft or shelf procedures for acetabular dysplasia 50393 01JUL2021 31DEC9999 Y Acetabular shelf procedure, other than a service associated with a service to which another item of this Schedule applies if the service in the other item is for the purpose of performing arthroplasty on the hip (H) 50394 01JUL1998 30JUN2021 N ACETABULAR DYSPLASIA, treatment of, by multiple peri-acetabular osteotomy, including internal fixation where performed 50394 01JUL2021 31DEC9999 Y Multiple peri-acetabular osteotomy, including internal fixation (if performed) (H) 50395 01JUL2021 31DEC9999 Y Osteotomy and distillation of greater trochanter, with internal fixation (H) 50396 01JUL1995 30JUN2021 N SHOULDER, ARM AND FOREARM PROCEDURES HAND, congenital abnormalities or duplication of digits, amputation or splitting of phalanx or phalanges, with ligament or joint reconstruction 50396 01JUL2021 31DEC9999 Y Amputation of congenital abnormalities or duplication of digits of the hand or foot, including any of the following (if performed): (a) splitting of phalanx or phalanges; (b) ligament reconstruction; (c) joint reconstruction (H) 50399 01JUL1995 30JUN2021 N FOREARM, RADIAL APLASIA OR DYSPLASIA (radial club hand), centralisation or radialisation of 50399 01JUL2021 31DEC9999 Y Forearm, radial aplasia or dysplasia (radial club hand), centralisation or radialisation of (H) 50402 01JUL1995 31DEC9999 Y TORTICOLLIS, bipolar release of sternocleidomastoid muscle and associated soft tissue 50405 01JUL1995 31DEC9999 Y ELBOW, flexorplasty, or tendon transfer to restore elbow function 50408 01JUL1995 31DEC9999 Y SHOULDER, congenital or developmental dislocation, open reduction of 50411 01JUL1995 30JUN2021 N AMPUTATIONS OR RECONSTRUCTIONS FOR CONGENITAL DEFORMITIES LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion 50411 01JUL2021 31DEC9999 Y Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion 50414 01JUL1995 30JUN2021 N LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion and rotationplasty 50414 01JUL2021 31DEC9999 Y Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion and rotationplasty 50417 01JUL1995 30JUN2021 N LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the tibia by reconstruction of the knee, involving transfer of fibula or tibia, and repair of quadriceps mechanism 50417 01JUL2021 31DEC9999 Y Lower limb deficiency, treatment of congenital deficiency of the tibia by reconstruction of the knee, involving transfer of fibula or tibia, and repair of quadriceps mechanism 50420 01JUL1995 30JUN2021 N PATELLA, congenital dislocation of, reconstruction of the quadriceps 50420 01JUL2021 31DEC9999 Y Patella, congenital dislocation of, reconstruction of the quadriceps (H) 50423 01JUL1995 30JUN2021 N TIBIA, FIBULA OR BOTH, congenital deficiency of, transfer of the fibula to tibia, with internal fixation 50423 01JUL2021 31DEC9999 Y Tibia, fibula or both, congenital deficiency of, transfer of the fibula to tibia, with internal fixation 50426 01JUL1995 30JUN2021 N TUMOROUS CONDITIONS DIAPHYSEAL ACLASIA, removal of lesion or lesions from bone - 1 approach 50426 01JUL2021 31DEC9999 Y Removal of one or more lesions from bone, for osteochondroma occurring solitary or in association with hereditary multiple exotoses, with histological examination-one approach (H) 50428 01JUL2021 31DEC9999 Y Percutaneous drilling of osteochondritis dessicans or other osteochondral lesion, for a patient: (a) with open growth plates; or (b) less than 18 years of age (H) 50450 01NOV2006 30APR2009 N UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following: ( Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. ( Correction of muscle imbalance by tendon transfer/transfers. ( Correction of femoral torsion by rotational osteotomy of the femur. ( Correction of tibial torsion by rotational osteotomy of the tibia. ( Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis or os calcis lengthening. Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare 50450 01MAY2009 30JUN2021 N UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following: (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. (c) Correction of femoral torsion by rotational osteotomy of the femur. (d) Correction of tibial torsion by rotational osteotomy of the tibia. (e) Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis, with synovectomy if performed, or os calcis lengthening. Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare 50450 01JUL2021 31DEC9999 Y Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; (b) correction of muscle imbalance by transfer of a tendon or tendons; (c) correction of femoral torsion by rotational osteotomy of the femur; (d) correction of tibial torsion by rotational osteotomy of the tibia; (e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis with synovectomy if performed, or os calcis lengthening; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) 50451 01NOV2006 30APR2009 N UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following: (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. (c) Correction of femoral torsion by rotational osteotomy of the femur. (d) Correction of tibial torsion by rotational osteotomy of the tibia. (e) Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis or os calcis lengthening. Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare 50451 01MAY2009 30JUN2021 N UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following: (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. (c) Correction of femoral torsion by rotational osteotomy of the femur. (d) Correction of tibial torsion by rotational osteotomy of the tibia. (e) Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis, with synovectomy if performed, or os calcis lengthening. Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare 50451 01JUL2021 31DEC9999 Y Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; (b) correction of muscle imbalance by transfer of a tendon or tendons; (c) correction of femoral torsion by rotational osteotomy of the femur; (d) correction of tibial torsion by rotational osteotomy of the tibia; (e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis with synovectomy if performed, or os calcis lengthening; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 50455 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises: ( Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. ( Correction of muscle imbalance by tendon transfer/transfers. Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare 50455 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) 50456 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises: (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare 50456 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 50460 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery and bilateral femoral osteotomies. ( Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. ( Correction of muscle imbalance by tendon transfer/transfers. ( Correction of torsional abnormality of the femur by rotational osteotomy and internal fixation. Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare 50460 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) 50461 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery and bilateral femoral osteotomies. (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. (c) Correction of torsional abnormality of the femur by rotational osteotomy and internal fixation. Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare 50461 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 50465 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies. ( Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. ( Correction of muscle imbalance by tendon transfer/transfers. ( Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation. ( Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation. Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare 50465 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) 50466 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies. (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. (c) Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation. (d) Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation. Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare 50466 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 50470 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation. ( Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. ( Correction of muscle imbalance by tendon transfer/transfers. ( Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation. ( Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation. ( Correction of bilateral pes valgus by os calcis lengthening or subtalar fusion. Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare 50470 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and (e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) 50471 01NOV2006 30JUN2021 N BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation. (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. (c) Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation. (d) Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation. (e) Correction of bilateral pes valgus by os calcis lengthening or subtalar fusion. Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare 50471 01JUL2021 31DEC9999 Y Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and (e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 50475 01NOV2006 30JUN2021 N SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy for the correction of crouch gait including: ( Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. ( Correction of muscle imbalance by tendon transfer/transfers. ( Correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation. ( Correction of patella alta and quadriceps insufficiency by patella tendon shortening/reconstruction. ( Correction of tibial torsion by rotational osteotomy of the tibia with internal fixation. ( Correction of foot instability by os calcis lengthening or subtalar fusion. Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare 50475 01JUL2021 31DEC9999 Y Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait, including: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and (d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and (e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and (f) correction of foot instability by os calcis lengthening or subtalar fusion; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) 50476 01NOV2006 30JUN2021 N SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy for the correction of crouch gait including: (a) Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) Correction of muscle imbalance by tendon transfer/transfers. (c) Correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation. (d) Correction of patella alta and quadriceps insufficiency by patella tendon shortening/reconstruction. (e) Correction of tibial torsion by rotational osteotomy of the tibia with internal fixation. (f) Correction of foot instability by os calcis lengthening or subtalar fusion. Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare 50476 01JUL2021 14JUL2021 N Single event multilevel surgery for patients less than 18 years of age with diplegic cerebral palsy for the correction of crouch gait including: (a) lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening. (b) correction of muscle imbalance by tendon transfer/transfers. (c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation. (d) correction of patella alta and quadriceps insufficiency by patella tendon shortening/reconstruction. (e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation. (f) correction of foot instability by os calcis lengthening or subtalar fusion. conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 50476 15JUL2021 31DEC9999 Y Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait including: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and (d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and (e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and (f) correction of foot instability by os calcis lengthening or subtalar fusion; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 50500 01NOV2006 31DEC9999 Y RADIUS OR ULNA, distal end of, with open growth plate, treatment of fracture of, by closed reduction 50504 01NOV2006 31DEC9999 Y RADIUS OR ULNA, distal end of, with open growth plate, treatment of fracture of, by open reduction 50508 01NOV2006 30JUN2021 N RADIUS, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture, by closed reduction 50508 01JUL2021 31DEC9999 Y Treatment of fracture of distal end of radius or ulna (or both), by closed reduction, for a patient with open growth plates 50512 01NOV2006 30JUN2021 N RADIUS, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture of, by open reduction 50512 01JUL2021 31DEC9999 Y Treatment of fracture of distal end of radius or ulna (or both), by open or closed reduction, with internal fixation, for a patient with open growth plates (H) 50516 01NOV2006 31DEC9999 Y RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital 50520 01NOV2006 31DEC9999 Y RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, by open reduction 50524 01NOV2006 30JUN2021 N RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital 50524 01JUL2021 31DEC9999 Y Radius or ulna, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction (H) 50528 01NOV2006 30JUN2021 N RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by reduction with or without internal fixation by open or percutaneous means 50528 01JUL2021 31DEC9999 Y Radius or ulna, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by reduction with or without internal fixation by open or percutaneous means (H) 50532 01NOV2006 30JUN2021 N RADIUS AND ULNA, shafts of, with open growth plates, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital 50532 01JUL2021 31DEC9999 Y Treatment of fracture of shafts of radius or ulna (or both), by closed reduction, for a patient with open growth plate (H) 50536 01NOV2006 30JUN2021 N RADIUS AND ULNA, shafts of, with open growth plates, treatment of fracture of, by open reduction 50536 01JUL2021 31DEC9999 Y Treatment of fracture of shafts of radius or ulna (or both), by open or closed reduction, with internal fixation, for a patient with open growth plate (H) 50540 01NOV2006 30JUN2021 N OLECRANON, with open growth plate, treatment of fracture of, by open reduction 50540 01JUL2021 31DEC9999 Y Olecranon, with open growth plate, treatment of fracture of, by open reduction (H) 50544 01NOV2006 30JUN2021 N RADIUS, with open growth plate, treatment of fracture of head or neck of, by closed reduction of 50544 01JUL2021 31DEC9999 Y Radius, with open growth plate, treatment of fracture of head or neck of, by closed reduction of 50548 01NOV2006 30JUN2021 N RADIUS, with open growth plate, treatment of fracture of head or neck of, by reduction with or without internal fixation by open or percutaneous means 50548 01JUL2021 31DEC9999 Y Radius, with open growth plate, treatment of fracture of head or neck of, by reduction with or without internal fixation by open or percutaneous means (H) 50552 01NOV2006 30JUN2021 N HUMERUS, proximal, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital 50552 01JUL2021 31DEC9999 Y Humerus, proximal, with open growth plate, treatment of fracture of, by closed reduction (H) 50556 01NOV2006 30JUN2021 N HUMERUS, proximal, with open growth plate, treatment of fracture of, by open reduction 50556 01JUL2021 31DEC9999 Y Treatment of fracture of proximal humerus, by open or closed reduction, with internal fixation, for a patient with open growth plate (H) 50560 01NOV2006 30JUN2021 N HUMERUS, shaft of, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital 50560 01JUL2021 31DEC9999 Y Humerus, shaft of, with open growth plate, treatment of fracture of, by closed reduction (H) 50564 01NOV2006 30JUN2021 N HUMERUS, shaft of, with open growth plate, treatment of fracture of, by internal or external fixation 50564 01JUL2021 31DEC9999 Y Treatment of fracture of shaft of humerus, by open or closed reduction, with internal or external fixation, for a patient with open growth plate (H) 50568 01NOV2006 30JUN2021 N HUMERUS, with open growth plate, supracondylar or condylar, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital 50568 01JUL2021 31DEC9999 Y Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by closed reduction (H) 50572 01NOV2006 30JUN2021 N HUMERUS, with open growth plate, supracondylar or condylar, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means, undertaken in the operating theatre of a hospital 50572 01JUL2021 31DEC9999 Y Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H) 50576 01NOV2006 30JUN2021 N FEMUR, with open growth plate, treatment of fracture of, by closed reduction or traction 50576 01JUL2021 31DEC9999 Y Treatment of fracture of femur, by closed reduction or traction, including application of hip spica (if performed), for a patient with open growth plate 50580 01NOV2006 30JUN2021 N TIBIA, with open growth plate, plateau or condyles, medial or lateral, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means 50580 01JUL2021 31DEC9999 Y Tibia, with open growth plate, plateau or condyles, medial or lateral, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H) 50584 01NOV2006 30JUN2021 N TIBIA, distal, with open growth plate, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means 50584 01JUL2021 31DEC9999 Y Tibia, distal, with open growth plate, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H) 50588 01NOV2006 30JUN2021 N TIBIA AND FIBULA, with open growth plates, treatment of fracture of, by internal fixation 50588 01JUL2021 31DEC9999 Y Tibia and fibula, with open growth plates, treatment of fracture of, by internal fixation (H) 50592 01JUL2021 31DEC9999 Y Treatment of fracture of shaft of femur, by open or closed reduction, with internal or external fixation, for a patient with open growth plate (H) 50596 01JUL2021 31DEC9999 Y Treatment of fracture of shaft of tibia, by open or closed reduction, including casting, for a patient with open growth plate (H) 50600 01NOV2006 30JUN2021 N SCOLIOSIS OR KYPHOSIS, in a growing child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital 50600 01JUL2021 31DEC9999 Y Scoliosis or kyphosis, in a child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital (H) 50604 01NOV2006 30JUN2021 N SCOLIOSIS or KYPHOSIS, in a child or adolescent, spinal fusion for (without instrumentation) 50604 01JUL2021 31DEC9999 Y Scoliosis or kyphosis, in a child or adolescent, spinal fusion for (without instrumentation) (H) 50608 01NOV2006 31OCT2018 N SCOLIOSIS OR KYPHOSIS, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, not being a service to which item 48642 to 48675 applies 50608 01NOV2018 30JUN2021 N SCOLIOSIS OR KYPHOSIS, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, not being a service to which item 51011 to 51171 applies 50608 01JUL2021 31DEC9999 Y Scoliosis or kyphosis, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, other than a service to which any of items 51011 to 51171 apply (H) 50612 01NOV2006 31OCT2018 N SCOLIOSIS OR KYPHOSIS, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, not being a service to which item 48642 to 48675 applies 50612 01NOV2018 30JUN2021 N SCOLIOSIS OR KYPHOSIS, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, not being a service to which item 51011 to 51171 applies 50612 01JUL2021 31DEC9999 Y Scoliosis or kyphosis, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, other than a service to which any of items 51011 to 51171 apply (H) 50616 01NOV2006 30JUN2021 N SCOLIOSIS, in a child or adolescent, re-exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity 50616 01JUL2021 31DEC9999 Y Scoliosis, in a child or adolescent, re-exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity (H) 50620 01NOV2006 31OCT2018 N SCOLIOSIS, in a child or adolescent, revision of failed scoliosis surgery, involving more than 1 of osteotomy, fusion, removal of instrumentation or instrumentation, not being a service to which item 48642 to 48675 applies 50620 01NOV2018 30JUN2021 N SCOLIOSIS, in a child or adolescent, revision of failed scoliosis surgery, involving more than 1 of osteotomy, fusion, removal of instrumentation or instrumentation, not being a service to which item 51011 to 51171 applies 50620 01JUL2021 31DEC9999 Y Scoliosis, in a child or adolescent, revision of failed scoliosis surgery, involving more than one of osteotomy, fusion, removal of instrumentation or instrumentation, other than a service to which any of items 51011 to 51171 apply (H) 50624 01NOV2006 30JUN2021 N SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels 50624 01JUL2021 31DEC9999 Y Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels (H) 50628 01NOV2006 30JUN2021 N SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels 50628 01JUL2021 31DEC9999 Y Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar)-more than 4 levels (H) 50632 01NOV2006 31OCT2018 N SCOLIOSIS OR KYPHOSIS, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, not being a service to which item 48642 to 48675 applies 50632 01NOV2018 30JUN2021 N SCOLIOSIS OR KYPHOSIS, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, not being a service to which item 51011 to 51171 applies 50632 01JUL2021 31DEC9999 Y Scoliosis or kyphosis, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, other than a service to which any of items 51011 to 51171 apply (H) 50636 01NOV2006 31OCT2018 N SCOLIOSIS, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, not being a service to which item 48642 to 48675 applies 50636 01NOV2018 30JUN2021 N SCOLIOSIS, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, not being a service to which item 51011 to 51171 applies 50636 01JUL2021 31DEC9999 Y Scoliosis, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, other than a service to which any of items 51011 to 51171 apply (H) 50640 01NOV2006 31OCT2018 N SCOLIOSIS, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, not being a service to which item 48642 to 48675 applies 50640 01NOV2018 30JUN2021 N SCOLIOSIS, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, not being a service to which item 51011 to 51171 applies 50640 01JUL2021 31DEC9999 Y Scoliosis, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, other than a service to which any of items 51011 to 51171 apply (H) 50644 01NOV2006 30JUN2021 N SPINE, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both 50644 01JUL2021 31DEC9999 Y Spine, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both (H) 50650 01NOV2006 31DEC9999 Y HIP DYSPLASIA or DISLOCATION, in a child, examination, manipulation and arthrography of the hip under anaesthesia 50654 01NOV2006 30JUN2021 N HIP DYSPLASIA or DISLOCATION, in a child, application or reapplication of a hip spica, including examination of the hip 50654 01JUL2021 29FEB2024 N Treatment of hip dysplasia or dislocation, for a patient under the age of 18 years, by examination or closed reduction (or both), with or without arthrography of the hip under anaesthesia, and with application or reapplication of a hip spica (H) 50654 01MAR2024 31DEC9999 Y Examination or closed reduction (or both) of hip for a patient under the age of 18 years, including any of the following (if performed): (a) diagnostic injection; (b) arthrography; (c) application or reapplication of a hip spica (H) 50658 01NOV2006 31DEC9999 Y HIP DYSPLASIA or DISLOCATION, in a child, examination and manipulation of the hip under anaesthesia 50950 01MAY2004 31OCT2017 N NONRESECTABLE HEPATOCELLULAR CARCINOMA, destruction of, by percutaneous radiofrequency ablation, including any associated imaging services, not being a service associated with a service to which item 30419 or 50952 applies 50950 01NOV2017 30JUN2021 N Unresectable primary malignant tumour of the liver, destruction of, by percutaneous radiofrequency ablation or percutaneous microwave tissue ablation (including any associated imaging services), other than a service associated with a service to which item 30419 or 50952 applies 50950 01JUL2021 31DEC9999 Y Unresectable primary malignant tumour of the liver, destruction of, by percutaneous ablation (including any associated imaging services), other than a service associated with a service to which item 30419 or 50952 applies 50952 01MAY2004 31OCT2017 N NONRESECTABLE HEPATOCELLULAR CARCINOMA, destruction of, by open or laparoscopic radiofrequency ablation, where a multi-disciplinary team has assessed that percutaneous radiofrequency ablation cannot be performed or is not practical because of one or more of the following clinical circumstances: percutaneous access cannot be achieved; vital organs/tissues are at risk of damage from the percutaneous RFA procedure; or resection of one part of the liver is possible however there is at least one primary liver tumour in a non-resectable region of the liver which is suitable for radiofrequency ablation, including any associated imaging services, not being a service associated with a service to which item 30419 or 50950 applies 50952 01NOV2017 30JUN2021 N Unresectable primary malignant tumour of the liver, destruction of, by open or laparoscopic radiofrequency ablation or open or laparoscopic microwave tissue ablation (including any associated imaging services), if a multi-disciplinary team has assessed that percutaneous radiofrequency ablation or percutaneous microwave tissue ablation cannot be performed or is not practical because of one or more of the following clinical circumstances: (a) percutaneous access cannot be achieved; (b) vital organs or tissues are at risk of damage from the percutaneous radiofrequency ablation or percutaneous microwave tissue ablation procedure; (c) resection of one part of the liver is possible, however there is at least one primary liver tumour in an unresectable portion of the liver that is suitable for radiofrequency ablation or microwave tissue ablation; other than a service associated with a service to which item 30419 or 50950 applies. 50952 01JUL2021 31DEC9999 Y Unresectable primary malignant tumour of the liver, destruction of, by open or laparoscopic ablation (including any associated imaging services), if a multi-disciplinary team has assessed that percutaneous ablation cannot be performed or is not practical because of one or more of the following clinical circumstances:(a) percutaneous access cannot be achieved;(b) vital organs or tissues are at risk of damage from the percutaneous ablation procedure;(c) resection of one part of the liver is possible, however there is at least one primary liver tumour in an unresectable portion of the liver that is suitable for ablation;other than a service associated with a service to which item 30419 or 50950 applies 51011 01NOV2018 31OCT2021 N Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, one motion segment, not being a service associated with a service to which item 51012, 51013, 51014 or 51015 applies 51011 01NOV2021 31DEC9999 Y Direct spinal decompression or exposure (via a partial or a total laminectomy or a partial vertebrectomy), or a posterior spinal release, one motion segment, not being a service associated with a service to which item 51012, 51013, 51014 or 51015 applies (H) 51012 01NOV2018 31OCT2021 N Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 2 motion segments, not being a service associated with a service to which item 51011, 51013, 51014 or 51015 applies 51012 01NOV2021 31DEC9999 Y Direct spinal decompression or exposure (via a partial or a total laminectomy or a partial vertebrectomy), or a posterior spinal release, 2 motion segments, not being a service associated with a service to which item 51011, 51013, 51014 or 51015 applies (H) 51013 01NOV2018 31OCT2021 N Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 3 motion segments, not being a service associated with a service to which item 51011, 51012, 51014 or 51015 applies 51013 01NOV2021 31DEC9999 Y Direct spinal decompression or exposure (via a partial or a total laminectomy or a partial vertebrectomy), or a posterior spinal release, 3 motion segments, not being a service associated with a service to which item 51011, 51012, 51014 or 51015 applies (H) 51014 01NOV2018 31OCT2021 N Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51015 applies 51014 01NOV2021 31DEC9999 Y Direct spinal decompression or exposure (via a partial or a total laminectomy or a partial vertebrectomy), or a posterior spinal release, 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51015 applies (H) 51015 01NOV2018 31OCT2021 N Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, more than 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51014 applies 51015 01NOV2021 31DEC9999 Y Direct spinal decompression or exposure (via a partial or a total laminectomy or a partial vertebrectomy), or a posterior spinal release, more than 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51014 applies (H) 51020 01NOV2018 31DEC9999 Y Simple fixation of part of one vertebra (not motion segment) including pars interarticularis, spinous process or pedicle, or simple interspinous wiring between 2 adjacent vertebral levels, not being a service associated with: (a) interspinous dynamic stabilisation devices; or (b) a service to which item 51021, 51022, 51023, 51024, 51025 or 51026 applies 51021 01NOV2018 29FEB2024 N Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, one motion segment, not being a service associated with a service to which item 51020, 51022, 51023, 51024, 51025 or 51026 applies 51021 01MAR2024 31DEC9999 Y Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, one motion segment, excluding vertebral body tethering for the treatment of scoliosis and not being a service associated with a service to which item 51020, 51022, 51023, 51024, 51025 or 51026 applies (H) 51022 01NOV2018 29FEB2024 N Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 2 motion segments, not being a service associated with a service to which item 51020, 51021, 51023, 51024, 51025 or 51026 applies 51022 01MAR2024 31DEC9999 Y Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 2 motion segments, excluding vertebral body tethering for the treatment of scoliosis and not being a service associated with a service to which item 51020, 51021, 51023, 51024, 51025 or 51026 applies (H) 51023 01NOV2018 29FEB2024 N Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 3 or 4 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51024, 51025 or 51026 applies 51023 01MAR2024 31DEC9999 Y Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 3 or 4 motion segments, excluding vertebral body tethering for the treatment of scoliosis and not being a service associated with a service to which item 51020, 51021, 51022, 51024, 51025 or 51026 applies (H) 51024 01NOV2018 29FEB2024 N Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 5 or 6 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51025 or 51026 applies 51024 01MAR2024 31DEC9999 Y Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 5 or 6 motion segments, excluding vertebral body tethering for the treatment of scoliosis and not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51025 or 51026 applies (H) 51025 01NOV2018 29FEB2024 N Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 7 to 12 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51026 applies 51025 01MAR2024 31DEC9999 Y Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 7 to 12 motion segments, excluding vertebral body tethering for the treatment of scoliosis and not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51026 applies (H) 51026 01NOV2018 29FEB2024 N Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, more than 12 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51025 applies 51026 01MAR2024 31DEC9999 Y Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, more than 12 motion segments, excluding vertebral body tethering for the treatment of scoliosis and not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51025 applies (H) 51031 01NOV2018 31DEC9999 Y Spine, posterior and/or posterolateral bone graft to, one motion segment, not being a service associated with a service to which item 51032, 51033, 51034, 51035 or 51036 applies 51032 01NOV2018 31DEC9999 Y Spine, posterior and/or posterolateral bone graft to, 2 motion segments, not being a service associated with a service to which item 51031, 51033, 51034, 51035 or 51036 applies 51033 01NOV2018 31DEC9999 Y Spine, posterior and/or posterolateral bone graft to, 3 motion segments, not being a service associated with a service to which item 51031, 51032, 51034, 51035 or 51036 applies 51034 01NOV2018 31DEC9999 Y Spine, posterior and/or posterolateral bone graft to, 4 to 7 motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51035 or 51036 applies 51035 01NOV2018 31DEC9999 Y Spine, posterior and/or posterolateral bone graft to, 8 to 11 motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51034 or 51036 applies 51036 01NOV2018 31DEC9999 Y Spine, posterior and/or posterolateral bone graft to, 12 or more motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51034 or 51035 applies 51041 01NOV2018 31DEC9999 Y Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), one motion segment, not being a service associated with a service to which item 51042, 51043, 51044 or 51045 applies 51042 01NOV2018 31DEC9999 Y Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 2 motion segments, not being a service associated with a service to which item 51041, 51043, 51044 or 51045 applies 51043 01NOV2018 31DEC9999 Y Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 3 motion segments, not being a service associated with a service to which item 51041, 51042, 51044 or 51045 applies 51044 01NOV2018 31DEC9999 Y Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 4 motion segments, not being a service associated with a service to which item 51041, 51042, 51043 or 51045 applies 51045 01NOV2018 31DEC9999 Y Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 5 or more motion segments, not being a service associated with a service to which item 51041, 51042, 51043 or 51044 applies 51051 01NOV2018 31OCT2019 N Pedicle subtraction osteotomy, one motion segment, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51052, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies 51051 01NOV2019 31DEC9999 Y Pedicle subtraction osteotomy, one vertebra, not being a service associated with a service to which item 51052, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies 51052 01NOV2018 31OCT2019 N Pedicle subtraction osteotomy, 2 motion segments, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies 51052 01NOV2019 31DEC9999 Y Pedicle subtraction osteotomy, 2 vertebrae, not being a service associated with a service to which item 51051, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies 51053 01NOV2018 31OCT2019 N Vertebral column resection osteotomy performed through single posterior approach, one motion segment, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51052, 51054, 51055, 51056, 51057, 51058 or 51059 applies 51053 01NOV2019 31DEC9999 Y Vertebral column resection osteotomy performed through single posterior approach, one vertebra, not being a service associated with a service to which item 51051, 51052, 51054, 51055, 51056, 51057, 51058 or 51059 applies 51054 01NOV2018 31DEC9999 Y Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), one vertebra, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51052, 51053, 51055, 51056, 51057, 51058 or 51059 applies 51055 01NOV2018 31DEC9999 Y Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), 2 vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51052, 51053, 51054, 51056, 51057, 51058 or 51059 applies 51056 01NOV2018 31DEC9999 Y Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), 3 or more vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51052, 51053, 51054, 51055, 51057, 51058 or 51059 applies 51057 01NOV2018 31DEC9999 Y Vertebral body, en bloc excision of (complete spondylectomy), one vertebra, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51052, 51053, 51054, 51055, 51056, 51058 or 51059 applies 51058 01NOV2018 31DEC9999 Y Vertebral body, en bloc excision of (complete spondylectomy), 2 vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51052, 51053, 51054, 51055, 51056, 51057 or 51059 applies 51059 01NOV2018 31DEC9999 Y Vertebral body, en bloc excision of (complete spondylectomy), 3 or more vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item 51051, 51052, 51053, 51054, 51055, 51056, 51057 or 51058 applies 51061 01NOV2018 31OCT2019 N Spine fusion, anterior and posterior, including spinal instrumentation at one motion segment, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51062, 51063, 51064, 51065 or 51066 applies 51061 01NOV2019 31DEC9999 Y Spinal fusion, anterior and posterior, including spinal instrumentation at one motion segment, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51062, 51063, 51064, 51065 or 51066 applies 51062 01NOV2018 31OCT2019 N Spine fusion, anterior and posterior, including spinal instrumentation at 2 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51063, 51064, 51065 or 51066 applies 51062 01NOV2019 31DEC9999 Y Spinal fusion, anterior and posterior, including spinal instrumentation at 2 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51063, 51064, 51065 or 51066 applies 51063 01NOV2018 31OCT2019 N Spine fusion, anterior and posterior, including spinal instrumentation at 3 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51064, 51065 or 51066 applies 51063 01NOV2019 31DEC9999 Y Spinal fusion, anterior and posterior, including spinal instrumentation at 3 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51064, 51065 or 51066 applies 51064 01NOV2018 31OCT2019 N Spine fusion, anterior and posterior, including spinal instrumentation at 4 to 7 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51065 or 51066 applies 51064 01NOV2019 31DEC9999 Y Spinal fusion, anterior and posterior, including spinal instrumentation at 4 to 7 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51065 or 51066 applies 51065 01NOV2018 31OCT2019 N Spine fusion, anterior and posterior, including spinal instrumentation at 8 to 11 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51066 applies 51065 01NOV2019 31DEC9999 Y Spinal fusion, anterior and posterior, including spinal instrumentation at 8 to 11 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51066 applies 51066 01NOV2018 31OCT2019 N Spine fusion, anterior and posterior, including spinal instrumentation at 12 or more motion segments, posterior and/or posterolateral bone graft, and anterior column fusion not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51065 applies 51066 01NOV2019 31DEC9999 Y Spinal fusion, anterior and posterior, including spinal instrumentation at 12 or more motion segments, posterior and/or posterolateral bone graft, and anterior column fusion not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51065 applies 51071 01NOV2018 31DEC2021 N Removal of intradural lesion, not being a service associated with a service to which item 51072 or 51073 applies 51071 01JAN2022 31DEC9999 Y Removal of intradural lesion, or primary extradural tumour or lesion, where the pathology is confirmed by histology - not including removal of synovial or juxtafacet cyst and not being a service associated with a service to which item 51072 or 51073 applies (H) 51072 01NOV2018 31DEC9999 Y Craniocervical junction lesion, transoral approach for, not being a service associated with a service to which item 51071 or 51073 applies 51073 01NOV2018 31DEC9999 Y Removal of intramedullary tumour or arteriovenous malformation, not being a service associated with a service to which item 51071 or 51072 applies 51102 01NOV2018 31DEC9999 Y Thoracoplasty in combination with thoracic scoliosis correction-3 or more ribs 51103 01NOV2018 31DEC9999 Y Odontoid screw fixation 51110 01NOV2018 31DEC9999 Y Spine, treatment of fracture, dislocation or fracture dislocation, with immobilisation by calipers or halo, not including application of skull tongs or calipers as part of operative positioning 51111 01NOV2018 31DEC9999 Y Skull calipers or halo, insertion of, as an independent procedure 51112 01NOV2018 31DEC9999 Y Plaster jacket, application of, as an independent procedure 51113 01NOV2018 31DEC9999 Y Halo, application of, in addition to spinal fusion for scoliosis, or other conditions 51114 01NOV2018 31DEC9999 Y Halo thoracic orthosis-application of both halo and thoracic jacket 51115 01NOV2018 31DEC9999 Y Halo femoral traction, as an independent procedure 51120 01NOV2018 31DEC9999 Y Bone graft, harvesting of autogenous graft, via separate incision or via subcutaneous approach, in conjunction with spinal fusion, other than for the purposes of bone graft obtained from the cervical, thoracic, lumbar or sacral spine 51130 01NOV2018 31DEC9999 Y Lumbar artificial intervertebral total disc replacement, at one motion segment only, including removal of disc and marginal osteophytes: (a) for a patient who: (i) has not had prior spinal fusion surgery at the same lumbar level; and (ii) does not have vertebral osteoporosis; and (iii) has failed conservative therapy; and (b) not being a service associated with a service to which item 51011, 51012, 51013, 51014 or 51015 applies 51131 01NOV2018 31DEC9999 Y Cervical artificial intervertebral total disc replacement, at one motion segment only, including removal of disc and marginal osteophytes, for a patient who: (a) has not had prior spinal surgery at the same cervical level; and (b) is skeletally mature; and (c) has symptomatic degenerative disc disease with radiculopathy; and (d) does not have vertebral osteoporosis; and (e) has failed conservative therapy 51140 01NOV2018 31DEC9999 Y Previous spinal fusion, re-exploration for, involving adjustment or removal of instrumentation up to 3 motion segments, not being a service associated with a service to which item 51141 applies 51141 01NOV2018 31DEC9999 Y Previous spinal fusion, re-exploration for, involving adjustment or removal of instrumentation more than 3 motion segments, not being a service associated with a service to which item 51140 applies 51145 01NOV2018 31DEC9999 Y Wound debridement or excision for post operative infection or haematoma following spinal surgery 51150 01NOV2018 31DEC9999 Y Coccyx, excision of 51160 01NOV2018 31DEC9999 Y Anterior exposure of thoracic or lumbar spine, one motion segment, not being a service to which item 51165 applies 51165 01NOV2018 29FEB2024 N Anterior exposure of thoracic or lumbar spine, more than one motion segment, not being a service to which item 51160 applies 51165 01MAR2024 31DEC9999 Y Anterior exposure of thoracic or lumbar spine, more than one motion segment, excluding vertebral body tethering for the treatment of scoliosis and not being a service to which item 51160 applies (H) 51170 01NOV2018 31DEC9999 Y Syringomyelia or hydromyelia, craniotomy for, with or without duraplasty, intradural dissection, plugging of obex or local cerebrospinal fluid shunt 51171 01NOV2018 31DEC9999 Y Syringomyelia or hydromyelia, treatment by direct cerebrospinal fluid shunt (for example, syringosubarachnoid shunt, syringopleural shunt or syringoperitoneal shunt) 51300 01DEC1991 31OCT1994 N NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation for which the fee exceeds $183.20 but does not exceed $325.45 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $183.20 but where the fee for the series or combination of operations does not exceed $325.45 51300 01NOV1994 30JUN1995 N NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation for which the fee exceeds $183.20 but does not exceed $325.45 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $183.20 but where the fee for the series or combination of operations does not exceed $325.45 51300 01JUL1995 31OCT1995 N NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation for which the fee exceeds $183.20 but does not exceed $325.45 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $183.20 but where the fee for the series or combination of operations does not exceed $325.45 not being a service associated with a service to which item 30473, 30475, 30476, 30478, 32072, 32075, 32078, 32081, 32084, 32087, 32090 or 32093 applies 51300 01NOV1995 31OCT1996 N NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation for which the fee exceeds $186.50 but does not exceed $331.30 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $186.50 but where the fee for the series or combination of operations does not exceed $331.30 not being a service associated with a service to which item 30473, 30475, 30476, 30478, 32072, 32075, 32078, 32081, 32084, 32087, 32090 or 32093 applies 51300 01NOV1996 30APR1997 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $331.30 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $331.30" 51300 01MAY1997 31OCT1997 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $410.00 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $410.00" 51300 01NOV1997 31OCT1998 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $416.95 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $416.95" 51300 01NOV1998 31OCT1999 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $423.20 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $423.20" 51300 01NOV1999 31OCT2000 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $429.55 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $429.55" 51300 01NOV2000 31OCT2001 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $441.65 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $441.65" 51300 01NOV2001 31OCT2002 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $441.65 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $441.65" 51300 01NOV2002 31OCT2003 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $452.70 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $452.70" 51300 01NOV2003 31OCT2004 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $464.00 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $464.00" 51300 01NOV2004 31OCT2005 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $473.75 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $473.75" 51300 01NOV2005 31OCT2006 N "NOTE: Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist. The amount specified is the amount payable whether the assistance is rendered by one or more than one medical practitioner. Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $483.20 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $483.20" 51300 01NOV2006 31OCT2008 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $493.35 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $493.35" 51300 01NOV2008 31OCT2009 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $515.80 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $515.80" 51300 01NOV2009 31OCT2010 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $527.65 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $527.65" 51300 01NOV2010 31OCT2011 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $537.15 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $537.15" 51300 01NOV2011 31OCT2012 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $547.90 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $547.90" 51300 01NOV2012 30JUN2019 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $558.30 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $558.30" 51300 01JUL2019 30JUN2020 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $567.25 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $567.25" 51300 01JUL2020 30JUN2021 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $575.75 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $575.75" 51300 01JUL2021 30JUN2022 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $580.95 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $580.95" 51300 01JUL2022 30JUN2023 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $590.25 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $590.25" 51300 01JUL2023 31OCT2023 N "Assistance at any operation identified by the word ""Assist."" for which the fee does not exceed $611.50 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $611.50" 51300 01NOV2023 31DEC9999 Y "Assistance at any operation mentioned in an item in Group T8 that includes ""(Assist.)""for which the fee does not exceed $614.55 or at a series or combination of operations mentioned in an item in Group T8 that include ""(Assist.)""for which the aggregate fee does not exceed $614.55" 51303 01DEC1991 31OCT1994 N Assistance at any operation for which the fee exceeds $325.45 or at a combination of operations for which the aggregate fee exceeds $325.45 provided that the fee for at least 1 of the operations exceeds $183.20 51303 01NOV1994 30JUN1995 N Assistance at any operation for which the fee exceeds $325.45 or at a combination of operations for which the aggregate fee exceeds $325.45 provided that the fee for at least 1 of the operations exceeds $183.20 51303 01JUL1995 31OCT1995 N Assistance at any operation for which the fee exceeds $325.45 or at a combination of operations for which the aggregate fee exceeds $325.45 provided that the fee for at least 1 of the operations exceeds $183.20 not being a service associated with a service to which item 30473, 30475, 30476, 30478, 32072, 32075, 32078, 32081, 32084, 32087, 32090 or 32093 applies 51303 01NOV1995 31OCT1996 N Assistance at any operation for which the fee exceeds $331.30 or at a combination of operations for which the aggregate fee exceeds $331.30 provided that the fee for at least 1 of the operations exceeds $186.50 not being a service associated with a service to which item 30473, 30475, 30476, 30478, 32072, 32075, 32078, 32081, 32084, 32087, 32090 or 32093 applies 51303 01NOV1996 30APR1997 N "Assistance at any operation identified by the word ""Assist."" for which the fees exceeds $331.30 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $331.30." 51303 01MAY1997 31OCT1997 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $410.00 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $410.00." 51303 01NOV1997 31OCT1998 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $416.95 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $416.95" 51303 01NOV1998 31OCT1999 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $423.20 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $423.20" 51303 01NOV1999 31OCT2000 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $429.55 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $429.55" 51303 01NOV2000 31OCT2001 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $441.65 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $441.65" 51303 01NOV2001 31OCT2002 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $441.65 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $441.65" 51303 01NOV2002 31OCT2003 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $452.70 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $452.70" 51303 01NOV2003 31OCT2004 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $464.00 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $464.00" 51303 01NOV2004 31OCT2005 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $473.75 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $473.75" 51303 01NOV2005 31OCT2006 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $483.20 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $483.20" 51303 01NOV2006 31OCT2008 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $493.35 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $493.35" 51303 01NOV2008 31OCT2009 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $515.80 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $515.80" 51303 01NOV2009 31OCT2010 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $527.65 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $527.65" 51303 01NOV2010 31OCT2011 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $537.15 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $537.15" 51303 01NOV2011 31OCT2012 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $547.90 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $547.90" 51303 01NOV2012 30JUN2019 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $558.30 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $558.30." 51303 01JUL2019 30JUN2020 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $567.25 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $567.25." 51303 01JUL2020 30JUN2021 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $575.75 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $575.75" 51303 01JUL2021 30JUN2022 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $580.95 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $580.95" 51303 01JUL2022 30JUN2023 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $590.25 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $590.25" 51303 01JUL2023 31OCT2023 N "Assistance at any operation identified by the word ""Assist."" for which the fee exceeds $611.50 or at a series of operations identified by the word ""Assist."" for which the aggregate fee exceeds $611.50" 51303 01NOV2023 31DEC9999 Y "Assistance at any operation mentioned in an item in Group T8 that includes ""(Assist.)""for which the fee exceeds $614.55 or at a series or combination of operations mentioned in an item in Group T8 that include ""(Assist.)""for which the aggregate fee exceeds $614.55" 51306 01DEC1991 31OCT2017 N Assistance at a delivery involving Caesarean section 51306 01NOV2017 31DEC9999 Y Assistance at a birth involving Caesarean section 51309 01DEC1991 31OCT1996 N Assistance at a series or combination of operations, 1 of which is a delivery involving Caesarean section 51309 01NOV1996 31OCT2017 N "Assistance at a series or combination of operations which have been identified by the word ""Assist."" and assistance at a delivery involving Caesarean section" 51309 01NOV2017 31DEC9999 Y "Assistance at a series or combination of operations that include ""(Assist.)""and assistance at a birth involving Caesarean section" 51312 01JUL1995 31OCT1995 N Assistance at any interventional obstetric procedure described in items 16609, 16612, 16615 and 16633 51312 01NOV1995 31OCT2017 N Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615, 16627 and 16633 51312 01NOV2017 31DEC9999 Y Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615 and 16627 51315 01MAY1997 31OCT2012 N Assistance at cataract and intraocular lens surgery covered by item 42698,42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42746, 42749, 42752, 42776 or 42779 51315 01NOV2012 31DEC9999 Y Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42725, 42746, 42749, 42752, 42776 or 42779 51318 01MAY1997 31DEC9999 Y Assistance at cataract and intraocular lens surgery where patient has: total loss of vision, including no potential for central vision, in the fellow eye; or previous significant surgical complication in the fellow eye; or pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre-existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan's syndrome, homocysteinuria or previous blunt trauma causing intraocular damage 51700 01DEC1991 31OCT1999 N PROFESSIONAL ATTENDANCE (other than a second or subsequent attendance in a single course of treatment) BY AN APPROVED DENTAL PRACTITIONER where the patient is referred to the approved dental practitioner - an attendance related to a subsequent operative procedure described in an item in Groups O3 to O9 where that attendance is at consulting rooms, hospital or nursing home (The referral must be from a registered dental practitioner or a medical practitioner) 51700 01NOV1999 31OCT2000 N APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR NURSING HOME (Professional attendance at consulting rooms, hospital or nursing home by an approved dental practitioner in the practice of oral and maxillofacial surgery where the patient is referred to him or her) (The referral must be from a registered dental practitioner or a medical practitioner) - INITIAL attendance in a single course of treatment 51700 01NOV2000 31OCT2007 N APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY (Professional attendance at consulting rooms, hospital or residential aged care facility by an approved dental practitioner in the practice of oral and maxillofacial surgery where the patient is referred to him or her) (The referral must be from a registered dental practitioner or a medical practitioner) - INITIAL attendance in a single course of treatment 51700 01NOV2007 31DEC9999 Y APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner, at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her 51703 01DEC1991 31OCT1999 N PROFESSIONAL ATTENDANCE BY AN APPROVED DENTAL PRACTITIONER where the patient is referred to the approved dental practitioner - each attendance related to an operative procedure described in an item in Groups O3 to O9 subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home (The referral must be from a registered dental practitioner or a medical practitioner) 51703 01NOV1999 31OCT2007 N - Each attendance SUBSEQUENT to the first in a single course of treatment 51703 01NOV2007 31DEC9999 Y Professional attendance by an approved dental practitioner, each attendance subsequent to the first in a single course of treatment at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her 51800 01DEC1991 31OCT1994 N ASSISTANCE by an APPROVED DENTAL PRACTITIONER at any operation for which the fee exceeds $183.20 but does not exceed $325.45 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $183.20 but where the fee for the series or combination of operations does not exceed $325.45 51800 01NOV1994 31OCT1995 N ASSISTANCE by an APPROVED DENTAL PRACTITIONER at any operation for which the fee exceeds $183.20 but does not exceed $325.45 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $183.20 but where the fee for the series or combination of operations does not exceed $325.45 51800 01NOV1995 31OCT1996 N ASSISTANCE by an APPROVED DENTAL PRACTITIONER at any operation for which the fee exceeds $186.50 but does not exceed $331.30 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $186.50 but where the fee for the series or combination of operations does not exceed $331.30 51800 01NOV1996 30APR1997 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee does not exceed $331.30 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $331.30" 51800 01MAY1997 31OCT1997 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee does not exceed $410.00 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $410.00" 51800 01NOV1997 31OCT1998 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee does not exceed $416.95 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $416.95" 51800 01NOV1998 31OCT1999 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee does not exceed $423.20 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $423.20" 51800 01NOV1999 31OCT2000 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $429.55 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $429.55" 51800 01NOV2000 31OCT2001 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $441.65 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $441.65" 51800 01NOV2001 31OCT2002 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $441.65 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $441.65" 51800 01NOV2002 31OCT2003 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $452.70 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $452.70" 51800 01NOV2003 31OCT2004 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $464.00 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $464.00" 51800 01NOV2004 31OCT2005 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $473.75 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $473.75" 51800 01NOV2005 31OCT2006 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $483.20 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $483.20" 51800 01NOV2006 31OCT2008 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $493.35 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $493.35" 51800 01NOV2008 31OCT2009 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $515.80 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $515.80" 51800 01NOV2009 31OCT2010 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $527.65 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $527.65" 51800 01NOV2010 31OCT2011 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $537.15 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $537.15" 51800 01NOV2011 31OCT2012 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $547.90 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $547.90" 51800 01NOV2012 30JUN2019 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $558.30 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $558.30" 51800 01JUL2019 30JUN2020 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $567.25 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $567.25" 51800 01JUL2020 30JUN2021 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $575.75 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $575.75" 51800 01JUL2021 30JUN2022 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $580.95 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $580.95" 51800 01JUL2022 30JUN2023 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $590.25 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $590.25" 51800 01JUL2023 31OCT2023 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee does not exceed $611.50 or at a series or combination of operations identified by the word ""Assist."" where the fee for the series or combination of operations identified by the word ""Assist."" does not exceed $611.50" 51800 01NOV2023 31DEC9999 Y "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes ""(Assist.)""for which the fee does not exceed $614.55 or at a series or combination of operations mentioned in an item in Groups O3 to O9 that include ""(Assist.)""for which the aggregate fee does not exceed $614.55" 51803 01DEC1991 31OCT1994 N ASSISTANCE by an APPROVED DENTAL PRACTITIONER at any operation for which the fee exceeds $325.45 or at a combination of operations for which the aggregate fee exceeds $325.45 provided that the fee for at least 1 of the operations exceeds $183.20 51803 01NOV1994 31OCT1995 N ASSISTANCE by an APPROVED DENTAL PRACTITIONER at any operation for which the fee exceeds $325.45 or at a combination of operations for which the aggregate fee exceeds $325.45 provided that the fee for at least 1 of the operations exceeds $183.20 51803 01NOV1995 31OCT1996 N ASSISTANCE by an APPROVED DENTAL PRACTITIONER at any operation for which the fee exceeds $331.30 or at a combination of operations for which the aggregate fee exceeds $331.30 provided that the fee for at least 1 of the operations exceeds $186.50 51803 01NOV1996 30APR1997 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee exceeds $331.30 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $331.30" 51803 01MAY1997 31OCT1997 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee exceeds $410.00 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $410.00" 51803 01NOV1997 31OCT1998 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee exceeds $416.95 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $416.95" 51803 01NOV1998 31OCT1999 N "Assistance by an approved dental practitioner at any operation under an item in groups O3 to O9 identified by the word ""Assist."" for which the fee exceeds $423.20 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $423.20" 51803 01NOV1999 31OCT2000 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $429.55 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $429.55" 51803 01NOV2000 31OCT2001 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $434.70 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $434.70" 51803 01NOV2001 31OCT2002 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $441.65 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $441.65" 51803 01NOV2002 31OCT2003 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $452.70 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $452.70" 51803 01NOV2003 31OCT2004 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $464.00 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $464.00" 51803 01NOV2004 31OCT2005 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $473.75 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $473.75" 51803 01NOV2005 31OCT2006 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $483.20 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $483.20" 51803 01NOV2006 31OCT2008 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $493.35 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $493.35" 51803 01NOV2008 31OCT2009 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $515.80 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $515.80" 51803 01NOV2009 31OCT2010 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $527.65 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $527.65" 51803 01NOV2010 31OCT2011 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $537.15 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $537.15" 51803 01NOV2011 31OCT2012 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $547.90 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $547.90" 51803 01NOV2012 30JUN2019 N "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word ""Assist."" for which the fee exceeds $558.30 or at a series or combination of operations identified by the word ""Assist."" where the aggregate fee exceeds $558.30" 51803 01JUL2019 30JUN2020 N Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes '(Assist.)' for which the fee exceeds $567.25 or at a series or combination of operations specified in items that include '(Assist)' if the aggregate fee exceeds $567.25 51803 01JUL2020 30JUN2021 N Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes '(Assist.)' for which the fee exceeds $575.75 or at a series or combination of operations specified in items that include '(Assist)' if the aggregate fee exceeds $575.75 51803 01JUL2021 30JUN2022 N Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes '(Assist.)' for which the fee exceeds $580.95 or at a series or combination of operations specified in items that include '(Assist)' if the aggregate fee exceeds $580.95 51803 01JUL2022 30JUN2023 N Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes '(Assist.)' for which the fee exceeds $590.25 or at a series or combination of operations specified in items that include '(Assist)' if the aggregate fee exceeds $590.25 51803 01JUL2023 31OCT2023 N Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes '(Assist.)' for which the fee exceeds $611.50 or at a series or combination of operations specified in items that include '(Assist)' if the aggregate fee exceeds $611.50 51803 01NOV2023 31DEC9999 Y "Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes ""(Assist.)""for which the fee exceeds $614.55 or at a series or combination of operations mentioned in an item that include ""(Assist.)""if the aggregate fee exceeds $614.55" 51900 01NOV2000 31OCT2007 N WOUND OF SOFT TISSUE IN THE ORAL AND MAXILLOFACIAL REGION, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed 51900 01NOV2007 31DEC9999 Y WOUND OF SOFT TISSUE, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed 51902 01NOV2000 31OCT2007 N WOUNDS, OF THE ORAL AND MAXILLOFACIAL REGION, DRESSING OF, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in Groups O3 to O9 applies 51902 01NOV2007 31DEC9999 Y WOUNDS, DRESSING OF, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in Groups O3 to O9 applies 51904 01NOV2000 30APR2001 N LIPECTOMY - wedge excision of skin or fat - 1 EXCISION 51904 01MAY2001 31OCT2007 N LIPECTOMY - in the oral and maxillofacial region - wedge excision of skin or fat - 1 EXCISION 51904 01NOV2007 31DEC9999 Y LIPECTOMY - wedge excision of skin or fat - 1 EXCISION 51906 01NOV2000 30APR2001 N LIPECTOMY - in the oral and maxillofacial region - wedge excision of skin or fat - 2 OR MORE EXCISIONS 51906 01MAY2001 31OCT2007 N LIPECTOMY - in the oral and maxillofacial region - wedge excision of skin or fat - 2 OR MORE EXCISIONS 51906 01NOV2007 31DEC9999 Y LIPECTOMY - wedge excision of skin or fat - 2 OR MORE EXCISIONS 52000 01DEC1991 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial 52001 01NOV1992 31DEC9999 Y OPERATIVE PROCEDURE ON TISSUE, ORGAN OR REGION not being a service to which another item in Groups O3 to O9 applies, including any consultation on the same occasion 52003 01DEC1991 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue 52006 01DEC1991 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), superficial 52009 01DEC1991 31DEC9999 Y SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue 52010 01NOV2000 31DEC9999 Y FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue 52012 01DEC1991 30APR2001 N SUPERFICIAL FOREIGN BODY, removal of, as an independent procedure 52012 01MAY2001 31OCT2007 N SUPERFICIAL FOREIGN BODY, in the oral and maxillofacial region, removal of, as an independent procedure 52012 01NOV2007 31DEC9999 Y SUPERFICIAL FOREIGN BODY, removal of, as an independent procedure 52015 01DEC1991 30APR2001 N SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and suture, as an independent procedure 52015 01MAY2001 31OCT2007 N SUBCUTANEOUS FOREIGN BODY, in the oral and maxillofacial region, removal of, requiring incision and suture, as an independent procedure 52015 01NOV2007 31DEC9999 Y SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and suture, as an independent procedure 52018 01DEC1991 30APR2001 N FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure 52018 01MAY2001 31OCT2007 N FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, in the oral and maxillofacial region, removal of, as an independent procedure 52018 01NOV2007 31DEC9999 Y FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure 52021 01DEC1991 31DEC9999 Y ASPIRATION BIOPSY of 1 or MORE JAW CYSTS as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day 52024 01DEC1991 30APR2001 N BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure 52024 01MAY2001 31OCT2007 N BIOPSY OF SKIN OR MUCOUS MEMBRANE, in the oral and maxillofacial region, as an independent procedure 52024 01NOV2007 31DEC9999 Y BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure 52025 01NOV2000 31DEC9999 Y LYMPH NODE OF NECK, biopsy of 52027 01DEC1991 31OCT2000 N BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure 52027 01NOV2000 30APR2001 N BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure and not being a service to which item 52025 applies 52027 01MAY2001 31OCT2007 N BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, in the oral and maxillofacial region, as an independent procedure and not being a service to which item 52025 applies 52027 01NOV2007 31OCT2019 N BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure and not being a service to which item 52025 applies 52027 01NOV2019 31DEC9999 Y BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure and not being a service to which item 52025 applies 52030 01DEC1991 30APR2001 N SINUS, excision of, involving superficial tissue only 52030 01MAY2001 31OCT2007 N SINUS, in the oral and maxillofacial region, excision of, involving superficial tissue only 52030 01NOV2007 31DEC9999 Y SINUS, excision of, involving superficial tissue only 52031 01NOV2000 31DEC9999 Y PRE-AURICULAR SINUS, excision of 52033 01DEC1991 30APR2001 N SINUS, excision of, involving muscle and deep tissue 52033 01MAY2001 31OCT2007 N SINUS, in the oral and maxillofacial region, excision of, involving muscle and deep tissue 52033 01NOV2007 31DEC9999 Y SINUS, excision of, involving muscle and deep tissue 52034 01MAY1997 31OCT2000 N PREMALIGNANT LESIONS of the oral mucous, treatment by liquid nitrogen cryotherapy 52034 01NOV2000 31DEC9999 Y PREMALIGNANT LESIONS of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser 52035 01NOV2000 30APR2001 N ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions or strictures of the upper aerodigestive tract 52035 01MAY2001 31OCT2001 N ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions or strictures of the upper aerodigestive tract in the practice of oral and maxillofacial surgery 52035 01NOV2001 31DEC9999 Y ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions of the oral cavity 52036 01DEC1991 30APR2001 N TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies 52036 01MAY2001 31OCT2007 N TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation),in the oral and maxillofacial region, up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies 52036 01NOV2007 31DEC9999 Y TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies 52039 01DEC1991 30APR2001 N TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions 52039 01MAY2001 31OCT2007 N TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions 52039 01NOV2007 31DEC9999 Y TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions 52042 01DEC1991 30APR2001 N TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane 52042 01MAY2001 31OCT2007 N TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane 52042 01NOV2007 31DEC9999 Y TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane 52045 01DEC1991 31OCT1992 N TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in Groups O3 to O9, involving muscle, bone, or other deep tissue 52045 01NOV1992 30APR2001 N TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue 52045 01MAY2001 31OCT2007 N TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue 52045 01NOV2007 31DEC9999 Y TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue 52048 01DEC1991 31OCT1992 N TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in Groups O3 to O9 52048 01NOV1992 30APR2001 N TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not being a service to which another item in Groups O3 to O9 applies 52048 01MAY2001 31OCT2007 N TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, not being a service to which another item in Groups O3 to O9 applies 52048 01NOV2007 31DEC9999 Y TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not being a service to which another item in Groups O3 to O9 applies 52051 01DEC1991 30APR2001 N TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft 52051 01MAY2001 31OCT2007 N TUMOUR, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft 52051 01NOV2007 31DEC9999 Y TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft 52054 01DEC1991 30APR2001 N TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft 52054 01MAY2001 31OCT2007 N TUMOUR, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft 52054 01NOV2007 31DEC9999 Y TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft 52055 01NOV1992 31OCT2000 N HAEMATOMA, SMALL ABSCESS OR CELLULITIS IN THE ORAL AND MAXILLOFACIAL REGION, not requiring admission to a hospital or day-hospital facility, INCISION WITH DRAINAGE OF (excluding after care) 52055 01NOV2000 31OCT2007 N HAEMATOMA, SMALL ABSCESS OR CELLULITIS IN THE ORAL AND MAXILLOFACIAL REGION, not requiring admission to a hospital or day-hospital facility, INCISION WITH DRAINAGE OF (excluding after care) 52055 01NOV2007 31DEC9999 Y HAEMATOMA, SMALL ABSCESS OR CELLULITIS, not requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding after care) 52056 01NOV2000 31OCT2007 N HAEMATOMA IN THE ORAL AND MAXILLOFACIAL REGION, aspiration of 52056 01NOV2007 31DEC9999 Y HAEMATOMA, aspiration of 52057 01DEC1991 31OCT2000 N LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, INCISION WITH DRAINAGE OF (excluding aftercare), where undertaken in the operating theatre of a hospital or approved day-hospital facility 52057 01NOV2000 31OCT2007 N LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion IN THE ORAL AND MAXILLOFACIAL REGION, requiring admission to a hospital or day-hospital facility, INCISION WITH DRAINAGE OF (excluding aftercare) 52057 01NOV2007 31DEC9999 Y LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding aftercare) 52058 01NOV2000 31OCT2007 N PERCUTANEOUS DRAINAGE OF DEEP ABSCESS IN THE ORAL AND MAXILLOFACIAL REGION, using interventional imaging techniques - but not including imaging 52058 01NOV2007 31DEC9999 Y PERCUTANEOUS DRAINAGE OF DEEP ABSCESS, using interventional imaging techniques - but not including imaging 52059 01NOV2000 31OCT2007 N ABSCESS IN THE ORAL AND MAXILLOFACIAL REGION DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging 52059 01NOV2007 31DEC9999 Y ABSCESS, DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging 52060 01DEC1991 31OCT2000 N MUSCLE, excision of 52060 01NOV2000 31OCT2007 N MUSCLE IN THE ORAL AND MAXILLOFACIAL REGION, excision of 52060 01NOV2007 31DEC9999 Y MUSCLE, excision of 52061 01NOV2000 31OCT2007 N MUSCLE, IN THE ORAL AND MAXILLOFACIAL REGION, RUPTURED, repair of (limited), not associated with external wound 52061 01NOV2007 31DEC9999 Y MUSCLE, RUPTURED, repair of (limited), not associated with external wound 52062 01NOV2000 31OCT2007 N MUSCLE, IN THE ORAL AND MAXILLOFACIAL REGION, RUPTURED, repair of (extensive), not associated with external wound 52062 01NOV2007 31DEC9999 Y MUSCLE, RUPTURED, repair of (extensive), not associated with external wound 52063 01DEC1991 31OCT2000 N BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in Groups O3 to O9 applies 52063 01NOV2000 31OCT2007 N BONE TUMOUR IN THE ORAL AND MAXILLOFACIAL REGION, INNOCENT, excision of, not being a service to which another item in Groups O3 to O9 applies 52063 01NOV2007 31DEC9999 Y BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in Groups O3 to O9 applies 52064 01NOV2000 31OCT2007 N BONE CYST IN THE ORAL AND MAXILLOFACIAL REGION, injection into or aspiration of 52064 01NOV2007 31DEC9999 Y BONE CYST, injection into or aspiration of 52066 01DEC1991 31DEC9999 Y SUBMANDIBULAR GLAND, extirpation of 52069 01DEC1991 31DEC9999 Y SUBLINGUAL GLAND, extirpation of 52072 01DEC1991 31DEC9999 Y SALIVARY GLAND, DILATATION OR DIATHERMY of duct 52073 01NOV2000 31DEC9999 Y SALIVARY GLAND, repair of CUTANEOUS FISTULA OF 52075 01DEC1991 31DEC9999 Y SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures 52078 01DEC1991 31DEC9999 Y TONGUE, partial excision of 52081 01DEC1991 31DEC9999 Y TONGUE TIE, division or excision of frenulum 52084 01DEC1991 30JUN2021 N TONGUE TIE, MANDIBULAR FRENULUM OR MAXILLARY FRENULUM, division or excision of frenulum, in a person aged not less than 2 years 52084 01JUL2021 31DEC9999 Y TONGUE TIE, MANDIBULAR FRENULUM OR MAXILLARY FRENULUM, division or excision of frenulum, in a patient aged not less than 2 years 52087 01DEC1991 31DEC9999 Y RANULA OR MUCOUS CYST OF MOUTH, removal of 52090 01DEC1991 31OCT1992 N OPERATION (FOR ACUTE OSTEOMYLITIS) ON MANDIBLE OR MAXILLA (other than alveolar margins) ONE BONE 52090 01NOV1992 31OCT2000 N OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for osteomyelitis - 1 bone 52090 01NOV2000 31DEC9999 Y OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for chronic osteomyelitis - 1 bone or in combination with adjoining bones 52092 01NOV1992 31DEC9999 Y OPERATION on SKULL for OSTEOMYELITIS 52093 01DEC1991 31DEC9999 Y OPERATION (FOR CHRONIC OSTEOMYELITIS) ON MANDIBLE OR MAXILLA OR MANDIBLE AND MAXILLA (other than alveolar margins) 52094 01NOV2000 31OCT2007 N OPERATION ON ANY COMBINATION OF ADJOINING BONES IN THE ORAL AND MAXILLOFACIAL REGION, being bones referred to in item 52092 52094 01NOV2007 31DEC9999 Y OPERATION ON ANY COMBINATION OF ADJOINING BONES, being bones referred to in item 52092 52095 01NOV2000 31OCT2007 N BONE GROWTH STIMULATOR IN THE ORAL AND MAXILLOFACIAL REGION, insertion of 52095 01NOV2007 31DEC9999 Y BONE GROWTH STIMULATOR, insertion of 52096 01DEC1991 31DEC9999 Y ORTHOPAEDIC PIN OR WIRE, insertion of, into maxilla or mandible or zygoma, as an independent procedure 52097 01NOV2000 31OCT2007 N EXTERNAL FIXATION IN THE ORAL AND MAXILLOFACIAL REGION, removal of, in the operating theatre of a hospital or approved day-hospital facility 52097 01NOV2007 31DEC9999 Y EXTERNAL FIXATION, removal of, in the operating theatre of a hospital 52098 01NOV2000 31OCT2007 N EXTERNAL FIXATION IN THE ORAL AND MAXILLOFACIAL REGION, removal of, in conjunction with operations involving internal fixation or bone grafting or both 52098 01NOV2007 31DEC9999 Y EXTERNAL FIXATION, removal of, in conjunction with operations involving internal fixation or bone grafting or both 52099 01DEC1991 31DEC9999 Y BURIED WIRE, PIN or SCREW, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52102 or 52105 applies 52102 01DEC1991 31OCT2007 N BURIED WIRE, PIN or SCREW, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, where undertaken in the operating theatre of a hospital or approved day-hospital facility, per bone 52102 01NOV2007 31DEC9999 Y BURIED WIRE, PIN or SCREW, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, where undertaken in the operating theatre of a hospital, per bone 52105 01DEC1991 31DEC9999 Y PLATE, 1 or more of, and associated screw and wire which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52099 or 52102 applies 52106 01MAY1997 31OCT2007 N ARCH BARS, 1 or more, which were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia where undertaken in the operating theatre of a hospital or approved day-hospital facility 52106 01NOV2007 31DEC9999 Y ARCH BARS, 1 or more, which were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia where undertaken in the operating theatre of a hospital 52108 01DEC1991 31DEC9999 Y LIP, full thickness wedge excision of, with repair by direct sutures 52111 01DEC1991 31DEC9999 Y VERMILIONECTOMY 52114 01DEC1991 31DEC9999 Y MANDIBLE or MAXILLA, segmental resection of, for tumours or cysts 52117 01DEC1991 31DEC9999 Y MANDIBLE, including lower border, or MAXILLA, sub-total resection of 52120 01DEC1991 31DEC9999 Y MANDIBLE, hemimandiblectomy of, including condylectomy where performed 52122 01NOV1992 30APR1997 N MANDIBLE, HEMI-MANDIBULAR RECONSTRUCTION with BONE GRAFT, not being a service associated with a service to which item 52123 applies 52122 01MAY1997 31DEC9999 Y MANDIBLE, hemi-mandibular reconstruction of, OR MAXILLA, reconstruction of, with BONE GRAFT, PLATE, TRAY OR ALLOPLAST, not being a service associated with a service to which item 52123 applies 52123 01DEC1991 31DEC9999 Y MANDIBLE, total resection of both sides, including condylectomies where performed 52126 01DEC1991 31DEC9999 Y MAXILLA, total resection of 52129 01DEC1991 31DEC9999 Y MAXILLA, total resection of both maxillae 52130 01NOV2000 31OCT2007 N BONE GRAFT IN THE ORAL AND MAXILLOFACIAL REGION, not being a service to which another item in Groups O3 to O9 applies 52130 01NOV2007 31DEC9999 Y BONE GRAFT, not being a service to which another item in Groups O3 to O9 applies 52131 01NOV2000 31OCT2007 N BONE GRAFT WITH INTERNAL FIXATION, IN THE ORAL AND MAXILLOFACIAL REGION, not being a service to which another item in Groups O3 to O9 applies 52131 01NOV2007 31OCT2008 N BONE GRAFT WITH INTERNAL FIXATION, not being a service to which an item in the range 51900 to 53070 or the range 53203 to 53460 applies 52131 01NOV2008 31DEC9999 Y BONE GRAFT WITH INTERNAL FIXATION, not being a service to which an item in the range (a) 51900 to 52186; or (b) 52303 to 53460 applies 52132 01DEC1991 31DEC9999 Y TRACHEOSTOMY 52133 01NOV2000 31DEC9999 Y CRICOTHYROSTOMY by direct stab or Seldinger technique, using Minitrach or similar device 52135 01DEC1991 31OCT2007 N POST-OPERATIVE or POST-NASAL HAEMORRHAGE, or both, control of, where undertaken in the operating theatre of a hospital or approved day-hospital facility 52135 01NOV2007 31DEC9999 Y POST-OPERATIVE or POST-NASAL HAEMORRHAGE, or both, control of, where undertaken in the operating theatre of a hospital 52136 01NOV2000 30APR2001 N ARTERIAL OR VENOUS ANASTOMOSIS, as an independent procedure 52136 01MAY2001 31DEC9999 Y ARTERIAL OR VENOUS ANASTOMOSIS, as an independent procedure in the practice of oral and maxillofacial surgery 52137 01NOV2000 30APR2001 N ARTERIAL OR VENOUS ANASTOMOSIS not being a service to which another item applies, when performed in combination with another vascular operation (including graft to graft anastomosis) 52137 01MAY2001 31DEC9999 Y ARTERIAL OR VENOUS ANASTOMOSIS not being a service to which another item applies, when performed in combination with another vascular operation (including graft to graft anastomosis) in the practice of oral and maxillofacial surgery 52138 01DEC1991 31DEC9999 Y MAXILLARY ARTERY, ligation of 52141 01DEC1991 31DEC9999 Y FACIAL, MANDIBULAR or LINGUAL ARTERY or VEIN or ARTERY and VEIN, ligation of, not being a service to which item 52138 applies 52144 01DEC1991 30APR2001 N FOREIGN BODY, deep, removal of using interventional imaging techniques 52144 01MAY2001 31OCT2007 N FOREIGN BODY, in the oral and maxillofacial region, deep, removal of using interventional imaging techniques 52144 01NOV2007 31DEC9999 Y FOREIGN BODY, deep, removal of using interventional imaging techniques 52147 01DEC1991 31DEC9999 Y DUCT OF MAJOR SALIVARY GLAND, transposition of 52148 01NOV1992 31DEC9999 Y PAROTID DUCT, repair of, using micro-surgical techniques 52150 01NOV2000 31DEC9999 Y PAROTID GLAND, total extirpation of 52152 01NOV2000 31DEC9999 Y PAROTID GLAND, total extirpation of, with preservation of facial nerve 52154 01NOV2000 31DEC9999 Y RECURRENT PAROTID TUMOUR, excision of, with preservation of facial nerve 52156 01NOV2000 31DEC9999 Y PAROTID GLAND, SUPERFICIAL LOBECTOMY OF, with exposure of facial nerve 52158 01NOV2000 31DEC9999 Y SUBMANDIBULAR DUCTS, relocation of, for surgical control of drooling 52160 01NOV2000 31DEC9999 Y RADICAL EXCISION OF INTRA-ORAL TUMOUR INVOLVING RESECTION OF MANDIBLE AND LYMPH GLANDS OF NECK (commando-type operation) 52166 01NOV2000 31DEC9999 Y LYMPH NODES OF NECK, selective dissection of 1 or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck 52168 01NOV2000 31DEC9999 Y LYMPH NODES OF NECK, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck 52170 01NOV2000 31DEC9999 Y LYMPH NODES OF NECK, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve 52172 01NOV2000 31DEC9999 Y LYMPH NODES OF NECK, bilateral dissection of levels I, II and III (bilateral supraomohyoid dissections) 52174 01NOV2000 31DEC9999 Y LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph node levels on one side of the neck 52176 01NOV2000 31DEC9999 Y LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve 52180 01NOV2000 31OCT2007 N MALIGNANT DISEASE AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR IN THE ORAL AND MAXILLOFACIAL REGION, biopsy of (not including aftercare) 52180 01NOV2007 31DEC9999 Y MALIGNANT DISEASE AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR, biopsy of (not including aftercare) 52182 01NOV2000 31OCT2007 N BONE OR MALIGNANT DEEP SOFT TISSUE TUMOUR IN THE ORAL AND MAXILLOFACIAL REGION, lesional or marginal excision of 52182 01NOV2007 31DEC9999 Y BONE OR MALIGNANT DEEP SOFT TISSUE TUMOUR, lesional or marginal excision of 52184 01NOV2000 31OCT2007 N BONE TUMOUR IN THE ORAL AND MAXILLOFACIAL REGION, lesional or marginal excision of, combined with any 1 of: liquid nitrogen freezing, autograft, allograft or cementation 52184 01NOV2007 31DEC9999 Y BONE TUMOUR, lesional or marginal excision of, combined with any 1 of: liquid nitrogen freezing, autograft, allograft or cementation 52186 01NOV2000 31OCT2007 N BONE TUMOUR IN THE ORAL AND MAXILLOFACIAL REGION, lesional or marginal excision of, combined with any 2 or more of: liquid nitrogen freezing, autograft, allograft or cementation 52186 01NOV2007 31DEC9999 Y BONE TUMOUR, lesional or marginal excision of, combined with any 2 or more of: liquid nitrogen freezing, autograft, allograft or cementation 52300 01DEC1991 30APR2001 N SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, with skin or mucosa 52300 01MAY2001 31OCT2007 N SINGLE-STAGE LOCAL FLAP, in the oral and maxillofacial region, where indicated, repair to 1 defect, with skin or mucosa 52300 01NOV2007 31DEC9999 Y SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, with skin or mucosa 52303 01DEC1991 30APR2001 N SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, with buccal pad of fat 52303 01MAY2001 31OCT2007 N SINGLE-STAGE LOCAL FLAP, in the oral and maxillofacial region, where indicated, repair to 1 defect, with buccal pad of fat 52303 01NOV2007 31DEC9999 Y SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, with buccal pad of fat 52306 01DEC1991 30APR2001 N SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, using temporalis muscle 52306 01MAY2001 31OCT2007 N SINGLE-STAGE LOCAL FLAP, in the oral and maxillofacial region, where indicated, repair to 1 defect, using temporalis muscle 52306 01NOV2007 31DEC9999 Y SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, using temporalis muscle 52309 01DEC1991 30APR2001 N FREE GRAFTING (mucosa or split skin) of a granulating area 52309 01MAY2001 31OCT2007 N FREE GRAFTING (mucosa or split skin) of a granulating area in the oral and maxillofacial region, 52309 01NOV2007 31DEC9999 Y FREE GRAFTING (mucosa or split skin) of a granulating area 52312 01DEC1991 31OCT1995 N FREE GRAFTING (mucosa or split skin) to 1 defect, including elective dissection 52312 01NOV1995 30APR2001 N FREE GRAFTING (mucosa, split skin or connective tissue) to 1 defect including elective dissection 52312 01MAY2001 31OCT2007 N FREE GRAFTING (mucosa, split skin or connective tissue) to 1 defect in the oral and maxillofacial region, including elective dissection 52312 01NOV2007 31DEC9999 Y FREE GRAFTING (mucosa, split skin or connective tissue) to 1 defect, including elective dissection 52315 01DEC1991 30APR2001 N FREE GRAFTING, FULL THICKNESS, to 1 defect (mucosa or skin) 52315 01MAY2001 31OCT2007 N FREE GRAFTING, FULL THICKNESS, to 1 defect (mucosa or skin) in the oral and maxillofacial region 52315 01NOV2007 31DEC9999 Y FREE GRAFTING, FULL THICKNESS, to 1 defect (mucosa or skin) 52318 01DEC1991 31MAR1992 N HARVESTING OF BONE GRAFT via separate incision, associated with any other item in Groups O3 to O9 - autogenous 52318 01APR1992 31DEC9999 Y BONE GRAFT, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies - Autogenous - small quantity 52319 01APR1992 31DEC9999 Y BONE GRAFT, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies - Autogenous - large quantity 52320 01NOV2000 31DEC9999 Y VASCULARISED PEDICLE BONE GRAFT TO BE USED IN THE ORAL AND MAXILLOFACIAL REGION, harvesting of, in conjunction with another service 52321 01DEC1991 30APR2001 N FOREIGN IMPLANT (NON-BIOLOGICAL), insertion of, for CONTOUR RECONSTRUCTION of pathological deformity, not being a service associated with a service to which item 52624 applies 52321 01MAY2001 31OCT2007 N FOREIGN IMPLANT (NON-BIOLOGICAL), insertion of in the oral and maxillofacial region, for CONTOUR RECONSTRUCTION of pathological deformity, not being a service associated with a service to which item 52624 applies 52321 01NOV2007 31DEC9999 Y FOREIGN IMPLANT (NON-BIOLOGICAL), insertion of, for CONTOUR RECONSTRUCTION of pathological deformity, not being a service associated with a service to which item 52624 applies 52324 01DEC1991 31DEC9999 Y DIRECT FLAP REPAIR, using tongue, first stage 52327 01DEC1991 31DEC9999 Y DIRECT FLAP REPAIR, using tongue, second stage 52330 01DEC1991 31DEC9999 Y PALATAL DEFECT (oro-nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies 52333 01DEC1991 31DEC9999 Y CLEFT PALATE, primary repair 52336 01DEC1991 31DEC9999 Y CLEFT PALATE, secondary repair, closure of fistula using local flaps 52337 01MAY1997 31DEC9999 Y ALVEOLAR CLEFT (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation 52339 01DEC1991 31DEC9999 Y CLEFT PALATE, secondary repair, lengthening procedure 52342 01DEC1991 31DEC9999 Y MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site 52345 01DEC1991 31OCT2000 N MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52345 01NOV2000 31DEC9999 Y MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 52348 01DEC1991 31DEC9999 Y MANDIBLE or MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site 52351 01DEC1991 31OCT2000 N MANDIBLE or MAXILLA, bilateral osteotomy of osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52351 01NOV2000 31DEC9999 Y MANDIBLE or MAXILLA, bilateral osteotomy of osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 52354 01DEC1991 31DEC9999 Y MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site 52357 01DEC1991 31OCT2000 N MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52357 01NOV2000 31DEC9999 Y MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 52360 01DEC1991 30JUN1998 N MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site 52360 01JUL1998 31DEC9999 Y MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site 52363 01DEC1991 30JUN1998 N MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52363 01JUL1998 31OCT2000 N MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52363 01NOV2000 31DEC9999 Y MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 52366 01DEC1991 30JUN1998 N MANDIBLE or MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site 52366 01JUL1998 31DEC9999 Y MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site 52369 01DEC1991 30JUN1998 N MANDIBLE or MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52369 01JUL1998 31OCT2000 N MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52369 01NOV2000 31DEC9999 Y MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 52372 01DEC1991 30JUN1998 N MANDIBLE or MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site 52372 01JUL1998 31DEC9999 Y MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site 52375 01DEC1991 30JUN1998 N MANDIBLE or MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52375 01JUL1998 31OCT2000 N MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52375 01NOV2000 31DEC2014 N MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 52375 01JAN2015 31DEC9999 Y MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) 52378 01DEC1991 31DEC9999 Y GENIOPLASTY including transposition of nerves and vessels and bone grafts taken from the same site 52379 01NOV1992 31DEC9999 Y FACE, contour reconstruction of 1 region, using autogenous bone or cartilage graft 52380 01NOV1992 31DEC9999 Y MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site 52382 01NOV1992 31OCT2000 N MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both 52382 01NOV2000 31DEC9999 Y MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination 52420 01NOV1992 31DEC9999 Y MANDIBLE, fixation by intermaxillary wiring, excluding wiring for obesity 52424 01NOV2000 31OCT2007 N DERMIS, DERMOFAT OR FASCIA GRAFT (excluding transfer of fat by injection) IN THE ORAL AND MAXILLOFACIAL REGION 52424 01NOV2007 31DEC9999 Y DERMIS, DERMOFAT OR FASCIA GRAFT (excluding transfer of fat by injection) 52430 01NOV2000 31OCT2007 N MICROVASCULAR REPAIR OF THE ORAL AND MAXILLOFACIAL REGION using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit 52430 01NOV2007 31DEC9999 Y MICROVASCULAR REPAIR OF, using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit 52432 01NOV2000 31DEC9999 Y MICROVASCULAR ANASTOMOSIS of artery or vein IN THE ORAL AND MAXILLOFACIAL REGION using microsurgical techniques, for free transfer of tissue including setting in of free flap 52434 01NOV2000 31DEC9999 Y MICRO-ARTERIAL OR MICRO-VENOUS GRAFT IN THE ORAL AND MAXILLOFACIAL REGION using microsurgical techniques 52440 01NOV2000 31DEC9999 Y CLEFT LIP, unilateral - primary repair, 1 stage, without anterior palate repair 52442 01NOV2000 31DEC9999 Y CLEFT LIP, unilateral - primary repair, 1 stage, with anterior palate repair 52444 01NOV2000 31DEC9999 Y CLEFT LIP, bilateral - primary repair, 1 stage, without anterior palate repair 52446 01NOV2000 31DEC9999 Y CLEFT LIP, bilateral - primary repair, 1 stage, with anterior palate repair 52448 01NOV2000 31DEC9999 Y CLEFT LIP, lip adhesion procedure, unilateral or bilateral 52450 01NOV2000 31DEC9999 Y CLEFT LIP, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed 52452 01NOV2000 31DEC9999 Y CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity 52454 01NOV2000 31DEC9999 Y CLEFT LIP, primary columella lengthening procedure, bilateral 52456 01NOV2000 31DEC9999 Y CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage 52458 01NOV2000 31DEC9999 Y CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), second stage 52460 01NOV2000 31DEC9999 Y VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for 52470 01NOV2000 31DEC9999 Y FACIAL NERVE PALSY, excision of tissue for 52476 01NOV2000 31DEC9999 Y EYELID closure in facial nerve paralysis, insertion of foreign implant for 52478 01NOV2000 31DEC9999 Y EYELID, WHOLE THICKNESS RECONSTRUCTION OF other than by direct suture only 52480 01NOV2000 31DEC9999 Y COMPOSITE GRAFT (Chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid 52482 01NOV2000 31DEC9999 Y MACROCHEILIA or macroglossia, operation for 52484 01NOV2000 31DEC9999 Y MACROSTOMIA, operation for 52600 01DEC1991 31DEC9999 Y MANDIBULAR OR PALATAL EXOSTOSIS, excision of 52603 01DEC1991 31DEC9999 Y MYLOHYOID RIDGE, reduction of 52606 01DEC1991 31DEC9999 Y MAXILLARY TUBEROSITY, reduction of 52609 01DEC1991 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of - less than 5 lesions 52612 01DEC1991 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of - 5 to 20 lesions 52615 01DEC1991 31DEC9999 Y PAPILLARY HYPERPLASIA OF THE PALATE, removal of - more than 20 lesions 52618 01DEC1991 31DEC9999 Y VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral 52621 01DEC1991 31DEC9999 Y FLOOR OF MOUTH LOWERING (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed - unilateral 52624 01DEC1991 31DEC9999 Y ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral 52626 01NOV1992 31DEC9999 Y ALVEOLAR RIDGE AUGMENTATION - unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for 52627 01DEC1991 30APR2001 N OSSEO-INTEGRATION PROCEDURE - extra oral implantation of titanium fixture 52627 01MAY2001 31DEC9999 Y OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, extra oral implantation of titanium fixture 52630 01DEC1991 30APR2001 N OSSEO-INTEGRATION PROCEDURE - fixation of transcutaneous abutment 52630 01MAY2001 31DEC9999 Y OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, fixation of transcutaneous abutment 52633 01MAY1997 31DEC9999 Y OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours 52636 01MAY1997 31DEC9999 Y OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours 52800 01DEC1991 30APR2001 N NEUROLYSIS BY OPEN OPERATION, without transposition, not being a service associated with a service to which item 52803 applies 52800 01MAY2001 31OCT2007 N NEUROLYSIS BY OPEN OPERATION, in the oral and maxillofacial region, without transposition, not being a service associated with a service to which item 52803 applies 52800 01NOV2007 31DEC9999 Y NEUROLYSIS BY OPEN OPERATION, without transposition, not being a service associated with a service to which item 52803 applies 52803 01DEC1991 30APR2001 N NERVE TRUNK, internal (interfascicular), NEUROLYSIS of, using microsurgical techniques 52803 01MAY2001 31OCT2007 N NERVE TRUNK, internal (interfascicular), in the oral and maxillofacial region, NEUROLYSIS of, using microsurgical techniques 52803 01NOV2007 31DEC9999 Y NERVE TRUNK, internal (interfascicular), NEUROLYSIS of, using microsurgical techniques 52806 01DEC1991 30APR2001 N NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from superficial peripheral nerve 52806 01MAY2001 31OCT2007 N NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from superficial peripheral nerve in the oral and maxillofacial region 52806 01NOV2007 31DEC9999 Y NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from superficial peripheral nerve 52809 01DEC1991 30APR2001 N NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from deep peripheral nerve 52809 01MAY2001 31OCT2007 N NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from deep peripheral nerve in the oral and maxillofacial region 52809 01NOV2007 31DEC9999 Y NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from deep peripheral nerve 52812 01DEC1991 30APR2001 N NERVE TRUNK, PRIMARY repair of, using microsurgical techniques 52812 01MAY2001 31OCT2007 N NERVE TRUNK, in the oral and maxillofacial region, PRIMARY repair of, using microsurgical techniques 52812 01NOV2007 31DEC9999 Y NERVE TRUNK, PRIMARY repair of, using microsurgical techniques 52815 01DEC1991 30APR2001 N NERVE TRUNK, SECONDARY repair of, using microsurgical techniques 52815 01MAY2001 31OCT2007 N NERVE TRUNK, in the oral and maxillofacial region, SECONDARY repair of, using microsurgical techniques 52815 01NOV2007 31DEC9999 Y NERVE TRUNK, SECONDARY repair of, using microsurgical techniques 52818 01DEC1991 30APR2001 N NERVE, TRANSPOSITION OF 52818 01MAY2001 31OCT2007 N NERVE, in the oral and maxillofacial region, TRANSPOSITION OF 52818 01NOV2007 31DEC9999 Y NERVE, TRANSPOSITION OF 52821 01DEC1991 30APR2001 N NERVE GRAFT TO NERVE TRUNK (cable graft) including harvesting of nerve graft using microsurgical techniques 52821 01MAY2001 31OCT2007 N NERVE GRAFT TO NERVE TRUNK in the oral and maxillofacial region (cable graft) including harvesting of nerve graft using microsurgical techniques 52821 01NOV2007 31DEC9999 Y NERVE GRAFT TO NERVE TRUNK, (cable graft) including harvesting of nerve graft using microsurgical techniques 52824 01DEC1991 31DEC9999 Y PERIPHERAL BRANCHES OF THE TRIGEMINAL NERVE, cryosurgery of, for pain relief 52826 01NOV2000 31DEC9999 Y INJECTION OF PRIMARY BRANCH OF TRIGEMINAL NERVE with alcohol, cortisone, phenol, or similar substance 52828 01NOV2000 30APR2001 N CUTANEOUS NERVE, primary repair of, using microsurgical techniques 52828 01MAY2001 31OCT2007 N CUTANEOUS NERVE, in the oral and maxillofacial region, primary repair of, using microsurgical techniques 52828 01NOV2007 31DEC9999 Y CUTANEOUS NERVE, primary repair of, using microsurgical techniques 52830 01NOV2000 30APR2001 N CUTANEOUS NERVE, secondary repair of, using microsurgical techniques 52830 01MAY2001 31OCT2007 N CUTANEOUS NERVE, in the oral and maxillofacial region, secondary repair of, using microsurgical techniques 52830 01NOV2007 31DEC9999 Y CUTANEOUS NERVE, secondary repair of, using microsurgical techniques 52832 01NOV2000 30APR2001 N CUTANEOUS NERVE, nerve graft to, using microsurgical techniques 52832 01MAY2001 31OCT2007 N CUTANEOUS NERVE, in the oral and maxillofacial region, nerve graft to, using microsurgical techniques 52832 01NOV2007 31DEC9999 Y CUTANEOUS NERVE, nerve graft to, using microsurgical techniques 53000 01DEC1991 31DEC9999 Y MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF 53003 01DEC1991 31OCT2000 N MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF, where undertaken in the operating theatre of a hospital or approved day-hospital facility - not being a service associated with a service to which another item in Groups O3 to O9 applies 53003 01NOV2000 31DEC9999 Y MAXILLARY ANTRUM, proof puncture and lavage of, under general anaesthesia (requiring admission to hospital) not being a service associated with a service to which another item in Groups O3 to O9 applies 53004 01NOV2000 31DEC9999 Y MAXILLARY ANTRUM, LAVAGE OF - each attendance at which the procedure is performed, including any associated consultation 53006 01DEC1991 31DEC9999 Y ANTROSTOMY (RADICAL) 53007 01NOV2000 31DEC9999 Y ANTROSTOMY (RADICAL) with transantral ethmoidectomy or transantral vidian neurectomy 53009 01DEC1991 31DEC9999 Y ANTRUM, intranasal operation on, or removal of foreign body from 53012 01DEC1991 31DEC9999 Y ANTRUM, drainage of, through tooth socket 53015 01DEC1991 31DEC9999 Y ORO-ANTRAL FISTULA, plastic closure of 53016 01MAY1997 31DEC9999 Y NASAL SEPTUM, septoplasty, submucous resection or closure of septal perforation 53017 01NOV2000 31DEC9999 Y NASAL SEPTUM, reconstruction of 53018 01DEC1991 31DEC9999 Y TURBINECTOMY or TURBINECTOMIES, partial or total, unilateral 53019 01NOV1992 31DEC9999 Y MAXILLARY SINUS, BONE GRAFT to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) 53050 01NOV2000 31DEC9999 Y LATERAL RHINOTOMY with removal of tumour 53052 01NOV2000 31DEC9999 Y POST-NASAL SPACE, direct examination of, with or without biopsy 53054 01NOV2000 31OCT2001 N NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX and LARYNX, one or more of these procedures 53054 01NOV2001 31DEC9999 Y NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX one or more of these procedures 53056 01NOV2000 31DEC9999 Y EXAMINATION OF NASAL CAVITY or POST-NASAL SPACE, or NASAL CAVITY AND POST-NASAL SPACE, UNDER GENERAL ANAESTHESIA, not being a service associated with a service to which another item in this Group applies 53058 01NOV2000 31DEC9999 Y NASAL HAEMORRHAGE, POSTERIOR, ARREST OF, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding aftercare) 53060 01NOV2000 31OCT2001 N CAUTERISATION (other than by chemical means) OR CAUTERISATION by chemical means when performed under general anaesthesia OR DIATHERMY OF SEPTUM, TURBINATES OR PHARYNX FOR OBSTRUCTION OR HAEMORRHAGE SECONDARY TO SURGERY (OR TRAUMA) - 1 or more of these procedures (including any consultation on the same occasion) not being a service associated with any other operation on the nose 53060 01NOV2001 31DEC9999 Y CAUTERISATION (other than by chemical means) OR CAUTERISATION by chemical means when performed under general anaesthesia OR DIATHERMY OF SEPTUM, TURBINATES FOR OBSTRUCTION OR HAEMORRHAGE SECONDARY TO SURGERY (OR TRAUMA) - 1 or more of these procedures (including any consultation on the same occasion) not being a service associated with any other operation on the nose 53062 01NOV2000 31DEC9999 Y POST SURGICAL NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both 53064 01NOV2000 31DEC9999 Y CRYOTHERAPY TO NOSE in the treatment of nasal haemorrhage 53066 01NOV2000 31DEC9999 Y DISLOCATION OF TURBINATE OR TURBINATES, 1 or both sides, not being a service associated with a service to which another item in this Group applies 53068 01NOV2000 31DEC9999 Y TURBINECTOMY or TURBINECTOMIES, partial or total, unilateral 53070 01NOV2000 31DEC9999 Y TURBINATES, submucous resection of, unilateral 53200 01DEC1991 31DEC9999 Y MANDIBLE, treatment of a dislocation of, not requiring open reduction 53203 01DEC1991 31DEC9999 Y MANDIBLE, treatment of a dislocation of, requiring open reduction 53206 01DEC1991 31OCT2007 N TEMPOROMANDIBULAR JOINT, manipulation of, performed in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which another item in Groups O3 to O9 applies 53206 01NOV2007 31DEC9999 Y TEMPOROMANDIBULAR JOINT, manipulation of, performed in the operating theatre of a hospital, not being a service associated with a service to which another item in Groups O3 to O9 applies 53209 01DEC1991 31DEC9999 Y GLENOID FOSSA, ZYGOMATIC ARCH and TEMPORAL BONE, reconstruction of (Obwegeser technique) 53212 01DEC1991 31DEC9999 Y ABSENT CONDYLE and ASCENDING RAMUS in hemifacial microsomia, construction of, not including harvesting of graft material 53215 01DEC1991 31DEC9999 Y TEMPOROMANDIBULAR JOINT, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint 53218 01DEC1991 31DEC9999 Y TEMPOROMANDIBULAR JOINT, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions - 1 or more such procedures 53220 01NOV2000 31DEC9999 Y TEMPOROMANDIBULAR JOINT, arthrotomy of, not being a service to which another item in this Group applies 53221 01DEC1991 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without microsurgical techniques 53224 01DEC1991 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques 53225 01NOV1992 31DEC9999 Y ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) 53226 01NOV2000 31DEC9999 Y TEMPOROMANDIBULAR JOINT, synovectomy of, not being a service to which another item in this Group applies 53227 01DEC1991 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without meniscus or capsular surgery, including meniscectomy when performed, with or without microsurgical techniques 53230 01DEC1991 31DEC9999 Y TEMPOROMANDIBULAR JOINT, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques 53233 01DEC1991 31OCT2000 N TEMPOROMANDIBULAR JOINT, surgery of, involving procedures to which items 53224, 53227 and 53230 apply and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques 53233 01NOV2000 31DEC9999 Y TEMPOROMANDIBULAR JOINT, surgery of, involving procedures to which items 53224, 53226, 53227 and 53230 apply and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques 53236 01NOV2000 31DEC9999 Y TEMPOROMANDIBULAR JOINT, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this Group applies 53239 01NOV2000 31DEC9999 Y TEMPOROMANDIBULAR JOINT, arthrodesis of, not being a service to which another item in this Group applies 53242 01NOV2000 31DEC9999 Y TEMPOROMANDIBULAR JOINT OR JOINTS, application of external fixator to, other than for treatment of fractures 53400 01DEC1991 31DEC9999 Y MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting 53403 01DEC1991 31DEC9999 Y MANDIBLE, treatment of fracture of, not requiring splinting 53406 01DEC1991 31DEC9999 Y MAXILLA, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation 53409 01DEC1991 31DEC9999 Y MANDIBLE, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation 53410 01DEC1991 31DEC9999 Y ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction 53411 01DEC1991 31DEC9999 Y ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach 53412 01DEC1991 31DEC9999 Y ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site 53413 01DEC1991 31DEC9999 Y ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites 53414 01DEC1991 31DEC9999 Y ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites 53415 01DEC1991 31MAR1992 N MAXILLA, treatment of fracture of, requiring open operation 53415 01APR1992 31DEC9999 Y MAXILLA, treatment of fracture of, requiring open reduction 53416 01DEC1991 31DEC9999 Y MANDIBLE, treatment of fracture of, requiring open reduction 53418 01DEC1991 31MAR1992 N MAXILLA, treatment of fracture of, requiring internal fixation not involving plate(s) 53418 01APR1992 31DEC9999 Y MAXILLA, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) 53419 01DEC1991 31MAR1992 N MANDIBLE, treatment of fracture of, requiring internal fixation not involving plate(s) 53419 01APR1992 31DEC9999 Y MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) 53422 01DEC1991 31MAR1992 N MAXILLA, treatment of fracture of, requiring internal fixation involving plate(s) 53422 01APR1992 31DEC9999 Y MAXILLA, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) 53423 01DEC1991 31MAR1992 N MANDIBLE, treatment of fracture of, requiring internal fixation involving plate(s) 53423 01APR1992 31DEC9999 Y MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) 53424 01DEC1991 31DEC9999 Y MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) 53425 01DEC1991 31DEC9999 Y MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) 53427 01DEC1991 31DEC9999 Y MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) 53429 01DEC1991 31DEC9999 Y MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) 53439 01DEC1991 31DEC9999 Y MANDIBLE, treatment of a closed fracture of, involving a joint surface 53453 01NOV1992 31DEC9999 Y ORBITAL CAVITY, reconstruction of a wall or floor with or without foreign implant 53455 01NOV1992 31DEC9999 Y ORBITAL CAVITY, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents 53458 01MAY1997 31DEC9999 Y NASAL BONES, treatment of fracture of, not being a service to which item 53459 or 53460 applies 53459 01MAY1997 31DEC9999 Y NASAL BONES, treatment of fracture of, by reduction 53460 01MAY1997 31DEC9999 Y NASAL BONES, treatment of fractures of, by open reduction involving osteotomies 53600 01NOV2000 31DEC9999 Y SKIN SENSITIVITY TESTING for allergens to anaesthetics and materials used in OMS surgery, USING 1 TO 20 ALLERGENS 53700 01NOV2000 31DEC9999 Y (Note. Where an anaesthetic combines a regional nerve block with a general anaesthetic for an operative procedure, benefits will be paid only under the anaesthetic item relevant to the operation. The items in this Group are to be used in the practice of oral and maxillofacial surgery and are not to be used for dental procedures (eg. restorative dentistry or dental extraction.)) TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent 53702 01NOV2000 31DEC9999 Y TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent 53704 01NOV2000 31DEC9999 Y FACIAL NERVE, injection of an anaesthetic agent 53706 01NOV2000 31OCT2007 N NERVE BRANCH IN THE ORAL AND MAXILLOFACIAL REGION, destruction by a neurolytic agent, not being a service to which any other item in this Group applies 53706 01NOV2007 31DEC9999 Y NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies 54001 22MAY2020 31DEC9999 Y Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner 54002 22MAY2020 31DEC9999 Y Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner 54003 22MAY2020 31DEC9999 Y Phone attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner 54004 22MAY2020 31DEC9999 Y Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner 54006 15SEP2021 31DEC2021 N Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner 54006 01JAN2022 31DEC9999 Y Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient to whom the service is provided is: (a) referred to the approved dental practitioner; and (b) admitted to hospital 54007 15SEP2021 31DEC2021 N Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner 54007 01JAN2022 31DEC9999 Y Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient to whom the service is provided is: (a) referred to the approved dental practitioner; and (b) admitted to hospital 54011 15SEP2021 31DEC2021 N Phone attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner 54011 01JAN2022 31DEC9999 Y Phone attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient to whom the service is provided is: (a) referred to the approved dental practitioner; and (b) admitted to hospital 54012 15SEP2021 31DEC2021 N Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner 54012 01JAN2022 31DEC9999 Y Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient to whom the service is provided is: (a) referred to the approved dental practitioner; and (b) admitted to hospital 55000 01DEC1991 31OCT1992 N ULTRASONIC CROSSSECTIONAL ECHOGRAPHY, not associated with Item 55003, 55006 or 55009 where the patient is not referred by a medical practitioner for ultrasonic examination each ultrasonic examination not exceeding two examinations in any one pregnancy (NR) 55000 01NOV1992 31DEC9999 Y ULTRASONIC CROSSSECTIONAL ECHOGRAPHY, not being a service associated with a service to which item 55003, 55004, 55006, 55102, 55105, 55112, 55118, 55124, 55130, 55201, 55204, 55225, 55231, 55234 or 55237 applies, if the patient is not referred by a medical practitioner for ultrasonic examination each ultrasonic examination not exceeding 2 examinations in 1 pregnancy (NR) 55003 01DEC1991 31OCT1992 N ULTRASONIC CROSSSECTIONAL ECHOGRAPHY performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not associated with Item 55000, 55006 or 55009 and where the referring medical practitioner is not a member of a group of practitioners of which the firstmentioned practitioner is a member (R) 55003 01NOV1992 31DEC9999 Y Ultrasonic crosssectional echography, performed by, or on behalf of, a medical practitioner, if: (a) the patient is referred by a medical practitioner for ultrasonic examination, not being a service associated with a service to which item 55004, 55006, 55102, 55105, 55112, 55118, 55124, 55130, 55201, 55204, 55225, 55231, 55234 or 55237 applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member (R) 55004 01NOV1992 31DEC9999 Y ULTRASONIC CROSSSECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this category applies (R) 55005 01JUL2011 31DEC9999 Y HEAD, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55006 01DEC1991 31OCT1992 N ULTRASONIC ECHOGRAPHY, UNIDIMENSIONAL, not associated with Item 55000, 55003 or 55009 (NR) 55006 01NOV1992 31DEC9999 Y ULTRASONIC ECHOGRAPHY, UNIDIMENSIONAL, not being a service associated with a service to which item 55003, 55004, 55102, 55105, 55112, 55201, 55204, 55225, 55231, 55234 or 55237 applies (NR) 55007 01JUL2011 31DEC9999 Y HEAD, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) (NK) 55008 01JUL2011 31DEC9999 Y ORBITAL CONTENTS, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55009 01DEC1991 31DEC9999 Y ECHOCARDIOGRAPHY, not covered by Item 55000 or 55003 (R) 55010 01JUL2011 31DEC9999 Y ORBITAL CONTENTS, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) (NK) 55011 01JUL2011 31DEC9999 Y NECK, 1 or more structures of, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55012 01DEC1991 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries), peripheral vessels or intrathoracic or intraabdominal vascular structures (excluding cardiac and pregnancy related studies), (not associated with Item 55003) one examination and report (R) 55013 01JUL2011 31DEC9999 Y NECK, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) (NK) 55014 01JUL2011 30JUN2014 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken but not being a service associated with the service to which an item in Subgroup 4,applies, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55017, 55020, 55038, 55044, 55731 or 55732 on the same patient within 24 hours (R) (NK) 55014 01JUL2014 31DEC9999 Y Abdomen, ultrasound scan of (including scan of urinary tract when performed), if: (a) the patient is referred by a medical practitioner or participating nurse practitioner; and (b) if the patient is referred by a medical practitioner-the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) if the patient is referred by a participating nurse practitioner-the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (e) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and (f) within 24 hours of the service, a service mentioned in item 55017, 55038, 55067 or 55065 is not performed on the same patient by the providing practitioner (R) (NK) 55015 01DEC1991 31DEC9999 Y two or more examinations of the kind referred to in Item 55012 and report (not associated with Item 55003) (R) 55016 01JUL2011 31DEC9999 Y ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken but not being a service associated with the service to which an item in Subgroup 4,applies where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) (NK) 55017 01JUL2011 30JUN2014 N URINARY TRACT, ultrasound scan of but not being a service associated with the service to which an item in Subgroup 4,applies,,where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55041, 55020, 55036, 55044, 55731 or 55732 on the same patient within 24 hours (R) (NK) 55017 01JUL2014 31DEC9999 Y Urinary tract, ultrasound scan of, if: (a) the patient is referred by a medical practitioner; and (b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and (e) within 24 hours of the service, a service mentioned in item 55014, 55038, 55067 or 55065 is not performed on the same patient by the providing practitioner (R) (NK) 55018 01DEC1991 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography (not associated with Item 55003) examination and report (R) 55019 01JUL2011 31DEC9999 Y URINARY TRACT, ultrasound scan of, but not being a service associated with the service to which an item in Subgroup 4,applies, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) (NK) 55020 01JUL2011 31DEC9999 Y PELVIS, male, ultrasound scan of, by any or all approaches, but not being a service associated with the service to which an item in Subgroup 4,applies, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55014, 55017, 55036 or 55038 on the same patient within 24 hours (R) (NK) 55021 01DEC1991 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels and carotid vessels, with oculoplethysmography (not associated with Item 55003) examination and report (R) 55022 01JUL2011 31DEC9999 Y PELVIS, male, ultrasound scan of, by any or all approaches, but not being a service associated with the service to which an item in Subgroup 4,applies, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) (NK) 55023 01JUL2011 31DEC9999 Y SCROTUM, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55024 01DEC1991 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including any of the investigations covered by Item 11603, 11606 or 11609 (not associated with Item 55003) examination and report (R) 55025 01JUL2011 31DEC9999 Y SCROTUM, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) (NK) 55026 01JUL2011 31DEC9999 Y ULTRASONIC CROSS-SECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R) (NK) 55027 01DEC1991 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including any of the investigations covered by Item 11612 (not associated with Item 55003) examination and report (R) 55028 01JUL1993 31OCT1993 N HEAD, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55028 01NOV1993 31JAN2000 N HEAD, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55028 01FEB2000 31OCT2001 N HEAD, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55028 01NOV2001 30APR2020 N HEAD, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55028 01MAY2020 31DEC9999 Y Head, ultrasound scan of (R) 55029 01JUL1993 31OCT1993 N HEAD, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55029 01NOV1993 31JAN2000 N HEAD, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55029 01FEB2000 30APR2020 N HEAD, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55029 01MAY2020 31DEC9999 Y Head, ultrasound scan of (NR) 55030 01JUL1993 31OCT1993 N ORBITAL CONTENTS, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55030 01NOV1993 31JAN2000 N ORBITAL CONTENTS, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55030 01FEB2000 31OCT2001 N ORBITAL CONTENTS, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55030 01NOV2001 30APR2020 N ORBITAL CONTENTS, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55030 01MAY2020 31DEC9999 Y Orbital contents, ultrasound scan of (R) 55031 01JUL1993 31OCT1993 N ORBITAL CONTENTS, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55031 01NOV1993 31JAN2000 N ORBITAL CONTENTS, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55031 01FEB2000 30APR2020 N ORBITAL CONTENTS, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55031 01MAY2020 31DEC9999 Y Orbital contents, ultrasound scan of (NR) 55032 01JUL1993 31OCT1993 N NECK, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55032 01NOV1993 31JAN2000 N NECK, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55032 01FEB2000 31OCT2001 N NECK, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55032 01NOV2001 30APR2020 N NECK, 1 or more structures of, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55032 01MAY2020 31DEC9999 Y Neck, one or more structures of, ultrasound scan of (R) 55033 01JUL1993 31OCT1993 N NECK, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55033 01NOV1993 31JAN2000 N NECK, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55033 01FEB2000 30APR2020 N NECK, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55033 01MAY2020 31DEC9999 Y Neck, one or more structures of, ultrasound scan of (NR) 55034 01JUL1993 31OCT1993 N BREAST, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55034 01NOV1993 31DEC9999 Y BREAST, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55035 01JUL1993 31OCT1993 N BREAST, 1 or both, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55035 01NOV1993 31DEC9999 Y BREAST, 1 or both, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55036 01JUL1993 31OCT1993 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55036 01NOV1993 31AUG1999 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55036 01SEP1999 31JAN2000 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55042 or 55044 on the same patient within 24 hours (R) 55036 01FEB2000 31OCT2000 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55038, 55044 or 55731 on the same patient within 24 hours (R) 55036 01NOV2000 31OCT2001 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken but not being a service associated with the service described in item 55600 or item 55603, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55038, 55044 or 55731 on the same patient within 24 hours (R) 55036 01NOV2001 31OCT2011 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken but not being a service associated with the service described in item 55600 or item 55603, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55038, 55044 or 55731 on the same patient within 24 hours (R) 55036 01NOV2011 30JUN2014 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken but not being a service associated with the service described in item 55600 or item 55603, where: (a) the patient is referred by a referring practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55038, 55044 or 55731 on the same patient within 24 hours (R) 55036 01JUL2014 30APR2020 N Abdomen, ultrasound scan of (including scan of urinary tract when performed), if: (a) the patient is referred by a medical practitioner or participating nurse practitioner for ultrasonic examination; and (b) if the patient is referred by a medical practitioner-the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) if the patient is referred by a participating nurse practitioner-the nurse practitioner does not have a business or financial arrangement with the providing practitioner; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (e) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and (f) within 24 hours of the service, a service mentioned in item 55017, 55038, 55067 or 55065 is not performed on the same patient by the providing practitioner (R) (K) 55036 01MAY2020 31DEC9999 Y Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra; and(b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R) 55037 01JUL1993 31OCT1993 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55037 01NOV1993 31JAN2000 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55037 01FEB2000 31OCT2000 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55037 01NOV2000 30APR2020 N ABDOMEN, ultrasound scan of, including scan of urinary tract when undertaken but not being a service associated with the service described in item 55600 or item 55603, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55037 01MAY2020 31DEC9999 Y Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR) 55038 01JUL1993 31OCT1993 N URINARY TRACT, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55038 01NOV1993 31JAN2000 N URINARY TRACT, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55038 01FEB2000 31OCT2000 N URINARY TRACT, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55036, 55044 or 55731 on the same patient within 24 hours (R) 55038 01NOV2000 31OCT2001 N URINARY TRACT, ultrasound scan of but not being a service associated with the service described in item 55600 or item 55603, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55036, 55044 or 55731 on the same patient within 24 hours (R) 55038 01NOV2001 30JUN2014 N URINARY TRACT, ultrasound scan of but not being a service associated with the service described in item 55600 or item 55603, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55036, 55044 or 55731 on the same patient within 24 hours (R) 55038 01JUL2014 30APR2020 N Urinary tract, ultrasound scan of, if: (a) the patient is referred by a medical practitioner for ultrasonic examination; and (b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and (e) within 24 hours of the service, a service mentioned in item 55017, 55036, 55067 or 55065 is not performed on the same patient by the providing practitioner (R) (K) 55038 01MAY2020 31DEC9999 Y Urinary tract, ultrasound scan of, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following: (i) prostate gland; (ii) bladder base; (iii) urethra; and (b) within 24 hours of the service, a service mentioned in item 55036 or 55065 is not performed on the same patient by the providing practitioner (R) 55039 01JUL1993 31OCT1993 N URINARY TRACT, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55039 01NOV1993 31JAN2000 N URINARY TRACT, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55039 01FEB2000 31OCT2000 N URINARY TRACT, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55039 01NOV2000 30APR2020 N URINARY TRACT, ultrasound scan of, but not being a service associated with the service described in item 55600 or item 55603, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55039 01MAY2020 31DEC9999 Y Urinary tract, ultrasound scan of, if the service is not solely a transrectal ultrasonic examination of any of the following: (a) prostate gland; (b) bladder base; (c) urethra (NR) 55040 01JUL1993 31OCT1993 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55040 01NOV1993 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55041 01JUL1993 31OCT1993 N TWO DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION including real time colour flow mapping or power doppler and report when indicated in the assessment of a known fetal anomaly where the service is performed by, or on behalf of, a medical; practitioner: (a) with recordings on videotape; and (b) not being a service associated with a service to which an item in this Groupo applies; and (c) the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member, payable once in any one pregnancy (R) 55041 01NOV1993 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner for ultrasonic examination - each ultrasonic examination, not exceeding 2 examinations in any 1 pregnancy, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55042 01JUL1993 31OCT1993 N PELVIS, female, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55042 01NOV1993 31AUG1999 N PELVIS, female, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55042 01SEP1999 31DEC9999 Y PELVIS, female, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55036 on the same patient within 24 hours (R) 55043 01JUL1993 31OCT1993 N PELVIS, female, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55043 01NOV1993 31DEC9999 Y PELVIS, female, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55044 01JUL1993 31OCT1993 N PELVIS, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55044 01NOV1993 31AUG1999 N PELVIS, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55044 01SEP1999 31JAN2000 N PELVIS, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55036 on the same patient within 24 hours (R) 55044 01FEB2000 31OCT2000 N PELVIS, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R) 55044 01NOV2000 31OCT2001 N PELVIS, male, ultrasound scan of, by any or all approaches, but not being a service associated with the service described in item 55600 or item 55603, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R) 55044 01NOV2001 31DEC9999 Y PELVIS, male, ultrasound scan of, by any or all approaches, but not being a service associated with the service described in item 55600 or item 55603, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R) 55045 01JUL1993 31OCT1993 N PELVIS, male, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55045 01NOV1993 31JAN2000 N PELVIS, male, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55045 01FEB2000 31OCT2000 N PELVIS, male, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55045 01NOV2000 31DEC9999 Y PELVIS, male, ultrasound scan of, by any or all approaches, but not being a service associated with the service described in item 55600 or item 55603, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55046 01SEP1999 31DEC9999 Y PELVIS, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasound examination not being a service associated with a service to which an item in subgroup 2 or 3 of this group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R). 55047 01SEP1999 31DEC9999 Y PELVIS, female, ultrasound scan of, in association with saline infusion of the endometrial cavity by any or all approaches, where: (a) the patient is not referred by a medical practitioner and the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and (b) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR). 55048 01JUL1993 31OCT1993 N SCROTUM, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55048 01NOV1993 31JAN2000 N SCROTUM, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55048 01FEB2000 31OCT2001 N SCROTUM, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55048 01NOV2001 30APR2020 N SCROTUM, ultrasound scan of, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55048 01MAY2020 31DEC9999 Y Scrotum, ultrasound scan of (R) 55049 01JUL1993 31OCT1993 N SCROTUM, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55049 01NOV1993 31JAN2000 N SCROTUM, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55049 01FEB2000 30APR2020 N SCROTUM, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55049 01MAY2020 31DEC9999 Y Scrotum, ultrasound scan of (NR) 55050 01JUL1993 31OCT1993 N MUSCULO - SKELETAL, 1 or more regions, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55050 01NOV1993 31JAN2000 N MUSCULO - SKELETAL, 1 or more regions, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55050 01FEB2000 31DEC9999 Y MUSCULO - SKELETAL, 1 or more regions, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55051 01JUL1993 31OCT1993 N MUSCULO - SKELETAL, 1 or more regions, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55051 01NOV1993 31JAN2000 N MUSCULO - SKELETAL, 1 or more regions, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55051 01FEB2000 31DEC9999 Y MUSCULO - SKELETAL, 1 or more regions, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55052 01JUL1993 31OCT1993 N JOINT, 1 or more, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55052 01NOV1993 31JAN2000 N JOINT, 1 or more, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55052 01FEB2000 31DEC9999 Y JOINT, 1 or more, ultrasound scan of, performed by, or on behalf of, a medical practitioner where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55053 01JUL1993 31OCT1993 N JOINT, 1 or more, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR) 55053 01NOV1993 31JAN2000 N JOINT, 1 or more, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which item 11240 or an item in Subgroups 2 or 3 of this Group applies (NR) 55053 01FEB2000 31DEC9999 Y JOINT, 1 or more, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 of this Group applies (NR) 55054 01JUL1993 31OCT1993 N ULTRASONIC CROSSSECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this Group applies (R) 55054 01NOV1993 30APR2020 N ULTRASONIC CROSS-SECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R) 55054 01MAY2020 31DEC9999 Y Ultrasonic cross-sectional echography, in conjunction with a surgical procedure (other than a procedure to which item 55848 or 55850 applies) using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R) 55055 01JUL1993 31DEC9999 Y ORBITAL CONTENTS, ultrasonic echography of, unidimensional, not being a service associated with a service to which another item in this Group applies (NR) 55056 01JUL1993 31OCT1993 N ULTRASOUND SCAN not otherwise specified, not being a service associated with a service to which another item in this Group applies (R) 55056 01NOV1993 31DEC9999 Y ULTRASOUND SCAN not otherwise specified, not being a service associated with a service to which item 55055 or an item in Subgroups 2 or 3 of this Group applies (R) 55057 01JUL1993 31OCT1993 N ULTRASOUND SCAN not otherwise specified, not being a service associated with a service to which another item in this Group applies (NR) 55057 01NOV1993 31DEC9999 Y ULTRASOUND SCAN not otherwise specified, not being a service associated with a service to which item 55055 or an item in Subgroups 2 or 3 of this Group applies (NR) 55058 01JUL1995 31DEC9999 Y MEASUREMENT OF UMBILICAL BLOOD FLOW using pulsed wave or continuous wave Doppler techniques after the 26th week of gestation where the patient is referred by a medical practitioner for this procedure and where there is reason to suspect intrauterine growth retardation or a significant risk of foetal death, not being a service associated with a service to which an item in this Group applies - examination and report (R) 55059 01JUL2011 31DEC9999 Y BREAST, one, ultrasound scan of, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55060 01JUL2011 31DEC9999 Y BREAST, one, ultrasound scan of, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR) (NK) 55061 01JUL2011 31DEC9999 Y BREASTS, both, ultrasound scan of, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55062 01JUL2011 31DEC9999 Y BREASTS, both, ultrasound scan of, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR) (NK) 55063 01JUL2011 30JUN2014 N URINARY BLADDER, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of the Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55600, 55601, 55603, 55604, 55014, 55017, 55020, 55036, 55038, 55044, 55731, 55732 or 11917 on the same date of service (R) (NK) 55063 01JUL2014 31DEC9999 Y Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is referred by a medical practitioner for ultrasonic examination; and (b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (d) within 24 hours of the service, a service mentioned in item 11917, 55014, 55017, 55036, 55038, 55600, 55601, 55603, 55604, 55067 or 55065 is not performed on the same patient by the providing practitioner (R) (NK) 55064 01JUL2011 30JUN2014 N URINARY BLADDER, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 applies; and the service is not performed with item 55600, 55601, 55603, 55604, 55016, 55019, 55022, 55037, 55039, 55045, 55733, 55734 or 11917 on the same date of service (NR) (NK) 55064 01JUL2014 31DEC2014 N Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (c) within 24 hours of the service, a service mentioned in item 11917, 55016, 55019, 55022, 55037, 55039, 55600, 55601, 55603, 55604, 55068 or 55069 is not performed on the same patient by the providing practitioner (NR) (NK) 55064 01JAN2015 31DEC9999 Y Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (c) within 24 hours of the service, a service mentioned in item 11917, 55016, 55019, 55037, 55039, 55600, 55601, 55603, 55604, 55068 or 55069 is not performed on the same patient by the providing practitioner (NR) (NK) 55065 01JUL2014 30APR2020 N PELVIS, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2, or 3, applies; and (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and (e) the service is not performed with item 55014, 55017, 55036 or 55038 on the same patient within 24 hours (R)(K) 55065 01MAY2020 31OCT2021 N Pelvis, ultrasound scan of, by any or all approaches, if:(a) the service is not solely: (i) a service to which an item in Subgroup 5 of this Group applies, or (ii) a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and(b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R) 55065 01NOV2021 31DEC9999 Y Pelvis, ultrasound scan of, by any or all approaches, if:(a) the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following: prostate gland; bladder base; urethra; and (b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R) 55066 01MAY2020 31DEC9999 Y Breasts, both, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound guided breast intervention be performed; and(b) the service is not performed in conjunction with any other item in this Group (R) 55067 01JUL2014 31DEC9999 Y PELVIS, ultrasound scan of, by any or all approaches, where: a) the patient is referred by a medical practitioner; and b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and d) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and e) within 24 hours of the service, a service mentioned in item 55014, 55017, 55036 or 55038 is not performed on the same patient by the providing practitioner (R) (NK) 55068 01JUL2014 30APR2020 N PELVIS, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this Group applies; and (c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR)(K) 55068 01MAY2020 31OCT2021 N Pelvis, ultrasound scan of, by any or all approaches, if the service is not solely a service to which an item in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR) 55068 01NOV2021 31DEC9999 Y Pelvis, ultrasound scan of, by any or all approaches, if the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR) 55069 01JUL2014 31DEC9999 Y PELVIS, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this Group applies; and (c) the service is not solely a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs (NR) (NK) 55070 01FEB2000 31OCT2001 N BREAST, one, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55070 01NOV2001 31OCT2011 N BREAST, one, ultrasound scan of, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55070 01NOV2011 30APR2020 N BREAST, one, ultrasound scan of, where: (a) the patient is referred by a referring practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55070 01MAY2020 31DEC9999 Y Breast, one, ultrasound scan of (R) 55071 01MAY2020 31DEC9999 Y Breast, one, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound guided breast intervention be performed; and(b) the service is not performed in conjunction with any other item in this group (R) 55073 01FEB2000 30APR2020 N BREAST, one, ultrasound scan of, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR) 55073 01MAY2020 31DEC9999 Y Breast, one, ultrasound scan of (NR) 55076 01FEB2000 31OCT2001 N BREASTS, both, ultrasound scan of, performed by or on behalf of a medical practitioner where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55076 01NOV2001 31OCT2011 N BREASTS, both, ultrasound scan of, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55076 01NOV2011 30APR2020 N BREASTS, both, ultrasound scan of, where: (a) the patient is referred by a referring practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55076 01MAY2020 31DEC9999 Y Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (R) 55079 01FEB2000 30APR2020 N BREASTS, both, ultrasound scan of, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR) 55079 01MAY2020 31DEC9999 Y Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (NR) 55084 01MAY2004 30JUN2014 N URINARY BLADDER, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which an item in Subgroups 2 or 3 of the Group applies; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not performed with item 55600, 55603, 55036, 55038, 55044, 55731 or 11917 on the same date of service (R) 55084 01JUL2014 30APR2020 N Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is referred by a medical practitioner; and (b) the medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (d) within 24 hours of the service, a service mentioned in item 11917, 55014, 55017, 55036, 55038, 55600, 55601, 55603, 55604, 55067 or 55065 is not performed on the same patient by the providing practitioner (R) (K) 55084 01MAY2020 31DEC9999 Y Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55036, 55038, 55065, 55600 or 55603 is not performed on the same patient by the providing practitioner (R) 55085 01MAY2004 30JUN2014 N URINARY BLADDER, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which an item in Subgroups 2 or 3 applies; and the service is not performed with item 55600, 55603, 55037, 55039, 55045, 55733 or 11917 on the same date of service (NR) 55085 01JUL2014 31DEC2014 N Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (c) within 24 hours of the service, a service mentioned in item 11917, 55016, 55019, 55022, 55037, 55039, 55600, 55601, 55603, 55604, 55068 or 55069 is not performed on the same patient by the providing practitioner (NR) (K) 55085 01JAN2015 30APR2020 N Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (c) within 24 hours of the service, a service mentioned in item 11917, 55016, 55019, 55037, 55039, 55600, 55601, 55603, 55604, 55068 or 55069 is not performed on the same patient by the providing practitioner (NR) (K) 55085 01MAY2020 31DEC9999 Y Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55037, 55039, 55068, 55600 or 55603 is not performed on the same patient by the providing practitioner (NR) 55100 01DEC1991 31DEC9999 Y TWO DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHIC EXAMINATION of the heart, not associated with any other echocardiographic examination (R) 55102 01NOV1992 30JUN1993 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION OF THE HEART FROM AT LEAST 2 THORACIC WINDOWS, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, with recordings on video tape, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R) 55102 01JUL1993 31DEC9999 Y M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION OF THE HEART FROM AT LEAST 2 THORACIC WINDOWS, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, with recordings on video tape, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies (R) 55103 01DEC1991 31DEC9999 Y TWO DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHIC EXAMINATION of the heart, associated with another echocardiographic examination (R) 55105 01NOV1992 30JUN1993 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of cardiac dimensions, with recordings on video tape, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R) 55105 01JUL1993 31DEC9999 Y M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of cardiac dimensions, with recordings on video tape, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies (R) 55106 01DEC1991 31DEC9999 Y M-MODE AND TWO DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION OF THE HEART FROM AT LEAST TWO THORACIC WINDOWS, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, with recordings on video tape, not associated with Items 55000, 55003, or 55009 (R) 55112 01NOV1992 30JUN1993 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, together with real time colour flow mapping from at least 2 thoracic windows, with recordings on video tape, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R) 55112 01JUL1993 31OCT2000 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 thoracic windows, with recordings on video tape, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies (R) 55112 01NOV2000 31DEC9999 Y M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3 of this Group applies (R) 55113 01JUL2001 30APR2002 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup, applies, for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain (R) 55113 01MAY2002 30APR2020 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup (with the exception of items 55118 and 55130), applies, for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain (R) 55113 01MAY2020 31DEC9999 Y M-mode and two-dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain, if:(a) the service involves all of the following:(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques;(ii) real time colour flow mapping from at least 2 acoustic windows;(iii) recordings on video tape or digital media; and(b) the service is not associated with a service to which another item in this Subgroup (except items 55118 and 55130), applies (R) 55114 01JUL2001 30APR2002 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup, applies, for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic, or embolic disease, or heart tumour (R) 55114 01MAY2002 30APR2020 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup (with the exception of items 55118 and 55130), applies, for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic, or embolic disease, or heart tumour (R) 55114 01MAY2020 31DEC9999 Y M-mode and two dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic or embolic disease or heart tumour, if:(a) the service involves all of the following:(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques;(ii) real time colour flow mapping from at least 2 acoustic windows;(iii) recordings on video tape or digital media; and(b) the service is not associated with a service to which another item in this Subgroup (except items 55118 and 55130), applies (R) 55115 01JUL2001 30APR2002 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup, applies, for the investigation of symptoms or signs of congenital heart disease (R) 55115 01MAY2002 30APR2020 N M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup (with the exception of items 55118 and 55130), applies, for the investigation of symptoms or signs of congenital heart disease (R) 55115 01MAY2020 31DEC9999 Y M-mode and two dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of congenital heart disease, if:(a) the service involves all of the following:(i) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques;(ii) real time colour flow mapping from at least 2 acoustic windows;(iii) recordings on video tape or digital media; and(b) the service is not associated with a service to which another item in this Subgroup (except items 55118 and 55130), applies (R) 55116 01NOV2000 30JUN2001 N EXERCISE STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before exercise (baseline) from at least three acoustic windows and matching recordings from the same windows at, or immediately after, peak exercise. Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) 55116 01JUL2001 30APR2002 N EXERCISE STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before exercise (baseline) from at least three acoustic windows and matching recordings from the same windows at, or immediately after, peak exercise, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup, applies. Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) 55116 01MAY2002 30APR2020 N EXERCISE STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before exercise (baseline) from at least three acoustic windows and matching recordings from the same windows at, or immediately after, peak exercise, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup applies (with the exception of items 55118 and 55130). Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) 55116 01MAY2020 31DEC9999 Y Exercise stress echocardiography performed in conjunction with a service mentioned in item 11712, if:(a) the service involves all of the following:(i) two dimensional recordings before exercise (baseline) from at least 3 acoustic windows;(ii) matching recordings from the same windows at, or immediately after, peak exercise;(iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and(b) the service is not associated with a service to which another item in this Subgroup (except items 55118 and 55130), applies (R) 55117 01NOV2000 30JUN2001 N PHARMACOLOGICAL STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before drug infusion (baseline) from at least three acoustic windows and matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose or immediately after, peak exercise. Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) 55117 01JUL2001 30APR2002 N PHARMACOLOGICAL STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before drug infusion (baseline) from at least three acoustic windows and matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose or immediately after, peak exercise, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup, applies. Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) 55117 01MAY2002 30APR2020 N PHARMACOLOGICAL STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before drug infusion (baseline) from at least three acoustic windows and matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup, applies (with the exception of items 55118 and 55130). Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) 55117 01MAY2020 31DEC9999 Y Pharmacological stress echocardiography performed in conjunction with a service mentioned in item 11712, if:(a) the service involves all of the following:(i) two dimensional recordings before drug infusion (baseline) from at least 3 acoustic windows;(ii) matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose;(iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and(b) the service is not associated with a service to which another item in this Subgroup (except items 55118 and 55130), applies (R) 55118 01NOV1992 30JUN1993 N 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHIC EXAMINATION of the heart, not being a service associated with another echocardiographic examination (R) 55118 01JUL1993 31OCT2000 N HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL EXAMINATION of, from at least 2 oesophageal windows: (i) performed using a mechanical sector scanner or phased array transducer; with (a) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous Doppler techniques; (b) real time colour flow mapping from at least 2 oesophageal windows; and (c) recordings on video tape; and (ii) not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies (R) 55118 01NOV2000 30APR2002 N HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL EXAMINATION of, from at least two levels, and in more than one plane at each level, with: (a) pulsed wave Doppler examination; (b) real time colour flow mapping; and (c) recordings on video tape or digital medium; and not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, or another item in this Subgroup, applies (R) 55118 01MAY2002 31MAY2003 N HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL EXAMINATION of, from at least two levels, and in more than one plane at each level, with: (a) pulsed wave Doppler examination; (b) real time colour flow mapping; and (c) recordings on video tape or digital medium; and not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, applies (R) 55118 01JUN2003 30APR2004 N HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL EXAMINATION of, from at least two levels, and in more than one plane at each level, with: (a) pulsed wave Doppler examination; (b) real time colour flow mapping; and (c) recordings on video tape or digital medium; and not being an intra-operative service or a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, applies (R) 55118 01MAY2004 30APR2020 N HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL EXAMINATION of, from at least two levels, and in more than one plane at each level: (a) with: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on video tape or digital medium; and (b) not being an intra-operative service or a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 3, applies (R) 55118 01MAY2020 28FEB2021 N Heart, two dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level, if:(a) the service includes:(i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and(ii) recordings on video tape or digital medium; and(b) the service is not an intra operative service (R) (Anaes.) 55118 01MAR2021 30JUN2021 N Heart, two dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level, if: (a) the service includes: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on video tape or digital medium; and (b) the service is not: (i) an intra operative service; or (ii) a service associated with a service to which an item in Subgroup 3 of this Group applies (R) 55118 01JUL2021 31DEC9999 Y Heart, two-dimensional or three-dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level, if: (a) the service includes: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on digital media; and (b) the service is not an intra-operative service; and (c) not being a service associated with a service to which an item in Subgroup 3 applies.(R) 55119 01JUL2011 31DEC9999 Y M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 3, or another item in this Subgroup (with the exception of items 55118, 55125, 55130 and 55131), applies, for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain (R) (NK) 55120 01JUL2011 31DEC9999 Y M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 3, or another item in this Subgroup (with the exception of items 55118, 55125, 55130 and 55131), applies, for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic, or embolic disease, or heart tumour (R) (NK) 55121 01JUL2011 31DEC9999 Y M-MODE and 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC EXAMINATION of the heart from at least 2 acoustic windows, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, and real time colour flow mapping from at least 2 acoustic windows, with recordings on video tape or digital medium, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 3, or another item in this Subgroup (with the exception of items 55118, 55125, 55130 and 55131), applies, for the investigation of symptoms or signs of congenital heart disease (R) (NK) 55122 01JUL2011 31DEC9999 Y EXERCISE STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before exercise (baseline) from at least three acoustic windows and matching recordings from the same windows at, or immediately after, peak exercise, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 3, or another item in this Subgroup applies (with the exception of items 55118, 55125, 55130 and 55131). Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) (NK) 55123 01JUL2011 31DEC9999 Y PHARMACOLOGICAL STRESS ECHOCARDIOGRAPHY performed in conjunction with item 11712, with two-dimensional recordings before drug infusion (baseline) from at least three acoustic windows and matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 3, or another item in this Subgroup, applies (with the exception of items 55118, 55125, 55130 and 55131). Recordings must be made on digital media with equipment permitting display of baseline and matching peak images on the same screen (R) (NK) 55124 01NOV1992 31DEC9999 Y 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHIC EXAMINATION of the heart, being a service associated with another echocardiographic examination (R) 55125 01JUL2011 31DEC9999 Y HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL EXAMINATION of, from at least two levels, and in more than one plane at each level: (a) with: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on video tape or digital medium; and (b) not being an intra-operative service or a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 3, applies (R) (NK) 55126 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Initial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media: (a) for the investigation of any of the following: (i) symptoms or signs of cardiac failure; or (ii) suspected or known ventricular hypertrophy or dysfunction; or (iii) pulmonary hypertension; or (iv) valvular, aortic, pericardial, thrombotic or embolic disease; or (v) heart tumour; or (vi) symptoms or signs of congenital heart disease; or (vii) other rare indications; and (b) if the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146) or an item in Subgroup 2 (except items 55118 and 55130) applies; and (d) cannot be claimed within 24 months if a service associated with a service to which item 55127, 55128, 55129, 55132, 55133 or 55134 is provided For any particular patient, applicable not more than once in 24 months (R) 55126 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Initial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media: (a) for the investigation of any of the following: (i) symptoms or signs of cardiac failure; or (ii) suspected or known ventricular hypertrophy or dysfunction; or (iii) pulmonary hypertension; or (iv) valvular, aortic, pericardial, thrombotic or embolic disease; or (v) heart tumour; or (vi) symptoms or signs of congenital heart disease; or (vii) other rare indications; and (b) if the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130), or an item in Subgroup 3 applies; and (d) cannot be claimed within 24 months if a service associated with a service to which item 55127, 55128, 55129, 55132, 55133 or 55134 is provided For any particular patient, applicable not more than once in 24 months (R) 55126 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Initial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of any of the following: (i) symptoms or signs of cardiac failure; (ii) suspected or known ventricular hypertrophy or dysfunction; (iii) pulmonary hypertension; (iv) valvular, aortic, pericardial, thrombotic or embolic disease; (v) heart tumour; (vi) symptoms or signs of congenital heart disease; (vii) other rare indications; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) 55127 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Repeat serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for the investigation of known valvular dysfunction, if: (a) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (b) the service is requested by a specialist or consultant physician; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146) or an item in Subgroup 2 (except items 55118 and 55130) applies (R) 55127 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Repeat serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for the investigation of known valvular dysfunction, if: (a) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (b) the service is requested by a specialist or consultant physician; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130), or an item in Subgroup 3 applies (R) 55127 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of known valvular dysfunction; and (b) is requested by a specialist or consultant physician; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R) 55128 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Repeat serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for the investigation of known valvular dysfunction, if: (a) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (b) the service is requested by a medical practitioner (other than a specialist or consultant physician) at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; or (iii) a Modified Monash 5 area; or (iv) a Modified Monash 6 area; or (v) a Modified Monash 7 area; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146) or an item in Subgroup 2 (except items 55118 and 55130) applies (R) 55128 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Repeat serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for the investigation of known valvular dysfunction, if: (a) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (b) the service is requested by a medical practitioner (other than a specialist or consultant physician) at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; or (iii) a Modified Monash 5 area; or (iv) a Modified Monash 6 area; or (v) a Modified Monash 7 area; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) or an item in Subgroup 3 applies (R) 55128 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of known valvular dysfunction; and (b) is requested by a medical practitioner (other than a specialist or consultant physician) at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R) 55129 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Repeat serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, excluding valvular dysfunction (when valvular dysfunction is the primary condition): (a) for the investigation of any of the following: (i) symptoms or signs of cardiac failure; or (ii) suspected or known ventricular hypertrophy or dysfunction; or (iii) pulmonary hypertension; or (iv) aortic, thrombotic, embolic disease or pericardial disease (excluding isolated pericardial effusion or pericarditis); or (v) heart tumour; or (vi) structural heart disease; or (vii) other rare indications; and (b) if the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation if present; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures when possible; and (c) the service is requested by a specialist or consultant physician; and (d) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146) or an item in Subgroup 2 (except items 55118 and 55130) applies (R) 55129 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Repeat serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, excluding valvular dysfunction (when valvular dysfunction is the primary condition): (a) for the investigation of any of the following: (i) symptoms or signs of cardiac failure; or (ii) suspected or known ventricular hypertrophy or dysfunction; or (iii) pulmonary hypertension; or (iv) aortic, thrombotic, embolic disease or pericardial disease (excluding isolated pericardial effusion or pericarditis); or (v) heart tumour; or (vi) structural heart disease; or (vii) other rare indications; and (b) if the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation if present; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures when possible; and (c) the service is requested by a specialist or consultant physician; and (d) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) or an item in Subgroup 3 applies (R) 55129 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if: (a) valvular dysfunction is not the primary issue for the patient (although it may be a secondary issue); and (b) the service is for the investigation of any of the following: (i) symptoms or signs of cardiac failure; (ii) suspected or known ventricular hypertrophy or dysfunction; (iii) pulmonary hypertension; (iv) aortic, thrombotic, embolic disease or pericardial disease (excluding isolated pericardial effusion or pericarditis); (v) heart tumour; (vi) structural heart disease; (vii) other rare indications; and (c) the service is requested by a specialist or consultant physician; and (d) the service is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R) 55130 01NOV1992 31OCT2000 N INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler techniques with colour flow mapping and recording onto video tape, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure (R) 55130 01NOV2000 30APR2004 N INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure (R) 55130 01MAY2004 30APR2020 N INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure - not associated with item 55135 (R) 55130 01MAY2020 30JUN2021 N Intra-operative two-dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure, not being a service associated with a service to which item 55135 applies (R) (Anaes.) 55130 01JUL2021 31DEC9999 Y Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service: (a) includes Doppler techniques with colour flow mapping and recordings on digital media; and (b) is performed during cardiac surgery; and (c) incorporates sequential assessment of cardiac function before and after the surgical procedure; and (d) is not associated with a service to which item 55135, or an item in Subgroup 3, applies (R) 55131 01JUL2011 31DEC9999 Y INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure - not associated with items 55135 and 55136 (R) (NK) 55132 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, for the investigation of a patient who is under 17 years of age, or a patient of any age with complex congenital heart disease, if: (a) the service involves the all of the following, where possible: (i) assessment of ventricular structure and function including quantification of systolic function (if the ventricular configuration allows accurate quantification) using at least one of M-mode, 2-dimensional or 3-dimensional imaging; and (ii) assessment of diastolic function; and (iii) assessment of atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using relevant Doppler techniques with quantification; and (vii) subxiphoid views where recommended for congenital heart lesions; and (viii) additional haemodynamic parameters relevant to the clinical condition under review; and (b) the service is performed by a specialist or consultant physician practising in the speciality of cardiology; and (c) the service is requested by a specialist or consultant physician; and (d) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146) or an item in Subgroup 2 (except items 55118 and 55130) applies (R) 55132 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, for the investigation of a patient who is under 17 years of age, or a patient of any age with complex congenital heart disease, if: (a) the service involves the all of the following, where possible: (i) assessment of ventricular structure and function including quantification of systolic function (if the ventricular configuration allows accurate quantification) using at least one of M-mode, 2-dimensional or 3-dimensional imaging; and (ii) assessment of diastolic function; and (iii) assessment of atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using relevant Doppler techniques with quantification; and (vii) subxiphoid views where recommended for congenital heart lesions; and (viii) additional haemodynamic parameters relevant to the clinical condition under review; and (b) the service is performed by a specialist or consultant physician practising in the speciality of cardiology; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) or an item in Subgroup 3 applies (R) 55132 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of a patient who: (i) is under 17 years of age; or (ii) has complex congenital heart disease; and (b) is performed by a specialist or consultant physician practising in the speciality of cardiology; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R) 55133 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2Frequent repetition serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media: (a) for the investigation of a patient: (i) with isolated pericardial effusion or pericarditis; or (ii) who has commenced medication for non-cardiac purposes that have cardiotoxic side effects, and if the patient has a normal baseline study which requires echocardiograms to comply with the requirements of the Pharmaceutical Benefits Scheme; and (b) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) applies (R) 55133 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2Frequent repetition serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media: (a) for the investigation of a patient: (i) with isolated pericardial effusion or pericarditis; or (ii) who has commenced medication for non-cardiac purposes that have cardiotoxic side effects, and if the patient has a normal baseline study which requires echocardiograms to comply with the requirements of the Pharmaceutical Benefits Scheme; and (b) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) or an item in Subgroup 3 applies (R) 55133 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2 Frequent repetition serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of a patient who: (i) has an isolated pericardial effusion or pericarditis; or (ii) has a normal baseline study, and has commenced medication for non-cardiac purposes that has cardiotoxic side effects and is a pharmaceutical benefit (within the meaning of Part VII of the National Health Act 1953) for the writing of a prescription for the supply of which under that Part an echocardiogram is required; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R) 55134 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2Repeat real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for rare cardiac pathologies, if: (a) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (b) the service is requested by a specialist or consultant physician; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) applies (R) 55134 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2Repeat real time echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for rare cardiac pathologies, if: (a) the service involves all of the following, where possible: (i) assessment of left ventricular structure and function including quantification of systolic function using M-mode, 2-dimensional or 3-dimensional imaging and diastolic function; and (ii) assessment of right ventricular structure and function with quantitative assessment; and (iii) assessment of left and right atrial structure including quantification of atrial sizes; and (iv) assessment of vascular connections of the heart including the great vessels and systemic venous structures; and (v) assessment of pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (vi) assessment of all present valves including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation; and (vii) assessment of additional haemodynamic parameters including the assessment of pulmonary pressures; and (b) the service is requested by a specialist or consultant physician; and (c) not being a service associated with a service to which another item in this Subgroup (except items 55137, 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) or an item in Subgroup 3 applies (R) 55134 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2 Repeat real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for the investigation of rare cardiac pathologies, if the service: (a) is requested by a specialist or consultant physician; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R) 55135 01MAY2004 30APR2020 N INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (repair or replacement) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure - not associated with item 55130 (R) 55135 01MAY2020 30JUN2021 N Intra-operative two-dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (replacement or repair) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure, not being a service associated with a service to which item 55130 applies (R) (Anaes.) 55135 01JUL2021 29FEB2024 N Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service: (a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and (b) includes Doppler techniques with colour flow mapping and recordings on digital media; and (c) is performed during cardiac valve surgery (replacement or repair); and (d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and (e) is not associated with a service to which item 55130, or an item in Subgroup 3, applies (R) 55135 01MAR2024 31DEC9999 Y Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service: (a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and (b) includes Doppler techniques with colour flow mapping and recordings on digital media; and (c) is performed during cardiac valve surgery (replacement or repair); and (d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and (e) is not associated with a service to which item 22054, 55130, or an item in Subgroup 3, applies (R) 55136 01JUL2011 31DEC9999 Y INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (repair or replacement) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure - not associated with items 55130 and 55131 (R) (NK) 55137 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media:(a) for the investigation of a fetus with suspected or confirmed of one or more of the following: (i) complex congenital heart disease; or (ii) functional heart disease; or (iii) fetal cardiac arrhythmia; or (iv) cardiac structural abnormality requiring confirmation; and (b) the service involves the assessment all of the following, where possible: (i) ventricular structure and function; and (ii) atrial structure; and (iii) vascular connections of the heart including the great vessels and systemic venous structures; and (iv) pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (v) all present valves including structural assessment and measurement of blood flow velocities across the valves using relevant Doppler techniques with quantification; and (c) the service is performed by a specialist or consultant physician practising in the speciality of cardiology with advanced training and expertise in fetal cardiac imaging; and (d) not being a service associated with a service to which another item in this Subgroup (except items 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) applies (R) 55137 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2Serial real time echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media: (a) for the investigation of a fetus with suspected or confirmed of one or more of the following: (i) complex congenital heart disease; or (ii) functional heart disease; or (iii) fetal cardiac arrhythmia; or (iv) cardiac structural abnormality requiring confirmation; and (b) the service involves the assessment all of the following, where possible: (i) ventricular structure and function; and (ii) atrial structure; and (iii) vascular connections of the heart including the great vessels and systemic venous structures; and (iv) pericardium and assessment of any haemodynamic consequences of pericardial abnormalities; and (v) all present valves including structural assessment and measurement of blood flow velocities across the valves using relevant Doppler techniques with quantification; and (c) the service is performed by a specialist or consultant physician practising in the speciality of cardiology with advanced training and expertise in fetal cardiac imaging; and (d) not being a service associated with a service to which another item in this Subgroup (except items 55141, 55143, 55145 and 55146), or an item in Subgroup 2 (except items 55118 and 55130) or an item in Subgroup 3 applies (R) 55137 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of a fetus with suspected or confirmed: (i) complex congenital heart disease; or (ii) functional heart disease; or (iii) fetal cardiac arrhythmia; or (iv) cardiac structural abnormality requiring confirmation; and (b) is performed by a specialist or consultant physician practising in the speciality of cardiology with advanced training and expertise in fetal cardiac imaging; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); applies; or (iii) an item in Subgroup 3 applies (R) 55137 01JUL2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of a fetus with suspected or confirmed: (i) complex congenital heart disease; or (ii) functional heart disease; or (iii) fetal cardiac arrhythmia; or (iv) cardiac structural abnormality requiring confirmation; and (b) is performed by a specialist or consultant physician practising in the speciality of cardiology with advanced training and expertise in fetal cardiac imaging; and (c) is not associated with a service to which: (i) an item in Subgroup 2 applies (except items 55118 and 55130); or (ii) an item in Subgroup 3 applies (R) 55141 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2Exercise stress echocardiography focused study if; (a) the service involves all of the following: (i) two-dimensional recordings before exercise (baseline) from at least 2 acoustic windows; and (ii) matching recordings at or immediately after peak exercise, which include at least parasternal short and long axis views, and apical 4-chamber and 2 chamber views; and (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (iv) resting electrocardiogram and continuous multi-channel electrocardiogram monitoring and recording during stress; and (v) blood pressure monitoring and the recording of other parameters (including heart rate); and (b) cannot be claimed if a service associated with a service to which item 55143, 55145 or 55146 applies is provided in the previous 24 months; and (c) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies For any particular patient, applicable not more than once in 24 months (R) 55141 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2Exercise stress echocardiography focused study if; (a) the service involves all of the following: (i) two-dimensional recordings before exercise (baseline) from at least 2 acoustic windows; and (ii) matching recordings at or immediately after peak exercise, which include at least parasternal short and long axis views, and apical 4-chamber and 2 chamber views; and (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (iv) resting electrocardiogram and continuous multi-channel electrocardiogram monitoring and recording during stress; and (v) blood pressure monitoring and the recording of other parameters (including heart rate); and (b) cannot be claimed if a service associated with a service to which item 55143, 55145 or 55146 applies is provided in the previous 24 months; and (c) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (d) not being a service associated with a service to which an item in Subgroup 3 applies For any particular patient, applicable not more than once in 24 months (R) 55141 01MAR2021 30NOV2022 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 Exercise stress echocardiography focused study, other than a service associated with a service to which: (a) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or (b) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) 55141 01DEC2022 31DEC2022 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 and does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55143 or 55146 applies has been provided to the patient. Exercise stress echocardiography focused study, other than a service associated with a service to which: (a) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or (b) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) 55141 01JAN2023 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 and does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55143, 55145 or 55146 applies has been provided to the patient. Exercise stress echocardiography focused study, other than a service associated with a service to which: (a) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or (b) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) 55143 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1, IR.1.1 and IR.1.2 Repeat pharmacological or exercise stress echocardiography if: (a) the patient has had a service associated with a service to which item 55141, 55145 or 55146 applies provided in the previous 24 months; and (b) the patient has symptoms of ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is requested by a specialist or a consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies For any particular patient, applicable not more than once in 12 months (R) 55143 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1, IR.1.1 and IR.1.2 Repeat pharmacological or exercise stress echocardiography if: (a) the patient has had a service associated with a service to which item 55141, 55145 or 55146 applies provided in the previous 24 months; and (b) the patient has symptoms of ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is requested by a specialist or a consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (e) not being a service associated with a service to which an item in Subgroup 3 applies For any particular patient, applicable not more than once in 12 months (R) 55143 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1, IR.1.1 and IR.1.2 Repeat pharmacological or exercise stress echocardiography if: (a) a service to which item 55141, 55145 or 55146 applies has been performed on the patient in the previous 24 months; and (b) the patient has symptoms of ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which: (i) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or (ii) an item in Subgroup 3 applies Applicable not more than once in a 12 month period (R) 55143 01JUL2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1, IR.1.1 and IR.1.2 Repeat pharmacological or exercise stress echocardiography if: (a) a service to which item 55141, 55145, 55146, or this item, applies has been performed on the patient in the previous 24 months; and (b) the patient has symptoms of ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which: (i) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or (ii) an item in Subgroup 3 applies Applicable not more than once in a 12 month period (R) 55145 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2Pharmacological stress echocardiography if: (a) the service involves all of the following: (i) two-dimensional recordings before drug infusion (baseline) from at least 2 acoustic windows; and (ii) matching recordings at least twice during drug infusion, including a recording at the peak drug dose, which include at least parasternal short and long axis views, and apical 4-chamber and 2 chamber views; and (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (iv) resting electrocardiogram and continuous multi-channel electrocardiogram monitoring and recording during stress; and (v) blood pressure monitoring and the recording of other parameters (including heart rate); and (b) a service to which item 55141, 55146 or 55143 applies has not been provided in the previous 24 months; and (c) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies For any particular patient, applicable not more than once in 24 months (R) 55145 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2Pharmacological stress echocardiography if: (a) the service involves all of the following: (i) two-dimensional recordings before drug infusion (baseline) from at least 2 acoustic windows; and (ii) matching recordings at least twice during drug infusion, including a recording at the peak drug dose, which include at least parasternal short and long axis views, and apical 4-chamber and 2 chamber views; and (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (iv) resting electrocardiogram and continuous multi-channel electrocardiogram monitoring and recording during stress; and (v) blood pressure monitoring and the recording of other parameters (including heart rate); and (b) a service to which item 55141, 55146 or 55143 applies has not been provided in the previous 24 months; and (c) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (d) not being a service associated with a service to which an item in Subgroup 3 applies For any particular patient, applicable not more than once in 24 months (R) 55145 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 Pharmacological stress echocardiography, other than a service associated with a service to which: (a) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or (b) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) Note: this item does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55141, 55143 or 55146 applies has been provided to the patient. 55146 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2Pharmacological stress echocardiography if: (a) the service involves all of the following: (i) two-dimensional recordings before drug infusion (baseline) from at least 2 acoustic windows; and (ii) matching recordings at least twice during drug infusion, including a recording at the peak drug dose, which include at least parasternal short and long axis views, and apical 4-chamber and 2 chamber views; and (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (iv) resting electrocardiogram and continuous multi-channel electrocardiogram monitoring and recording during stress; and (v) blood pressure monitoring and the recording of other parameters (including heart rate); and (b) the patient has had a service performed under item 55141 in the previous 4 weeks and the test has failed due to an inadequate heart rate response; and (c) a service to which item 55143 or 55145 applies has not been provided in the previous 24 months; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies For any particular patient, applicable not more than once in 24 months (R) 55146 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2Pharmacological stress echocardiography if: (a) the service involves all of the following: (i) two-dimensional recordings before drug infusion (baseline) from at least 2 acoustic windows; and (ii) matching recordings at least twice during drug infusion, including a recording at the peak drug dose, which include at least parasternal short and long axis views, and apical 4-chamber and 2 chamber views; and (iii) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and (iv) resting electrocardiogram and continuous multi-channel electrocardiogram monitoring and recording during stress; and (v) blood pressure monitoring and the recording of other parameters (including heart rate); and (b) the patient has had a service performed under item 55141 in the previous 4 weeks and the test has failed due to an inadequate heart rate response; and (c) a service to which item 55143 or 55145 applies has not been provided in the previous 24 months; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (e) not being a service associated with a service to which an item in Subgroup 3 applies For any particular patient, applicable not more than once in 24 months (R) 55146 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 Pharmacological stress echocardiography if: (a) a service to which item 55141 applies has been performed on the patient in the previous 4 weeks, and the test has failed due to an inadequate heart rate response; and (b) the service is not associated with a service to which: (i) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or (ii) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) Note: this item does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55143 or 55145 applies has been provided to the patient. 55201 01NOV1992 30NOV1992 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries) or peripheral vessels (with or without intra-abdominal studies necessary for views of the lower aorta) or intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies), not being a service associated with a service to which item 55000, 55003 or 55006 applies - 1 examination and report (R) 55201 01DEC1992 30JUN1993 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries) or peripheral vessels (with or without intra-abdominal studies necessary for views of the lower aorta) or intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies), not being a service associated with a service to which item 55000, 55003 or 55006 applies - 1 examination and report (R) 55201 01JUL1993 30JUN1996 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries) or peripheral vessels (with or without intra-abdominal studies necessary for views of the lower aorta) or intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies), not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55201 01JUL1996 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries) or peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis) (with or without intra-abdominal studies necessary for views of the lower aorta) or intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies), not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55204 01NOV1992 30JUN1993 N - 2 or more examinations of the kind referred to in item 55201 and report, not being a service associated with a service to which item 55000, 55003 or 55006 applies (R) 55204 01JUL1993 30JUN1996 N - 2 or more examinations of the kind referred to in item 55201 and report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies (R) 55204 01JUL1996 31DEC9999 Y - 2 or more examinations of the kind referred to in item 55201 and report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies (R) 55207 01JUL1996 31OCT1996 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence, where a specialist in diagnostic radiology, urology or general surgery (sub-specialising in vascular surgery) attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - examination and report (R) 55207 01NOV1996 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence, where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - examination and report (R) 55208 01JAN1997 30APR2020 N Confidential Item mapped to 55238 55208 01MAY2020 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent to confirm a diagnosis of vascular aetiology for impotence (R). Note: This item is only available for services rendered by Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065. 55209 01JAN1997 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent to confirm a diagnosis of vascular aetiology for impotence (R)(NK). 55210 01JUL1996 31OCT1996 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations; where a specialist in diagnostic radiology, urology or general surgery (sub-specialising in vascular surgery) attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and report is prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - examination and report (R). 55210 01NOV1996 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations; where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - examination and report (R). 55211 01JAN1997 30APR2020 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism, or (b) fibrosis of any type, or (c) fracture of the tunica, or (d) arteriovenous malformations (R)(K). 55211 01MAY2020 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations (R) Note: This items is only available for Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065 55212 01JAN1997 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism, or (b) fibrosis of any type, or (c) fracture of the tunica, or (d) arteriovenous malformations (R)(NK). 55220 01JUL2011 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb OR of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55221 01JUL2011 30JUN2019 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55221 01JUL2019 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which item 55222 or 55246 or an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK) 55222 01JUL2011 30JUN2019 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55222 01JUL2019 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which item 55221 or 55244 or an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (NK) 55223 01JUL2011 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb OR of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55224 01JUL2011 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55225 01NOV1992 30JUN1993 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography (not being a service associated with a service to which item 55000, 55003 or 55006 applies) - examination and report (R) 55225 01JUL1993 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - examination and report (R) 55226 01JUL2011 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra-cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri-orbital Doppler examination, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Groups applies (R) (NK) 55227 01JUL2011 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries or inferior vena cava and iliac veins OR of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55228 01JUL2011 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels OR of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55229 01JUL2011 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-cranial vessels, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55230 01JUL2011 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence, where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55231 01NOV1992 30JUN1993 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels and carotid vessels, with oculoplethysmography (not being a service associated with a service to which item 55000, 55003 or 55006 applies) examination and report (R) 55231 01JUL1993 30JUN1996 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels and carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies examination and report (R) 55231 01JUL1996 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis) and carotid vessels, with oculoplethysmography, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies examination and report (R) 55232 01JUL2011 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations; where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Groups applies (R) (NK) 55233 01JUL2011 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access graft in the upper or lower limb, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) (NK) 55234 01NOV1992 30JUN1993 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including a service referred to in item 11603, 11606 or 11609 (not being a service associated with a service to which item 55000, 55003 or 55006 applies) examination and report (R) 55234 01JUL1993 30JUN1996 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies examination and report (R) 55234 01JUL1996 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels (excluding the cavernosal artery and dorsal artery of the penis), including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies examination and report (R) 55235 01JUL2011 31DEC9999 Y DUPLEX SCANNING, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins OR arteries and veins, for mapping of bypass conduit prior to vascular surgery, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054), 3 or 4 of this Group applies - including any associated skin marking (R) (NK) 55236 01JUL2011 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limb below the inguinal ligament prior to varicose vein surgery, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054), 3 or 4 of this Group applies - including any associated skin marking (R) (NK) 55237 01NOV1992 30JUN1993 N DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels before measured exercise using treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral), (not being a service associated with a service to which item 55000, 55003 or 55006 applies) examination and report (R) 55237 01JUL1993 31DEC9999 Y DUPLEX SCANNING (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels before measured exercise using treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral), not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies examination and report (R) 55238 01NOV1997 31OCT2001 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb OR of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55238 01NOV2001 30APR2020 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb OR of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies - (R) 55238 01MAY2020 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55240 01NOV1997 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb OR of arteries and bypass grafts in the lower limb, below the inguinal ligament, including a service referred to in item 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this group applies - 1 examination and report (R) 55242 01NOV1997 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb OR of arteries and bypass grafts in the lower limb, below the inguinal ligament, including a service referred to in item 11612, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55244 01NOV1997 31OCT2001 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55244 01NOV2001 30JUN2019 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55244 01JUL2019 30APR2020 N Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which item 55222, 55246 or an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K) 55244 01MAY2020 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with any of the following:(a) a service to which item 55246 applies;(b) a service to which an item in Subgroup 4 applies;(c) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55245 01NOV1998 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55246 01NOV1997 31OCT2001 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55246 01NOV2001 30JUN2019 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55246 01JUL2019 30APR2020 N Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which item 55221 or 55244 or an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) (K) 55246 01MAY2020 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with any of the following:(a) a service to which item 55244 applies;(b) a service to which an item in Subgroup 4 applies;(c) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55247 01NOV1998 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55248 01NOV1997 31OCT2001 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb OR of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55248 01NOV2001 30JUN2019 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb OR of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55248 01JUL2019 30APR2020 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb OR of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 of this Group applies - (R) (K) 55248 01MAY2020 31OCT2020 N Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55248 01NOV2020 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroup 4 applies (R) 55250 01NOV1997 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb OR of arteries and bypass grafts in the upper limb, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55252 01NOV1997 31OCT2001 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroups 1 ( with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55252 01NOV2001 30APR2020 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies - (R) 55252 01MAY2020 31OCT2020 N Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55252 01NOV2020 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associated with a service to which an item in Subgroup 4 applies (R). 55254 01NOV1997 31DEC9999 Y DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55256 01NOV1997 31OCT2001 N DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limbs OR of arteries and bypass grafts in the lower limbs, below the inguinal ligament, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this group applies - 1 examination and report (R) 55256 01NOV2001 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limbs OR of arteries and bypass grafts in the lower limbs, below the inguinal ligament, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this group applies - (R) 55258 01NOV1997 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limbs OR of arteries and bypass grafts in the lower limbs, below the inguinal ligament, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55260 01NOV1997 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limbs OR of arteries and bypass grafts in the lower limbs, below the inguinal ligament, including a service referred to in item 11612, not being a service associated with a service to which an item in Subgroups 1 (with exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55262 01NOV1997 31OCT2001 N DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limbs, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55262 01NOV2001 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limbs, below the inguinal ligament, for acute venous thrombosis, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55263 01NOV1998 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55264 01NOV1997 31OCT2001 N DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limbs, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55264 01NOV2001 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limbs, below the inguinal ligament, for chronic venous disease, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55265 01NOV1998 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55266 01NOV1997 31OCT2001 N DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limbs OR of arteries and bypass grafts in the upper limbs, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55266 01NOV2001 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limbs OR of arteries and bypass grafts in the upper limbs, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55268 01NOV1997 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limbs OR of arteries and bypass grafts in the upper limbs, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55270 01NOV1997 31OCT2001 N DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limbs, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55270 01NOV2001 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limbs, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55272 01NOV1997 31DEC9999 Y DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limbs, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which an item in Subgroups 1 (with the exception o f item 55054) or 4 of this Group applies - 1 examination and report (R) 55274 01NOV1997 31OCT2001 N DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra-cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri-orbital Doppler examination, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Groups applies - 1 examination and report (R) 55274 01NOV2001 30APR2020 N DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra-cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri-orbital Doppler examination, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Groups applies - (R) 55274 01MAY2020 31OCT2020 N Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri orbital Doppler examination, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55274 01NOV2020 31DEC9999 Y Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri orbital Doppler examination, not being a service associated with a service to which an item in Subgroup 4 applies (R). 55276 01NOV1997 31OCT2001 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries or inferior vena cava and iliac veins OR of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, for an examination of not less than 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55276 01NOV2001 30APR2002 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries or inferior vena cava and iliac veins OR of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, for an examination of not less than 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55276 01MAY2002 30APR2020 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries or inferior vena cava and iliac veins OR of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55276 01MAY2020 31OCT2020 N Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries or inferior vena cava and iliac veins or of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated with any of the following: (a) a service to which an item in Subgroup 4 applies; (b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55276 01NOV2020 31DEC9999 Y Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries or inferior vena cava and iliac veins or of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup 4 applies (R) 55277 01NOV1998 31OCT2001 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, for an examination of between 25 and 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55277 01NOV2001 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, for an examination of between 25 and 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55278 01NOV1997 31OCT2001 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels OR of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, for an examination of not less than 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55278 01NOV2001 30APR2002 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels OR of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, for an examination of not less than 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55278 01MAY2002 30APR2020 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels OR of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies - (R) 55278 01MAY2020 31OCT2020 N Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels or of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55278 01NOV2020 31DEC9999 Y Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels or of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated with a service to which an item in Subgroup 4 applies (R) 55279 01NOV1998 31OCT2001 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels OR of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, for an examination of between 25 and 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55279 01NOV2001 31DEC9999 Y DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels OR of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, for an examination of between 25 and 45 minutes duration, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55280 01NOV1997 31OCT2001 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-cranial vessels, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - 1 examination and report (R) 55280 01NOV2001 30APR2020 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra-cranial vessels, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - (R) 55280 01MAY2020 31OCT2020 N Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra cranial vessels, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55280 01NOV2020 31DEC9999 Y Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra cranial vessels, not being a service associated with a service to which an item in Subgroup 4 applies (R) 55282 01NOV1997 31OCT2001 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vasular aetiology for impotence, where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Group applies - examination and report (R) 55282 01NOV2001 30APR2020 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated doppler flow measurements: (a) by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and (b) performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence; and (c) where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at thepractice location where the service is performed, immediately before or for a period during the performance of the service; and (d) where that specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 1 (with the exception of items 55026 and 55054) or 4 applies (R) 55282 01MAY2020 31OCT2020 N Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:(a) by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and(b) performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence; and(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with any of the following:(i) a service to which an item in Subgroup 4 applies;(ii) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55282 01NOV2020 31DEC9999 Y Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:(a) by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and(b) performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence; and(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 4 applies (R) 55284 01NOV1997 31OCT2001 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations; where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054) or 4 of this Groups applies - 1 examination and report (R) 55284 01NOV2001 30APR2020 N DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations; where a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub-specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is rendered, immediately prior to or for a period during the rendering of the service, and that specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Groups applies - (R) 55284 01MAY2020 31OCT2020 N Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:(a) by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis; and(b) if indicated, assess the progress and management of:(i) priapism; or(ii) fibrosis of any type; or(iii) fracture of the tunica; or(iv) arteriovenous malformations; and(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with any of the following:(i) a service to which an item in Subgroup 4 applies;(ii) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55284 01NOV2020 31DEC9999 Y Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:(a) by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis; and(b) if indicated, assess the progress and management of:(i) priapism; or(ii) fibrosis of any type; or(iii) fracture of the tunica; or(iv) arteriovenous malformations; and(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 4 applies (R) 55286 01NOV1997 31DEC9999 Y Note: For this item, the scanned area must be specified on the account or patient assignment form. DUPLEX SCANNING, unilateral or bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of vessels not otherwise specified (excluding the cavernosal artery and the dorsal artery of the penis), not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), 3 or 4 of this Group applies - 1 examination and report (R) 55288 01NOV1997 31OCT1998 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55286) under this item. - TWO examinations of the kind referred to in items 55238 to 55286 inclusive (excluding items 55282 and 55284) except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238, 55240,55242,55256,55258 and 55260; block (b) - item 55244, 55246, 55262 and 55264; block (c) - item 55248, 55250, 55266 and 55268; block (d) - item 55252, 55254, 55270 and 55272; block (e) - item 55276 and 55278, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - examination and report (R) 55288 01NOV1998 31AUG1999 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55286) under this item. - TWO examinations of the kind referred to in items 55238 to 55286 inclusive (excluding items 55282 and 55284) except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238, 55240,55242,55256,55258 and 55260; block (b) - item 55244, 55245, 55246, 55247, 55262, 55263, 55264 and 55265; block (c) - item 55248, 55250, 55266 and 55268; block (d) - item 55252, 55254, 55270 and 55272; block (e) - item 55276, 55277, 55278 and 55279; not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - examination and report (R) 55288 01SEP1999 31OCT2001 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55280) under this item. - TWO examinations of the kind referred to in items 55238 to 55280 inclusive except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238, 55240,55242,55256,55258 and 55260; block (b) - item 55244, 55245, 55246, 55247, 55262, 55263, 55264 and 55265; block (c) - item 55248, 55250, 55266 and 55268; block (d) - item 55252, 55254, 55270 and 55272; block (e) - item 55276, 55277, 55278 and 55279; not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - examination and report (R) 55288 01NOV2001 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55280) under this item. - TWO examinations of the kind referred to in items 55238 to 55280 inclusive except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238 and 55256; block (b) - item 55244, 55246, 55262, and 55264; block (c) - item 55248, and 55266; block (d) - item 55252 and 55270; block (e) - item 55276, 55277, 55278 and 55279; not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - (R) 55290 01NOV1997 31OCT1998 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55286) under this item. THREE examinations of the kind referred to in items 55238 to 55286 inclusive (excluding items 55282 and 55284) except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238, 55240, 55242,55256, 55258 and 55260; block (b) - item 55244, 55246, 55262 and 55264; block (c) - item 55248, 55250, 55266 and 55268; block (d) - item 55252, 55254, 55270 and 55272; block (e) - item 55276 and 55278, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - examination and report (R) 55290 01NOV1998 31AUG1999 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55286) under this item. THREE examinations of the kind referred to in items 55238 to 55286 inclusive (excluding items 55282 and 55284) except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238, 55240, 55242,55256, 55258 and 55260; block (b) - item 55244, 55245, 55246, 55247, 55262, 55263, 55264 and 55265; block (c) - item 55248, 55250, 55266 and 55268; block (d) - item 55252, 55254, 55270 and 55272; block (e) - item 55276, 55277, 55278 and 55279, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - examination and report (R) 55290 01SEP1999 31OCT2001 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55280) under this item. THREE examinations of the kind referred to in items 55238 to 55280 inclusive except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238, 55240, 55242,55256, 55258 and 55260; block (b) - item 55244, 55245, 55246, 55247, 55262, 55263, 55264 and 55265; block (c) - item 55248, 55250, 55266 and 55268; block (d) - item 55252, 55254, 55270 and 55272; block (e) - item 55276, 55277, 55278 and 55279, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - examination and report (R) 55290 01NOV2001 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed (and the area scanned where one of the examinations was of the kind referred to in item 55280) under this item. THREE examinations of the kind referred to in items 55238 to 55280 inclusive except for an examination of the kind referred to in the items shown in the blocks below, where only one examination can be provided from the items in any one block:- block (a) - item 55238 and 55256, block (b) - item 55244, 55246, 55262 and 55264; block (c) - item 55248 and 55266; block (d) - item 55252 and 55270; block (e) - item 55276, 55277, 55278 and 55279, not being a service associated with a service to which an item in Subgroups 1 (with the exception of item 55054), or 4 of this Group applies - (R) 55292 01NOV2001 30APR2020 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access graft in the upper or lower limb, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054) or 4 of this Group applies (R) 55292 01MAY2020 31OCT2020 N Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access grafts in the upper or lower limbs, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55292 01NOV2020 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access grafts in the upper or lower limbs, not being a service associated with a service to which an item in Subgroup 4 applies (R) 55294 01NOV2001 30APR2020 N DUPLEX SCANNING, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins OR arteries and veins, for mapping of bypass conduit prior to vascular surgery, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054), 3 or 4 of this Group applies - including any associated skin marking (R) 55294 01MAY2020 31DEC9999 Y Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins, or both, including any associated skin marking, for mapping of bypass conduit before vascular surgery, not being a service associated with any of the following:(a) a service to which an item in Subgroup 3 or 4 applies; (b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55296 01NOV2001 30APR2020 N DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limb below the inguinal ligament prior to varicose vein surgery, not being a service associated with a service to which an item in Subgroups 1 (with the exception of items 55026 and 55054), 3 or 4 of this Group applies - including any associated skin marking (R) 55296 01MAY2020 31DEC9999 Y Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limbs below the inguinal ligament before varicose vein surgery, including any associated skin marking, not being a service associated with any of the following:(a) a service to which an item in Subgroup 3 or 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R) 55300 01JUL1993 31OCT1993 N PROSTATE, bladder base and urethra, transrectal ultrasound scan of, where performed: (a) personally by a medical practitioner using a transducer probe or probes able to operate within a frequency range of 7 to 7.5 megahertz and able to obtain both transverse and longitudinal scans; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist surgeon or consultant physician who has: (i) examined the patient in the 60 days prior to the scan; and (ii) recommended the scan for the management of the patient's current prostatic disease (R) 55300 01NOV1993 31DEC9999 Y PROSTATE, bladder base and urethra, transrectal ultrasound scan of, where performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in (c)) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i)examined the patient in the 60 days prior to the scan; and (ii)recommended the scan for the management of the patient's current prostatic disease (R) 55303 01NOV1993 31DEC9999 Y PROSTATE, bladder base and urethra, transrectal ultrasound scan of, where performed: (a) personally by a medical practitioner who undertook the assessment referred to in (c) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequecies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i)examined the patient in the 60 days prior to the scan; and (ii)recommended the scan for the management of the patient's current prostatic disease (R) 55600 01NOV1998 30JUN2011 N PROSTATE, bladder base and urethra, transrectal ultrasound scan of, where performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in (c)) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i)examined the patient in the 60 days prior to the scan; and (ii)recommended the scan for the management of the patient's current prostatic disease (R) 55600 01JUL2011 31OCT2011 N PROSTATE, bladder base and urethra, ultrasound scan of, where performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in (c)) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i)examined the patient in the 60 days prior to the scan; and (ii)recommended the scan for the management of the patient's current prostatic disease (R) (K) 55600 01NOV2011 30JUN2014 N PROSTATE, bladder base and urethra, ultrasound scan of, where performed: (a) personally by a referring practitioner (not being the medical practitioner who assessed the patient as specified in (c)) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i)examined the patient in the 60 days prior to the scan; and (ii)recommended the scan for the management of the patient's current prostatic disease (R) (K) 55600 01JUL2014 30JUN2018 N Prostate, bladder base and urethra, l ultrasound scan of, if performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that: (i) have a nominal frequency of 7 to 7.5 MHz or a nominal frequency range that includes frequencies of 7 to 7.5 MHz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) after a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology, a consultant physician in medical oncology, who has: (i) examined the patient in the 60 days before the scan; and (ii) recommended the scan for the management of the patient's current prostatic disease (R) (K) 55600 01JUL2018 30APR2020 N Prostate, bladder base and urethra, ultrasound scan of, if performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and (b) after a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by: (i) a specialist in urology, radiation oncology or medical oncology; or (ii) a consultant physician in medical oncology; who has: (iii) examined the patient in the 60 days before the scan; and (iv) recommended the scan for the management of the patient's current prostatic disease (R) (K) 55600 01MAY2020 31DEC9999 Y Prostate, bladder base and urethra, ultrasound scan of, if performed:(a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and(b) after a digital rectal examination of the prostate by that medical practitioner; and(c) on a patient who has been assessed by:(i) a specialist in urology, radiation oncology or medical oncology; or(ii) a consultant physician in medical oncology; who has:(iii) examined the patient in the 60 days before the scan; and(iv) recommended the scan for the management of the patient's current prostatic disease(R) 55601 01JUL2011 30JUN2018 N PROSTATE, bladder base and urethra, ultrasound scan of, where performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in (c)) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i) examined the patient in the 60 days prior to the scan; and (ii) recommended the scan for the management of the patient's current prostatic disease (R) (NK) 55601 01JUL2018 31DEC9999 Y Prostate, bladder base and urethra, ultrasound scan of, if performed: (a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and (b) after a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by: (i) a specialist in urology, radiation oncology or medical oncology; or (ii) a consultant physician in medical oncology; who has: (iii) examined the patient in the 60 days before the scan; and (iv) recommended the scan for the management of the patient's current prostatic disease (R) (NK) 55603 01NOV1998 30JUN2011 N PROSTATE, bladder base and urethra, transrectal ultrasound scan of, where performed: (a) personally by a medical practitioner who undertook the assessment referred to in (c) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i)examined the patient in the 60 days prior to the scan; and (ii)recommended the scan for the management of the patient's current prostatic disease (R) 55603 01JUL2011 30JUN2018 N PROSTATE, bladder base and urethra, ultrasound scan of, where performed: (a) personally by a medical practitioner who undertook the assessment referred to in (c) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i)examined the patient in the 60 days prior to the scan; and (ii)recommended the scan for the management of the patient's current prostatic disease (R) (K) 55603 01JUL2018 30APR2020 N Prostate, bladder base and urethra, ultrasound scan of, if performed: (a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and (b) after a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by: (i) a specialist in urology, radiation oncology or medical oncology; or (ii) a consultant physician in medical oncology; who has: (iii) examined the patient in the 60 days before the scan; and (iv) recommended the scan for the management of the patient's current prostatic disease (R) (K) 55603 01MAY2020 31DEC9999 Y Prostate, bladder base and urethra, ultrasound scan of, if performed:(a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and(b) after a digital rectal examination of the prostate by that medical practitioner; and(c) on a patient who has been assessed by:(i) a specialist in urology, radiation oncology or medical oncology; or(ii) a consultant physician in medical oncology; who has:(iii) examined the patient in the 60 days before the scan; and(iv) recommended the scan for the management of the patient's current prostatic disease(R) 55604 01JUL2011 30JUN2018 N PROSTATE, bladder base and urethra, ultrasound scan of, where performed: (a) personally by a medical practitioner who undertook the assessment referred to in (c) using a transducer probe or probes that: (i) have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency range which includes frequencies of 7 to 7.5 megahertz; and (ii) can obtain both axial and sagittal scans in 2 planes at right angles; and (b) following a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by a specialist in urology, radiation oncology or medical oncology or a consultant physician in medical oncology who has: (i) examined the patient in the 60 days prior to the scan; and (ii) recommended the scan for the management of the patient's current prostatic disease (R) (NK) 55604 01JUL2018 31DEC9999 Y Prostate, bladder base and urethra, ultrasound scan of, if performed: (a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and (b) after a digital rectal examination of the prostate by that medical practitioner; and (c) on a patient who has been assessed by: (i) a specialist in urology, radiation oncology or medical oncology; or (ii) a consultant physician in medical oncology; who has: (iii) examined the patient in the 60 days before the scan; and (iv) recommended the scan for the management of the patient's current prostatic disease (R) (NK) 55700 01FEB2000 31OCT2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) gross maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) 55700 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) 55700 01NOV2001 31OCT2005 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) 55700 01NOV2005 31OCT2007 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 80mm, refer to item number 55707 (R). Fee is payable only for item 55700 or item 55707, not both items. 55700 01NOV2007 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, if: (a) the patient is referred by a medical practitioner or participating midwife; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) if the patient is referred by a medical practitioner -- the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) if the patient is referred by a participating midwife - the referring midwife does not have a business or financial arrangement with the providing practitioner; and (f) 1 or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55707 (R). Fee is payable only for item 55700 or item 55707, not both items. 55700 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, for determining the gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation (R) 55700 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and (b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (R) 55701 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55707 or 55714 (R) (NK). Fee is payable only for item 55700 or 55701, or, or item 55707 or 55714, not both items 55702 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55708 or 55716 (R) (NK). Fee is payable only for item 55702 or 55703, or, item 55707 or 55714, not both items 55703 01FEB2000 31OCT2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) gross maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical imcompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) 55703 01NOV2000 31OCT2005 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) 55703 01NOV2005 31OCT2007 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 80mm, refer to item number 55708 (R). Fee is payable only for item 55703 or item 55707, not both items. 55703 01NOV2007 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55708 (R). Fee is payable only for item 55703 or item 55707, not both items. 55703 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, for determining the gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation (NR) 55703 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and (b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (NR) 55704 01FEB2000 31OCT2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) gross maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) 55704 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) 55704 01NOV2001 31OCT2005 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) 55704 01NOV2005 31OCT2007 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (R) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 80mm, refer to item number 55707 (R). Fee is payable only for item 55704 or item 55707, not both items. 55704 01NOV2007 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if: (a)the patient is referred by a medical practitioner or participating midwife; and (b)the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c)the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) if the patient is referred by a medical practitioner -- the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) if the patient is referred by a participating midwife -- the referring midwife does not have a business or financial arrangement with the providing practitioner; and (f) one or more of the following conditions are present: (i)hyperemesis gravidarum; (ii)diabetes mellitus; (iii)hypertension; (iv)toxaemia of pregnancy; (v)liver or renal disease; (vi)autoimmune disease; (vii)cardiac disease; (viii)alloimmunisation; (ix)maternal infection; (x)inflammatory bowel disease; (xi)bowel stoma; (xii)abdominal wall scarring; (xiii)previous spinal or pelvic trauma or disease; (xiv)drug dependency; (xv)thrombophilia; (xvi)significant maternal obesity; (xvii)advanced maternal age; (xviii)abdominal pain or mass; (xix)uncertain dates; (xx)high risk pregnancy; (xxi)previous post dates delivery; (xxii)previous caesarean section; (xxiii)poor obstetric history; (xxiv)suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormalityFootnote: for nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item number 55707 (r). fee is payable only for item 55704 or item 55707, not both items. 55704 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation (R) 55704 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and (b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R) 55705 01FEB2000 31OCT2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) gross maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical imcompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) 55705 01NOV2000 31OCT2005 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) 55705 01NOV2005 31OCT2007 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) Footnote: For nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 80mm, refer to item number 55708 (R). Fee is payable only for item 55705 or item 55708, not both items. 55705 01NOV2007 30APR2020 N PELVIS OR ABDOMEN, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner;and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (d) one or more of the following conditions are present: (i) hyperemesis gravidarum;(ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (NR) 55705 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation (NR) 55705 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and (b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR) 55706 01FEB2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) the service is not performed in the same pregnancy as item 55709 (R) 55706 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the patient is referred by a medical practitioner or participating midwife; and (b) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) if the patient is referred by a medical practitioner - the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) if the patient is referred by a participating midwife - the referring midwife does not have a business or financial arrangement with the providing practitioner; and (f) the service is not performed in the same pregnancy as item 55709 (R) 55706 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(b) the service is not performed in the same pregnancy as item 55709 (R) 55706 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the dating for the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55709; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55706 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the dating for the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55709; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55707 01NOV2005 31OCT2007 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where; (a) the patient is referred by a medical practitioner; and (b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 80mm; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) one or more of the conditions mentioned in subparagraphs (e) (i) to (xxx) of item 55704 are present; and (f) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (g) the service is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (R) 55707 01NOV2007 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, if; (a) the patient is referred by a medical practitioner or participating midwife; and (b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84mm; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) if the patient is referred by a medical practitioner - the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) if the patient is referred by a participating midwife - the referring midwife does not have a business or financial arrangement with the providing practitioner; and (f) at least 1 condition mentioned in paragraph (f) of item 55704 is present; and (g) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (h) the service is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (R) 55707 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the pregnancy (as confirmed by ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and(c) the service is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (R) 55707 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if:(a) the pregnancy (as confirmed by the current ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and(c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R) 55707 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the pregnancy (as confirmed by the current ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and (b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R) 55708 01NOV2005 31OCT2007 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where; (a) the patient is not referred by a medical practitioner; and (b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 80mm; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the conditions in subparagraphs (e) (i) to (xxx) of item 55704 are present; and (e) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (f) the service is not performed in conjunction with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (NR) 55708 01NOV2007 30APR2020 N PELVIS OR ABDOMEN, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84 mm; and (c) the service is not associated with a service to which an item in subgroup 2 or 3 applies; and (d) at least 1 condition mentioned in paragraph (e) of item 55704 is present; and (e) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (f) the service is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (nr) (item is subject to subrule 11 (2)) 55708 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84 mm; and(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and(c) the service is not performed with item 55700, 55703, 55704 or 55705, on the same patient within 24 hours (NR) 55708 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if:(a) the pregnancy (as confirmed by the current ultrasound) is dated by a crown rump length of 45 to 84 mm; and(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and(c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR) 55708 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the pregnancy (as confirmed by the current ultrasound) is dated by a crown rump length of 45 to 84 mm; and (b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR) 55709 01FEB2000 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a)the patient is not referred by a medical practitioner; and (b)the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c)the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d)the service is not performed in the same pregnancy as item 55706 or 55713 (NR) 55709 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(b the service is not performed in the same pregnancy as item 55706 (NR) 55709 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55706; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55709 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55706; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55710 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where:(a) the patient is referred by a medical practitioner; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and(c) the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and(e) one or more of the following conditions are present: (i) hyperemesis gravidarum; (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (r)Footnote: for nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item 55704 or 55707 (r) (nk). Fee is payable only for item 55704 or 55710, or, item 55707 or 55714, not both items 55711 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where:(a) the patient is not referred by a medical practitioner; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and(c) the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and(d) one or more of the following conditions are present: (i) hyperemesis gravidarum (ii) diabetes mellitus; (iii) hypertension; (iv) toxaemia of pregnancy; (v) liver or renal disease; (vi) autoimmune disease; (vii) cardiac disease; (viii) alloimmunisation; (ix) maternal infection; (x) inflammatory bowel disease; (xi) bowel stoma; (xii) abdominal wall scarring; (xiii) previous spinal or pelvic trauma or disease; (xiv) drug dependency; (xv) thrombophilia; (xvi) significant maternal obesity; (xvii) advanced maternal age; (xviii) abdominal pain or mass; (xix) uncertain dates; (xx) high risk pregnancy; (xxi) previous post dates delivery; (xxii) previous caesarean section; (xxiii) poor obstetric history; (xxiv) suspicion of ectopic pregnancy; (xxv) risk of miscarriage; (xxvi) diminished symptoms of pregnancy; (xxvii) suspected or known cervical incompetence; (xxviii) suspected or known uterine abnormality; (xxix) pregnancy after assisted reproduction; (xxx) risk of fetal abnormality (nr)Footnote: for nuchal translucency measurements performed when the pregnancy is dated by a crown rump length of 45 to 84mm, refer to item 55708 or 55716 (r) (nk). Fee is payable only for item 55705 or 55711, or, item 55708 or 55716, not both items 55712 01FEB2000 30APR2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (R) 55712 01MAY2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (R) 55712 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (R) 55712 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the service is requested by a medical practitioner who:(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(c) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709 (R) 55712 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the current ultrasound is requested by a medical practitioner who: (i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (c) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55712 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the current ultrasound is requested by a medical practitioner who: (i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or (ii) has a Diploma of Obstetrics; or (iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or (iv) has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (c) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55713 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is referred by a medical practitioner; and (b) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) the service is not performed in the same pregnancy as item 55709 or 55717 (R) (NK) 55714 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where; (a) the patient is referred by a medical practitioner; and (b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84mm; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) one or more of the conditions mentioned in subparagraphs (e) (i) to (xxx) of item 55704 or 55710 are present; and (f) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (g) the service is not performed with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711 on the same patient within 24 hours (R) (NK) 55715 01FEB2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (NR) 55715 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (NR) 55715 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(b) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709 (NR) 55715 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55715 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55716 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where; (a) the patient is not referred by a medical practitioner; and (b) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84mm; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) one or more of the conditions in subparagraphs (e) (i) to (xxx) of item 55704 or 55710 are present; and (e) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (f) the service is not performed in conjunction with item 55700, 55701, 55702, 55703, 55704, 55705, 55710 or 55711 on the same patient within 24 hours (NR) (NK) 55717 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the service is not performed in the same pregnancy as item 55706 or 55713 (NR) (NK) 55718 01FEB2000 31OCT2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, performed by or on behalf of a medical practitioner where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) the service is not performed in the same pregnancy as item 55723; and (f) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid-trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; (xix) multiple pregnancy; (xx) fetal infection; (xxi) pregnancy after assisted reproduction; (xxii) trauma; (xxiii) diabetes mellitus; (xxiv) hypertension; (xxv) toxaemia of pregnancy; (xxvi) liver or renal disease; (xxvii) autoimmune disease; (xxviii) cardiac disease; (xxix) alloimmunisation; (xxx) maternal infection; (xxxi) inflammatory bowel disease; (xxxii) bowel stoma; (xxxiii) abdominal wall scarring; (xxxiv) previous spinal or pelvic trauma or disease; (xxxv) drug dependency; (xxxvi) thrombophilia; (xxxvii) gross maternal obesity; (xxxviii) advanced maternal age; (xxxix) abdominal pain or mass (R) 55718 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, performed by or on behalf of a medical practitioner where: (a) the patient is referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) the service is not performed in the same pregnancy as item 55723; and (f) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid-trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; (xix) fetal infection; (xx) pregnancy after assisted reproduction; (xxi) trauma; (xxii) diabetes mellitus; (xxiii) hypertension; (xxiv) toxaemia of pregnancy; (xxv) liver or renal disease; (xxvi) autoimmune disease; (xxvii) cardiac disease; (xxviii) alloimmunisation; (xxix) maternal infection; (xxx) inflammatory bowel disease; (xxxi) bowel stoma; (xxxii) abdominal wall scarring; (xxxiii) previous spinal or pelvic trauma or disease; (xxxiv) drug dependency; (xxxv) thrombophilia; (xxxvi) significant maternal obesity; (xxxvii) advanced maternal age; (xxxviii) abdominal pain or mass (R) 55718 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, if:(a) the patient is referred by a medical practitioner or participating midwife; and(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(c) the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and(d) if the patient is referred by a medical practitioner -- the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) if the patient is referred by a participating midwife -- the referring midwife does not have a business or financial arrangement with the providing practitioner; and (f) the service is not performed in the same pregnancy as item 55723; and (g) 1 or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid-trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; (xix) fetal infection; (xx) pregnancy after assisted reproduction; (xxi) trauma; (xxii) diabetes mellitus; (xxiii) hypertension; (xxiv) toxaemia of pregnancy; (xxv) liver or renal disease; (xxvi) autoimmune disease; (xxvii) cardiac disease; (xxviii) alloimmunisation; (xxix) maternal infection; (xxx) inflammatory bowel disease; (xxxi) bowel stoma; (xxxii) abdominal wall scarring; (xxxiii) previous spinal or pelvic trauma or disease; (xxxiv) drug dependency; (xxxv) thrombophilia; (xxxvi) significant maternal obesity; (xxxvii) advanced maternal age; (xxxviii) abdominal pain or mass (r) 55718 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the service is not performed in the same pregnancy as item 55723 (R) 55718 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55723; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55718 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55723; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55719 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55706, 55709, 55713 or 55717 applies (R) (NK) 55720 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) further examination is clinically indicated in the same pregnancy to which item 55706, 55709, 55713 or 55717 applies (NR) (NK) 55721 01FEB2000 30APR2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (R) 55721 01MAY2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (R) 55721 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of by any or all approaches, where:(a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has qualifications recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 (R) (K) 55721 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the service is requested by a medical practitioner who:(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(d) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (R) 55721 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the current ultrasound is requested by a medical practitioner who: (i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (c) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55721 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the current ultrasound is requested by a medical practitioner who: (i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or (ii) has a Diploma of Obstetrics; or (iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or (iv) has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by current ultrasound) is after 22 weeks of gestation; and (c) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55722 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where:(a) the patient is referred by a medical practitioner; and(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(c) the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and(d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member;and(e) the service is not performed in the same pregnancy as item 55723 or 55726; and(f) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid-trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; (xix) fetal infection; (xx) pregnancy after assisted reproduction; (xxi) trauma; (xxii) diabetes mellitus; (xxiii) hypertension; (xxiv) toxaemia of pregnancy; (xxv) liver or renal disease; (xxvi) autoimmune disease; (xxvii) cardiac disease; (xxviii) alloimmunisation; (xxix) maternal infection; (xxx) inflammatory bowel disease; (xxxi) bowel stoma; (xxxii) abdominal wall scarring; (xxxiii) previous spinal or pelvic trauma or disease; (xxxiv) drug dependency; (xxxv) thrombophilia; (xxxvi) significant maternal obesity; (xxxvii) advanced maternal age; (xxxviii) abdominal pain or mass (r) (nk) 55723 01FEB2000 31OCT2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the service is not performed in the same pregnancy as item 55718; and (e) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid-trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; (xix) multiple pregnancy; (xx) fetal infection; (xxi) pregnancy after assisted reproduction; (xxii) trauma; (xxiii) diabetes mellitus; (xxiv) hypertension; (xxv) toxaemia of pregnancy; (xxvi) liver or renal disease; (xxvii) autoimmune disease; (xxviii) cardiac disease; (xxix) alloimmunisation; (xxx) maternal infection; (xxxi) inflammatory bowel disease; (xxxii) bowel stoma; (xxxiii) abdominal wall scarring; (xxxiv) previous spinal or pelvic trauma or disease; (xxxv) drug dependency; (xxxvi) thrombophilia; (xxxvii) gross maternal obesity; (xxxviii) advanced maternal age; (xxxix) abdominal pain or mass (NR) 55723 01NOV2000 30APR2020 N PELVIS OR ABDOMEN, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in subgroup 2 or 3 applies; and (d) the service is not performed in the same pregnancy as item 55718; and (e) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetalcardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid-trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy;(xviii) premature labour;(xix) fetal infection;(xx) pregnancy after assisted reproduction;(xxi) trauma;(xxii) diabetes mellitus;(xxiii) hypertension;(xxiv) toxaemia of pregnancy; (xxv) liver or renal disease; (xxvi) autoimmune disease; (xxvii) cardiac disease; (xxviii) alloimmunisation; (xxix) maternal infection; (xxx) inflammatory bowel disease; (xxxi) bowel stoma; (xxxii) abdominal wall scarring; (xxxiii) previous spinal or pelvic trauma or disease; (xxxiv) drug dependency; (xxxv) thrombophilia; (xxxvi) gross maternal obesity; (xxxvii) advanced maternal age; (xxxviii) abdominal pain or mass (nr)(item is subject to subrule 11 (2)) 55723 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the service is not performed in the same pregnancy as item 55718 (NR) 55723 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55718; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55723 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55718; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55724 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of by any or all approaches, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has qualifications recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 applies (R) NK) 55725 01FEB2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricans and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (NR) 55725 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (NR) 55725 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (NR) 55725 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55725 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55726 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where:(a) the patient is not referred by a medical practitioner; and(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(c) the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and(d) the service is not performed in the same pregnancy as item 55718 or 55722; and(e) one or more of the following conditions are present: (i) known or suspected fetal abnormality or fetal cardiac arrhythmia; (ii) fetal anatomy (late booking or incomplete mid-trimester scan); (iii) malpresentation; (iv) cervical assessment; (v) clinical suspicion of amniotic fluid abnormality; (vi) clinical suspicion of placental or umbilical cord abnormality; (vii) previous complicated delivery; (viii) uterine scar assessment; (ix) uterine fibroid; (x) previous fetal death in utero or neonatal death; (xi) antepartum haemorrhage; (xii) clinical suspicion of intrauterine growth retardation; (xiii) clinical suspicion of macrosomia; (xiv) reduced fetal movements; (xv) suspected fetal death; (xvi) abnormal cardiotocography; (xvii) prolonged pregnancy; (xviii) premature labour; (xix) fetal infection; (xx) pregnancy after assisted reproduction; (xxi) trauma; (xxii) diabetes mellitus; (xxiii) hypertension; (xxiv) toxaemia of pregnancy; (xxv) liver or renal disease; (xxvi) autoimmune disease; (xxvii) cardiac disease; (xxviii) alloimmunisation; (xxix) maternal infection; (xxx) inflammatory bowel disease; (xxxi) bowel stoma; (xxxii) abdominal wall scarring; (xxxiii) previous spinal or pelvic trauma or disease; (xxxiv) drug dependency; (xxxv) thrombophilia; (xxxvi) significant maternal obesity; (xxxvii) advanced maternal age; (xxxviii) abdominal pain or mass (nr) (nk) 55727 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) further examination is clinically indicated in the same pregnancy to which item 55718, 55722, 55723 or 55726 applies (NR) (NK) 55728 01FEB2000 30APR2000 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) it can be demonstrated that a clinical condition other than a condition mentioned in paragraph (f) of item 55718 or paragraph (e) of item 55723 is present (R) 55728 01MAY2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (e) it can be demonstrated that a clinical condition other than a condition mentioned in paragraph (f) of item 55718 or paragraph (e) of item 55723 is present (R) 55728 01NOV2001 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has qualifications recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (e) it can be demonstrated that a clinical condition other than a condition mentioned in paragraph (f) of item 55718 or paragraph (e) of item 55723 is present (R) 55729 01NOV2000 31OCT2001 N MEASUREMENT OF UMBILICAL BLOOD FLOW using pulsed wave or continuous wave Doppler techniques after the 26th week of gestation where the patient is referred by a medical practitioner for this procedure and where there is reason to suspect intrauterine growth retardation or a significant risk of foetal death, not being a service associated with a service to which an item in this Group applies - examination and report (R) 55729 01NOV2001 31OCT2004 N MEASUREMENT OF UMBILICAL BLOOD FLOW using pulsed wave or continuous wave Doppler techniques after the 26th week of gestation where the patient is referred by a medical practitioner for this procedure and where there is reason to suspect intrauterine growth retardation or a significant risk of foetal death, not being a service associated with a service to which an item in this Group applies - (R) 55729 01NOV2004 30APR2020 N Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery, and measured assessment of amniotic fluid volume after the 24th week of gestation where the patient is referred by a medical practitioner for this procedure and where there is reason to suspect intrauterine growth retardation or a significant risk of foetal death, not being a service associated with a service to which an item in this Group applies - (R) 55729 01MAY2020 31DEC9999 Y Duplex scanning, if:(a) the service involves:(i) B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery; and(ii) measured assessment of amniotic fluid volume after the 24th week of gestation; and(b) there is reason to suspect intrauterine growth retardation or a significant risk of fetal death;-examination and report (R) 55730 01JUL2011 31DEC9999 Y Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery, and measured assessment of amniotic fluid volume after the 24th week of gestation where the patient is referred by a medical practitioner for this procedure and where there is reason to suspect intrauterine growth retardation or a significant risk of foetal death, not being a service associated with a service to which an item in this Group applies (R) (NK) 55731 01FEB2000 31OCT2001 N PELVIS, FEMALE, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (d) the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R) 55731 01NOV2001 31DEC9999 Y PELVIS, FEMALE, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (d) the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R) 55732 01JUL2011 31DEC9999 Y PELVIS, FEMALE, ultrasound scan of, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (d) the service is not performed with item 55014, 55017, 55036 or 55038 on the same patient within 24 hours (R) (NK) 55733 01FEB2000 31DEC9999 Y PELVIS, FEMALE, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR) 55734 01JUL2011 31DEC9999 Y PELVIS, FEMALE, ultrasound scan of, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR) (NK) 55735 01JUL2011 31DEC2013 N PELVIS, FEMALE, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of medical practitioners of which the providing practitioner is a member; and (d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) (NK) 55735 01JAN2014 31DEC9999 Y PELVIS, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of medical practitioners of which the providing practitioner is a member; and (d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) (NK) 55736 01FEB2000 31OCT2001 N PELVIS, FEMALE, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, performed by or on behalf of a medical practitioner where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of medical practitioners of which the first mentioned practitioner is a member; and (d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) 55736 01NOV2001 31DEC2013 N PELVIS, FEMALE, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of medical practitioners of which the providing practitioner is a member; and (d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) 55736 01JAN2014 30APR2020 N PELVIS, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) the referring medical practitioner is not a member of a group of medical practitioners of which the providing practitioner is a member; and (d) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) 55736 01MAY2020 31DEC9999 Y Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R) 55737 01JUL2011 31DEC2013 N PELVIS, FEMALE, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) (NK) 55737 01JAN2014 31DEC9999 Y PELVIS, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) (NK) 55739 01FEB2000 31DEC2013 N PELVIS, FEMALE, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) 55739 01JAN2014 30APR2020 N PELVIS, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (c) a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) 55739 01MAY2020 31DEC9999 Y Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR) 55740 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R) 55741 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of fetuses, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 12 to 16 weeks of gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR) 55742 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the pregnancy (as confirmed by the current ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and (c) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R) 55743 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the pregnancy (as confirmed by the current ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and (c) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR) 55757 01NOV2022 31DEC2023 N Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and (b) any of the following apply: (i) the patient has a history indicating high-risk of preterm labour or birth or second trimester fetal loss; (ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss; (iii) the patient's cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R) 55757 01JAN2024 31DEC9999 Y Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and (b) any of the following apply: (i) the patient has a history indicating high risk of preterm labour or birth or second trimester fetal loss; (ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss; (iii) the patient's cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (R) 55758 01NOV2022 31DEC2023 N Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and (b) any of the following apply: (i) the patient has a history indicating high-risk of preterm labour or birth or second trimester fetal loss; (ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss; (iii) the patient's cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR) 55758 01JAN2024 31DEC9999 Y Pelvis or abdomen, ultrasound (the current ultrasound) scan of, for cervical length assessment for risk of preterm labour, by any or all approaches, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is between 14 and 30 weeks of gestation; and (b) any of the following apply: (i) the patient has a history indicating high risk of preterm labour or birth or second trimester fetal loss; (ii) the patient has symptoms suggestive of threatened preterm labour or second trimester fetal loss; (iii) the patient's cervical length is less than 25 mm on an ultrasound before 28 weeks gestation; and (c) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in another item in this Subgroup (NR) 55759 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (e) the referring practitioner is not a member of a group of practitioners to which the first mentioned practitioner is a member; and (f) the service is not performed in conjunction with item 55706, 55709, 55712, or 55715 during the same pregnancy (R) 55759 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (e) the referring practitioner is not a member of a group of practitioners to which the providing practitioner is a member; and (f) the service is not performed in conjunction with item 55706, 55709, 55712, 55715 or 55762 during the same pregnancy (R) 55759 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) ultrasound of the same pregnancy confirms a multiple pregnancy; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and(c) the service mentioned in item 55706, 55709, 55712, 55715 or 55762 is not performed in conjunction with the scan during the same pregnancy (R) 55759 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks gestation; and (c) the service mentioned in item 55706, 55709, 55712, 55715 or 55762 is not performed in conjunction with the current ultrasound during the same pregnancy; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55760 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (e) the referring practitioner is not a member of a group of practitioners to which the providing practitioner is a member; and (f) the service is not performed in conjunction with item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 57721, 55762 or 55763 during the same pregnancy (R) (NK) 55762 01NOV2000 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is not referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not performed in conjunction with item 55706, 55709, 55712, 55715 or 55759during the same pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies (NR) 55762 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (c) the service mentioned in item 55706, 55709, 55712, 55715 or 55759 is not performed in conjunction with the scan during the same pregnancy (NR) 55762 01NOV2022 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks gestation; and (c) the service mentioned in item 55706, 55709, 55712, 55715 or 55759 is not performed in conjunction with the current ultrasound during the same pregnancy; and (d) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55763 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is not referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not performed in conjunction with item 55706, 55709, 55712, 55713, 55715, 55717, 55719, 55720, 55759 or 55760 during the same pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies (NR) (NK) 55764 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where: (a) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (e) the referring practitioner is not a member of a group of practitioners to which the first mentioned practitioner is a member; and (f) further examination is clinically indicated in the same pregnancy to which item 55759 or 55762 has been performed; and (g) not performed in conjunction with item 55706, 55709, 55712 or 55715 during the same pregnancy (R) 55764 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (e) the referring practitioner is not a member of a group of practitioners to which the providing practitioner is a member; and (f) further examination is clinically indicated in the same pregnancy to which item 55759 or 55762 has been performed; and (g) not performed in conjunction with item 55706, 55709, 55712 or 55715 during the same pregnancy (R) 55764 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the service is requested by a medical practitioner who:(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and(d) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and(e) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the scan during the same pregnancy (R) 55764 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the service is requested by a medical practitioner who: (i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and (b) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks gestation; and (d) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and (e) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and (f) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55764 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the service is requested by a medical practitioner who: (i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or (ii) has a Diploma of Obstetrics; or (iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or (iv) has obstetric privileges at a non-metropolitan hospital; and (b) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks gestation; and (d) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and (e) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and (f) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55765 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, where: (a) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and (e) the referring practitioner is not a member of a group of practitioners to which the providing practitioner is a member; and (f) further examination is clinically indicated in the same pregnancy to which item 55759, 55760, 55762 or 55763 has been performed; and (g) not performed in conjunction with item 55706, 55709, 55712, 55713, 55715, 55717, 55719 during the same pregnancy (R) (NK) 55766 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; (e) further examination is clinically indicated in the same pregnancy to which item 55759, or 55762 has been performed; and (f) not performed in conjunction with item 55706, 55709, 55712 or 55715 during the same pregnancy (NR) 55766 01NOV2001 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; (e) further examination is clinically indicated in the same pregnancy to which item 55759, or 55762 has been performed; and (f) not performed in conjunction with item 55706, 55709, 55712 or 55715 during the same pregnancy (NR) 55766 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) ultrasound of the same pregnancy confirms a multiple pregnancy; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(c) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and(d) the service mentioned in item 55706, 55709, 55712 or 55715, is not performed in conjunction with the scan during the same pregnancy (NR) 55766 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (c) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and (d) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55766 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) an ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (c) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and (d) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55767 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) the patient is not referred by a medical practitioner; and (b) ultrasound of the same pregnancy confirms a multiple pregnancy; and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and (d) the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; (e) further examination is clinically indicated in the same pregnancy to which item 55759, 55760, 55762 or 55763 has been performed; and (f) not performed in conjunction with item 55706, 55709, 55712, 55713, 55715, 55717, 55719 or 55720 during the same pregnancy (NR) (NK) 55768 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (b) the ultrasound confirms a multiple pregnancy; and (c) the patient is referred by a medical practitioner; and (d) the service is not performed in the same pregnancy as item 55770; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55723, 55725 or 55728 during the same pregnancy (R) 55768 01NOV2001 31OCT2006 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where: (a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (b) the ultrasound confirms a multiple pregnancy; and (c) the patient is referred by a medical practitioner; and (d) the service is not performed in the same pregnancy as item 55770; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55723, 55725 or 55728 during the same pregnancy (R) 55768 01NOV2006 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where: (a)dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (b)the ultrasound confirms a multiple pregnancy; and (c)the patient is referred by a medical practitioner; and (d)the service is not performed in the same pregnancy as item 55770 or 55771; and (e)the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f)the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (g)the service is not performed in conjunction with item 55718, 55721, 55722, 55723, 55724, or 55725, 55726 or 55727 during the same pregnancy (R) 55768 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the ultrasound confirms a multiple pregnancy; and(c) the service is not performed in the same pregnancy as item 55770; and(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (R) 55768 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) an ultrasound confirms a multiple pregnancy; and (c) the service is not performed in the same pregnancy as item 55770; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55768 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) an ultrasound confirms a multiple pregnancy; and (c) the service is not performed in the same pregnancy as item 55770; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55769 01JUL2011 31OCT2011 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where: (a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (b) the ultrasound confirms a multiple pregnancy; and (c) the patient is referred by a medical practitioner or participating nurse practitioner; and (d) the service is not performed in the same pregnancy as item 55770 or 55771; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 during the same pregnancy (R) (NK) 55769 01NOV2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where: (a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and (b) the ultrasound confirms a multiple pregnancy; and (c) the patient is referred by a medical practitioner; and (d) the service is not performed in the same pregnancy as item 55770 or 55771; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 during the same pregnancy (R) (NK) 55770 01NOV2000 31OCT2006 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy), by any or all approaches, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is not referred by a medical practitioner; and (c) the service is not performed in the same pregnancy as item 55768; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the service is not performed in conjunction with item 55718, 55721, 55723, 55725 or 55728 during the same pregnancy (NR) 55770 01NOV2006 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy), by any or all approaches, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is not referred by a medical practitioner; and (c) the service is not performed in the same pregnancy as item 55768; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the service is not performed in conjunction with item 55718, 55721, 55723 or 55725 during the same pregnancy (NR) 55770 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the ultrasound confirms a multiple pregnancy; and(c) the service is not performed in the same pregnancy as item 55768; and(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (NR) 55770 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) an ultrasound confirms a multiple pregnancy; and (c) the service is not performed in the same pregnancy as item 55768; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55770 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy (as confirmed by the current ultrasound) is after 22 weeks of gestation; and (b) an ultrasound confirms a multiple pregnancy; and (c) the service is not performed in the same pregnancy as item 55768; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55771 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy), by any or all approaches, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is not referred by a medical practitioner; and (c) the service is not performed in the same pregnancy as item 55768 or 55759; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the service is not performed in conjunction with item 55718, 55721, 55723, 55724,,55725, 55726 or 55727 during the same pregnancy (NR) (NK) 55772 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has obstetric privileges at a non-metropolitan hospital; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55723, 55725 or 55728 during the same pregnancy (R) 55772 01NOV2001 31OCT2006 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstericians and Gynaecologists as equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55723, 55725 or 55728 during the same pregnancy (R) 55772 01NOV2006 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55723 or 55725 during the same pregnancy (R) 55772 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and(b) the service is requested by a medical practitioner who:(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and(d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and(e) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (R) 55772 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy as confirmed by the current ultrasound is after 22 weeks of gestation; and (b) the service is requested by a medical practitioner who: (i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (d) the pregnancy as confirmed by an ultrasound is a multiple pregnancy; and (e) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (f) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55772 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, if: (a) dating of the pregnancy as confirmed by the current ultrasound is after 22 weeks of gestation; and (b) the service is requested by a medical practitioner who: (i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or (ii) has a Diploma of Obstetrics; or (iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or (iv) has obstetric privileges at a non-metropolitan hospital; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (d) the pregnancy as confirmed by an ultrasound is a multiple pregnancy; and (e) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (f) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (R) 55773 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is referred by a medical practitioner who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of obstetrics or has obstetric privileges at a non-metropolitan hospital; and (c) further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 55771 has been performed; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (g) the service is not performed in conjunction with item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 during the same pregnancy (R) (NK) 55774 01NOV2000 31OCT2001 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is not referred by a medical practitioner; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the service is not performed in conjunction with item 55718, 55721 55723, 55725 or 55728 during the same pregnancy (NR) 55774 01NOV2001 31OCT2006 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is not referred by a medical practitioner; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed ;and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the service is not performed in conjunction with item 55718, 55721 55723, 55725 or 55728 during the same pregnancy (NR) 55774 01NOV2006 30APR2020 N PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is not referred by a medical practitioner; and (c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed ;and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the service is not performed in conjunction with item 55718, 55721 55723 or 55725 during the same pregnancy (NR) 55774 01MAY2020 31OCT2022 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and(b) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and(c) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (NR) 55774 01NOV2022 31DEC2023 N Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) dating of the pregnancy as confirmed by the current ultrasound is after 22 weeks of gestation; and (b) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (c) the pregnancy as confirmed by an ultrasound is a multiple pregnancy; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55774 01JAN2024 31DEC9999 Y Pelvis or abdomen, pregnancy-related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if: (a) dating of the pregnancy as confirmed by the current ultrasound is after 22 weeks of gestation; and (b) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and (c) the pregnancy as confirmed by an ultrasound is a multiple pregnancy; and (d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the current ultrasound during the same pregnancy; and (e) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR) 55775 01JUL2011 31DEC9999 Y PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where: (a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and (b) the patient is not referred by a medical practitioner; and (c) further examination is clinically indicated in the same pregnancy to which item 55768, 55769, 55770 or 5571 has been performed; and (d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this group applies; and (f) the service is not performed in conjunction with item 55718, 55721, 55722, 55723, 55724, 55725, 55726 or 55727 during the same pregnancy (NR) (NK) 55800 01NOV2000 31OCT2001 N HAND OR WRIST, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55800 01NOV2001 31DEC9999 Y HAND OR WRIST, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55801 01JUL2011 31DEC9999 Y HAND OR WRIST, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55802 01NOV2000 31OCT2001 N HAND OR WRIST, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55802 01NOV2001 31DEC9999 Y HAND OR WRIST, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55803 01JUL2011 31DEC9999 Y HAND OR WRIST, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55804 01NOV2000 31OCT2001 N FOREARM OR ELBOW, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55804 01NOV2001 31DEC9999 Y FOREARM OR ELBOW, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55805 01JUL2011 31DEC9999 Y FOREARM OR ELBOW, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55806 01NOV2000 31OCT2001 N FOREARM OR ELBOW, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55806 01NOV2001 31DEC9999 Y FOREARM OR ELBOW, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55807 01JUL2011 31DEC9999 Y FOREARM OR ELBOW, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55808 01NOV2000 31OCT2001 N SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member. (R) 55808 01NOV2001 30APR2003 N SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member. (R) 55808 01MAY2003 31DEC9999 Y SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member, and where the service is provided, for the assessment of one or more of the following conditions or suspected conditions: evaluation of injury to tendon, muscle or muscle/tendon junction; or rotator cuff tear/calcification/tendinosis (biceps, subscapular, suspraspinatus, infraspinatus); or biceps subluxation; or capsulitis and bursitis; or evaluation of mass including ganglion; or occult fracture; or acromioclavicular joint pathology.(R) 55809 01JUL2011 31DEC9999 Y Note: Benefits are only payable when referred based on the clinical indicators outlined in the item descriptions. Benefits are not payable when referred for non-specific shoulder pain alone. SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member, and where the service is provided, for the assessment of one or more of the following conditions or suspected conditions: evaluation of injury to tendon, muscle or muscle/tendon junction; or rotator cuff tear/calcification/tendinosis (biceps, subscapular, suspraspinatus, infraspinatus); or biceps subluxation; or capsulitis and bursitis; or evaluation of mass including ganglion; or occult fracture; or acromioclavicular joint pathology (R) (NK) 55810 01NOV2000 31OCT2001 N SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55810 01NOV2001 30APR2003 N SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55810 01MAY2003 31DEC9999 Y SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner, and where the service is provided, for the assessment of one or more of the following conditions or suspected conditions: evaluation of injury to tendon, muscle or muscle/tendon junction; or rotator cuff tear/calcification/tendinosis (biceps, subscapular, suspraspinatus, infraspinatus); or biceps subluxation; or capsulitis and bursitis; or evaluation of mass including ganglion; or occult fracture; or acromioclavicular joint pathology.(NR) 55811 01JUL2011 31DEC9999 Y Note: Benefits are only payable when referred based on the clinical indicators outlined in the item descriptions. Benefits are not payable when referred for non-specific shoulder pain alone. SHOULDER OR UPPER ARM, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner, and where the service is provided, for the assessment of one or more of the following conditions or suspected conditions: evaluation of injury to tendon, muscle or muscle/tendon junction; or rotator cuff tear/calcification/tendinosis (biceps, subscapular, suspraspinatus, infraspinatus); or biceps subluxation; or capsulitis and bursitis; or evaluation of mass including ganglion; or occult fracture; or acromioclavicular joint pathology (NR) (NK) 55812 01NOV2000 31OCT2001 N CHEST OR ABDOMINAL WALL, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55812 01NOV2001 30APR2020 N CHEST OR ABDOMINAL WALL, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55812 01MAY2020 31DEC9999 Y Chest or abdominal wall, one or more areas, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55070, 55073, 55076 or 55079 (R) 55813 01JUL2011 31DEC9999 Y CHEST OR ABDOMINAL WALL, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55814 01NOV2000 31OCT2001 N CHEST OR ABDOMINAL WALL, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55814 01NOV2001 30APR2020 N CHEST OR ABDOMINAL WALL, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55814 01MAY2020 31DEC9999 Y Chest or abdominal wall, one or more areas, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55070, 55073, 55076 or 55079 (NR) 55815 01JUL2011 31DEC9999 Y CHEST OR ABDOMINAL WALL, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55816 01NOV2000 31OCT2001 N HIP OR GROIN, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55816 01NOV2001 31DEC9999 Y HIP OR GROIN, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55817 01JUL2011 31DEC9999 Y HIP OR GROIN, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55818 01NOV2000 31OCT2001 N HIP OR GROIN, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (c) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies: and (d) the patient is not referred by a medical practitioner (NR) 55818 01NOV2001 31DEC9999 Y HIP OR GROIN, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies: and (b) the patient is not referred by a medical practitioner (NR) 55819 01JUL2011 31DEC9999 Y HIP OR GROIN, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies: and (b) the patient is not referred by a medical practitioner (NR) (NK) 55820 01NOV2000 31OCT2001 N PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (c) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (d) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55820 01NOV2001 31DEC9999 Y PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55821 01JUL2011 31DEC9999 Y PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55822 01NOV2000 31OCT2001 N PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (e) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (f) the patient is not referred by a medical practitioner (NR) 55822 01NOV2001 31DEC9999 Y PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55823 01JUL2011 31DEC9999 Y PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55824 01NOV2000 31DEC9999 Y BUTTOCK OR THIGH, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55825 01JUL2011 31DEC9999 Y BUTTOCK OR THIGH, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55826 01NOV2000 31OCT2001 N BUTTOCK OR THIGH, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55826 01NOV2001 31DEC9999 Y BUTTOCK OR THIGH, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55827 01JUL2011 31DEC9999 Y BUTTOCK OR THIGH, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55828 01NOV2000 31OCT2001 N KNEE, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55828 01NOV2001 30APR2003 N KNEE, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55828 01MAY2003 31DEC9999 Y Note: Benefits are only payable when referred based on the clinical indicators outlined in the item descriptions. Benefits are not payable when referred for non-specific knee pain alone or other knee condition including: meniscal and cruciate ligament tears assessment of chondral surfaces KNEE, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member, and where the service is provided for the assessment of one or more of the following conditions or suspected conditions: abnormality of tendons or bursae about the knee; or meniscal cyst, popliteal fossa cyst, mass or pseudomass; or nerve entrapment, nerve or nerve sheath tumour; or injury of collateral ligaments.(R) 55829 01JUL2011 31DEC9999 Y Note: Benefits are only payable when referred based on the clinical indicators outlined in the item descriptions. Benefits are not payable when referred for non-specific knee pain alone or other knee condition including: meniscal and cruciate ligament tears assessment of chondral surfaces KNEE, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member, and where the service is provided for the assessment of one or more of the following conditions or suspected conditions: abnormality of tendons or bursae about the knee; or meniscal cyst, popliteal fossa cyst, mass or pseudomass; or nerve entrapment, nerve or nerve sheath tumour; or injury of collateral ligaments (R) (NK) 55830 01NOV2000 31OCT2001 N KNEE, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55830 01NOV2001 30APR2003 N KNEE, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55830 01MAY2003 31DEC9999 Y Note: Benefits are only payable when referred based on the clinical indicators outlined in the item descriptions. Benefits are not payable when referred for non-specific knee pain alone or other knee condition including: meniscal and cruciate ligament tears assessment of chondral surfaces KNEE, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner and where the service is provided for the assessment of one or more of the following conditions or suspected conditions: abnormality of tendons or bursae about the knee; or meniscal cyst, popliteal fossa cyst, mass or pseudomass; or nerve entrapment, nerve or nerve sheath tumour; or injury of collateral ligaments.(NR) 55831 01JUL2011 31DEC9999 Y Note: Benefits are only payable when referred based on the clinical indicators outlined in the item descriptions. Benefits are not payable when referred for non-specific knee pain alone or other knee condition including: meniscal and cruciate ligament tears assessment of chondral surfaces KNEE, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner and where the service is provided for the assessment of one or more of the following conditions or suspected conditions: abnormality of tendons or bursae about the knee; or meniscal cyst, popliteal fossa cyst, mass or pseudomass; or nerve entrapment, nerve or nerve sheath tumour; or injury of collateral ligaments (NR) (NK) 55832 01NOV2000 31OCT2001 N LOWER LEG, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55832 01NOV2001 31DEC9999 Y LOWER LEG, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55833 01JUL2011 31DEC9999 Y LOWER LEG, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55834 01NOV2000 31OCT2001 N LOWER LEG, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55834 01NOV2001 31DEC9999 Y LOWER LEG, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55835 01JUL2011 31DEC9999 Y LOWER LEG, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55836 01NOV2000 31OCT2001 N ANKLE OR HIND FOOT, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where (a) the services is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55836 01NOV2001 31OCT2013 N ANKLE OR HIND FOOT, 1 or both sides, ultrasound scan of, where: (a) the services is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55836 01NOV2013 31DEC9999 Y ANKLE OR HIND FOOT, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55837 01JUL2011 31DEC9999 Y ANKLE OR HIND FOOT, 1 or both sides, ultrasound scan of, where: (a) the services is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55838 01NOV2000 31OCT2001 N ANKLE OR HIND FOOT, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55838 01NOV2001 31DEC9999 Y ANKLE OR HIND FOOT, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55839 01JUL2011 31DEC9999 Y ANKLE OR HIND FOOT, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55840 01NOV2000 31OCT2001 N MID FOOT OR FORE FOOT, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55840 01NOV2001 31DEC9999 Y MID FOOT OR FORE FOOT, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55841 01JUL2011 31DEC9999 Y MID FOOT OR FORE FOOT, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55842 01NOV2000 31OCT2001 N MID FOOT OR FORE FOOT, 1 or both sides, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55842 01NOV2001 31DEC9999 Y MID FOOT OR FORE FOOT, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55843 01JUL2011 31DEC9999 Y MID FOOT OR FORE FOOT, 1 or both sides, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55844 01NOV2000 31OCT2001 N ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR SUBCUTANEOUS STRUCTURES, NOT BEING A PART OF THE MUSCULOSKELETAL SYSTEM, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55844 01NOV2001 30APR2020 N ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR SUBCUTANEOUS STRUCTURES, NOT BEING A PART OF THE MUSCULOSKELETAL SYSTEM, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55844 01MAY2020 31DEC9999 Y Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of (R) 55845 01JUL2011 31DEC9999 Y ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR SUBCUTANEOUS STRUCTURES, NOT BEING A PART OF THE MUSCULOSKELETAL SYSTEM, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55846 01NOV2000 31OCT2001 N ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR SUBCUTANEOUS STRUCTURES, NOT BEING A PART OF THE MUSCULOSKELETAL SYSTEM, 1 or more areas, ultrasound scan of, performed by or on behalf of a medical practitioner, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55846 01NOV2001 30APR2020 N ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR SUBCUTANEOUS STRUCTURES, NOT BEING A PART OF THE MUSCULOSKELETAL SYSTEM, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) 55846 01MAY2020 31DEC9999 Y Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of (NR) 55847 01JUL2011 31DEC9999 Y ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR SUBCUTANEOUS STRUCTURES, NOT BEING A PART OF THE MUSCULOSKELETAL SYSTEM, 1 or more areas, ultrasound scan of, where: (a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and (b) the patient is not referred by a medical practitioner (NR) (NK) 55848 01NOV2000 30APR2020 N MUSCULOSKELETAL CROSS-SECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies, and not performed in conjunction with item 55054 (R) 55848 01MAY2020 31DEC9999 Y Musculoskeletal ultrasound, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies, and not performed in conjunction with a service mentioned in item 55054 (R) 55849 01JUL2011 31DEC9999 Y MUSCULOSKELETAL CROSS-SECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies, and not performed in conjunction with item 55054 or 55026 (R) (NK) 55850 01NOV2000 31OCT2001 N MUSCULOSKELETAL CROSS-SECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, where: (a) the referring practitioner has indicated on a referral for a musculoskeletal ultrasound that a ultrasound guided intervention be performed if clinically indicated; (b) the service is not performed in conjunction with items 55054, or 55800 to 55848, and (c) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55850 01NOV2001 30APR2020 N MUSCULOSKELETAL CROSS-SECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, where: (a) the referring practitioner has indicated on a referral for a musculoskeletal ultrasound that a ultrasound guided intervention be performed if clinically indicated; (b) the service is not performed in conjunction with items 55054, or 55800 to 55848, and (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55850 01MAY2020 31DEC9999 Y Musculoskeletal ultrasound, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, if:(a) the medical practitioner or nurse practitioner has indicated on a request for a musculoskeletal ultrasound that an ultrasound guided intervention be performed if clinically indicated; and(b) the service is not performed in conjunction with a service mentioned in item 55054 or any other item in this Subgroup (R) 55851 01JUL2011 31DEC9999 Y MUSCULOSKELETAL CROSS-SECTIONAL ECHOGRAPHY, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, where: (a) the referring practitioner has indicated on a referral for a musculoskeletal ultrasound that a ultrasound guided intervention be performed if clinically indicated; (b) the service is not performed in conjunction with items 55026, 55054, or 55800 to 55849, and (c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55852 01MAY2001 31OCT2001 N PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING SUBCUTANEOUS TISSUES, Ultrasound scan of, performed by or on behalf of a medical practitioner, where: a) the patient is referred by a medical practitioner b) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and c) the referring practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R) 55852 01NOV2001 31OCT2011 N PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING SUBCUTANEOUS TISSUES, Ultrasound scan of, where: a) the patient is referred by a medical practitioner b) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55852 01NOV2011 30APR2020 N PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING SUBCUTANEOUS TISSUES, Ultrasound scan of, where: a) the patient is referred by a referring practitioner b) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) 55852 01MAY2020 31DEC9999 Y Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of (R) 55853 01JUL2011 31DEC9999 Y PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING SUBCUTANEOUS TISSUES, Ultrasound scan of, where: a) the patient is referred by a medical practitioner b) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and c) the referring practitioner is not a member of a group of practitioners of which the providing practitioner is a member (R) (NK) 55854 01MAY2001 31OCT2001 N PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING SUBCUTANEOUS TISSUES, Ultrasound scan of, performed by or on behalf of a medical practitioner, where: a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and b) the patient is not referred by a medical practitioner (NR) 55854 01NOV2001 30APR2020 N PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING SUBCUTANEOUS TISSUES, Ultrasound scan of, where: a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and b) the patient is not referred by a medical practitioner (NR) 55854 01MAY2020 31DEC9999 Y Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of (NR) 55855 01JUL2011 31DEC9999 Y PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING SUBCUTANEOUS TISSUES, Ultrasound scan of, where: a) the service is not associated with a service to which an item in Subgroups 2 or 3 of this Group applies; and b) the patient is not referred by a medical practitioner (NR) (NK) 55856 01MAY2020 31DEC9999 Y Hand or wrist or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55858 (R) 55857 01MAY2020 31DEC9999 Y Hand or wrist, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55859 (NR) 55858 01MAY2020 31DEC9999 Y Hand or wrist, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55856 (R) 55859 01MAY2020 31DEC9999 Y Hand or wrist, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55857 (NR) 55860 01MAY2020 31DEC9999 Y Forearm or elbow, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55862 (R) 55861 01MAY2020 31DEC9999 Y Forearm or elbow, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55863 (NR) 55862 01MAY2020 31DEC9999 Y Forearm or elbow, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55860 (R) 55863 01MAY2020 31DEC9999 Y Forearm or elbow, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55861 (NR) 55864 01MAY2020 31DEC9999 Y Shoulder or upper arm, or both, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55866 (R) 55865 01MAY2020 31DEC9999 Y Shoulder or upper arm, or both, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55867 (NR) 55866 01MAY2020 31DEC9999 Y Shoulder or upper arm, or both, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55864 (R) 55867 01MAY2020 31DEC9999 Y Shoulder or upper arm, or both, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55865 (NR) 55868 01MAY2020 31DEC9999 Y Hip or groin, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55870 (R) 55869 01MAY2020 31DEC9999 Y Hip or groin, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55871 (NR) 55870 01MAY2020 31DEC9999 Y Hip or groin, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55868 (R) 55871 01MAY2020 31DEC9999 Y Hip or groin, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55869 (NR) 55872 01MAY2020 31DEC9999 Y Paediatric hip examination for dysplasia, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55874 (R) 55873 01MAY2020 31DEC9999 Y Paediatric hip examination for dysplasia, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55875 (NR) 55874 01MAY2020 31DEC9999 Y Paediatric hip examination for dysplasia, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55872 (R) 55875 01MAY2020 31DEC9999 Y Paediatric hip examination for dysplasia, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55873 (NR) 55876 01MAY2020 31DEC9999 Y Buttock or thigh, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55878 (R) 55877 01MAY2020 31DEC9999 Y Buttock or thigh or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55879 (NR) 55878 01MAY2020 31DEC9999 Y Buttock or thigh, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55876 (R) 55879 01MAY2020 31DEC9999 Y Buttock or thigh, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55877 (NR) 55880 01MAY2020 31DEC9999 Y Knee, left or right, ultrasound scan of, if: (a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and (b) the service is not performed in conjunction with item 55882 (R) 55881 01MAY2020 31DEC9999 Y Knee, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions: (i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and(b) the service is not performed in conjunction with item 55883 (NR) 55882 01MAY2020 31DEC9999 Y Knee, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and(b) the service is not performed in conjunction with a service mentioned in item 55880 (R) 55883 01MAY2020 31DEC9999 Y Knee, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions: (i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and(b) the service is not performed in conjunction with item 55881 (NR) 55884 01MAY2020 31DEC9999 Y Lower leg, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55886 (R) 55885 01MAY2020 31DEC9999 Y Lower leg, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55887 (NR) 55886 01MAY2020 31DEC9999 Y Lower leg, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55884 (R) 55887 01MAY2020 31DEC9999 Y Lower leg, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55885 (NR) 55888 01MAY2020 31DEC9999 Y Ankle or hind foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55890 (R) 55889 01MAY2020 31DEC9999 Y Ankle or hind foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55891 (NR) 55890 01MAY2020 31DEC9999 Y Ankle or hind foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55888 (R) 55891 01MAY2020 31DEC9999 Y Ankle or hind foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55889 (NR) 55892 01MAY2020 31DEC9999 Y Mid foot or fore foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55894 (R) 55893 01MAY2020 31DEC9999 Y Mid foot or fore foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55895 (NR) 55894 01MAY2020 31DEC9999 Y Mid foot or fore foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55892 (R) 55895 01MAY2020 31DEC9999 Y Mid foot or fore foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55893 (NR) 56000 01DEC1991 31DEC9999 Y Computerised tomography - scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (not covered by item 57000 or 57100) (R) (A) 56001 01NOV1996 28FEB1999 N HEAD COMPUTERISED TOMOGRAPHY - scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R) 56001 01MAR1999 30JUN2018 N HEAD COMPUTED TOMOGRAPHY - scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R) (K) (Anaes.) 56001 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R) (K) (Anaes.) 56001 01MAY2020 31DEC9999 Y Computed tomography-scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R) (Anaes.) 56003 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF BRAIN with or without scan of internal auditory meatus with intravenous contrast medium (not being a service to which item 57003 or 57103 applies) (R) 56006 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF BRAIN with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) with intravenous contrast medium (not being a service to which item 57006 or 57106 applies) (R) 56007 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of brain with intravenous contrast medium and with any scans of the brain prior to intravenous contrast injection, when undertaken, not being a service to which item 57007 applies (R) 56007 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of brain with intravenous contrast medium and with any scans of the brain prior to intravenous contrast injection, when undertaken, not being a service to which item 57007 applies (R) 56007 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of brain with intravenous contrast medium and with any scans of the brain prior to intravenous contrast injection, when undertaken, not being a service to which item 57007 applies (R) (K) (Anaes.) 56007 01MAY2020 31DEC9999 Y Computed tomography-scan of brain with intravenous contrast medium and with any scans of the brain before intravenous contrast injection, when performed, not being a service to which item 57007 applies (R) (Anaes.) 56009 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF PITUITARY FOSSA by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R) 56010 01NOV1996 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when undertaken (R) 56010 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when undertaken (R) (K) (Anaes.) 56010 01MAY2020 31DEC9999 Y Computed tomography-scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (Anaes.) 56012 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF ORBITS by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R) 56013 01NOV1996 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of orbits with or without intravenous contrast medium and with or without brain scan when undertaken (R) 56013 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of orbits with or without intravenous contrast medium and with or without brain scan when undertaken (R) (K) (Anaes.) 56013 01MAY2020 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of orbits with or without intravenous contrast medium and with or without brain scan when undertaken (R) (Anaes.) 56015 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF MIDDLE EAR AND TEMPORAL BONE, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) with or without intravenous contrast medium or brain scan (R) 56016 01NOV1996 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of middle ear and temporal bone, unilateral or bilateral, with or without intravenous contrast medium and with or without brain scan when undertaken (R) 56016 01MAR1999 31JAN2000 N COMPUTED TOMOGRAPHY - scan of middle ear and temporal bone, unilateral or bilateral, with or without intravenous contrast medium and with or without brain scan when undertaken (R) (K) 56016 01FEB2000 30APR2020 N COMPUTED TOMOGRAPHY - scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (K) (Anaes.) 56016 01MAY2020 31DEC9999 Y Computed tomography-scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (Anaes.) 56018 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF TEMPORAL BONES WITH AIR STUDY (including reconstructions), including intrathecal injection, but not including an associated brain scan (R) 56019 01NOV1996 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of temporal bones with air study (including reconstructions), with intrathecal injection but not including an associated brain scan (R) 56019 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of temporal bones with air study (including reconstructions), with intrathecal injection but not including an associated brain scan (R) (K) 56021 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF FACIAL BONES, sinuses and salivary glands scan of 1 or more regions without intravenous contrast medium (R) 56022 01NOV1996 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) 56022 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (K) (Anaes.) 56022 01MAY2020 31DEC9999 Y Computed tomography-scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (Anaes.) 56024 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF FACIAL BONES, sinuses and salivary glands scan of 1 or more regions with intravenous contrast medium (R) 56025 01JUL2011 31DEC9999 Y CONE BEAM COMPUTED TOMOGRAPHY of teeth and supporting bone structures (R) (K) 56026 01JUL2011 31DEC9999 Y CONE BEAM COMPUTED TOMOGRAPHY of teeth and supporting bone structures (R) (NK) 56027 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF FACIAL BONES, sinuses and salivary glands scan of 1 or more regions without and with intravenous contrast medium (R) 56028 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken (R) 56028 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both prior to intravenous contrast injection, when undertaken (R) 56028 01MAR1999 31OCT2001 N COMPUTED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both prior to intravenous contrast injection, when undertaken (R) (K) 56028 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both prior to intravenous contrast injection, when undertaken (R) (K) (Anaes.) 56028 01MAY2020 31DEC9999 Y Computed tomography-scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both before intravenous contrast injection, when performed (R) (Anaes.) 56030 01FEB2000 30APR2020 N COMPUTED TOMOGRAPHY - scan of facial bones, paranasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (K) (Anaes.) 56030 01MAY2020 31DEC9999 Y Computed tomography-scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (Anaes.) 56033 01FEB2000 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of facial bones, paranasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (NK) 56036 01FEB2000 30APR2020 N COMPUTED TOMOGRAPHY - scan of facial bones, paranasal sinuses or both, with scan of brain, with intravenous contrast medium, where: (a) a scan without intravenous contrast medium has been undertaken; and (b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (K) (Anaes.) 56036 01MAY2020 31DEC9999 Y Computed tomography-scan of facial bones, para nasal sinuses or both, with scan of brain, with intravenous contrast medium, if:(a) a scan without intravenous contrast medium has been performed; and(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (Anaes.) 56039 01FEB2000 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of facial bones, paranasal sinuses or both, with scan of brain, with intravenous contrast medium, where: (a) a scan without intravenous contrast medium has been undertaken; and (b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (NK) 56041 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of brain without intravenous contrast medium, not being a service to which item 57041 applies (R) (NK) (Anaes.) 56047 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of brain with intravenous contrast medium and with any scans of the brain prior to intravenous contrast injection, when undertaken, not being a service to which item 57047 applies (R) (NK) (Anaes.) 56050 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when undertaken (R) (NK) (Anaes.) 56053 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of orbits with or without intravenous contrast medium and with or without brain scan when undertaken (R) (NK) (Anaes.) 56056 01MAR1999 31JAN2000 N COMPUTED TOMOGRAPHY - scan of middle ear and temporal bone, unilateral or bilateral, with or without intravenous contrast medium and with or without brain scan when undertaken (R) (NK) 56056 01FEB2000 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (NK) (Anaes.) 56059 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of temporal bone, with air study (including reconstructions) with intrathecal injection but not including an associated brain scan (R) (NK) 56062 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (NK) (Anaes.) 56068 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both prior to intravenous contrast injection, when undertaken (R) (NK) (Anaes.) 56070 01MAY2000 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of facial bones, paranasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (NK) (Anaes.) 56076 01MAY2000 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of facial bones, paranasal sinuses or both, with scan of brain, with intravenous contrast medium, where: (a) a scan without intravenous contrast medium has been undertaken; and (b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (NK) (Anaes.) 56100 01DEC1991 31DEC9999 Y NECK COMPUTERISED TOMOGRAPHY SCAN OF SOFT TISSUES OF NECK, including larynx, pharynx and upper oesophagus (not associated with cervical spine) scan of 1 or more regions without intravenous contrast medium (not being a service to which item 56900 applies) (R) 56101 01NOV1996 28FEB1999 N NECK COMPUTERISED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R) 56101 01MAR1999 30JUN2018 N NECK COMPUTED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R) (K) (Anaes.) 56101 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R) (K) (Anaes.) 56101 01MAY2020 31DEC9999 Y Computed tomography-scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R) (Anaes.) 56103 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SOFT TISSUES OF NECK, including larynx, pharynx and upper oesophagus (not associated with cervical spine) scan of 1 or more regions with intravenous contrast medium (not being a service to which item 56903 applies) (R) 56106 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SOFT TISSUES OF NECK, including larynx, pharynx and upper oesophagus (not associated with cervical spine) scan of 1 or more regions without and with intravenous contrast medium (not being a service to which item 56906 applies) (R) 56107 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) - with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken, not being a service to which item 56807 applies (R) 56107 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) - with intravenous contrast medium and with any scans of soft tissues of neck including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) prior to intravenous contrast injection, when undertaken, not being a service associated with a service to which item 56807 applies (R) 56107 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) - with intravenous contrast medium and with any scans of soft tissues of neck including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) prior to intravenous contrast injection, when undertaken, not being a service associated with a service to which item 56807 applies (R) (K) (Anaes.) 56107 01MAY2020 31DEC9999 Y Computed tomography-scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine)-with intravenous contrast medium and with any scans of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) before intravenous contrast injection, when undertaken, not being a service associated with a service to which item 56807 applies (R) (Anaes.) 56141 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56841 applies (R) (NK) (Anaes.) 56147 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) - with intravenous contrast medium and with any scans of soft tissues of neck including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) prior to intravenous contrast injection, when undertaken, not being a service associated with a service to which item 56847 applies (R) (NK) (Anaes.) 56200 01DEC1991 31DEC9999 Y SPINE COMPUTERISED TOMOGRAPHY SCAN OF SPINE, 1 or more regions, 25 slices or less without intravenous contrast medium (R) 56203 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SPINE, 1 or more regions, 25 slices or less with intravenous contrast medium (R) 56206 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SPINE, 1 or more regions, 25 slices or less without and with intravenous contrast medium (R) 56209 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SPINE, 1 or more regions, 26 or more slices without intravenous contrast medium (R) 56210 01NOV1996 31OCT1997 N SPINE COMPUTERISED TOMOGRAPHY - scan of spine, 1 or more regions, without intravenous contrast medium; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) 56210 01NOV1997 28FEB1999 N SPINE COMPUTERISED TOMOGRAPHY - scan of spine, 1 or more regions, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) 56210 01MAR1999 31DEC9999 Y SPINE COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56212 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SPINE, 1 or more regions, 26 or more slices with intravenous contrast medium (R) 56215 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SPINE, 1 or more regions, 26 or more slices without and with intravenous contrast medium (R) 56216 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of spine, 1 or more regions, with intravenous contrast medium and with any scans of the spine prior to intravenous contrast injection when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) 56216 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of spine, 1 or more regions, with intravenous contrast medium and with any scans of the spine prior to intravenous contrast injection when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) 56216 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions, with intravenous contrast medium and with any scans of the spine prior to intravenous contrast injection when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56218 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF SPINE, 1 or more regions with intrathecal contrast medium, not including the preparation by intrathecal injection of contrast medium (R) 56219 01NOV1996 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X-rays, not being a service to which item 59724, 59727 or 59730 applies and not in association with item 60957 (R) 56219 01MAR1999 30JUN2018 N SPINE COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X-rays, not being a service to which item 59724 applies (R) (K) (Anaes.) 56219 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X-rays, not being a service to which item 59724 applies (R) (K) (Anaes.) 56219 01MAY2020 31OCT2023 N Computed tomography-scan of spine, one or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X rays, not being a service to which item 59724 or 59275 applies (R) (Anaes.) 56219 01NOV2023 31DEC9999 Y Computed tomography-scan of spine, one or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X rays, not being a service to which item 59724 applies (R) 56220 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, cervical region, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56220 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, cervical region, without intravenous contrast medium (R) (Anaes.) 56221 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, thoracic region, without intravenous contrast medium payable once only, whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56221 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, thoracic region, without intravenous contrast medium (R) (Anaes.) 56223 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, lumbosacral region, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56223 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, lumbosacral region, without intravenous contrast medium (R) (Anaes.) 56224 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, cervical region, with intravenous contrast medium and with any scans of the cervical region of the spine prior to intravenous contrast injection when undertaken; only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56224 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, cervical region, with intravenous contrast medium and with any scans of the cervical region of the spine before intravenous contrast injection when undertaken (R) (Anaes.) 56225 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, thoracic region, with intravenous contrast medium and with any scans of the thoracic region of the spine prior to intravenous contrast injection when undertaken, only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56225 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, thoracic region, with intravenous contrast medium and with any scans of the thoracic region of the spine before intravenous contrast injection when undertaken (R) (Anaes.) 56226 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, lumbosacral region, with intravenous contrast medium and with any scans of the lumbosacral region of the spine prior to intravenous contrast injection when undertaken; only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56226 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, lumbosacral region, with intravenous contrast medium and with any scans of the lumbosacral region of the spine prior to intravenous contrast injection when undertaken (R) (Anaes.) 56227 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, cervical region, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56228 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, thoracic region, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56229 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, lumbosacral region, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56230 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, cervical region, with intravenous contrast medium, and with any scans to the cerival region of the spine prior to intravenous contrast injection when undertaken; only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56231 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, thoracic region, with intravenous contrast medium and with any scans of the thoracic region of the spine prior to intravenous contrast injection when undertaken; only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56232 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, lumbosacral region, with intravenous contrast medium and with any scans of the lumbosacral region of the spine prior to intravenous contrast injection when undertaken; only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56233 01NOV2001 30APR2020 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item COMPUTED TOMOGRAPHY - scan of spine, two examinations of the kind referred to in items 56220, 56221 and 56223 without intravenous contrast medium payable once only, whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56233 01MAY2020 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Computed tomography-scan of spine, 2 examinations of the kind referred to in items 56220, 56221 and 56223, without intravenous contrast medium (R) (Anaes.) 56234 01NOV2001 30APR2020 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item COMPUTED TOMOGRAPHY - scan of spine, two examinations of the kind referred to in items 56224, 56225 and 56226 with intravenous contrast medium and with any scans of these regions of the spine prior to intravenous contrast injection when undertaken; only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56234 01MAY2020 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Computed tomography-scan of spine, 2 examinations of the kind referred to in items 56224, 56225 and 56226, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (Anaes.) 56235 01NOV2001 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item COMPUTED TOMOGRAPHY - scan of spine, two examinations of the kind referred to in items 56227, 56228 and 56229 without intravenous contrast medium payable once only, whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56236 01NOV2001 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item COMPUTED TOMOGRAPHY - scan of spine, two examinations of the kind referred to in items 56230, 56231 and 56232 with intravenous contrast medium and with any scans of these regions of the spine prior to intravenous contrast injection when undertaken; only 1 benefit payable whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56237 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, three regions cervical, thoracic and lumbosacral, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56237 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, 3 regions cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (Anaes.) 56238 01NOV2001 30APR2020 N COMPUTED TOMOGRAPHY - scan of spine, three regions cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine prior to intravenous contrast injection when undertaken; only 1 benefit, payable whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56238 01MAY2020 31DEC9999 Y Computed tomography-scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (Anaes.) 56239 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, three regions cervical, thoracic and lumbosacral, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56240 01NOV2001 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, three regions cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine prior to intravenous contrast injection when undertaken; only 1 benefit, payable whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56250 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions, without intravenous contrast medium, payable once only, whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56256 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions, with intravenous contrast medium and with any scans of the spine prior to intravenous contrast injection when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56259 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X-rays, not being a service to which item 59724 applies (R) (NK) (Anaes.) 56300 01DEC1991 31DEC9999 Y CHEST COMPUTERISED TOMOGRAPHY SCAN OF CHEST, including lungs, mediastinum and pleura, without intravenous contrast medium (not being a service to which item 56700, 56800, 56900, 57000 or 57100 applies) (R) 56301 01NOV1996 28FEB1999 N CHEST AND UPPER ABDOMEN COMPUTERISED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies (R) 56301 01MAR1999 30APR2006 N CHEST AND UPPER ABDOMEN COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies and not including a study performed to exclude coronary artery calcification (R) (K) (Anaes.) 56301 01MAY2006 30JUN2018 N CHEST AND UPPER ABDOMEN COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 56301 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 56301 01MAY2020 31DEC9999 Y Computed tomography-scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.) 56303 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST, including lungs, mediastinum and pleura, with intravenous contrast medium (not being a service to which item 56703, 56803, 56903, 57003 or 57103 applies) (R) 56306 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST, including lungs, mediastinum and pleura, without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not being a service to which item 56706, 56806, 56906, 57006 or 57106 applies) (R) 56307 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken, not being a service to which item 56807 or 57007 applies (R) 56307 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest including lungs, mediastinum, chest wall or pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies (R) 56307 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest including lungs, mediastinum, chest wall or pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies and not including a study performed to exclude coronary artery calcification (R) (K) (Anaes.) 56307 01MAY2006 30APR2020 N COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest including lungs, mediastinum, chest wall or pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 56307 01MAY2020 31DEC9999 Y Computed tomography-scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen before intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.) 56341 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56841 or 57041 applies and not including a study performed to exclude coronary artery calcification (R) (NK) (Anaes.) 56341 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56841 or 57041 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.) 56347 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest including lungs, mediastinum, chest wall or pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56847 or 57047 applies and not including a study performed to exclude coronary artery calcification (R) (NK) (Anaes.) 56347 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest including lungs, mediastinum, chest wall or pleura and upper abdomen prior to intravenous contrast injection, when undertaken, not being a service to which item 56847 or 57047 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.) 56400 01DEC1991 31DEC9999 Y UPPER ABDOMEN COMPUTERISED TOMOGRAPHY SCAN OF UPPER ABDOMEN (diaphragm to iliac crest) or PELVIS without intravenous contrast medium (not being a service to which item 56700, 56800, 56900 or 57100 applies) (R) 56401 01NOV1996 28FEB1999 N UPPER ABDOMEN COMPUTERISED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R) 56401 01MAR1999 30JUN2018 N UPPER ABDOMEN COMPUTED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R) (K) (Anaes.) 56401 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R) (K) (Anaes.) 56401 01MAY2020 31DEC9999 Y Computed tomography-scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R) (Anaes.) 56403 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF UPPER ABDOMEN (diaphragm to iliac crest) or PELVIS with intravenous contrast medium (not being a service to which item 56703, 56803, 56903 or 57103 applies) (R) 56406 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF UPPER ABDOMEN (diaphragm to iliac crest) or PELVIS without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not being a service to which item 56706, 56806, 56906 or 57106 applies) (R) 56407 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium and with any scans of upper abdomen (diaphragm to iliac crest) prior to intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R) 56407 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium and with any scans of upper abdomen (diaphragm to iliac crest) prior to intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R) 56407 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest) with intravenous contrast medium and with any scans of upper abdomen (diaphragm to iliac crest) prior to intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R) (K) (Anaes.) 56407 01MAY2020 31DEC9999 Y Computed tomography-scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium, and with any scans of upper abdomen (diaphragm to iliac crest) before intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R) (Anaes.) 56409 01NOV1996 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item 56401 applies (R) 56409 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item 56401 applies (R) (K) (Anaes.) 56409 01MAY2020 31DEC9999 Y Computed tomography-scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item 56401 applies (R) (Anaes.) 56412 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) prior to intravenous contrast injection, when undertaken, not being a service to which item 56407 applies (R) 56412 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) prior to intravenous contrast injection, when undertaken, not being a service to which item 56407 applies (R) 56412 01MAR1999 30APR2020 N COMPUTED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic symphysis) with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) prior to intravenous contrast injection, when undertaken, not being a service to which item 56407 applies (R) (K) (Anaes.) 56412 01MAY2020 31DEC9999 Y Computed tomography-scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) before intravenous contrast injection, when undertaken, not being a service to which item 56407 applies (R) (Anaes.) 56441 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest), without intravenous contrast medium, not being a service to which item 56341, 56541, 56841 or 57041 applies (R) (NK) (Anaes.) 56447 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of upper abdomen only (diaphragm to iliac crest) with intravenous contrast medium, and with any scans of upper abdomen (diaphragm to iliac crest) prior to intravenous contrast injection, when undertaken, not being a service to which item 56347, 56547, 56847 or 57047 applies (R) (NK) (Anaes.) 56449 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium, not being a service to which item 56441 applies (R) (NK) (Anaes.) 56452 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic symphysis) with intravenous contrast medium, and with any scans of pelvis (iliac crest to pubic symphysis) prior to intravenous contrast injection, when undertaken, not being a service to which item 56447 applies (R) (NK) (Anaes.) 56500 01DEC1991 31DEC9999 Y UPPER ABDOMEN AND PELVIS COMPUTERISED TOMOGRAPHY SCAN OF UPPER ABDOMEN AND PELVIS without intravenous contrast medium (not being a service to which item 56700, 56800, 56900 or 57100 applies) (R) 56501 01NOV1996 28FEB1999 N UPPER ABDOMEN AND PELVIS COMPUTERISED TOMOGRAPHY - scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56801 or 57001 applies (R) 56501 01MAR1999 30APR2004 N UPPER ABDOMEN AND PELVIS COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56801 or 57001 applies (R) (K) (Anaes.) 56501 01MAY2004 30JUN2018 N UPPER ABDOMEN AND PELVIS COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy, not being a service to which item 56801 or 57001 applies (R) (K) (Anaes.) 56501 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy, not being a service to which item 56801 or 57001 applies (R) (K) (Anaes.) 56501 01MAY2020 31DEC9999 Y Computed tomography-scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy and not being a service to which item 56801 or 57001 applies(R) (Anaes.) 56503 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF UPPER ABDOMEN AND PELVIS with intravenous contrast medium (not being a service to which item 56703, 56803, 56903 or 57103 applies) (R) 56506 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF UPPER ABDOMEN AND PELVIS without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not being a service to which item 56706, 56806, 56906 or 57106 applies) (R) 56507 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of upper abdomen and pelvis with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies (R) 56507 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies (R) 56507 01MAR1999 30APR2004 N COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis prior to intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies (R) (K) (Anaes.) 56507 01MAY2004 30APR2020 N COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis prior to intravenous contrast injection, when undertaken, not for the purposes of virtual colonoscopy, not being a service to which item 56807 or 57007 applies (R) (K) (Anaes.) 56507 01MAY2020 31DEC9999 Y Computed tomography-scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis before intravenous contrast injection, when performed, not for the purposes of virtual colonoscopy and not being a service to which item 56807 or 57007 applies (R) (Anaes.) 56541 01MAR1999 30APR2004 N COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis without intravenous contrast medium, not being a service to which item 56841 or 57041 applies (R) (NK) (Anaes.) 56541 01MAY2004 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy, not being a service to which item 56841 or 57041 applies (R) (NK) (Anaes.) 56547 01MAR1999 30APR2004 N COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis with intravenous contrast medium, and with any scans of upper abdomen and pelvis prior to intravenous contrast injection, when undertaken, not being a service to which item 56847 or 57047 applies (R) (NK) (Anaes.) 56547 01MAY2004 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis with intravenous contrast medium, and with any scans of upper abdomen and pelvis prior to intravenous contrast injection, when undertaken, not for the purposes of virtual colonoscopy, not being a service to which item 56847 or 57047 applies (R) (NK) (Anaes.) 56549 01MAY2005 31DEC9999 Y COMPUTED TOMOGRAPHY OF COLON, following incomplete colonoscopy in the preceding 3 months, where the patient is referred by the specialist or consultant physician who performed the incomplete colonoscopy, not being a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) 56551 01MAY2005 31DEC9999 Y COMPUTED TOMOGRAPHY OF COLON, where the patient is referred by a specialist or consultant physician and where (a) one of the following conditions is present: (i) fistulous disease (ii) obstructed colon (iii) megacolon and where (b) the request specifies the condition; not being a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) 56552 01JUL2007 31DEC9999 Y COMPUTED TOMOGRAPHY OF COLON for exclusion of colorectal neoplasia in symptomatic or high risk patients if: (a) the patient has had an incomplete colonoscopy in the 3 months before the scan; and (b) the date of incomplete colonoscopy is set out on the request for scan; and (c) the service is not a service to which items 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) 56553 01SEP2015 30APR2020 N Computed tomography-scan of colon for exclusion or diagnosis of colorectal neoplasia in a symptomatic or high risk patient if: (a) one [or more] of the following applies: (i) the patient has had an incomplete colonoscopy in the 3 months before the scan; (ii) there is a high-grade colonic obstruction; (iii) the patient is referred by a specialist or consultant physician who performs colonoscopies [in the practice of his or her speciality]; and (b) the service is not a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies; and (c) the service has not been performed on the patient in the 36 months before the scan (R) (K) (Anaes.) 56553 01MAY2020 31OCT2021 N Computed tomography-scan of colon for exclusion or diagnosis of colorectal neoplasia in a symptomatic or high risk patient if:(a) one or more of the following applies:(i) the patient has had an incomplete colonoscopy in the 3 months before the scan;(ii) there is a high grade colonic obstruction;(iii) the service is requested by a specialist or consultant physician who performs colonoscopies in the practice of the specialist's or consultant physician's speciality; and(b) the service is not a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies; and(c) the service has not been performed on the patient in the 36 months before the scan (R) (Anaes.) 56553 01NOV2021 31DEC9999 Y Computed tomography-scan of colon for exclusion or diagnosis of colorectal neoplasia in a symptomatic or high risk patient if:(a) one or more of the following applies:(i) the patient has had an incomplete colonoscopy in the 3 months before the scan;(ii) there is a high grade colonic obstruction;(iii) the service is requested by a specialist or consultant physician who performs colonoscopies in the practice of the specialist's or consultant physician's speciality; and(b) the service is not a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) 56554 01JUL2007 31DEC9999 Y COMPUTED TOMOGRAPHY OF COLON for exclusion of colorectal neoplasia in symptomatic or high risk patients if: (a) the request for scan states that one of the following contraindications to colonoscopy is present: (i) suspected perforation of the colon; (ii) complete or high-grade obstruction that will not allow passage of the scope; and (b) the service must not be a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies (R) (K) 56555 01SEP2015 31DEC9999 Y Computed tomography-scan of colon for exclusion or diagnosis of colorectal neoplasia in a symptomatic or high risk patient if: (a) one [or more] of the following applies: (i) the patient has had an incomplete colonoscopy in the 3 months before the scan; (ii) there is a high-grade colonic obstruction; (iii) the patient is referred by a specialist or consultant physician who performs colonoscopies [in the practice of his or her speciality]; and (b) the service is not a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies; and (c) the service has not been performed on the patient in the 36 months before the scan (R) (NK) (Anaes.) 56600 01DEC1991 31DEC9999 Y EXTREMITIES COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving up to 20 slices without intravenous contrast medium (R) 56603 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving up to 20 slices with intravenous contrast medium (R) 56606 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving up to 20 slices without and with intravenous contrast medium (R) 56609 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving more than 20 slices but not more than 40 slices without intravenous contrast medium (R) 56612 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving more than 20 slices but not more than 40 slices with intravenous contrast medium (R) 56615 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium (R) 56618 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving more than 40 slices without intravenous contrast medium (R) 56619 01NOV1996 31OCT1997 N EXTREMITIES COMPUTERISED TOMOGRAPHY - scan of extremities, 1 or more regions without intravenous contrast medium; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) 56619 01NOV1997 28FEB1999 N EXTREMITIES COMPUTERISED TOMOGRAPHY - scan of extremities, 1 or more regions without intravenous contrast medium, payable once only whether 1 or more attendances are required to complete the service (R) 56619 01MAR1999 30JUN2018 N EXTREMITIES COMPUTED TOMOGRAPHY - scan of extremities, 1 or more regions without intravenous contrast medium, payable once only whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56619 01JUL2018 31OCT2018 N COMPUTED TOMOGRAPHY - scan of extremities, 1 or more regions without intravenous contrast medium, payable once only whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56619 01NOV2018 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of extremities, one region (other than knee), or more than one region (which may include knee), without intravenous contrast medium. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56620, 56626, 56660 or 56666 apply (R) (K) (Anaes.) 56620 01NOV2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of knee, without intravenous contrast medium. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56619, 56625, 56659 or 56665 apply (R) (K) (Anaes.) 56620 01MAY2020 31DEC9999 Y Computed tomography-scan of knee, without intravenous contrast medium, not being a service to which item 56622 or 56629 applies (R) (Anaes.) 56621 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving more than 40 slices with intravenous contrast medium (R) 56622 01MAY2020 31DEC9999 Y Computed tomography-scan of lower limb, left or right or both, one region (other than knee), or more than one region (which may include knee), without intravenous contrast medium, not being a service to which item 56620 applies (R) (Anaes.) 56623 01MAY2020 31DEC9999 Y Computed tomography-scan of lower limb, left or right or both, one region (other than knee), or more than one region (which may include knee), with intravenous contrast medium and with any scans of the lower limb before intravenous contrast injection, when performed, not being a service to which item 56626 applies (R) (Anaes.) 56624 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF EXTREMITIES, 1 OR MORE REGIONS involving more than 40 slices without and with intravenous contrast medium (R) 56625 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of extremities, 1 or more regions with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) 56625 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of extremities, 1 or more regions with intravenous contrast medium and with any scans of extremities prior to intravenous contrast injection, when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) 56625 01MAR1999 31OCT2018 N COMPUTED TOMOGRAPHY - scan of extremities, 1 or more regions with intravenous contrast medium and with any scans of extremities prior to intravenous contrast injection, when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) (K) (Anaes.) 56625 01NOV2018 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of extremities, one region (other than knee), or more than one region (which may include knee), with intravenous contrast medium and with any scans of extremities before intravenous contrast injection, when performed. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56620, 56626, 56660 or 56666 apply. (R) (K) (Anaes.) 56626 01NOV2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of the knee, with intravenous contrast medium and with any scans of the knee prior to intravenous contrast injection, when undertaken. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56619, 56625, 56659 or 56665 apply (R) (K) (Anaes.). 56626 01MAY2020 31DEC9999 Y Computed tomography-scan of knee, with intravenous contrast medium and with any scans of the knee before intravenous contrast injection, when performed, not being a service to which items 56623 or 56630 apply (R) (Anaes.) 56627 01MAY2020 31DEC9999 Y Computed tomography-scan of upper limb, left or right or both, any one region, or more than one region, without intravenous contrast medium (R) (Anaes.) 56628 01MAY2020 31DEC9999 Y Computed tomography-scan of upper limb, left or right or both, any one region, or more than one region, with intravenous contrast medium and with any scans of the upper limb before intravenous contrast injection, when performed (R) (Anaes.) 56629 01MAY2020 31DEC9999 Y Computed tomography-scan of upper limb and lower limb, left or right or both, any one region (other than knee), or more than one region (which may include knee) without intravenous contrast medium not being a service to which item 56620 applies (R) (Anaes.) 56630 01MAY2020 31DEC9999 Y Computed tomography-scan of upper limb and lower limb, left or right or both, any one region (other than knee), or more than one region (which may include knee) with intravenous contrast medium with any scans of the limbs before intravenous contrast injection, when performed, not being a service to which item 56626 applies (R) 56659 01MAR1999 31OCT2018 N COMPUTED TOMOGRAPHY - scan of extremities, 1 or more regions without intravenous contrast medium, payable once only whether 1 or more attendances are required to complete (R) (NK) (Anaes.) 56659 01NOV2018 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of extremities, one region (other than knee), or more than one region (which may include knee), without intravenous contrast medium. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56620, 56626, 56660 or 56666 apply (R) (NK) (Anaes.). 56660 01NOV2018 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of the knee, without intravenous contrast medium. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56619, 56625, 56659 or 56665 apply (R) (NK) (Anaes.) 56665 01MAR1999 31OCT2018 N COMPUTED TOMOGRAPHY - scan of extremities, 1 or more regions with intravenous contrast medium, and with any scans of extremities prior to intravenous contrast injection, when undertaken; only 1 benefit is payable whether 1 or more attendances are required to complete the service (R) (NK) (Anaes.) 56665 01NOV2018 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of extremities, one region (other than knee), or more than one region (which may include knee), with intravenous contrast medium and with any scans of extremities before intravenous contrast injection, when performed. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56620, 56626, 56660 or 56666 apply (R) (NK) (Anaes.). 56666 01NOV2018 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of knee, with intravenous contrast medium, and with any scans of the knee prior to intravenous contrast injection, when performed. Payable once only whether one or more attendances are required to complete the service, not being a service to which any of items 56619, 56625, 56659 or 56665 apply (R) (NK) (Anaes.) 56700 01DEC1991 31DEC9999 Y CHEST AND UPPER ABDOMEN COMPUTERISED TOMOGRAPHY SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) without intravenous contrast medium (not being a service to which item 56800, 56900 or 57100 applies) (R) 56703 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) with intravenous contrast medium (not being a service to which item 56803, 56903 or 57103 applies) (R) 56706 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) without and with intravenous contrast medium (not being a service to which item 56806, 56906 or 57106 applies) (R) 56800 01DEC1991 31DEC9999 Y CHEST, ABDOMEN AND PELVIS COMPUTERISED TOMOGRAPHY SCAN OF CHEST, ABDOMEN AND PELVIS without intravenous contrast medium (not being a service to which item 56900 applies) (R) 56801 01NOV1996 28FEB1999 N CHEST, ABDOMEN, PELVIS AND NECK COMPUTERISED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium (R) 56801 01MAR1999 30APR2006 N CHEST, ABDOMEN, PELVIS AND NECK COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification (R) (K) (Anaes.) 56801 01MAY2006 30JUN2018 N CHEST, ABDOMEN, PELVIS AND NECK COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 56801 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 56801 01MAY2020 31DEC9999 Y Computed tomography-scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.) 56803 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST, ABDOMEN AND PELVIS with intravenous contrast medium (not being a service to which item 56903 applies) (R) 56806 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST, ABDOMEN AND PELVIS without and with intravenous contrast medium (not being a service to which item 56906 applies) (R) 56807 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans prior to intravenous contrast injection, when undertaken (R) 56807 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck prior to intravenous contrast injection, when undertaken (R) 56807 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification (R) (K) (Anaes.) 56807 01MAY2006 30APR2020 N COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 56807 01MAY2020 31DEC9999 Y Computed tomography-scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.) 56841 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium not including a study performed to exclude coronary artery calcification (R) (NK) (Anaes.) 56841 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.) 56847 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification (R) (NK) (Anaes.) 56847 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.) 56900 01DEC1991 31DEC9999 Y NECK, CHEST, ABDOMEN AND PELVIS COMPUTERISED TOMOGRAPHY SCAN OF NECK, CHEST, ABDOMEN AND PELVIS without intravenous contrast medium (R) 56903 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF NECK, CHEST, ABDOMEN AND PELVIS with intravenous contrast medium (R) 56906 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF NECK, CHEST, ABDOMEN AND PELVIS without and with intravenous contrast medium (R) 57000 01DEC1991 31DEC9999 Y BRAIN AND CHEST COMPUTERISED TOMOGRAPHY SCAN OF BRAIN AND CHEST without intravenous contrast medium (R) 57001 01NOV1996 28FEB1999 N BRAIN, CHEST AND UPPER ABDOMEN COMPUTERISED TOMOGRAPHY - scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium (R) 57001 01MAR1999 30APR2006 N BRAIN, CHEST AND UPPER ABDOMEN COMPUTED TOMOGRAPHY - scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification (R) (K) (Anaes.) 57001 01MAY2006 30JUN2018 N BRAIN, CHEST AND UPPER ABDOMEN COMPUTED TOMOGRAPHY - scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 57001 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 57001 01MAY2020 31DEC9999 Y Computed tomography-scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.) 57003 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF BRAIN AND CHEST with intravenous contrast medium (R) 57006 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF BRAIN AND CHEST without and with intravenous contrast medium (R) 57007 01NOV1996 31OCT1997 N COMPUTERISED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans prior to intravenous contrast injwection, when undertaken (R) 57007 01NOV1997 28FEB1999 N COMPUTERISED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen prior to intravenous contrast injection, when undertaken (R) 57007 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification(R) (K) (Anaes.) 57007 01MAY2006 30APR2020 N COMPUTED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (K) (Anaes.) 57007 01MAY2020 31DEC9999 Y Computed tomography-scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.) 57041 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification(R) (NK) (Anaes.) 57041 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.) 57047 01MAR1999 30APR2006 N COMPUTED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification(R) (NK) (Anaes.) 57047 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY- scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen prior to intravenous contrast injection, when undertaken, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (NK) (Anaes.) 57100 01DEC1991 31DEC9999 Y CHEST AND UPPER ABDOMEN AND BRAIN COMPUTERISED TOMOGRAPHY SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) and SCAN OF BRAIN without intravenous contrast medium (R) 57103 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) and SCAN OF BRAIN with intravenous contrast medium (R) 57106 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY SCAN OF CHEST AND UPPER ABDOMEN (from lung apices to iliac crest) and SCAN OF BRAIN without and with intravenous contrast medium (R) 57200 01DEC1991 31DEC9999 Y PELVIMETRY COMPUTERISED TOMOGRAPHY PELVIMETRY (R) 57201 01NOV1996 28FEB1999 N PELVIMETRY COMPUTERISED TOMOGRAPHY - PELVIMETRY (R) 57201 01MAR1999 30JUN2018 N PELVIMETRY COMPUTED TOMOGRAPHY - PELVIMETRY (R) (K) (Anaes.) 57201 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY - PELVIMETRY (R) (K) (Anaes.) 57201 01MAY2020 31DEC9999 Y Computed tomography-pelvimetry (R) (Anaes.) 57247 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY - PELVIMETRY (R) (NK) (Anaes.) 57300 01DEC1991 31DEC9999 Y DYNAMIC SCAN OF REGION COMPUTERISED TOMOGRAPHY DYNAMIC SCAN OF REGION not being a service associated with a service to which another item in this Group applies (R) 57303 01DEC1991 31DEC9999 Y COMPUTERISED TOMOGRAPHY DYNAMIC SCAN OF REGION being a service associated with a service to which another item in this Group applies (R) 57340 01NOV1992 31DEC9999 Y INTERVENTIONAL TECHNIQUES COMPUTERISED TOMOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R) 57341 01NOV1996 28FEB1999 N INTERVENTIONAL TECHNIQUES COMPUTERISED TOMOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R) 57341 01MAR1999 30JUN2018 N INTERVENTIONAL TECHNIQUES COMPUTED TOMOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R) (K) (Anaes.) 57341 01JUL2018 30APR2020 N COMPUTED TOMOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R) (K) (Anaes.) 57341 01MAY2020 31DEC2023 N Computed tomography, in conjunction with a surgical procedure using interventional techniques (R) (Anaes.) 57341 01JAN2024 31DEC9999 Y Computed tomography, in conjunction with a surgical procedure using interventional techniques (R) 57345 01MAR1999 31DEC9999 Y COMPUTED TOMOGRAPHY, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this table applies (R) (NK) (Anaes.) 57350 01NOV1996 28FEB1999 N SPIRAL ANGIOGRAPHY COMPUTERISED TOMOGRAPHY - spiral angiography with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, including multiple projections, not being a service to which another item in this group applies (R) 57350 01MAR1999 31OCT2000 N SPIRAL ANGIOGRAPHY COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (c) the service is not performed on the same patient within 12 months (R) (K) 57350 01NOV2000 30APR2006 N SPIRAL ANGIOGRAPHY COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (c) the service has not been performed on the same patient within the previous 12 months (R) (K) (Anaes.) 57350 01MAY2006 30JUN2018 N SPIRAL ANGIOGRAPHY COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (c) the service has not been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) (K) (Anaes.) 57350 01JUL2018 31DEC9999 Y COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (c) the service has not been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) (K) (Anaes.) 57351 01NOV2001 30APR2006 N COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of acute or recurrent pulmonary embolism; acute symptomatic arterial occlusion; post operative complication of arterial surgery; acute ruptured aneurysm; or acute dissection of the aorta, carotid or vertebral artery; and (c) the services to which 57350 or 57355 apply have been performed on the same patient within the previous 12 months. (R) (K) (Anaes.) 57351 01MAY2006 30APR2020 N COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of acute or recurrent pulmonary embolism; acute symptomatic arterial occlusion; post operative complication of arterial surgery; acute ruptured aneurysm; or acute dissection of the aorta, carotid or vertebral artery; and (c) the services to which 57350 or 57355 apply have been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) (K) (Anaes.) 57351 01MAY2020 30JUN2020 N Computed tomography-angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (a) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a general practitioner and the request indicates that the patient's case has been discussed with a specialist or consultant physician; and (b) the service is not a service to which another item in this group applies; and (c) the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post-operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and (d) a service to which item 57352, 57353 or 57354 applies has been performed on the same patient within the previous 12 months; and (e) the service is not a study performed to image the coronary arteries (R) (Anaes.) 57351 01JUL2020 30JUN2021 N Computed tomography-angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post-operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and (c) a service to which item 57352, 57353 or 57354 applies has been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) 57351 01JUL2021 31DEC9999 Y Computed tomography-angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post-operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and (c) a service to which item 57352, 57353, 57354 or 57357 applies has been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) 57352 01MAY2020 28FEB2021 N Computed tomography-angiography with intravenous contrast medium of any or all, or any part, of: (a) the arch of the aorta; or (b) the carotid arteries; or (c) the vertebral arteries and their branches (head and neck); including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (d) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a general practitioner and the request indicates that the patient's case has been discussed with a specialist or consultant physician; and (e) the service is not a service to which another item in this group applies; and (f) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (g) the service is not a study performed to image the coronary arteries (R) (Anaes.) 57352 01MAR2021 31DEC9999 Y Computed tomography-angiography with intravenous contrast medium of any or all, or any part, of: (a) the arch of the aorta; or (b) the carotid arteries; or (c) the vertebral arteries and their branches (head and neck); including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (d) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient's case has been discussed with a specialist or consultant physician; and (e) the service is not a service to which another item in this group applies; and (f) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (g) the service is not a study performed to image the coronary arteries (R) 57353 01MAY2020 28FEB2021 N Computed tomography-angiography with intravenous contrast medium of any or all, or any part, of: (a) the ascending and descending aorta; or (b) the common iliac and abdominal branches including upper limbs (chest, abdomen and upper limbs); including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (c) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a general practitioner and the request indicates that the patient's case has been discussed with a specialist or consultant physician; and (d) the service is not a service to which another item in this group applies; and (e) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (f) the service is not a study performed to image the coronary arteries (R) (Anaes.) 57353 01MAR2021 31DEC9999 Y Computed tomography-angiography with intravenous contrast medium of any or all, or any part, of: (a) the ascending and descending aorta; or (b) the common iliac and abdominal branches including upper limbs (chest, abdomen and upper limbs); including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (c) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient's case has been discussed with a specialist or consultant physician; and (d) the service is not a service to which another item in this group applies; and (e) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (f) the service is not a study performed to image the coronary arteries (R) 57354 01MAY2020 28FEB2021 N Computed tomography-angiography with intravenous contrast medium of any or all, or any part, of: (a) the descending aorta; or (b) the pelvic vessels (aorto-iliac segment) and lower limbs; including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (c) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a general practitioner and the request indicates that the patient's case has been discussed with a specialist or consultant physician; and (d) the service is not a service to which another item in this group applies; and (e) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (f) the service is not a study performed to image the coronary arteries (R) (Anaes.) 57354 01MAR2021 31DEC9999 Y Computed tomography-angiography with intravenous contrast medium of any or all, or any part, of: (a) the descending aorta; or (b) the pelvic vessels (aorto-iliac segment) and lower limbs; including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (c) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient's case has been discussed with a specialist or consultant physician; and (d) the service is not a service to which another item in this group applies; and (e) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (f) the service is not a study performed to image the coronary arteries (R) 57355 01MAR1999 31OCT2000 N COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, including multiple projections, not being a service to which another item in this group applies (R) (NK) 57355 01NOV2000 30APR2006 N COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (c) the service has not been performed on the same patient within the previous 12 months (R) (NK) (Anaes.) 57355 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (c) the service has not been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) (NK) (Anaes.) 57356 01NOV2001 30APR2006 N COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: a) the service is not a service to which another item in this group applies; and b) the service is performed for the exclusion of acute or recurrent pulmonary embolism; acute symptomatic arterial occlusion; post operative complication of arterial surgery; or acute ruptured aneurysm; acute dissection of the aorta, carotid or vertebral artery; and c) the services to which 57350 or 57355 apply have been performed on the same patient within the previous 12 months. (R) (NK) (Anaes.) 57356 01MAY2006 31DEC9999 Y COMPUTED TOMOGRAPHY - spiral angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection - 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where: a) the service is not a service to which another item in this group applies; and b) the service is performed for the exclusion of acute or recurrent pulmonary embolism; acute symptomatic arterial occlusion; post operative complication of arterial surgery; or acute ruptured aneurysm; acute dissection of the aorta, carotid or vertebral artery; and (c) the services to which 57350 or 57355 apply have been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) (NK) (Anaes.) 57357 01NOV2020 31DEC9999 Y Computed tomography-angiography with intravenous contrast medium of any or all, or any part, of the pulmonary arteries and their branches, including any scans performed before intravenous contrast injection-one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: the service is not a service to which another item in this group applies; and the service is not a study performed to image the coronary arteries; and the service is:(i) performed for the exclusion of pulmonary arterial stenosis, occlusion, aneurysm or embolism and is requested by a specialist or consultant physician; or(ii) performed for the exclusion of pulmonary arterial stenosis, occlusion or aneurysm and is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient's case has been discussed with a specialist or consultant physician; or (iii) for the exclusion of pulmonary embolism and is requested be a medical practitioner (other than a specialist or consultant physician) (R) 57360 01JUL2011 30APR2020 N COMPUTED TOMOGRAPHY OF THE CORONARY ARTERIES performed on a minimum of a 64 slice (or equivalent) scanner, where the request is made by a specialist or consultant physician, and: a) the patient has stable symptoms consistent with coronary ischaemia, is at low to intermediate risk of coronary artery disease and would have been considered for coronary angiography; or b) the patient requires exclusion of coronary artery anomaly or fistula; or c) the patient will be undergoing non-coronary cardiac surgery (R) (K) 57360 01MAY2020 30JUN2021 N Computed tomography of the coronary arteries performed on a minimum of a 64 slice (or equivalent) scanner if:(a) the request is made by a specialist or consultant physician; and(b) one of the following subparagraphs applies to the patient:(i) the patient has stable symptoms consistent with coronary ischaemia, is at low to intermediate risk of coronary artery disease and would have been considered for coronary angiography;(ii) the patient requires exclusion of coronary artery anomaly or fistula;(iii) the patient will be undergoing non coronary cardiac surgery (R) 57360 01JUL2021 31OCT2021 N Computed tomography of the coronary arteries performed on a minimum of a 64 slice (or equivalent) scanner if: (a) the request is made by a specialist or consultant physician; and (b) for a patient not known to have coronary artery disease who: (i) has stable or acute symptoms consistent with coronary ischaemia; and (ii) is at low to intermediate risk of an acute coronary event, including having no significant cardiac biomarker elevation and no electrocardiogram changes indicating acute ischaema Applicable not more than once in a 5 year period (R) 57360 01NOV2021 31DEC9999 Y Computed tomography of the coronary arteries performed on a minimum of a 64 slice (or equivalent) scanner if: (a) the request is made by a specialist or consultant physician; and (b) the patient has stable or acute symptoms consistent with coronary ischaemia; and (c) the patient is at low to intermediate risk of an acute coronary event, including having no significant cardiac biomarker elevation and no electrocardiogram changes indicating acute ischaemia (R) Note: See explanatory note IN.2.2 for claiming restrictions for this item. 57361 01JUL2011 31DEC9999 Y COMPUTED TOMOGRAPHY OF THE CORONARY ARTERIES performed on a minimum of a 64 slice (or equivalent) scanner, where the request is made by a specialist or consultant physician, and: a) the patient has stable symptoms consistent with coronary ischaemia, is at low to intermediate risk of coronary artery disease and would have been considered for coronary angiography; or b) the patient requires exclusion of coronary artery anomaly or fistula; or c) the patient will be undergoing non-coronary cardiac surgery (R) (NK) 57362 01NOV2014 30APR2020 N Dental & temporo-mandibular joint imaging for diagnosis and management of mandibular and dento-alveolar fractures, dental implant planning, orthodontics, endodontic, periodontal and temporo-mandibular joint conditions: without contrast medium. Restricted to requesting by dental specialists and medical practitioners and must be performed on equipment located in practices accredited under the Diagnostic Imaging Accreditation Scheme using dedicated (rather than hybrid) CBCT units. Claims for more than one CBCT per patient per day are excluded. Claiming with two-dimensional imaging in the same episode (items 57959-57969) and with CT in the same episode (items 56001-57361) are also excluded. (K) 57362 01MAY2020 31DEC9999 Y Cone beam computed tomography-dental and temporo mandibular joint imaging (without contrast medium) for diagnosis and management of any of the following:(a) mandibular and dento alveolar fractures;(b) dental implant planning;(c) orthodontics;(d) endodontic conditions;(e) periodontal conditions;(f) temporo mandibular joint conditionsApplicable once per patient per day, not being for a service to which any of items 57960 to 57969 apply, and not being a service associated with another service in Group I2 (R) (Anaes.) 57363 01NOV2014 31DEC9999 Y Dental & temporo-mandibular joint imaging for diagnosis and management of mandibular and dento-alveolar fractures, dental implant planning, orthodontics, endodontic, periodontal and temporo-mandibular joint conditions: without contrast medium. Restricted to requesting by dental specialists and medical practitioners and must be performed on equipment located in practices accredited under the Diagnostic Imaging Accreditation Scheme using dedicated (rather than hybrid) CBCT units. Claims for more than one CBCT per patient per day are excluded. Claiming with two-dimensional imaging in the same episode (items 57959-57969) and with CT in the same episode (items 56001-57361) are also excluded. (NK) 57364 01JUL2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 (item 38247), TR.8.2 (item 38249) or item 38252 if subclause (iv) applies. Computed tomography of the coronary arteries performed on a minimum of a 64 slice (or equivalent) scanner, if: (a) the service is requested by a specialist or consultant physician; and (b) at least one of the following apply to the patient: (i) the patient has stable symptoms and newly recognised left ventricular systolic dysfunction of unknown aetiology; (ii) the patient requires exclusion of coronary artery anomaly or fistula; (iii) the patient will be undergoing non-coronary cardiac surgery; (iv) the patient meets the criteria to be eligible for a service to which item 38247, 38249 or 38252 applies, but as an alternative to selective coronary angiography will require an assessment of the patency of one or more bypass grafts (R) 57400 01DEC1991 31DEC9999 Y Computerised tomography - scan of brain without intravenous contrast medium (R) (A) 57403 01DEC1991 31DEC9999 Y THORACIC CAVITY, aspiration of, for diagnostic purposes, not associated with Item 6941 intravenous contrast medium (R) (A) 57406 01DEC1991 31DEC9999 Y Computerised tomography - scan of brain without and with intravenous contrast medium (R) (A) 57500 01DEC1991 31DEC9999 Y DIGITS OR PHALANGES - all or any of either hand or either foot (NR) 57503 01DEC1991 31DEC9999 Y DIGITS OR PHALANGES - all or any of either hand or either foot (R) 57506 01DEC1991 31OCT1996 N HAND, WRIST, FOREARM, ELBOW OR ARM (elbow to shoulder) (NR) 57506 01NOV1996 31OCT1997 N HAND, WRIST, FOREARM, ELBOW OR HUMERUS (NR) 57506 01NOV1997 30APR2020 N HAND, WRIST, FOREARM, ELBOW OR HUMERUS (NR) 57506 01MAY2020 31DEC9999 Y Hand, wrist, forearm, elbow or humerus (NR) 57509 01DEC1991 31OCT1996 N HAND, WRIST, FOREARM, ELBOW OR ARM (elbow to shoulder) (R) 57509 01NOV1996 31OCT1997 N HAND, WRIST, FOREARM, ELBOW OR HUMERUS (R) 57509 01NOV1997 30APR2020 N HAND, WRIST, FOREARM, ELBOW OR HUMERUS (R) 57509 01MAY2020 31DEC9999 Y Hand, wrist, forearm, elbow or humerus (R) 57512 01DEC1991 31OCT1996 N HAND, WRIST AND LOWER FOREARM OR UPPER FOREARM AND ELBOW OR ELBOW AND ARM (elbow to shoulder) (NR) 57512 01NOV1996 31OCT1997 N HAND, WRIST AND FOREARM, OR FOREARM AND ELBOW, OR ELBOW AND HUMERUS (NR) 57512 01NOV1997 30APR2005 N HAND, WRIST AND FOREARM, OR FOREARM AND ELBOW, OR ELBOW AND HUMERUS (NR) 57512 01MAY2005 30APR2020 N HAND AND WRIST OR HAND, WRIST AND FOREARM OR FOREARM AND ELBOW OR ELBOW AND HUMERUS (NR) 57512 01MAY2020 31DEC9999 Y Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and humerus (NR) 57515 01DEC1991 31OCT1996 N HAND, WRIST AND LOWER FOREARM OR UPPER FOREARM AND ELBOW OR ELBOW AND ARM (elbow to shoulder) (R) 57515 01NOV1996 31OCT1997 N HAND, WRIST AND FOREARM, OR FOREARM AND ELBOW, OR ELBOW AND HUMERUS (R) 57515 01NOV1997 30APR2005 N HAND, WRIST AND FOREARM, OR FOREARM AND ELBOW, OR ELBOW AND HUMERUS (R) 57515 01MAY2005 30APR2020 N HAND AND WRIST OR HAND, WRIST AND FOREARM OR FOREARM AND ELBOW OR ELBOW AND HUMERUS (R) 57515 01MAY2020 31DEC9999 Y Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and humerus (R) 57518 01DEC1991 31OCT1996 N FOOT, ANKLE, LOWER LEG, UPPER LEG, KNEE OR THIGH (femur) (NR) 57518 01NOV1996 31OCT1997 N FOOT, ANKLE, LEG, KNEE OR FEMUR (NR) 57518 01NOV1997 31OCT2018 N FOOT, ANKLE, LEG, KNEE OR FEMUR (NR) 57518 01NOV2018 30APR2020 N FOOT, ANKLE, LEG, OR FEMUR (NR)(K) 57518 01MAY2020 31DEC9999 Y Foot, ankle, leg or femur (NR) 57521 01DEC1991 31OCT1996 N FOOT, ANKLE, LOWER LEG, UPPER LEG, KNEE OR THIGH (femur) (R) 57521 01NOV1996 31OCT1997 N FOOT, ANKLE, LEG, KNEE OR FEMUR (R) 57521 01NOV1997 31OCT2018 N FOOT, ANKLE, LEG, KNEE OR FEMUR (R) 57521 01NOV2018 30APR2020 N FOOT, ANKLE, LEG, OR FEMUR (R)(K) 57521 01MAY2020 31DEC9999 Y Foot, ankle, leg or femur (R) 57522 01NOV2018 30APR2020 N Knee (NR)(K) 57522 01MAY2020 31DEC9999 Y Knee (NR) 57523 01NOV2018 30APR2020 N Knee (R)(K) 57523 01MAY2020 31DEC9999 Y Knee (R) 57524 01DEC1991 31OCT1996 N FOOT, ANKLE AND LOWER LEG OR UPPER LEG AND KNEE (NR) 57524 01NOV1996 31OCT1997 N FOOT AND ANKLE, OR ANKLE AND LEG, OR LEG AND KNEE, OR KNEE AND FEMUR (NR) 57524 01NOV1997 30APR2020 N FOOT AND ANKLE, OR ANKLE AND LEG, OR LEG AND KNEE, OR KNEE AND FEMUR (NR) 57524 01MAY2020 31DEC9999 Y Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (NR) 57527 01DEC1991 31OCT1996 N FOOT, ANKLE AND LOWER LEG OR UPPER LEG AND KNEE (R) 57527 01NOV1996 31OCT1997 N FOOT AND ANKLE, OR ANKLE AND LEG, OR LEG AND KNEE, OR KNEE AND FEMUR (R) 57527 01NOV1997 30APR2020 N FOOT AND ANKLE, OR ANKLE AND LEG, OR LEG AND KNEE, OR KNEE AND FEMUR (R) 57527 01MAY2020 31DEC9999 Y Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (R) 57529 01JUL2011 31DEC9999 Y HAND, WRIST, FOREARM, ELBOW OR HUMERUS (NR) (NK) 57530 01JUL2011 31DEC9999 Y HAND, WRIST, FOREARM, ELBOW OR HUMERUS (R) (NK) 57532 01JUL2011 31DEC9999 Y HAND AND WRIST OR HAND, WRIST AND FOREARM OR FOREARM AND ELBOW OR ELBOW AND HUMERUS (NR) (NK) 57533 01JUL2011 31DEC9999 Y HAND AND WRIST OR HAND, WRIST AND FOREARM OR FOREARM AND ELBOW OR ELBOW AND HUMERUS (R) (NK) 57535 01JUL2011 31OCT2018 N FOOT, ANKLE, LEG, KNEE OR FEMUR (NR) (NK) 57535 01NOV2018 31DEC9999 Y FOOT, ANKLE, LEG, OR FEMUR (NR) (NK) 57536 01JUL2011 31OCT2018 N FOOT, ANKLE, LEG, KNEE OR FEMUR (R) (NK) 57536 01NOV2018 31DEC9999 Y FOOT, ANKLE, LEG, OR FEMUR (R) (NK) 57537 01NOV2018 31DEC9999 Y Knee (NR)(NK) 57538 01JUL2011 31DEC9999 Y FOOT AND ANKLE, OR ANKLE AND LEG, OR LEG AND KNEE, OR KNEE AND FEMUR (NR) (NK) 57539 01JUL2011 31DEC9999 Y FOOT AND ANKLE, OR ANKLE AND LEG, OR LEG AND KNEE, OR KNEE AND FEMUR (R) (NK) 57540 01NOV2018 31DEC9999 Y Knee (R)(NK) 57541 01NOV2019 30JUN2021 N Fee for a service rendered using first eligible x-ray procedure carried out during attendance at residential aged care facility, where the service has been requested by a medical practitioner who has attended the patient in person and the request identifies one or more of the following indications: the patient has experienced a fall and one or more of the following items apply to the service 57509, 57515, 57521, 57527, 57530, 57533, 57539, 57703, 57705, 57709, 57711, 57712, 57714, 57715, 57717, 58521, 58523, 58524, 58526, 58527, 58529, 57536; or pneumonia or heart failure is suspected and item 58503 or 58505 applies to the service; or acute abdomen or bowel obstruction is suspected and item 58903 or 58905 applies to the service. This call-out fee can be claimed once only per visit at a residential aged care facility irrespective of the number of patients attended. NOTE: If the service is bulked billed 95% of the fee is payable. The multiple services rule does not apply to this item. (R) 57541 01JUL2021 31DEC9999 Y Fee for a service rendered using first eligible x-ray procedure carried out during attendance at residential aged care facility, where the service has been requested by a medical practitioner who has attended the patient in person and the request identifies one or more of the following indications: the patient has experienced a fall and one or more of the following items apply to the service 57509, 57515, 57521, 57527, 57703, 57709, 57712, 57715, 58521, 58524, 58527; or pneumonia or heart failure is suspected and item 58503 applies to the service; or acute abdomen or bowel obstruction is suspected and item 58903 applies to the service. This call-out fee can be claimed once only per visit at a residential aged care facility irrespective of the number of patients attended. NOTE: If the service is bulked billed 95% of the fee is payable. The multiple services rule does not apply to this item. (R) 57700 01DEC1991 30APR2020 N SHOULDER OR SCAPULA (NR) 57700 01MAY2020 31DEC9999 Y Shoulder or scapula (NR) 57702 01JUL2011 31DEC9999 Y SHOULDER OR SCAPULA (NR) (NK) 57703 01DEC1991 30APR2020 N SHOULDER OR SCAPULA (R) 57703 01MAY2020 31DEC9999 Y Shoulder or scapula (R) 57705 01JUL2011 31DEC9999 Y SHOULDER OR SCAPULA (R) (NK) 57706 01DEC1991 30APR2020 N CLAVICLE (NR) 57706 01MAY2020 31DEC9999 Y Clavicle (NR) 57708 01JUL2011 31DEC9999 Y CLAVICLE (NR) (NK) 57709 01DEC1991 30APR2020 N CLAVICLE (R) 57709 01MAY2020 31DEC9999 Y Clavicle (R) 57711 01JUL2011 31DEC9999 Y CLAVICLE (R) (NK) 57712 01DEC1991 30APR2020 N HIP JOINT (R) 57712 01MAY2020 31DEC9999 Y Hip joint (R) 57714 01JUL2011 31DEC9999 Y HIP JOINT (R) (NK) 57715 01DEC1991 30APR2020 N PELVIC GIRDLE (R) 57715 01MAY2020 31DEC9999 Y Pelvic girdle (R) 57717 01JUL2011 31DEC9999 Y PELVIC GIRDLE (R) (NK) 57718 01DEC1991 31DEC9999 Y SACROILIAC JOINTS (R) 57721 01DEC1991 30APR2020 N FEMUR, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R) 57721 01MAY2020 31DEC9999 Y Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R) 57723 01JUL2011 31DEC9999 Y FEMUR, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R) (NK) 57900 01DEC1991 31OCT1996 N SKULL (calvarium) (R) 57900 01NOV1996 31DEC9999 Y SKULL OR CEPHALOMETRY (R) 57901 01NOV1998 30APR2020 N SKULL, not in association with item 57902 (R) 57901 01MAY2020 31DEC9999 Y Skull, not in association with item 57902 (R) 57902 01NOV1998 30APR2020 N CEPHALOMETRY, not in association with item 57901 (R) 57902 01MAY2020 31DEC9999 Y Cephalometry, not in association with item 57901 (R) 57903 01DEC1991 31DEC9999 Y SINUSES (R) 57905 01MAY2020 31DEC9999 Y Mastoids or petrous temporal bones (R) 57906 01DEC1991 31DEC9999 Y MASTOIDS (R) 57907 01MAY2020 31DEC9999 Y Sinuses or facial bones - orbit, maxilla or malar, any or all (R) 57909 01DEC1991 31DEC9999 Y PETROUS TEMPORAL BONES (R) 57911 01JUL2011 31DEC9999 Y SKULL, not in association with item 57902 or 57914 (R) (NK) 57912 01DEC1991 31DEC9999 Y FACIAL BONES orbit, maxilla or malar, any or all (R) 57914 01JUL2011 31DEC9999 Y CEPHALOMETRY, not in association with item 57901 or 57911 (R) (NK) 57915 01DEC1991 31OCT1996 N MANDIBLE (R) 57915 01NOV1996 30APR2020 N MANDIBLE, not by orthopantomography technique (R) 57915 01MAY2020 31DEC9999 Y Mandible, not by orthopantomography technique (R) 57917 01JUL2011 31DEC9999 Y SINUSES (R) (NK) 57918 01DEC1991 31OCT1996 N SALIVARY CALCULUS (R) 57918 01NOV1996 30APR2020 N SALIVARY CALCULUS (R) 57918 01MAY2020 31DEC9999 Y Salivary calculus (R) 57920 01JUL2011 31DEC9999 Y MASTOIDS (R) (NK) 57921 01DEC1991 30APR2020 N NOSE (R) 57921 01MAY2020 31DEC9999 Y Nose (R) 57923 01JUL2011 31DEC9999 Y PETROUS TEMPORAL BONES (R) (NK) 57924 01DEC1991 30APR2020 N EYE (R) 57924 01MAY2020 31DEC9999 Y Eye (R) 57926 01JUL2011 31DEC9999 Y FACIAL BONES orbit, maxilla or malar, any or all (R) (NK) 57927 01DEC1991 30APR2020 N TEMPOROMANDIBULAR JOINTS (R) 57927 01MAY2020 31DEC9999 Y Temporo mandibular joints (R) 57929 01JUL2011 31DEC9999 Y MANDIBLE, not by orthopantomography technique (R) (NK) 57930 01DEC1991 30APR2020 N TEETH SINGLE AREA (R) 57930 01MAY2020 31DEC9999 Y Teeth-single area (R) 57932 01JUL2011 31DEC9999 Y SALIVARY CALCULUS (R) (NK) 57933 01DEC1991 30APR2020 N TEETH FULL MOUTH (R) 57933 01MAY2020 31DEC9999 Y Teeth - full mouth (R) 57935 01JUL2011 31DEC9999 Y NOSE (R) (NK) 57936 01DEC1991 31DEC9999 Y TEETH, ORTHOPANTOMOGRAPHY (R) 57938 01JUL2011 31DEC9999 Y EYE (R) (NK) 57939 01DEC1991 30APR2020 N PALATOPHARYNGEAL STUDIES with fluoroscopic screening (R) 57939 01MAY2020 31DEC9999 Y Palato pharyngeal studies with fluoroscopic screening (R) 57941 01JUL2011 31DEC9999 Y TEMPOROMANDIBULAR JOINTS (R) (NK) 57942 01DEC1991 30APR2020 N PALATOPHARYNGEAL STUDIES without fluoroscopic screening (R) 57942 01MAY2020 31DEC9999 Y Palato pharyngeal studies without fluoroscopic screening (R) 57944 01JUL2011 31DEC9999 Y TEETH SINGLE AREA (R) (NK) 57945 01DEC1991 31OCT1996 N LARYNX (R) 57945 01NOV1996 30APR2020 N LARYNX, LATERAL AIRWAYS AND SOFT TISSUES OF THE NECK, not being a service associated with a service to which item 57939 or 57942 applies (R) 57945 01MAY2020 31DEC9999 Y Larynx, lateral airways and soft tissues of the neck, not being a service associated with a service to which item 57939 or 57942 applies (R) 57947 01JUL2011 31DEC9999 Y TEETH FULL MOUTH (R) (NK) 57948 01NOV2001 31DEC9999 Y Teeth, Orthopantomography, for diagnostic survey of the mandible OR of the maxilla OR of the mandible and the maxilla, and the associated dental structures (R) 57950 01JUL2011 31DEC9999 Y PALATOPHARYNGEAL STUDIES with fluoroscopic screening (R) (NK) 57951 01NOV2001 31DEC9999 Y Teeth, Orthopantomography, for exclusion of a fracture following significant trauma, infection or tumour of the mandible OR of the maxilla OR of the mandible and the maxilla (R) 57953 01JUL2011 31DEC9999 Y PALATOPHARYNGEAL STUDIES without fluoroscopic screening (R) (NK) 57954 01NOV2001 31DEC9999 Y Teeth, Orthopantomography, for further investigation or monitoring of a fracture, infection, or tumour of the mandible OR of the maxilla OR of the mandible and the maxilla (R) 57956 01JUL2011 31DEC9999 Y LARYNX, LATERAL AIRWAYS AND SOFT TISSUES OF THE NECK, not being a service associated with a service to which item 57939, 57942, 57950 or 57953 applies (R) (NK) 57957 01NOV2001 31DEC9999 Y Teeth, Orthopantomography, for monitoring following surgery to the mandible OR of the maxilla OR of the mandible and the maxilla OR to associated dental structures (R) 57959 01JUL2011 31DEC9999 Y Orthopantomography, for diagnosis and/or management of trauma, infection, tumours, congenital conditions or surgical conditions of the teeth or maxillofacial region (R) (NK) 57960 01NOV2002 30APR2020 N Orthopantomography, for diagnosis and/or management of trauma, infection, tumours, congenital conditions or surgical conditions of the teeth or maxillofacial region (R) 57960 01MAY2020 31DEC9999 Y Orthopantomography for diagnosis or management (or both) of trauma, infection, tumour or a congenital or surgical condition of the teeth or maxillofacial region (R) 57962 01JUL2011 31DEC9999 Y Orthopantomography, for diagnosis and/or management of impacted teeth, caries, periodontal or peripical pathology where signs or symptoms of those conditions are evident (R) (NK) 57963 01NOV2002 30APR2020 N Orthopantomography, for diagnosis and/or management of impacted teeth, caries, periodontal or peripical pathology where signs or symptoms of those conditions are evident (R) 57963 01MAY2020 31DEC9999 Y Orthopantomography for diagnosis or management (or both) of any of the following conditions, if the signs and symptoms of the condition is present:(a) impacted teeth;(b) caries;(c) periodontal pathology;(d) periapical pathology (R) 57965 01JUL2011 31DEC9999 Y Orthopantomography, for diagnosis and/or management of missing or crowded teeth, or developmental anomalies of the teeth or jaws (R) (NK) 57966 01NOV2002 30APR2020 N Orthopantomography, for diagnosis and/or management of missing or crowded teeth, or developmental anomalies of the teeth or jaws (R) 57966 01MAY2020 31DEC9999 Y Orthopantomography for diagnosis or management (or both) of missing or crowded teeth, or developmental anomalies of the teeth or jaws (R) 57968 01JUL2011 31DEC9999 Y Orthopantomography, for diagnosis and/or management of temporomandibular joint arthroses or dysfunction (R) (NK) 57969 01NOV2002 30APR2020 N Orthopantomography, for diagnosis and/or management of temporomandibular joint arthroses or dysfunction (R) 57969 01MAY2020 31DEC9999 Y Orthopantomography for diagnosis or management (or both) of temporo mandibular joint arthroses or dysfunction (R) 58100 01DEC1991 30APR2020 N SPINE CERVICAL (R) 58100 01MAY2020 31DEC9999 Y Spine-cervical (R) 58102 01JUL2011 31DEC9999 Y SPINE CERVICAL (R) (NK) 58103 01DEC1991 30APR2020 N SPINE THORACIC (R) 58103 01MAY2020 31DEC9999 Y Spine-thoracic (R) 58105 01JUL2011 31DEC9999 Y SPINE THORACIC (R) (NK) 58106 01DEC1991 30APR2020 N SPINE LUMBOSACRAL (R) 58106 01MAY2020 31DEC9999 Y Spine-lumbosacral (R) 58108 01NOV2001 30APR2020 N Spine, four regions, cervical, thoracic, lumbosacral and sacrococcygeal (R) 58108 01MAY2020 31DEC9999 Y Spine-4 regions, cervical, thoracic, lumbosacral and sacrococcygeal (R) 58109 01DEC1991 30APR2020 N SPINE SACROCOCCYGEAL (R) 58109 01MAY2020 31DEC9999 Y Spine-sacrococcygeal (R) 58111 01JUL2011 31DEC9999 Y SPINE LUMBOSACRAL (R) (NK) 58112 01DEC1991 30APR2020 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine, two examinations of the kind referred to in items 58100, 58103, 58106 and 58109 (R) 58112 01MAY2020 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine-2 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R) 58114 01JUL2011 31DEC9999 Y Spine, four regions, cervical, thoracic, lumbosacral and sacrococcygeal (R) (NK) 58115 01DEC1991 31OCT2002 N NOTE: An account issued or a patient assignment form must show the item numbers of the examiniations performed under this item SPINE 3 OR MORE REGIONS (R) 58115 01NOV2002 30APR2020 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine, three examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R) 58115 01MAY2020 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine-3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R) 58117 01JUL2011 31DEC9999 Y SPINE SACROCOCCYGEAL (R) (NK) 58118 01DEC1991 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine, three examinations of the kind referred to in items 58100, 58103, 58106 and 58109 (R) 58120 01JAN2010 30APR2020 N Spine, four regions, cervical, thoracic, lumbosacral and sacrococcygeal (R), if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year 58120 01MAY2020 31DEC9999 Y Spine-4 regions, cervical, thoracic, lumbosacral and sacrococcygeal, if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year (R) 58121 01JAN2010 30APR2020 N NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine, three examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R), if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year 58121 01MAY2020 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine-3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109, if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year (R) 58123 01JUL2011 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine, two examinations of the kind referred to in items 58100, 58102, 58103, 58105, 58106, 58109, 58111 and 58117 (R) (NK) 58124 01JUL2011 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine, three examinations of the kind mentioned in items 58100, 58102, 58103, 58105, 58106, 58109, 58111 and 58117 (R) (NK) 58126 01JUL2011 31DEC9999 Y Spine, four regions, cervical, thoracic, lumbosacral and sacrococcygeal, if the service to which item 58120, 58121, 58126 or 58127 applies has not been performed on the same patient within the same calendar year (R) (NK) 58127 01JUL2011 31DEC9999 Y NOTE: An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine, three examinations of the kind mentioned in items 58100, 58102, 58103, 58105, 58106 and 58109, 58111 and 58117 if the service to which item 58120, 58121, 58126 or 58127 applies has not been performed on the same patient within the same calendar year (R) (NK) 58300 01DEC1991 19JAN1997 N BONE AGE STUDY, WRIST AND KNEE (R) 58300 20JAN1997 30APR2020 N BONE AGE STUDY (R) 58300 01MAY2020 31DEC9999 Y Bone age study (R) 58302 01JUL2011 31DEC9999 Y BONE AGE STUDY (R) (NK) 58303 01DEC1991 31DEC9999 Y BONE AGE STUDY, WRIST (R) 58306 01DEC1991 31OCT1996 N SKELETAL SURVEY INVOLVING 4 OR MORE REGIONS (R) 58306 01NOV1996 30APR2020 N SKELETAL SURVEY (R) 58306 01MAY2020 31DEC9999 Y Skeletal survey (R) 58308 01JUL2011 31DEC9999 Y SKELETAL SURVEY (R) (NK) 58500 01DEC1991 30APR2020 N CHEST (lung fields) by direct radiography (NR) 58500 01MAY2020 31DEC9999 Y Chest (lung fields) by direct radiography (NR) 58502 01JUL2011 31DEC9999 Y CHEST (lung fields) by direct radiography (NR) (NK) 58503 01DEC1991 30APR2020 N CHEST (lung fields) by direct radiography (R) 58503 01MAY2020 31DEC9999 Y Chest (lung fields) by direct radiography (R) 58505 01JUL2011 31DEC9999 Y CHEST (lung fields) by direct radiography (R) (NK) 58506 01DEC1991 30APR2020 N CHEST (lung fields) by direct radiography with fluoroscopic screening (R) 58506 01MAY2020 31DEC9999 Y Chest (lung fields) by direct radiography with fluoroscopic screening (R) 58508 01JUL2011 31DEC9999 Y CHEST (lung fields) by direct radiography with fluoroscopic screening (R) (NK) 58509 01DEC1991 30APR2020 N THORACIC INLET OR TRACHEA (R) 58509 01MAY2020 31DEC9999 Y Thoracic inlet or trachea (R) 58511 01JUL2011 31DEC9999 Y THORACIC INLET OR TRACHEA (R) (NK) 58512 01DEC1991 31DEC9999 Y CHEST, BY MINIATURE RADIOGRAPHY (R) 58515 01DEC1991 31DEC9999 Y CARDIAC EXAMINATION (including barium swallow) (NR) 58518 01DEC1991 31DEC9999 Y CARDIAC EXAMINATION (including barium swallow) (R) 58521 01DEC1991 31OCT1996 N STERNUM OR RIBS ON 1 SIDE (R) 58521 01NOV1996 30APR2020 N LEFT RIBS, RIGHT RIBS OR STERNUM (R) 58521 01MAY2020 31DEC9999 Y Left ribs, right ribs or sternum (R) 58523 01JUL2011 31DEC9999 Y LEFT RIBS, RIGHT RIBS OR STERNUM (R) (NK) 58524 01DEC1991 31OCT1996 N STERNUM AND RIBS ON 1 SIDE OR RIBS ON BOTH SIDES (R) 58524 01NOV1996 30APR2020 N LEFT AND RIGHT RIBS, LEFT RIBS AND STERNUM, OR RIGHT RIBS AND STERNUM (R) 58524 01MAY2020 31DEC9999 Y Left and right ribs, left ribs and sternum, or right ribs and sternum (R) 58526 01JUL2011 31DEC9999 Y LEFT AND RIGHT RIBS, LEFT RIBS AND STERNUM, OR RIGHT RIBS AND STERNUM (R) (NK) 58527 01DEC1991 31OCT1996 N STERNUM AND RIBS ON BOTH SIDES (R) 58527 01NOV1996 30APR2020 N LEFT RIBS, RIGHT RIBS AND STERNUM (R) 58527 01MAY2020 31DEC9999 Y Left ribs, right ribs and sternum (R) 58529 01JUL2011 31DEC9999 Y LEFT RIBS, RIGHT RIBS AND STERNUM (R) (NK) 58700 01DEC1991 30APR2020 N PLAIN RENAL ONLY (R) 58700 01MAY2020 31DEC9999 Y Plain renal only (R) 58702 01JUL2011 31DEC9999 Y PLAIN RENAL ONLY (R) (NK) 58703 01DEC1991 31DEC9999 Y DRIPINFUSION PYELOGRAPHY (R) 58706 01DEC1991 31OCT1997 N INTRAVENOUS PYELOGRAPHY, including preliminary plain film (R) 58706 01NOV1997 31OCT2001 N INTRAVENOUS PYELOGRAPHY, with or without preliminary plain films and with or without tomography - (R) 58706 01NOV2001 30APR2020 N INTRAVENOUS PYELOGRAPHY, with or without preliminary plain films and with or without tomography - (R) 58706 01MAY2020 31DEC9999 Y Intravenous pyelography, with or without preliminary plain films and with or without tomography (R) 58708 01JUL2011 31DEC9999 Y INTRAVENOUS PYELOGRAPHY, with or without preliminary plain films and with or without tomography - (R) (NK) 58709 01DEC1991 31DEC9999 Y INTRAVENOUS PYELOGRAPHY, including preliminary plain film and limited tomography, involving up to 3 tomographic cuts (R) 58712 01DEC1991 31DEC9999 Y INTRAVENOUS PYELOGRAPHY, including preliminary plain film with delayed examination for the CYSTOURETERIC REFLUX (R) 58715 01DEC1991 31OCT1997 N ANTEGRADE OR RETROGRADE PYELOGRAPHY including preliminary plain film (R) 58715 01NOV1997 31OCT2001 N ANTEGRADE OR RETROGRADE PYELOGRAPHY, with or without preliminary plain films and with preparation and contrast injection - 1 side - (R) 58715 01NOV2001 30APR2020 N ANTEGRADE OR RETROGRADE PYELOGRAPHY, with or without preliminary plain films and with preparation and contrast injection - 1 side - (R) 58715 01MAY2020 31DEC9999 Y Antegrade or retrograde pyelography with or without preliminary plain films and with preparation and contrast injection, one side (R) 58717 01JUL2011 31DEC9999 Y ANTEGRADE OR RETROGRADE PYELOGRAPHY, with or without preliminary plain films and with preparation and contrast injection - 1 side - (R) (NK) 58718 01DEC1991 31OCT1997 N RETROGRADE CYSTOGRAPHY OR RETROGRADE URETHROGRAPHY (R) 58718 01NOV1997 31OCT2001 N RETROGRADE CYSTOGRAPHY OR RETROGRADE URETHROGRAPHY with or without preliminary plain films and with preparation and contrast injection - (R) 58718 01NOV2001 30APR2020 N RETROGRADE CYSTOGRAPHY OR RETROGRADE URETHROGRAPHY with or without preliminary plain films and with preparation and contrast injection - (R) 58718 01MAY2020 31DEC9999 Y Retrograde cystography or retrograde urethrography with or without preliminary plain films and with preparation and contrast injection (R) 58720 01JUL2011 31DEC9999 Y RETROGRADE CYSTOGRAPHY OR RETROGRADE URETHROGRAPHY with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 58721 01DEC1991 31OCT1997 N RETROGRADE MICTURATING CYSTOURETHROGRAPHY (R) 58721 01NOV1997 31OCT2001 N RETROGRADE MICTURATING CYSTOURETHROGRAPHY, with preparation and contrast injection - (R) 58721 01NOV2001 30APR2020 N RETROGRADE MICTURATING CYSTOURETHROGRAPHY, with preparation and contrast injection - (R) 58721 01MAY2020 31DEC9999 Y Retrograde micturating cysto urethrography, with preparation and contrast injection (R) 58723 01JUL2011 31DEC9999 Y RETROGRADE MICTURATING CYSTOURETHROGRAPHY, with preparation and contrast injection - (R) (NK) 58724 01DEC1991 31DEC9999 Y RETROPERITONEAL PNEUMOGRAM (R) 58900 01DEC1991 31OCT1996 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (NR) 58900 01NOV1996 30JUN2016 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (NR) 58900 01JUL2016 30APR2020 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58912 or 58915 applies (NR) 58900 01MAY2020 31DEC9999 Y Plain abdominal only, not being a service associated with a service to which item 58909, 58912 or 58915 applies (NR) 58902 01JUL2011 30JUN2016 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58911, 58912, 58914, 58915, 58917, 58924 or 58926 applies (NR) (NK) 58902 01JUL2016 31DEC9999 Y PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58911, 58912, 58914, 58915 or 58917 applies (NR) (NK) 58903 01DEC1991 31OCT1996 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (R) 58903 01NOV1996 30JUN2016 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58912, 58915 or 58924 applies (R) 58903 01JUL2016 30APR2020 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58912 or 58915 applies (R) 58903 01MAY2020 31DEC9999 Y Plain abdominal only, not being a service associated with a service to which item 58909, 58912 or 58915 applies (R) 58905 01JUL2011 30JUN2016 N PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58911, 58912, 58914, 58915, 58917, 58924 or 58926 applies (R) (NK) 58905 01JUL2016 31DEC9999 Y PLAIN ABDOMINAL ONLY, not being a service associated with a service to which item 58909, 58911, 58912, 58914, 58915 or 58917 applies (R) (NK) 58906 01DEC1991 31DEC9999 Y OESOPHAGUS, with or without examination for foreign body or barium swallow (R) 58909 01DEC1991 31OCT1997 N BARIUM or other opaque meal OF OESOPHAGUS, STOMACH AND DUODENUM, with or without screening of chest, with or without preliminary plain film (R) 58909 01NOV1997 31OCT2001 N BARIUM or other opaque meal of 1 or more of PHARYNX, OESOPHAGUS, STOMACH OR ABDOMEN, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939 or 57942 or 57945 applies - (R) 58909 01NOV2001 30APR2020 N BARIUM or other opaque meal of 1 or more of PHARYNX, OESOPHAGUS, STOMACH OR DUODENUM, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939 or 57942 or 57945 applies - (R) 58909 01MAY2020 31DEC9999 Y Barium or other opaque meal of one or more of pharynx, oesophagus, stomach or duodenum, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939, 57942 or 57945 applies (R) 58911 01JUL2011 31DEC9999 Y BARIUM or other opaque meal of 1 or more of PHARYNX, OESOPHAGUS, STOMACH OR DUODENUM, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939, 57942, 57945, 57950, 57953 or 57956 applies - (R) (NK) 58912 01DEC1991 30APR2020 N BARIUM or other opaque meal OF OESOPHAGUS, STOMACH, DUODENUM AND FOLLOW THROUGH TO COLON, with or without screening of chest, with or without preliminary plain film (R) 58912 01MAY2020 31DEC9999 Y Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film (R) 58914 01JUL2011 31DEC9999 Y BARIUM or other opaque meal OF OESOPHAGUS, STOMACH, DUODENUM AND FOLLOW THROUGH TO COLON, with or without screening of chest, with or without preliminary plain film (R) (NK) 58915 01DEC1991 30APR2020 N BARIUM or other opaque meal, SMALL BOWEL SERIES ONLY, with or without preliminary plain film (R) 58915 01MAY2020 31DEC9999 Y Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R) 58916 01NOV1997 31OCT2001 N SMALL BOWEL ENEMA, barium or other opaque study of the small bowel, including DUODENAL INTUBATION, with or without preliminary plain films, not being a service associated with a service to which item 30488 applies - (R) 58916 01NOV2001 30APR2020 N SMALL BOWEL ENEMA, barium or other opaque study of the small bowel, including DUODENAL INTUBATION, with or without preliminary plain films, not being a service associated with a service to which item 30488 applies - (R) 58916 01MAY2020 31DEC9999 Y Small bowel enema, barium or other opaque study of the small bowel, including duodenal intubation, with or without preliminary plain films, not being a service associated with a service to which item 30488 applies (R) 58917 01JUL2011 31DEC9999 Y BARIUM or other opaque meal, SMALL BOWEL SERIES ONLY, with or without preliminary plain film (R) (NK) 58918 01DEC1991 31DEC9999 Y OPAQUE ENEMA (R) 58920 01JUL2011 31DEC9999 Y SMALL BOWEL ENEMA, barium or other opaque study of the small bowel, including DUODENAL INTUBATION, with or without preliminary plain films, not being a service associated with a service to which item 30488 applies - (R) (NK) 58921 01DEC1991 31OCT1997 N OPAQUE ENEMA, including air contrast study (R) 58921 01NOV1997 31OCT2001 N OPAQUE ENEMA, with or without air contrast study and with or without preliminary plain films - examination and report (R) 58921 01NOV2001 30APR2020 N OPAQUE ENEMA, with or without air contrast study and with or without preliminary plain films - (R) 58921 01MAY2020 31DEC9999 Y Opaque enema, with or without air contrast study and with or without preliminary plain films (R) 58923 01JUL2011 31DEC9999 Y OPAQUE ENEMA, with or without air contrast study and with or without preliminary plain films - (R) (NK) 58924 01DEC1991 31OCT1997 N GRAHAM'S TEST (cholecystography), including preliminary abdominal radiography (R) 58924 01NOV1997 31OCT2001 N GRAHAM'S TEST (cholecystography), with preliminary plain films and with or without tomography - examination and report (R) 58924 01NOV2001 31DEC9999 Y GRAHAM'S TEST (cholecystography), with preliminary plain films and with or without tomography - (R) 58926 01JUL2011 31DEC9999 Y GRAHAM'S TEST (cholecystography), with preliminary plain films and with or without tomography - (R) (NK) 58927 01DEC1991 31OCT1997 N CHOLEGRAPHY DIRECT operative or postoperative (R) 58927 01NOV1997 31OCT2001 N CHOLEGRAPHY DIRECT, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 30439 applies - examination and report (R) 58927 01NOV2001 30APR2020 N CHOLEGRAPHY DIRECT, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 30439 applies - (R) 58927 01MAY2020 31DEC9999 Y Cholegraphy direct, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 30439 applies (R) 58929 01JUL2011 31DEC9999 Y CHOLEGRAPHY DIRECT, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 30439 applies - (R) (NK) 58930 01DEC1991 31DEC9999 Y CHOLEGRAPHY intravenous (R) 58933 01DEC1991 31OCT1997 N CHOLEGRAPHY percutaneous transhepatic (R) 58933 01NOV1997 31OCT2001 N CHOLEGRAPHY, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection - (R) 58933 01NOV2001 30APR2020 N CHOLEGRAPHY, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection - (R) 58933 01MAY2020 31DEC9999 Y Cholegraphy, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection (R) 58935 01JUL2011 31DEC9999 Y CHOLEGRAPHY, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 58936 01DEC1991 31OCT1997 N CHOLEGRAPHY drip infusion (R) 58936 01NOV1997 31OCT2001 N CHOLEGRAPHY, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography - (R) 58936 01NOV2001 30APR2020 N CHOLEGRAPHY, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography - (R) 58936 01MAY2020 31DEC9999 Y Cholegraphy, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography (R) 58938 01JUL2011 31DEC9999 Y CHOLEGRAPHY, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography - (R) (NK) 58939 01NOV1996 18FEB1997 N DEFAECOGRAM, paediatric (R) 58939 19FEB1997 30APR2020 N DEFAECOGRAM (R) 58939 01MAY2020 31DEC9999 Y Defaecogram (R) 58941 01JUL2011 31DEC9999 Y DEFAECOGRAM (R) (NK) 59100 01DEC1991 31DEC9999 Y FOREIGN BODY IN EYE (special method, Sweet's or other) (R) 59103 01DEC1991 31OCT2009 N FOREIGN BODY, LOCALISATION OF AND REPORT, not being a service to which another item in this Group applies (R) 59103 01NOV2009 31DEC9999 Y Localisation of foreign body, if provided in conjunction with a service described in Subgroups 1 to 12 of Group I3 (R) 59104 01JUL2011 31DEC9999 Y Localisation of foreign body, if provided in conjunction with a service described in Subgroups 1 to 12 of Group I3 (R) (NK) 59300 01DEC1991 31OCT2001 N (Note: These items are intended for use in the investigation of a clinical abnormality of the breast/s and NOT for individual, group or opportunistic screening of asymptomatic patients) RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, (with or without thermography) and report if: (a) the patient is referred with a specific request for this procedure; and (b) there is reason to suspect the presence of malignancy in the breasts because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) 59300 01NOV2001 31OCT2003 N (Note: These items are intended for use in the investigation of a clinical abnormality of the breast/s and NOT for individual, group or opportunistic screening of asymptomatic patients) RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, (with or without thermography) if: (a) the patient is referred with a specific request for this procedure; and (b) there is reason to suspect the presence of malignancy in the breasts because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) 59300 01NOV2003 30APR2004 N (Note: These items are intended for use in the investigation of a clinical abnormality of the breast/s and NOT for individual, group or opportunistic screening of asymptomatic patients) RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, if: (a) the patient is referred with a specific request for this procedure; and (b) there is reason to suspect the presence of malignancy in the breasts because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) 59300 01MAY2004 30APR2020 N (Note: These items are intended for use in the investigation of a clinical abnormality of the breast/s and NOT for individual, group or opportunistic screening of asymptomatic patients) MAMMOGRAPHY OF BOTH BREASTS, if there is a reason to suspect the presence of malignancy because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner. Unless otherwise indicated, mammography includes both breasts (R) 59300 01MAY2020 31DEC9999 Y Mammography of both breasts if there is reason to suspect the presence of malignancy because of:(a) the past occurrence of breast malignancy in the patient; or(b) significant history of breast or ovarian malignancy in the patient's family; or(c) symptoms or indications of breast disease found on examination of the patient by a medical practitioner (R) (Note: These items are intended for use in the investigation of a clinical abnormality of the breast/s and NOT for individual, group or opportunistic screening of asymptomatic patients) 59301 01JUL2011 31DEC9999 Y (Note: These items are intended for use in the investigation of a clinical abnormality of the breast/s and NOT for individual, group or opportunistic screening of asymptomatic patients) MAMMOGRAPHY OF BOTH BREASTS, if there is a reason to suspect the presence of malignancy because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner. Unless otherwise indicated, mammography includes both breasts (R) (NK) 59302 01NOV2018 30APR2020 N Three dimensional tomosynthesis of both breasts, not being a service associated with item 59300 or 59301, if there is reason to suspect the presence of malignancy because of: the past occurrence of breast malignancy in the patient or members of the patient's family; or symptoms or indications of malignancy found on examination of the patient by a medical practitioner (R) (K) 59302 01MAY2020 31DEC9999 Y Three dimensional tomosynthesis of both breasts, if there is reason to suspect the presence of malignancy because of: a) the past occurrence of breast malignancy in the patient; or b) significant history of breast or ovarian malignancy in the patient's family; or c) symptoms or indications of breast disease found on examination of the patient by a medical practitioner Not being a service to which item 59300 applies (R) 59303 01DEC1991 31OCT2001 N RADIOGRAPHIC EXAMINATION OF 1 BREAST, (with or without thermography) and report if: (a) the patient is referred with a specific request for this procedure; and (b) there is reason to suspect the presence of malignancy in the breasts because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) 59303 01NOV2001 31OCT2003 N RADIOGRAPHIC EXAMINATION OF 1 BREAST, (with or without thermography) if: (a) the patient is referred with a specific request for this procedure; and (b) there is reason to suspect the presence of malignancy in the breasts because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) 59303 01NOV2003 30APR2004 N RADIOGRAPHIC EXAMINATION OF 1 BREAST, if: (a) the patient is referred with a specific request for this procedure; and (b) there is reason to suspect the presence of malignancy in the breasts because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) 59303 01MAY2004 30APR2020 N MAMMOGRAPHY OF ONE BREAST, if: (a) the patient is referred with a specific request for a unilateral mammogram; and (b) there is reason to suspect the presence of malignancy because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) 59303 01MAY2020 31DEC9999 Y Mammography of one breast if: (a) the service is specifically requested for a unilateral mammogram; and(b) there is reason to suspect the presence of malignancy because of:(i) the past occurrence of breast malignancy in the patient; or(ii) significant history of breast or ovarian malignancy in the patient's family; or(iii) symptoms or indications of breast disease found on examination of the patient by a medical practitioner (R) 59304 01JUL2011 31DEC9999 Y MAMMOGRAPHY OF ONE BREAST, if: (a) the patient is referred with a specific request for a unilateral mammogram; and (b) there is reason to suspect the presence of malignancy because of: (i) the past occurrence of breast malignancy in the patient or members of the patient's family; or (ii) symptoms or indications of malignancy found on an examination of the patient by a medical practitioner (R) (NK) 59305 01NOV2018 30APR2020 N Three dimensional tomosynthesis of one breast, not being a service associated with item 59303 or 59304, if there is reason to suspect the presence of malignancy because of: the past occurrence of breast malignancy in the patient or members of the patient's family; or symptoms or indications of malignancy found on examination of the patient by a medical practitioner (R) (K) 59305 01MAY2020 31DEC9999 Y Three dimensional tomosynthesis of one breast, if there is reason to suspect the presence of malignancy because of: a) the past occurrence of breast malignancy in the patient; or b) significant history of breast or ovarian malignancy in the patient's family; or c) symptoms or indications of breast disease found on examination of the patient by a medical practitioner Not being a service to which item 59303 applies (R) 59306 01DEC1991 31DEC9999 Y MAMMARY DUCTOGRAM (galactography) - 1 breast (R) 59307 01JUL2011 31DEC9999 Y MAMMARY DUCTOGRAM (galactography) - 1 breast (R) (NK) 59309 01DEC1991 31DEC9999 Y MAMMARY DUCTOGRAM (galactography) - 2 breasts (R) 59310 01JUL2011 31DEC9999 Y MAMMARY DUCTOGRAM (galactography) - 2 breasts (R) (NK) 59312 01NOV1997 31OCT2001 N RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, in conjunction with a surgical procedure on each breast, using interventional techniques - examination and report (R) 59312 01NOV2001 30APR2020 N RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, in conjunction with a surgical procedure on each breast, using interventional techniques - (R) 59312 01MAY2020 31DEC9999 Y Radiographic examination of both breasts, in conjunction with a surgical procedure on each breast, using interventional techniques (R) 59313 01JUL2011 31DEC9999 Y RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, in conjunction with a surgical procedure on each breast, using interventional techniques - (R) (NK) 59314 01NOV1997 31OCT2001 N RADIOGRAPHIC EXAMINATION OF 1 BREAST, in conjunction with a surgical procedure using interventional techniques - examination and report (R) 59314 01NOV2001 30APR2020 N RADIOGRAPHIC EXAMINATION OF 1 BREAST, in conjunction with a surgical procedure using interventional techniques - (R) 59314 01MAY2020 31DEC9999 Y Radiographic examination of one breast, in conjunction with a surgical procedure using interventional techniques (R) 59315 01JUL2011 31DEC9999 Y RADIOGRAPHIC EXAMINATION OF 1 BREAST, in conjunction with a surgical procedure using interventional techniques - (R) (NK) 59318 01NOV1997 31OCT2001 N RADIOGRAPHIC EXAMINATION OF EXCISED BREAST TISSUE to confirm satisfactory excision of 1 or more lesions in 1 breast or both following pre-operative localisation in conjunction with a service under item 30361 - examination and report (R) 59318 01NOV2001 31OCT2003 N RADIOGRAPHIC EXAMINATION OF EXCISED BREAST TISSUE to confirm satisfactory excision of 1 or more lesions in 1 breast or both following pre-operative localisation in conjunction with a service under item 30361 - (R) 59318 01NOV2003 30APR2020 N RADIOGRAPHIC EXAMINATION OF EXCISED BREAST TISSUE to confirm satisfactory excision of 1 or more lesions in 1 breast or both following pre-operative localisation in conjunction with a service under item 31536 - (R) 59318 01MAY2020 31DEC9999 Y Radiographic examination of excised breast tissue to confirm satisfactory excision of one or more lesions in one breast or both following pre-operative localisation in conjunction with a service under item 31536 (R) 59319 01JUL2011 31DEC9999 Y RADIOGRAPHIC EXAMINATION OF EXCISED BREAST TISSUE to confirm satisfactory excision of 1 or more lesions in 1 breast or both following pre-operative localisation in conjunction with a service under item 31536 - (R) (NK) 59500 01DEC1991 31DEC9999 Y PREGNANT UTERUS (R) 59503 01DEC1991 31OCT1996 N PELVIMETRY OR PLACENTOGRAPHY (R) 59503 01NOV1996 28FEB1999 N PELVIMETRY, not being a service associated with a service to which item 57201 applies (R) 59503 01MAR1999 31DEC9999 Y PELVIMETRY, not being a service associated with a service to which item 57201 applies (R) 59504 01JUL2011 31DEC9999 Y PELVIMETRY, not being a service associated with a service to which item 57201 or 57247 applies (R) (NK) 59506 01DEC1991 31DEC9999 Y CONTROL XRAYS IN CONJUNCTION WITH INTRAUTERINE FOETAL BLOOD TRANSFUSION (R) 59700 01DEC1991 31OCT1997 N DISCOGRAPHY 1 disc (R) 59700 01NOV1997 31OCT2001 N DISCOGRAPHY, each disc, with or without preliminary plain films and with preparation and contrast injection - examination and report (R) 59700 01NOV2001 30APR2020 N DISCOGRAPHY, each disc, with or without preliminary plain films and with preparation and contrast injection - (R) 59700 01MAY2020 31DEC9999 Y Discography, each disc, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) 59701 01JUL2011 31DEC9999 Y DISCOGRAPHY, each disc, with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 59703 01DEC1991 31OCT1997 N DACRYOCYSTOGRAPHY 1 side (R) 59703 01NOV1997 31OCT2001 N DACRYOCYSTOGRAPHY, 1 side, with or without preliminary plain film and with preparation and contrast injection - examination and report (R) 59703 01NOV2001 30APR2020 N DACRYOCYSTOGRAPHY, 1 side, with or without preliminary plain film and with preparation and contrast injection - (R) 59703 01MAY2020 31DEC9999 Y Dacryocystography, one side, with or without preliminary plain film and with preparation and contrast injection (R) 59704 01JUL2011 31DEC9999 Y DACRYOCYSTOGRAPHY, 1 side, with or without preliminary plain film and with preparation and contrast injection - (R) (NK) 59706 01DEC1991 31DEC9999 Y ENCEPHALOGRAPHY (R) 59709 01DEC1991 31DEC9999 Y CEREBRAL VENTRICULOGRAPHY (R) 59712 01DEC1991 31OCT1997 N HYSTEROSALPINGOGRAPHY (R) 59712 01NOV1997 31OCT2001 N HYSTEROSALPINGOGRAPHY, with or without preliminary plain films and with preparation and contrast injection - examination and report (R) 59712 01NOV2001 30APR2020 N HYSTEROSALPINGOGRAPHY, with or without preliminary plain films and with preparation and contrast injection - (R) 59712 01MAY2020 31DEC9999 Y Hysterosalpingography, with or without preliminary plain films and with preparation and contrast injection (R)(Anaes.) 59713 01JUL2011 31DEC9999 Y HYSTEROSALPINGOGRAPHY, with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 59715 01DEC1991 31OCT1997 N BRONCHOGRAPHY 1 side (R) 59715 01NOV1997 31OCT2001 N BRONCHOGRAPHY, 1 side, with or without preliminary plain films and with preparation and contrast injection - examination and report (R) 59715 01NOV2001 30JUN2016 N BRONCHOGRAPHY, 1 side, with or without preliminary plain films and with preparation and contrast injection - (R) 59715 01JUL2016 30APR2020 N BRONCHOGRAPHY, one side, with or without preliminary plain films and with preparation and contrast injection, on a person under 16 years of age - (R) (K) 59715 01MAY2020 31DEC9999 Y Bronchography, one side, with or without preliminary plain films and with preparation and contrast injection, on a person under 16 years of age (R) (Anaes.) 59716 01JUL2011 30JUN2016 N BRONCHOGRAPHY, 1 side, with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 59716 01JUL2016 31DEC9999 Y BRONCHOGRAPHY, one side, with or without preliminary plain films and with preparation and contrast injection, on a person under 16 years of age - (R) (NK) 59718 01DEC1991 31OCT1997 N PHLEBOGRAPHY 1 side (R) 59718 01NOV1997 31OCT2001 N PHLEBOGRAPHY, 1 side, with or without preliminary plain films and with preparation and contrast injection - examination and report (R) 59718 01NOV2001 30APR2020 N PHLEBOGRAPHY, 1 side, with or without preliminary plain films and with preparation and contrast injection - (R) 59718 01MAY2020 31DEC9999 Y Phlebography, one side, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) 59719 01JUL2011 31DEC9999 Y PHLEBOGRAPHY, 1 side, with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 59721 01DEC1991 31DEC9999 Y SPLENOGRAPHY (R) 59724 01DEC1991 31OCT1996 N MYELOGRAPHY, 1 region (R) 59724 01NOV1996 31OCT1997 N MYELOGRAPHY, 1 region, not being a service associated with a service to which item 56219 applies (R) 59724 01NOV1997 31OCT2001 N MYELOGRAPHY, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 56219 applies - examination and report (R) 59724 01NOV2001 30APR2020 N MYELOGRAPHY, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 56219 applies - (R) 59724 01MAY2020 31DEC9999 Y Myelography, one or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 56219 applies (R)(Anaes.) 59725 01JUL2011 31DEC9999 Y MYELOGRAPHY, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 56219 or 56259 applies - (R) (NK) 59727 01DEC1991 31OCT1996 N MYELOGRAPHY, 2 regions (R) 59727 01NOV1996 31DEC9999 Y MYELOGRAPHY, 2 regions, not being a service associated with a service to which item 56219 applies (R) 59730 01DEC1991 31OCT1996 N MYELOGRAPHY, 3 regions (R) 59730 01NOV1996 31DEC9999 Y MYELOGRAPHY, 3 regions, not being a service associated with a service to which item 56219 applies (R) 59733 01DEC1991 31OCT1997 N SIALOGRAPHY 1 side (R) 59733 01NOV1997 31OCT2001 N SIALOGRAPHY, 1 side, with preparation and contrast injection, not being a service associated with a service to which item 57918 applies - examination and report (R) 59733 01NOV2001 30APR2020 N SIALOGRAPHY, 1 side, with preparation and contrast injection, not being a service associated with a service to which item 57918 applies - (R) 59733 01MAY2020 31DEC9999 Y Sialography, one side, with preparation and contrast injection, not being a service associated with a service to which item 57918 applies (R) 59734 01JUL2011 31DEC9999 Y SIALOGRAPHY, 1 side, with preparation and contrast injection, not being a service associated with a service to which item 57918 or 57932 applies - (R) (NK) 59736 01DEC1991 31OCT1997 N VASOEPIDIDYMOGRAPHY 1 side (R) 59736 01NOV1997 31OCT2001 N VASOEPIDIDYMOGRAPHY, 1 side, for other than an investigation for reversal of previous sterilisation - examination and report (R) 59736 01NOV2001 30JUN2008 N VASOEPIDIDYMOGRAPHY, 1 side, for other than an investigation for reversal of previous sterilisation (R) 59736 01JUL2008 31DEC9999 Y VASOEPIDIDYMOGRAPHY, 1 side, (R) 59737 01JUL2011 31DEC9999 Y VASOEPIDIDYMOGRAPHY, 1 side, (R) (NK) 59739 01DEC1991 31OCT1997 N SINUSES AND FISTULAE (R) 59739 01NOV1997 31OCT2001 N SINOGRAM OR FISTULOGRAM, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection - examination and report (R) 59739 01NOV2001 30APR2020 N SINOGRAM OR FISTULOGRAM, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection - (R) 59739 01MAY2020 31DEC9999 Y Sinogram or fistulogram, one or more regions, with or without preliminary plain films and with preparation and contrast injection (R) 59740 01JUL2011 31DEC9999 Y SINOGRAM OR FISTULOGRAM, 1 or more regions, with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 59742 01DEC1991 31DEC9999 Y LARYNGOGRAPHY with contrast media (R) 59745 01DEC1991 31DEC9999 Y PNEUMOARTHROGRAPHY (R) 59748 01DEC1991 31DEC9999 Y ARTHROGRAPHY contrast (R) 59751 01DEC1991 19JAN1997 N ARTHROGRAPHY double contrast (R) 59751 20JAN1997 31OCT1997 N ARTHROGRAPHY double contrast (R) 59751 01NOV1997 31OCT2001 N ARTHROGRAPHY, each joint, excluding the facet (zygapophyseal) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection - examination and report (R) 59751 01NOV2001 30APR2020 N ARTHROGRAPHY, each joint, excluding the facet (zygapophyseal) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection - (R) 59751 01MAY2020 31DEC9999 Y Arthrography, each joint, excluding the facet (zygapophyseal) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection (R) 59752 01JUL2011 31DEC9999 Y ARTHROGRAPHY, each joint, excluding the facet (zygapophyseal) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection - (R) (NK) 59754 01DEC1991 31OCT1997 N LYMPHANGIOGRAPHY, including follow up radiography (R) 59754 01NOV1997 31OCT2001 N LYMPHANGIOGRAPHY, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection - examination and report(R) 59754 01NOV2001 30APR2020 N LYMPHANGIOGRAPHY, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection - (R) 59754 01MAY2020 31DEC9999 Y Lymphangiography, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection (R) 59755 01JUL2011 31DEC9999 Y LYMPHANGIOGRAPHY, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection - (R) (NK) 59757 01DEC1991 31DEC9999 Y PNEUMOMEDIASTINUM (R) 59760 01NOV1996 31DEC9999 Y PERITONEOGRAM (herniography) with or without contrast medium including preparation - performed on a person over 14 years of age (R) 59761 01JUL2011 31DEC9999 Y PERITONEOGRAM (herniography) with or without contrast medium including preparation - performed on a person over 14 years of age (R) (NK) 59763 01NOV1996 30APR2020 N AIR INSUFFLATION during video - fluoroscopic imaging including associated consultation (R) 59763 01MAY2020 31DEC9999 Y Air insufflation during video-fluoroscopic imaging including associated consultation (R) 59764 01JUL2011 31DEC9999 Y AIR INSUFFLATION during video - fluoroscopic imaging including associated consultation (R) (NK) 59900 01DEC1991 31DEC9999 Y BY FILM OR OTHER TECHNIQUE SERIAL ANGIOCARDIOGRAPHY (rapid cassette changing) each series (R) 59903 01DEC1991 30JUN1993 N SERIAL ANGIOCARDIOGRAPHY (SINGLE PLAIN, direct rollfilm method) each series (R) 59903 01JUL1993 30JUN2001 N SERIAL ANGIOCARDIOGRAPHY (SINGLE PLANE) each series (R) 59903 01JUL2001 30NOV2015 N ANGIOCARDIOGRAPHY including the service described in item 59970, 59974 or 61109, not being a service to which item 59912 or 59925 applies (R) (K) 59903 01DEC2015 30APR2020 N Angiocardiography, including the service mentioned in item 59970, 59974, 61109 or 61110, not being a service to which item 59912 or 59925 applies (R) (K) (Anaes.) 59903 01MAY2020 31DEC9999 Y Angiocardiography, including the service mentioned in item 59970 or 61109, not being a service to which item 59912 or 59925 applies (R) (Anaes.) 59906 01DEC1991 30JUN1993 N SERIAL ANGIOCARDIOGRAPHY (BIPLANE, direct rollfilm method) each series (R) 59906 01JUL1993 31DEC9999 Y SERIAL ANGIOCARDIOGRAPHY (BIPLANE) each series (R) 59909 01DEC1991 31DEC9999 Y SERIAL ANGIOCARDIOGRAPHY (indirect rollfilm method) each series (R) 59912 01DEC1991 30JUN2001 N SELECTIVE CORONARY ARTERIOGRAPHY (R) 59912 01JUL2001 30NOV2015 N SELECTIVE CORONARY ARTERIOGRAPHY (R) (K), including the services described in item 59970, 59974 or 61109, not being a service to which item 59903 or 59925 applies (Anaes.) 59912 01DEC2015 30APR2020 N Selective coronary arteriography, including the service mentioned in item 59970, 59974, 61109 or 61110, not being a service to which item 59903 or 59925 applies (R) (K) (Anaes.) 59912 01MAY2020 31DEC9999 Y Selective coronary arteriography, including the service mentioned in item 59970 or 61109, not being a service to which item 59903 or 59925 applies (R) (Anaes.) 59915 01DEC1991 31DEC9999 Y CEREBRAL ANGIOGRAPHY 1 side (R) 59918 01DEC1991 31DEC9999 Y ARTERIOGRAPHY, PERIPHERAL 1 side (R) 59921 01DEC1991 31DEC9999 Y AORTOGRAPHY (R) 59924 01DEC1991 30JUN1993 N SELECTIVE ARTERIOGRAPHY each injection and film run (R) 59924 01JUL1993 31DEC9999 Y SELECTIVE ARTERIOGRAPHY per injection and film or data acquisition run (R) 59925 01JUL2001 30NOV2015 N SELECTIVE CORONARY ARTERIOGRAPHY AND ANGIOCARDIOGRAPHY, including the services described in items 59903, 59912, 59970, 59974 or 61109 (R) (K) 59925 01DEC2015 30APR2020 N Selective coronary arteriography and angiocardiography, including a service mentioned in item 59903, 59912, 59970, 59974, 61109 or 61110 (R) (K) (Anaes.) 59925 01MAY2020 31DEC9999 Y Selective coronary arteriography and angiocardiography, including a service mentioned in item 59903, 59912, 59970 or 61109 (R) (Anaes.) 59970 01NOV1996 31OCT1998 N ANGIOGRAPHY with fluoroscopy and image acquisition using a mobile image intensifier, one or more regions including any preliminary plain films, preparation and contrast injection (R) 59970 01NOV1998 30JUN2001 N ANGIOGRAPHY AND/OR DIGITAL SUBTRACTION ANGIOGRAPHY with fluoroscopy and image acquisition using a mobile image intensifier, 1 or more regions including any preliminary plain films, preparation and contrast injection (R) 59970 01JUL2001 30APR2020 N ANGIOGRAPHY AND/OR DIGITAL SUBTRACTION ANGIOGRAPHY with fluoroscopy and image acquisition using a mobile image intensifier, 1 or more regions including any preliminary plain films, preparation and contrast injection (R) (K) (Anaes.) 59970 01MAY2020 31DEC9999 Y Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition, using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection-one or more regions (R) (Anaes.) 59971 01JUL2001 30NOV2015 N ANGIOCARDIOGRAPHY including the service described in item 59970, 59974 or 61109, not being a service to which item 59972 or 59973 applies (R) (NK) 59971 01DEC2015 31DEC9999 Y Angiocardiography, including the service mentioned in item 59970, 59974, 61109 or 61110, not being a service to which item 59972 or 59973 applies (R) (NK) (Anaes.) 59972 01JUL2001 30NOV2015 N SELECTIVE CORONARY ARTERIOGRAPHY (R) (NK), including the service described in item 59970, 59974 or 61109, not being a service to which item 59971 or 59973 applies (Anaes.) 59972 01DEC2015 31DEC9999 Y Selective coronary arteriography, including the service mentioned in item 59970, 59974, 61109 or 61110, not being a service to which item 59971 or 59973 applies (R) (NK) (Anaes.) 59973 01JUL2001 30NOV2015 N SELECTIVE CORONARY ARTERIOGRAPHY AND ANGIOCARDIOGRAPHY, including the services described in items 59970, 59971, 59972, 59974 or 61109 (R) (NK) 59973 01DEC2015 31DEC9999 Y Selective coronary arteriography and angiocardiography, including a service mentioned in item 59970, 59971, 59972, 59974, 61109 or 61110 (R) (NK) (Anaes.) 59974 01JUL2001 31DEC9999 Y ANGIOGRAPHY AND/OR DIGITAL SUBTRACTION ANGIOGRAPHY with fluoroscopy and image acquisition using a mobile image intensifier, 1 or more regions including any preliminary plain films, preparation and contrast injection (R) (NK) (Anaes.) 60000 01NOV1992 31DEC2014 N BY DIGITAL SUBTRACTION TECHNIQUE DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 1 to 3 data acquisition runs (R) (Anaes.) 60000 01JAN2015 30APR2020 N BY DIGITAL SUBTRACTION TECHNIQUE DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 1 to 3 data acquisition runs (R) (K) (Anaes.) 60000 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography-1 to 3 data acquisition runs (R) (Anaes.) 60001 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography - 1 to 3 data acquisition runs (R) (NK) (Anaes.) 60003 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 4 to 6 data acquisition runs (R) (Anaes.) 60003 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 4 to 6 data acquisition runs (R) (K) (Anaes.) 60003 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography-4 to 6 data acquisition runs (R) (Anaes.) 60004 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography - 4 to 6 data acquisition runs (R) (NK) (Anaes.) 60006 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 7 to 9 data acquisition runs (R) (Anaes.) 60006 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 7 to 9 data acquisition runs (R) (K) (Anaes.) 60006 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography-7 to 9 data acquisition runs (R) (Anaes.) 60007 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography - 7 to 9 data acquisition runs (R) (NK) (Anaes.) 60009 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 10 or more data acquisition runs (R) (Anaes.) 60009 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and neck with or without arch aortography - 10 or more data acquisition runs (R) (K) (Anaes.) 60009 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography-10 or more data acquisition runs (R) (Anaes.) 60010 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of head and neck with or without arch aortography - 10 or more data acquisition runs (R) (NK) (Anaes.) 60012 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 1 to 3 data acquisition runs (R) (Anaes.) 60012 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 1 to 3 data acquisition runs (R) (K) (Anaes.) 60012 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of thorax-1 to 3 data acquisition runs (R) (Anaes.) 60013 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of thorax - 1 to 3 data acquisition runs (R) (NK) (Anaes.) 60015 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 4 to 6 data acquisition runs (R) (Anaes.) 60015 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 4 to 6 data acquisition runs (R) (K) (Anaes.) 60015 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of thorax-4 to 6 data acquisition runs (R) (Anaes.) 60016 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of thorax - 4 to 6 data acquisition runs (R) (NK) (Anaes.) 60018 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 7 to 9 data acquisition runs (R) (Anaes.) 60018 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 7 to 9 data acquisition runs (R) (K) (Anaes.) 60018 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of thorax-7 to 9 data acquisition runs (R) (Anaes.) 60019 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of thorax - 7 to 9 data acquisition runs (R) (NK) (Anaes.) 60021 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 10 or more data acquisition runs (R) (Anaes.) 60021 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax - 10 or more data acquisition runs (R) (K) (Anaes.) 60021 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of thorax-10 or more data acquisition runs (R) (Anaes.) 60022 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of thorax - 10 or more data acquisition runs (R) (NK) (Anaes.) 60024 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 1 to 3 data acquisition runs (R) (Anaes.) 60024 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 1 to 3 data acquisition runs (R) (K) (Anaes.) 60024 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of abdomen-1 to 3 data acquisition runs (R) (Anaes.) 60025 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of abdomen - 1 to 3 data acquisition runs (R) (NK) (Anaes.) 60027 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 4 to 6 data acquisition runs (R) (Anaes.) 60027 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 4 to 6 data acquisition runs (R) (K) (Anaes.) 60027 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of abdomen-4 to 6 data acquisition runs (R) (Anaes.) 60028 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of abdomen - 4 to 6 data acquisition runs (R) (NK) (Anaes.) 60030 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 7 to 9 data acquisition runs (R) (Anaes.) 60030 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 7 to 9 data acquisition runs (R) (K) (Anaes.) 60030 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of abdomen-7 to 9 data acquisition runs (R) (Anaes.) 60031 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of abdomen - 7 to 9 data acquisition runs (R) (NK) (Anaes.) 60033 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 10 or more data acquisition runs (R) (Anaes.) 60033 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen - 10 or more data acquisition runs (R) (K) (Anaes.) 60033 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of abdomen-10 or more data acquisition runs (R) (Anaes.) 60034 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of abdomen - 10 or more data acquisition runs (R) (NK) (Anaes.) 60036 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 1 to 3 data acquisition runs (R) (Anaes.) 60036 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 1 to 3 data acquisition runs (R) (K) (Anaes.) 60036 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs-1 to 3 data acquisition runs (R) (Anaes.) 60037 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs - 1 to 3 data acquisition runs (R) (NK) (Anaes.) 60039 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 4 to 6 data acquisition runs (R) (Anaes.) 60039 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 4 to 6 data acquisition runs (R) (K) (Anaes.) 60039 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs-4 to 6 data acquisition runs (R) (Anaes.) 60040 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs - 4 to 6 data acquisition runs (R) (NK) (Anaes.) 60042 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 7 to 9 data acquisition runs (R) (Anaes.) 60042 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 7 to 9 data acquisition runs (R) (K) (Anaes.) 60042 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs-7 to 9 data acquisition runs (R) (Anaes.) 60043 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs - 7 to 9 data acquisition runs (R) (NK) (Anaes.) 60045 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 10 or more data acquisition runs (R) (Anaes.) 60045 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or limbs - 10 or more data acquisition runs (R) (K) (Anaes.) 60045 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs-10 or more data acquisition runs (R) (Anaes.) 60046 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of upper limb or limbs - 10 or more data acquisition runs (R) (NK) (Anaes.) 60048 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 1 to 3 data acquisition runs (R) (Anaes.) 60048 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 1 to 3 data acquisition runs (R) (K) (Anaes.) 60048 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs-1 to 3 data acquisition runs (R) (Anaes.) 60049 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs - 1 to 3 data acquisition runs (R) (NK) (Anaes.) 60051 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 4 to 6 data acquisition runs (R) (Anaes.) 60051 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 4 to 6 data acquisition runs (R) (K) (Anaes.) 60051 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs-4 to 6 data acquisition runs (R) (Anaes.) 60052 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs - 4 to 6 data acquisition runs (R) (NK) (Anaes.) 60054 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 7 to 9 data acquisition runs (R) (Anaes.) 60054 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 7 to 9 data acquisition runs (R) (K) (Anaes.) 60054 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs-7 to 9 data acquisition runs (R) (Anaes.) 60055 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs - 7 to 9 data acquisition runs (R) (NK) (Anaes.) 60057 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 10 or more data acquisition runs (R) (Anaes.) 60057 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or limbs - 10 or more data acquisition runs (R) (K) (Anaes.) 60057 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs-10 or more data acquisition runs (R) (Anaes.) 60058 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of lower limb or limbs - 10 or more data acquisition runs (R) (NK) (Anaes.) 60060 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 1 to 3 data acquisition runs (R) (Anaes.) 60060 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 1 to 3 data acquisition runs (R) (K) (Anaes.) 60060 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs-1 to 3 data acquisition runs (R) (Anaes.) 60061 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs - 1 to 3 data acquisition runs (R) (NK) (Anaes.) 60063 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 4 to 6 data acquisition runs (R) (Anaes.) 60063 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 4 to 6 data acquisition runs (R) (K) (Anaes.) 60063 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs-4 to 6 data acquisition runs (R) (Anaes.) 60064 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs - 4 to 6 data acquisition runs (R) (NK) (Anaes.) 60066 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 7 to 9 data acquisition runs (R) (Anaes.) 60066 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 7 to 9 data acquisition runs (R) (K) (Anaes.) 60066 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs-7 to 9 data acquisition runs (R) (Anaes.) 60067 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs - 7 to 9 data acquisition runs (R) (NK) (Anaes.) 60069 01NOV1992 31DEC2014 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 10 or more data acquisition runs (R) (Anaes.) 60069 01JAN2015 30APR2020 N DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and lower limb or limbs - 10 or more data acquisition runs (R) (K) (Anaes.) 60069 01MAY2020 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs-10 or more data acquisition runs (R) (Anaes.) 60070 01JAN2015 31DEC9999 Y Digital subtraction angiography, examination of aorta and lower limb or limbs - 10 or more data acquisition runs (R) (NK) (Anaes.) 60072 01NOV1992 31DEC2014 N SELECTIVE ARTERIOGRAPHY or SELECTIVE VENOGRAPHY by digital subtraction angiography technique - 1 vessel (NR) (Anaes.) 60072 01JAN2015 30APR2020 N SELECTIVE ARTERIOGRAPHY or SELECTIVE VENOGRAPHY by digital subtraction angiography technique - 1 vessel (NR) (K) (Anaes.) 60072 01MAY2020 31DEC9999 Y Selective arteriography or selective venography by digital subtraction angiography technique-one vessel (NR) (Anaes.) 60073 01JAN2015 31DEC9999 Y Selective arteriography or selective venography by digital subtraction angiography technique - one vessel (NR) (NK) (Anaes.) 60075 01NOV1992 31DEC2014 N SELECTIVE ARTERIOGRAPHY or SELECTIVE VENOGRAPHY by digital subtraction angiography technique - 2 vessels (NR) (Anaes.) 60075 01JAN2015 30APR2020 N SELECTIVE ARTERIOGRAPHY or SELECTIVE VENOGRAPHY by digital subtraction angiography technique - 2 vessels (NR) (K) (Anaes.) 60075 01MAY2020 31DEC9999 Y Selective arteriography or selective venography by digital subtraction angiography technique-2 vessels (NR) (Anaes.) 60076 01JAN2015 31DEC9999 Y Selective arteriography or selective venography by digital subtraction angiography technique - 2 vessels (NR) (NK) (Anaes.) 60078 01NOV1992 31DEC2014 N SELECTIVE ARTERIOGRAPHY or SELECTIVE VENOGRAPHY by digital subtraction angiography technique - 3 or more vessels (NR) (Anaes.) 60078 01JAN2015 30APR2020 N SELECTIVE ARTERIOGRAPHY or SELECTIVE VENOGRAPHY by digital subtraction angiography technique - 3 or more vessels (NR) (K) (Anaes.) 60078 01MAY2020 31DEC9999 Y Selective arteriography or selective venography by digital subtraction angiography technique-3 or more vessels (NR) (Anaes.) 60079 01JAN2015 31DEC9999 Y Selective arteriography or selective venography by digital subtraction angiography technique - 3 or more vessels (NR) (NK) (Anaes.) 60100 01DEC1991 31OCT2001 N TOMOGRAPHY OF ANY REGION AND REPORT (R) 60100 01NOV2001 31DEC9999 Y TOMOGRAPHY OF ANY REGION (R) (Anaes.) 60101 01JUL2011 31DEC9999 Y TOMOGRAPHY OF ANY REGION (R) (NK) 60300 01DEC1991 31DEC9999 Y STEREOSCOPIC EXAMINATION AND REPORT (R) 60500 01DEC1991 18FEB1997 N FLUOROSCOPY, with general anaesthesia (R) 60500 19FEB1997 30APR2020 N FLUOROSCOPY, with general anaesthesia (not being a service associated with a radiographic examination) (R) 60500 01MAY2020 31DEC9999 Y Fluoroscopy, with general anaesthesia (not being a service associated with a radiographic examination) (R) 60501 01JUL2011 31DEC9999 Y FLUOROSCOPY, with general anaesthesia (not being a service associated with a radiographic examination) (R) (NK) 60503 01DEC1991 18FEB1997 N FLUOROSCOPY, without general anaesthesia (R) 60503 19FEB1997 30APR2020 N FLUOROSCOPY, without general anaesthesia (not being a service associated with a radiographic examination) (R) 60503 01MAY2020 31DEC9999 Y Fluoroscopy, without general anaesthesia (not being a service associated with a radiographic examination) (R) 60504 01JUL2011 31DEC9999 Y FLUOROSCOPY, without general anaesthesia (not being a service associated with a radiographic examination) (R) (NK) 60506 01NOV1992 31OCT1997 N FLUOROSCOPY using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1 hour, not being a service associated with a service to which another item in this Category applies (R) 60506 01NOV1997 30APR2020 N FLUOROSCOPY using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1 hour, not being a service associated with a service to which another item in this Table applies (R) 60506 01MAY2020 31DEC9999 Y Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1 hour, not being a service associated with a service to which another item in this Group applies (R) 60507 01JUL2011 31DEC9999 Y FLUOROSCOPY using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1 hour, not being a service associated with a service to which another item in this Table applies (R) (NK) 60509 01NOV1992 31OCT1997 N FLUOROSCOPY using a mobile image intensifier, in conjunction with a surgical procedure lasting 1 hour or more, not being a service associated with a service to which another item in this Category applies (R) 60509 01NOV1997 30APR2020 N FLUOROSCOPY using a mobile image intensifier, in conjunction with a surgical procedure lasting 1 hour or more, not being a service associated with a service to which another item in this Table applies (R) 60509 01MAY2020 31DEC9999 Y Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting 1 hour or more, not being a service associated with a service to which another item in this Group applies (R) 60510 01JUL2011 31DEC9999 Y FLUOROSCOPY using a mobile image intensifier, in conjunction with a surgical procedure lasting 1 hour or more, not being a service associated with a service to which another item in this Table applies (R) (NK) 60700 01DEC1991 31DEC9999 Y Radiographic examination of any part and report not covered by another item in this Group (R) 60900 01DEC1991 31DEC9999 Y "Note: In this Subgroup, ""preparation"" means the injection of opaque or contrast media or the removal of fluid and its replacement by air, oxygen or other similar preparation ENCEPHALOGRAPHY (NR)" 60903 01DEC1991 31OCT1997 N CEREBRAL ANGIOGRAPHY (one side) percutaneous, catheter or open exposure (NR) 60903 01NOV1997 31DEC9999 Y CEREBRAL ANGIOGRAPHY, 1 side percutaneous, catheter or open exposure, when used in association with a service to which items 59900, 59903,59906, 59912, 59915, 59918, 59921, 59924 or 59970 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) 60906 01DEC1991 31DEC9999 Y CEREBRAL VENTRICULOGRAPHY (NR) 60909 01DEC1991 31DEC9999 Y DACRYOCYSTOGRAPHY 1 side (NR) 60912 01DEC1991 31DEC9999 Y BRONCHOGRAPHY 1 or both sides (NR) 60915 01DEC1991 31OCT1997 N AORTOGRAPHY (NR) 60915 01NOV1997 31DEC9999 Y AORTOGRAPHY, when used in association with a service to which items 59900, 59903, 59906, 59912, 59915, 59918 59921, 59924 or 59970 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) 60918 01DEC1991 31OCT1997 N ARTERIOGRAPHY (peripheral) or PHLEBOGRAPHY 1 vessel (NR) 60918 01NOV1997 30JUN2001 N ARTERIOGRAPHY (peripheral) or PHLEBOGRAPHY 1 vessel, when used in association with a service to which items 59900, 59903, 59906, 59912, 59915, 59918, 59921 or 59924 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) 60918 01JUL2001 31DEC2014 N ARTERIOGRAPHY (peripheral) or PHLEBOGRAPHY 1 vessel, when used in association with a service to which items 59903, 59912, 59925, 59970, 59971 59972, 59973 or 59974 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) 60918 01JAN2015 30APR2020 N ARTERIOGRAPHY (peripheral) or PHLEBOGRAPHY 1 vessel, when used in association with a service to which items 59903, 59912, 59925, 59970, 59971 59972, 59973 or 59974 applies, not being a service associated with a service to which items 60000 to 60079 inclusive apply (NR) 60918 01MAY2020 30JUN2021 N Arteriography (peripheral) or phlebography-one vessel, when used in association with a service to which item 59903, 59912, 59925 or 59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) 60918 01JUL2021 31DEC9999 Y Arteriography (peripheral) or phlebography-one vessel, when used in association with a service to which item 59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) 60921 01DEC1991 31DEC9999 Y SPLENOGRAPHY (NR) 60924 01DEC1991 31DEC9999 Y RETROPERITONEAL PNEUMOGRAM (NR) 60927 01DEC1991 31OCT1997 N SELECTIVE ARTERIOGRAM or PHLEBOGRAM (NR) 60927 01NOV1997 30JUN2001 N SELECTIVE ARTERIOGRAM or PHLEBOGRAM, when used in association with a service to which items 59900, 59903, 59906, 59912, 59915, 59918, 59921 or 59924 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) 60927 01JUL2001 31DEC2014 N SELECTIVE ARTERIOGRAM or PHLEBOGRAM, when used in association with a service to which items 59903, 59912, 59925, 59970, 59971 59972, 59973 or 59974 applies, not being a service associated with a service to which items 60000 to 60078 inclusive apply (NR) 60927 01JAN2015 30APR2020 N SELECTIVE ARTERIOGRAM or PHLEBOGRAM, when used in association with a service to which items 59903, 59912, 59925, 59970, 59971 59972, 59973 or 59974 applies, not being a service associated with a service to which items 60000 to 60079 inclusive apply (NR) 60927 01MAY2020 30JUN2021 N Selective arteriogram or phlebogram, when used in association with a service to which item 59903, 59912, 59925 or 59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) 60927 01JUL2021 31DEC9999 Y Selective arteriogram or phlebogram, when used in association with a service to which item 59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) 60930 01DEC1991 31DEC9999 Y PERCUTANEOUS INJECTION of radioopaque material into RENAL CYST (including aspiration) or RENAL PELVIS for antegrade pyelography (NR) 60933 01DEC1991 31DEC9999 Y PNEUMOARTHROGRAPHY or PNEUMOPERITONEUM (NR) 60936 01DEC1991 31DEC9999 Y ARTHROGRAPHY, single or double contrast, excluding arthrography of the joints between articular processes of the vertebrae (NR) 60939 01DEC1991 31OCT1996 N DRIPINFUSION PYELOGRAPHY OR CHOLEGRAPHY (NR) 60939 01NOV1996 31DEC9999 Y DRIPINFUSION CHOLEGRAPHY (NR) 60942 01DEC1991 31DEC9999 Y RETROGRADE MICTURATING CYSTOURETHROGRAPHY (NR) 60945 01DEC1991 31DEC9999 Y HYSTEROSALPINGOGRAPHY (NR) 60948 01DEC1991 31DEC9999 Y DISCOGRAPHY 1 disc (NR) 60951 01DEC1991 31DEC9999 Y DISCOGRAPHY using Metrizamide contrast medium (NR) 60954 01DEC1991 31DEC9999 Y INTRAOSSEOUS VENOGRAPHY (NR) 60957 01DEC1991 30JUN1995 N MYELOGRAPHY not being a service to which item 60960 applies (NR) 60957 01JUL1995 31DEC9999 Y MYELOGRAPHY (NR) 60960 01DEC1991 31DEC9999 Y MYELOGRAPHY, using Metrizamide contrast medium (NR) 60963 01DEC1991 31DEC9999 Y CISTERNAL PUNCTURE (NR) 60966 01DEC1991 31DEC9999 Y SINUS OR FISTULA, INJECTION INTO (NR) 60969 01DEC1991 31DEC9999 Y SIALOGRAPHY (NR) 60972 01DEC1991 31DEC9999 Y LYMPHANGIOGRAPHY 1 side (NR) 60975 01DEC1991 31DEC9999 Y LARYNGOGRAPHY (NR) 60978 01DEC1991 31DEC9999 Y PNEUMOMEDIASTINUM (NR) 60981 01DEC1991 31DEC9999 Y CHOLEGRAM (CHOLANGIOGRAM) percutaneous transhepatic (NR) 61109 01NOV1992 31OCT1997 N FLUOROSCOPY in an ANGIOGRAPHY SUITE with image intensification, in conjunction with a surgical procedure, using interventional techniques, not being a service associated with a service to which another item in this Table applies (R) 61109 01NOV1997 30APR2020 N FLUOROSCOPY in an ANGIOGRAPHY SUITE with image intensification, in conjunction with a surgical procedure, using interventional techniques, not being a service associated with a service to which another item in this Table applies (R) 61109 01MAY2020 31DEC9999 Y Fluoroscopy in an angiography suite with image intensification, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this Group applies (R) 61110 01JUL2011 31DEC9999 Y FLUOROSCOPY in an ANGIOGRAPHY SUITE with image intensification, in conjunction with a surgical procedure, using interventional techniques, not being a service associated with a service to which another item in this Table applies (R) (NK) 61200 01DEC1991 31DEC9999 Y Magnetic resonance imaging - examination of any part or parts of the body (R) (HR) 61300 01DEC1991 31DEC9999 Y NOTE (This note should be read in conjunction with explanatory notes for this Category). Benefits for a nuclear scanning service are only payable when the preliminary examination of the patient, estimation and administration of the dosage and the performance of the scan, are undertaken by a medical practitioner, or on behalf of a medical practitioner in the practitioner's presence, and the compilation of the final report is undertaken by the medical practitioner. Additional benefits will only be attracted for a specialist physician or consultant physician attendance under Category 1 of the Schedule where there is a request for a full medical examination accompanied by a letter or note of referral. MYOCARDIAL PERFUSION STUDY USING THALLIUM single study for stress or reperfusion (R) 61301 01DEC1991 31DEC9999 Y MYOCARDIAL PERFUSION STUDY USING THALLIUM single study for stress or reperfusion (R) 61302 01NOV1996 31OCT1997 N NOTE Benefits for a nuclear medicine scanning service are only payable when the preliminary examination of the patient, estimation and administration of the dosage and the performance of the scan, are undertaken by a medical specialist, or on behalf of the medical specialist in the specialist's presence, and the compilation of the report is undertaken by the medical specialist. Additional benefits will only be attracted for a specialist or consultant physician attendance under Category 1 of the Schedule where there is a request for a full medical examination accompanied by a letter or note of referral. SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY with thallium or sestamibi - planar imaging (R) 61302 01NOV1997 30APR2020 N SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY - planar imaging (R) 61302 01MAY2020 31DEC9999 Y Single stress or rest myocardial perfusion study-planar imaging (R) 61303 01NOV1996 31OCT1997 N SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY with thallium or sestamibi - with single photon emission tomography and with planar imaging when undertaken (R) 61303 01NOV1997 30APR2020 N SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY - with single photon emission tomography and with planar imaging when undertaken (R) 61303 01MAY2020 31DEC9999 Y Single stress or rest myocardial perfusion study-with single photon emission tomography and with planar imaging when performed (R) 61304 01DEC1991 31DEC9999 Y MYOCARDIAL PERFUSION STUDY USING THALLIUM combined study for stress and reperfusion (R) 61305 01DEC1991 31DEC9999 Y MYOCARDIAL PERFUSION STUDY USING THALLIUM combined study for stress and reperfusion (R) 61306 01NOV1996 31OCT1997 N COMBINED STRESS AND REST, stress and re-injection or rest and redistribution myocardial perfusion study with thallium or sestamibi, or thallium and sestamibi, including delayed imaging or re-injection protocol on a subsequent occasion - planar imaging (R) 61306 01NOV1997 30APR2020 N COMBINED STRESS AND REST, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - planar imaging (R) 61306 01MAY2020 31DEC9999 Y Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion-planar imaging (R) 61307 01NOV1996 31OCT1997 N COMBINED STRESS AND REST, stress and re-injection or rest and redistribution myocardial perfusion study with thallium or sestamibi, or thallium and sestamibi, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography and with planar imaging when undertaken (R) 61307 01NOV1997 30APR2020 N COMBINED STRESS AND REST, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography and with planar imaging when undertaken (R) 61307 01MAY2020 31DEC9999 Y Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion-with single photon emission tomography and with planar imaging when performed (R) 61308 01DEC1991 31DEC9999 Y MYOCARDIAL INFARCTAVID IMAGING STUDY (R) 61309 01DEC1991 31DEC9999 Y MYOCARDIAL INFARCTAVID IMAGING STUDY (R) 61310 01NOV1996 30APR2020 N MYOCARDIAL INFARCT-AVID-STUDY, with planar imaging and single photon emission tomography, OR planar imaging or single photon emission tomography (R) 61310 01MAY2020 31DEC9999 Y Myocardial infarct avid study (R) 61311 14SEP2019 09JAN2020 N Single stress or rest myocardial perfusion study-with PET (R) 61311 10JAN2020 30NOV2020 N Single stress or rest myocardial perfusion study-with PET (R) Item 61311 was only available from 14 September 2019 until 20 December 2019, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Amendment (No. 2) Determination 2019 on the Federal Register of Legislation for further information. 61311 01DEC2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with PET if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61394, 61398, 61380, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) 61311 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with PET if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61394, 61398, 61380, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61311 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61312 01DEC1991 31DEC9999 Y GATED CARDIAC BLOOD POOL (equilibrium) STUDY (R) 61313 01NOV1996 30APR2020 N GATED CARDIAC BLOOD POOL STUDY, (equilibrium), with planar imaging and single photon emission tomography OR planar imaging or single photon emission tomography (R) 61313 01MAY2020 31DEC9999 Y Gated cardiac blood pool study, (equilibrium) (R) 61314 01NOV1996 30APR2020 N GATED CARDIAC BLOOD POOL STUDY, and first pass blood flow or cardiac shunt study, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) 61314 01MAY2020 31DEC9999 Y Gated cardiac blood pool study, with or without intervention, and first pass blood flow or cardiac shunt study (R) 61315 01DEC1991 31DEC9999 Y GATED CARDIAC BLOOD POOL STUDY with intervention (R) 61316 01NOV1996 31DEC9999 Y GATED CARDIAC BLOOD POOL STUDY, with intervention, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) 61317 01NOV1996 31DEC9999 Y GATED CARDIAC BLOOD POOL STUDY, with intervention and first pass blood flow study or cardiac shunt study, with planar imaging and single photon emission tomography OR planar imaging, or single photon emission tomography (R) 61318 01DEC1991 31DEC9999 Y CARDIAC FIRST PASS BLOOD FLOW STUDY, CARDIAC SHUNT STUDY OR CARDIAC OUTPUT STUDY (not being a service associated with a service to which another item in this Group applies (R) 61319 01DEC1991 31DEC9999 Y CARDIAC FIRST PASS BLOOD FLOW STUDY, CARDIAC SHUNT STUDY OR CARDIAC OUTPUT STUDY (not being a service associated with a service to which another item in this Group applies (R) 61320 01NOV1996 31DEC9999 Y CARDIAC FIRST PASS BLOOD FLOW STUDY OR CARDIAC SHUNT STUDY, not being a service to which another item in this Group applies (R) 61321 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2Single rest myocardial perfusion study for the assessment of extent and severity of viable and non-viable myocardium - with single photon emission tomography and with planar imaging, when performed on a patient who has left ventricular systolic dysfunction and probable or confirmed coronary artery disease, if: (a) using a single rest technetium-99m (Tc-99m) protocol; and (b) the service is requested by a specialist or a consultant physician; and (c) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61325, 61329 or 61345 applies (R) 61321 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of extent and severity of viable and non-viable myocardium - with single photon emission tomography, which can include planar imaging, when performed on a patient who has left ventricular systolic dysfunction and probable or confirmed coronary artery disease, if: (a) using a single rest technetium-99m (Tc-99m) protocol; and (b) the service is requested by a specialist or a consultant physician; and (c) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61325, 61329, 61345, 61398 or 61406 applies (R) 61321 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses a single rest technetium-99m (Tc-99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61325, 61329, 61345, 61398 or 61406 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61321 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses a single rest technetium-99m (Tc-99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61325, 61329, 61332, 61345, 61380, 61398, 61406 or 61422 applies; and (e) if the patient is 17 years or older-a service to which this item, or item 61325, 61329, 61332, 61345, 61380, 61398, 61406 or 61422, applies has not been provided to the patient in the previous 24 months (R) 61321 01NOV2023 31DEC9999 Y Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses a single rest technetium-99m (Tc-99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61325, 61329, 61345, 61398 or 61406 applies; and (e) if the patient is 17 years or older-a service to which this item, or item 61325, 61329, 61345, 61398 or 61406 applies has not been provided to the patient in the previous 24 months (R) 61322 01DEC1991 31DEC9999 Y CARDIAC FIRST PASS BLOOD FLOW STUDY, CARDIAC SHUNT STUDY OR CARDIAC OUTPUT STUDY being a service associated with a service to which another item in this Group applies (R) 61323 01DEC1991 31DEC9999 Y CARDIAC FIRST PASS BLOOD FLOW STUDY, CARDIAC SHUNT STUDY OR CARDIAC OUTPUT STUDY being a service associated with a service to which another item in this Group applies (R) 61324 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1Single stress myocardial perfusion study - with single photon emission tomography and with planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which items 55141, 55143, 55145 or 55146 applies; or (iv) the patient has had an assessment of undue exertional dyspnoea of uncertain aetiology; and (b) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a specialist or consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61325, 61329, 61345 or 61357 applies (R) 61324 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study - with single photon emission tomography, which can include planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which items 55141, 55143, 55145 or 55146 applies; and (b) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a specialist or consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies (R) 61324 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61324 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61325, 61329, 61332, 61377, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61311, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61324 01NOV2023 31DEC9999 Y Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61329, 61345, 61357, 61394, 61398, 61406, 61410 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61325 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2Single rest myocardial perfusion study for the assessment of extent and severity of viable and non-viable myocardium - with single photon emission tomography and with planar imaging, when performed on a patient with left ventricular systolic dysfunction and probable or confirmed coronary artery disease, if: (a) using an initial rest study followed by redistribution study on the same day; and (b) using a thallous chloride-201 (Tl-201) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61329 or 61345 applies (R) 61325 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of extent and severity of viable and non-viable myocardium - with single photon emission tomography, which can include planar imaging, when performed on a patient with left ventricular systolic dysfunction and probable or confirmed coronary artery disease, if: (a) using an initial rest study followed by redistribution study on the same day; and (b) using a thallous chloride-201 (Tl-201) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61329, 61345, 61398 or 61406 applies (R) 61325 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses: (i) an initial rest study followed by a redistribution study on the same day; and (ii) a thallous chloride-201 (Tl-201) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61329, 61345, 61398 or 61406 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than twice each 24 months. (R) 61325 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses: (i) an initial rest study followed by a redistribution study on the same day; and (ii) a thallous chloride-201 (Tl-201) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61329, 61332, 61345, 61380, 61398, 61406 or 61422 applies; and (e) if the patient is 17 years or older: (i) a service to which item 61321, 61329, 61332, 61345, 61380, 61398, 61406 or 61442, applies has not been provided to the patient in the previous 24 months; and (ii) the service is applicable only twice each 24 months (R) 61325 01NOV2023 31DEC9999 Y Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses: (i) an initial rest study followed by a redistribution study on the same day; and (ii) a thallous chloride-201 (Tl-201) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61329, 61345, 61398 or 61406 applies; and (e) if the patient is 17 years or older: (i) a service to which item 61321, 61329, 61345, 61398 or 61406 applies has not been provided to the patient in the previous 24 months; and (ii) the service is applicable only twice each 24 months (R) 61326 01DEC1991 31DEC9999 Y LUNG PERFUSION STUDY (R) 61327 01DEC1991 31DEC9999 Y LUNG PERFUSION STUDY (R) 61328 01NOV1996 30APR2020 N LUNG PERFUSION STUDY, with planar imaging and single photon emission tomography OR planar imaging, or single photon emission tomography (R) 61328 01MAY2020 31DEC9999 Y Lung perfusion study (R) 61329 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography and with planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which item 55141, 55143, 55145 or 55146 applies; and (b) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61345 or 61357 applies (R) 61329 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography, which can include planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which item 55141, 55143, 55145 or 55146 applies; and (b) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61345, 61357, 61394, 61398, 61406 or 61414 applies (R) 61329 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61345, 61357, 61394, 61398, 61406 or 61414 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61329 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61311, 61321, 61324, 61325, 61332, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R) 61329 01NOV2023 31DEC9999 Y Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61345, 61357, 61394, 61398, 61406 or 61414 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61321, 61324, 61325, 61345, 61357, 61394, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61330 01DEC1991 31DEC9999 Y LUNG VENTILATION STUDY using Xe127 gas (R) 61331 01DEC1991 31DEC9999 Y LUNG VENTILATION STUDY using Xe127 gas (R) 61332 14SEP2019 09JAN2020 N Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion-with PET (R) 61332 10JAN2020 30NOV2020 N Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion-with PET (R) Item 61332 was only available from 14 September 2019 until 20 December 2019, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Amendment (No. 2) Determination 2019 on the Federal Register of Legislation for further information. 61332 01DEC2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61345, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) 61332 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61345, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61332 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61333 14SEP2019 09JAN2020 N Lung perfusion study and lung ventilation study using galligas or 68Ga-MAA, with PET (R) 61333 10JAN2020 28FEB2021 N Lung perfusion study and lung ventilation study using galligas or 68Ga-MAA, with PET (R) Item 61333 was only available from 14 September 2019 until 20 December 2019, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Amendment (No. 2) Determination 2019 on the Federal Register of Legislation for further information. 61333 01MAR2021 31OCT2022 N Lung perfusion study and lung ventilation study using galligas or 68Ga-MAA, with PET (R) Item 61333 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61333 01NOV2022 31DEC9999 Y Lung ventilation study using Galligas and lung perfusion study using gallium-68 macro aggregated albumin (68Ga-MAA), with PET, if the service is performed because the service to which item 61348 applies cannot be performed due to unavailability of technetium-99m (R) 61334 01DEC1991 31DEC9999 Y LUNG VENTILATION STUDY using Xe133 gas (R) 61335 01DEC1991 31DEC9999 Y LUNG VENTILATION STUDY using Xe133 gas (R) 61336 14SEP2019 09JAN2020 N Cerebral perfusion study, with PET (R) 61336 10JAN2020 28FEB2021 N Cerebral perfusion study, with PET (R) Item 61336 was only available from 14 September 2019 until 20 December 2019, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Amendment (No. 2) Determination 2019 on the Federal Register of Legislation for further information. 61336 01MAR2021 31OCT2022 N Cerebral perfusion study, with PET (R) Item 61336 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61336 01NOV2022 31DEC9999 Y Cerebral study, with PET, if the service is performed because the service to which item 61402 applies cannot be performed due to unavailability of technetium-99m (R) 61337 14SEP2019 09JAN2020 N Bone study-whole body, with PET, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) 61337 10JAN2020 28FEB2021 N Bone study-whole body, with PET, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) Item 61337 was only available from 14 September 2019 until 20 December 2019, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Amendment (No. 2) Determination 2019 on the Federal Register of Legislation for further information. 61337 01MAR2021 31DEC9999 Y Bone study-whole body, with PET, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) Item 61337 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61338 01DEC1991 31DEC9999 Y LUNG VENTILATION STUDY using aerosol (R) 61339 01DEC1991 31DEC9999 Y LUNG VENTILATION STUDY using aerosol (R) 61340 01NOV1996 30APR2020 N LUNG VENTILATION STUDY using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography OR planar imaging or single photon emission tomography (R) 61340 01MAY2020 31DEC9999 Y Lung ventilation study using aerosol, technegas or xenon gas (R) 61341 14SEP2019 09JAN2020 N Bone study-whole body and PET, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) 61341 10JAN2020 28FEB2021 N Bone study-whole body and PET, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) Item 61341 was only available from 14 September 2019 until 20 December 2019, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Amendment (No. 2) Determination 2019 on the Federal Register of Legislation for further information. 61341 01MAR2021 31OCT2022 N Bone study-whole body and PET, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) Item 61341 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61341 01NOV2022 31DEC9999 Y Bone study - whole body with PET, with delayed imaging when undertaken, if the service is performed because the services to which item 61421 or 61425 apply cannot be performed due to unavailability of technetium-99m (R) 61342 01DEC1991 31DEC9999 Y LUNG PERFUSION STUDY AND LUNG VENTILATION STUDY using either Xe127 or Xe133 gas (R) 61343 01DEC1991 31DEC9999 Y LUNG PERFUSION STUDY AND LUNG VENTILATION STUDY using either Xe127 or Xe133 gas (R) 61344 14SEP2019 09JAN2020 N Computed tomography performed at the same time and covering the same body area as positron emission tomography covered by items 61311, 61332, 61333, 61336, 61337 and 61341, for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued (R) 61344 10JAN2020 28FEB2021 N Computed tomography performed at the same time and covering the same body area as positron emission tomography covered by items 61311, 61332, 61333, 61336, 61337 and 61341, for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued (R) Item 61344 was only available from 14 September 2019 until 20 December 2019, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Amendment (No. 2) Determination 2019 on the Federal Register of Legislation for further information. 61344 01MAR2021 31DEC9999 Y Computed tomography performed at the same time and covering the same body area as positron emission tomography covered by items 61311, 61332, 61333, 61336, 61337 and 61341, for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued (R) Item 61344 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61345 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography and with planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which item 55141, 55143, 55145 or 55146 applies; or (iv) the patient has had an assessment of undue exertional dyspnoea of uncertain aetiology; and (b) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a specialist or consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329 or 61357 applies (R) 61345 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography, which can include planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which item 55141, 55143, 55145 or 55146 applies; and (b) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a specialist or consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61357, 61394, 61398, 61406 or 61414 applies (R) 61345 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61357, 61394, 61398, 61406 or 61414 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61345 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies (R); and (f) if the patient is 17 years or older-a service to which this item, or item 61311, 61321, 61324, 61325, 61329, 61332, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R) 61345 01NOV2023 31DEC9999 Y Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61357, 61394, 61398, 61406 or 61414 applies (R); and (f) if the patient is 17 years or older-a service to which this item, or item 61321, 61324, 61325, 61329, 61357, 61394, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61346 01DEC1991 31DEC9999 Y LUNG PERFUSION STUDY AND LUNG VENTILATION STUDY using aerosol (R) 61347 01DEC1991 31DEC9999 Y LUNG PERFUSION STUDY AND LUNG VENTILATION STUDY using aerosol (R) 61348 01NOV1996 30APR2020 N LUNG PERFUSION STUDY AND LUNG VENTILATION STUDY using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) 61348 01MAY2020 31DEC9999 Y Lung perfusion study and lung ventilation study using aerosol, technegas or xenon gas (R) 61349 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion-with single photon emission tomography and with planar imaging, if: (a) in the previous 24 months, the patient has had a single stress or combined rest and stress myocardial perfusion study performed under item 61324, 61329, 61345 or 61357 and has undergone a revascularisation procedure; and (b) the patient has one or more of the following symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy, where at least one of the following applies; (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under service to which item 55141, 55143, 55145 or 55146 applies; or (iv) the patient has had an assessment of undue exertional dyspnoea of uncertain aetiology; and (c) the service is requested by a specialist or a consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and For any particular patient, applicable not more than once in 12 months (R) 61349 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion-with single photon emission tomography, which can include planar imaging, if: (a) in the previous 24 months, the patient has had a single stress or combined rest and stress myocardial perfusion study performed under item 61324, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 and has undergone a revascularisation procedure; and (b) the patient has one or more of the following symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy, where at least one of the following applies; (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under service to which item 55141, 55143, 55145 or 55146 applies; and (c) the service is requested by a specialist or a consultant physician; and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730 or 61410 applies; and For any particular patient, applicable not more than once in 12 months (R) 61349 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) in the previous 24 months, the patient has had a service performed to which item 61324, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730 or 61410 applies Applicable not more than once in 12 months (R) 61349 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61311, 61324, 61329, 61332, 61337, 61345, 61357, 61365, 61380, 61394, 61398, 61406, 61410, 61414 or 61418, applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61365, 61410 or 61418 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61365, 61410 or 61418, applies has not been provided to the patient in the previous 12 months (R) 61349 01NOV2023 31DEC9999 Y Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61324, 61329, 61345, 61357, 61394, 61398, 61406, 61410 or 61414 applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730 or 61410 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61410, applies has not been provided to the patient in the previous 12 months (R) 61350 01DEC1991 31DEC9999 Y LIVER AND SPLEEN STUDY (colloid) (R) 61351 01DEC1991 31DEC9999 Y LIVER AND SPLEEN STUDY (colloid) (R) 61352 01NOV1996 31DEC9999 Y LIVER AND SPLEEN STUDY (colloid) - planar imaging (R) 61353 01NOV1996 30APR2020 N LIVER AND SPLEEN STUDY (colloid), with single photon emission tomography and with planar imaging when undertaken (R) 61353 01MAY2020 31DEC9999 Y Liver and spleen study (colloid) (R) 61354 01DEC1991 31DEC9999 Y RED BLOOD CELL SPLEEN OR LIVER STUDY (R) 61355 01DEC1991 31DEC9999 Y RED BLOOD CELL SPLEEN OR LIVER STUDY (R) 61356 01NOV1996 30APR2020 N RED BLOOD CELL SPLEEN OR LIVER STUDY, including single photon emission tomography when undertaken (R) 61356 01MAY2020 31DEC9999 Y Red blood cell spleen or liver study (R) 61357 01AUG2020 14SEP2020 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1Single stress myocardial perfusion study - with single photon emission tomography and with planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which items 55141, 55143, 55145 or 55146 applies; or (b) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329 or 61345 applies (R) 61357 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study - with single photon emission tomography, which can include planar imaging, if: (a) the patient has symptoms of cardiac ischaemia where at least one of the following applies: (i) the patient has body habitus or other physical condition/s (including heart rhythm disturbance) to the extent where a stress echocardiography would not provide adequate information; or (ii) the patient is unable to exercise to the extent where a stress echocardiography would not provide adequate information; or (iii) the patient has had a failed stress echocardiography provided under a service to which items 55141, 55143, 55145 or 55146 applies; and (b) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (c) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (d) not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61394, 61398, 61406 or 61414 applies (R) 61357 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which items 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61394, 61398, 61406 or 61414 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61357 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which items 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61311, 61324, 61329, 61332, 61345, 61377, 61380, 61394, 61398, 61406, or 61414, applies has not been provided to the patient in the previous 24 months (R) 61357 01NOV2023 31DEC9999 Y Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which items 55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61394, 61398, 61406 or 61414 applies; and (f) if the patient is 17 years or older-a service to which this item, or item 61324, 61329, 61345, 61394, 61398, 61406, or 61414, applies has not been provided to the patient in the previous 24 months (R) 61358 01DEC1991 31DEC9999 Y HEPATOBILIARY STUDY (R) 61359 01DEC1991 31DEC9999 Y HEPATOBILIARY STUDY (R) 61360 01NOV1996 26NOV2013 N HEPATOBILIARY STUDY, including morphine administration or pre-treatment with cholecystokinin (CCK) when undertaken (R) 61360 27NOV2013 30APR2020 N HEPATOBILIARY STUDY, including morphine administration or pre-treatment with a cholagogue when performed (R) (K) 61360 01MAY2020 31DEC9999 Y Hepatobiliary study, including morphine administration or pre-treatment with a cholagogue when performed (R) 61361 01NOV1996 26NOV2013 N HEPATOBILIARY STUDY with formal quantification following baseline imaging, using an infusion of cholecystokinin (CCK) (R) 61361 27NOV2013 30APR2020 N HEPATOBILIARY STUDY with formal quantification following baseline imaging, using a cholagogue (R) (K) 61361 01MAY2020 31DEC9999 Y Hepatobiliary study with formal quantification following baseline imaging, using a cholagogue (R) 61362 01DEC1991 31DEC9999 Y BOWEL HAEMORRHAGE STUDY (R) 61363 01DEC1991 31DEC9999 Y BOWEL HAEMORRHAGE STUDY (R) 61364 01NOV1996 30APR2020 N BOWEL HAEMORRHAGE STUDY (R) 61364 01MAY2020 31DEC9999 Y Bowel haemorrhage study (R) 61365 01DEC2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) in the previous 24 months, the patient has had a service performed to which item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61349, 61410 or 61418 applies Applicable not more than once in 12 months (R) 61365 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) in the previous 24 months, the patient has had a service performed to which item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item 55141, 55143, 55145 or 55146 applies; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61349, 61410 or 61418 applies Applicable not more than once in 12 months (R) Item 61365 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61366 01DEC1991 31DEC9999 Y MECKEL'S DIVERTICULUM STUDY (R) 61367 01DEC1991 31DEC9999 Y MECKEL'S DIVERTICULUM STUDY (R) 61368 01NOV1996 30APR2020 N MECKEL'S DIVERTICULUM STUDY (R) 61368 01MAY2020 31DEC9999 Y Meckel's diverticulum study (R) 61369 01NOV1999 31OCT2004 N INDIUM-LABELLED OCTREOTIDE STUDY - including single photon emission tomography when undertaken, where: (a) there is a suspected gastro-entero-pancreatic endocrine tumour, based on biochemical evidence, with negative or equivocal conventional imaging; or (b) a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified based on conventional techniques, in order to exclude additional disease sites. (Ministerial Determination)(R) 61369 01NOV2004 30JUN2010 N INDIUM-LABELLED OCTREOTIDE STUDY - including single photon emission tomography when undertaken, where: (a) there is a suspected gastro-entero-pancreatic endocrine tumour, based on biochemical evidence, with negative or equivocal conventional imaging; or (b) a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified based on conventional techniques, in order to exclude additional disease sites. (Ministerial Determination) (R) 61369 01JUL2010 30APR2020 N INDIUM-LABELLED OCTREOTIDE STUDY - including single photon emission tomography when undertaken, where: (a) there is a suspected gastro-entero-pancreatic endocrine tumour, based on biochemical evidence, with negative or equivocal conventional imaging; or (b) a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified based on conventional techniques, in order to exclude additional disease sites. (R) 61369 01MAY2020 31DEC9999 Y Indium-labelled octreotide study (including single photon emission tomography when undertaken), if:(a) a gastro-entero-pancreatic endocrine tumour is suspected on the basis of biochemical evidence with negative or equivocal conventional imaging; or(b) both:(i) a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is to exclude additional disease sites (R) 61370 01DEC1991 31DEC9999 Y SALIVARY STUDY (R) 61371 01DEC1991 31DEC9999 Y SALIVARY STUDY (R) 61372 01NOV1996 30APR2020 N SALIVARY STUDY (R) 61372 01MAY2020 31DEC9999 Y Salivary study (R) 61373 01NOV1996 30APR2020 N GASTRO-OESOPHAGEAL REFLUX STUDY, including delayed imaging on a separate occasion when undertaken (R) 61373 01MAY2020 31DEC9999 Y Gastro-oesophageal reflux study, including delayed imaging on a separate occasion when performed (R) 61374 01DEC1991 31DEC9999 Y GASTROOESOPHAGEAL REFLUX STUDY (R) 61375 01DEC1991 31DEC9999 Y GASTROOESOPHAGEAL REFLUX STUDY (R) 61376 01NOV1996 30APR2020 N OESOPHAGEAL CLEARANCE STUDY (R) 61376 01MAY2020 31DEC9999 Y Oesophageal clearance study (R) 61377 01DEC2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) 61377 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61377 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61378 01DEC1991 31DEC9999 Y OESOPHAGEAL CLEARANCE STUDY (R) 61379 01DEC1991 31DEC9999 Y OESOPHAGEAL CLEARANCE STUDY (R) 61380 01DEC2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) 61380 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61380 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61381 01NOV1996 30APR2020 N GASTRIC EMPTYING STUDY, using single tracer (R) 61381 01MAY2020 31DEC9999 Y Gastric emptying study, using single tracer (R) 61382 01DEC1991 31DEC9999 Y GASTRIC EMPTYING STUDY using single tracer (R) 61383 01NOV1996 30APR2020 N COMBINED SOLID AND LIQUID GASTRIC EMPTYING STUDY using dual isotope technique or the same isotope on separate days (R) 61383 01MAY2020 31DEC9999 Y Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R) 61384 01NOV1996 30APR2020 N RADIONUCLIDE COLONIC TRANSIT STUDY (R) 61384 01MAY2020 31DEC9999 Y Radionuclide colonic transit study (R) 61385 01DEC1991 31DEC9999 Y GASTRIC EMPTYING STUDY using dual tracer (R) 61386 01NOV1996 30APR2020 N RENAL STUDY, including perfusion and renogram images and computer analysis OR cortical study with planar imaging (R) 61386 01MAY2020 31DEC9999 Y Renal study, including perfusion and renogram images and computer analysis or cortical study with planar imaging (R) 61387 01NOV1996 30APR2020 N RENAL CORTICAL STUDY, with single photon emission tomography and planar quantification (R) 61387 01MAY2020 31DEC9999 Y Renal cortical study, with single photon emission tomography and planar quantification (R) 61388 01DEC1991 31DEC9999 Y RENAL STUDY WITH OR WITHOUT DYNAMIC FLOW STUDY AND WITH OR WITHOUT COMPUTER EXTRACTION OF functional parameters (R) 61389 01NOV1996 30APR2020 N SINGLE RENAL STUDY with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R) 61389 01MAY2020 31DEC9999 Y Single renal study with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R) 61390 01NOV1996 30APR2020 N RENAL STUDY with diuretic administration following a baseline study (R) 61390 01MAY2020 31DEC9999 Y Renal study with diuretic administration after a baseline study (R) 61391 01DEC1991 31DEC9999 Y RENAL STUDY WITH INTERVENTION (R) 61392 01DEC1991 31DEC9999 Y RENAL STUDY WITH INTERVENTION (R) 61393 01NOV1996 30APR2020 N COMBINED EXAMINATION INVOLVING A RENAL STUDY following angiotensin converting enzyme (ACE) inhibitor provocation and a baseline study, in either order and related to a single referral episode (R) 61393 01MAY2020 31DEC9999 Y Combined examination involving a renal study following angiotensin converting enzyme (ACE) inhibitor provocation and a baseline study, in either order and related to a single referral episode (R) 61394 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study - with single photon emission tomography, which can include planar imaging, if: the patient has symptoms of cardiac ischaemia; and the service is provided at, or from, a practice location in: a Modified Monash 3 area; or a Modified Monash 4 area; or a Modified Monash 5 area; or a Modified Monash 6 area; or a Modified Monash 7 area; and a stress echocardiography service is not available in the Modified Monash area where the service is provided; and the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and the service is requested by a specialist or consultant physician; and not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies (R) 61394 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61398, 61406 or 61414 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61394 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61398, 61406, 61414 or 61422 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61394 01NOV2023 31DEC9999 Y Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61398, 61406 or 61414 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61324, 61329, 61345, 61357, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61395 01DEC1991 31DEC9999 Y CYSTOURETEROGRAM (R) 61396 01DEC1991 31DEC9999 Y CYSTOURETEROGRAM (R) 61397 01NOV1996 30APR2020 N CYSTOURETEROGRAM (R) 61397 01MAY2020 31DEC9999 Y Cystoureterogram (R) 61398 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography, which can include planar imaging, if: the patient has symptoms of cardiac ischaemia; and the service is provided at, or from, a practice location in: a Modified Monash 3 area; or a Modified Monash 4 area; or a Modified Monash 5 area; or a Modified Monash 6 area; or a Modified Monash 7 area; and a stress echocardiography service is not available in the Modified Monash area where the services is provided; and the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and the service is requested by a medical practitioner (other than a specialist or consultant physician); and not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies (R) 61398 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61406 or 61414 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61398 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61406, 61414 or 61422 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61406, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R) 61398 01NOV2023 31DEC9999 Y Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61406 or 61414 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61399 01DEC1991 31DEC9999 Y TESTICULAR STUDY (R) 61400 01DEC1991 31DEC9999 Y TESTICULAR STUDY (R) 61401 01NOV1996 31DEC9999 Y TESTICULAR STUDY (R) 61402 01NOV1996 31OCT1998 N BRAIN STUDY USING TC-EXAMETAZINE, with single photon emission tomogrophy and with planar imaging when undertaken (R) 61402 01NOV1998 30APR2020 N CEREBRAL PERFUSION STUDY, with single photon emission tomography and with planar imaging when undertaken (R) 61402 01MAY2020 31DEC9999 Y Cerebral perfusion study, with single photon emission tomography and with planar imaging when performed (R) 61403 01DEC1991 31DEC9999 Y BRAIN STUDY WITH BLOOD BRAIN BARRIER AGENT (R) 61404 01DEC1991 31DEC9999 Y BRAIN STUDY WITH BLOOD BRAIN BARRIER AGENT (R) 61405 01NOV1996 31DEC9999 Y BRAIN STUDY WITH BLOOD BRAIN BARRIER AGENT, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) 61406 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography, which can include planar imaging, if: the patient has symptoms of cardiac ischaemia; and the service is provided at, or from, a practice location in: a Modified Monash 3 area; or a Modified Monash 4 area; or a Modified Monash 5 area; or a Modified Monash 6 area; or a Modified Monash 7 area; and a stress echocardiography service is not available in the Modified Monash area where the services is provided; and the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and the service is requested by a specialist or consultant physician; and not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies (R) 61406 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61414 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61406 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61377, 61345, 61357, 61380, 61394, 61398, 61414 or 61422 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R) 61406 01NOV2023 31DEC9999 Y Combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61414 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61414, applies has not been provided to the patient in the previous 24 months (R) 61407 01DEC1991 31DEC9999 Y CEREBROSPINAL FLUID TRANSPORT STUDY (R) 61408 01DEC1991 31DEC9999 Y CEREBROSPINAL FLUID TRANSPORT STUDY (R) 61409 01NOV1996 30APR2020 N CEREBRO-SPINAL FLUID TRANSPORT STUDY, with imaging on 2 or more separate occasions (R) 61409 01MAY2020 30JUN2023 N Cerebro spinal fluid transport study, with imaging on 2 or more separate occasions (R) 61409 01JUL2023 31DEC9999 Y Cerebro-spinal fluid transport study using technetium 99m, with imaging on 2 or more separate occasions (R) 61410 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion-with single photon emission tomography, which can include planar imaging, if: in the previous 24 months, the patient has had a single stress or combined rest and stress myocardial perfusion study performed under item 61324, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 and has undergone a revascularisation procedure; and the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and the service is provided at, or from, a practice location in: a Modified Monash 3 area; or a Modified Monash 4 area; or a Modified Monash 5 area; or a Modified Monash 6 area; or a Modified Monash 7 area; and a stress echocardiography service is not available in the Modified Monash area where the services is provided; and not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies For any particular patient, applicable not more than once in 12 months (R) 61410 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) in the previous 24 months, the patient has had a service performed to which item 61324, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies, and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies Applicable not more than once in 12 months (R) 61410 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61311, 61324, 61329, 61332, 61345, 61349, 61357, 61365, 61377, 61380, 61394, 61398, 61406, 61414 or 61418, applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730 or 61418 applies; and (f) if the patient is 17 years or older-a service to which item 61349, 61365 or 61418 applies has not been provided to the patient in the previous 12 months 61410 01NOV2023 31DEC9999 Y Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61324, 61329, 61345, 61349, 61357, 61394, 61398, 61406 or 61414 applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (f) if the patient is 17 years or older-a service to which item 61349 applies has not been provided to the patient in the previous 12 months 61411 01DEC1991 31DEC9999 Y CEREBROSPINAL FLUID SHUNT PATENCY STUDY (R) 61412 01DEC1991 31DEC9999 Y CEREBROSPINAL FLUID SHUNT PATENCY STUDY (R) 61413 01NOV1996 30APR2020 N CEREBRO-SPINAL FLUID SHUNT PATENCY STUDY (R) 61413 01MAY2020 31DEC9999 Y Cerebro spinal fluid shunt patency study (R) 61414 15SEP2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study - with single photon emission tomography, which can include planar imaging, if: the patient has symptoms of cardiac ischaemia; and the service is provided at, or from, a practice location in: a Modified Monash 3 area; or a Modified Monash 4 area; or a Modified Monash 5 area; or a Modified Monash 6 area; or a Modified Monash 7 area; and a stress echocardiography service is not available in the Modified Monash area where the services is provided; and the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and the service is requested by a medical practitioner (other than a specialist or consultant physician); and not being a service associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414 applies (R) 61414 01MAR2021 30JUN2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61406 applies Note: this item applies to a service provided to a patient who is 17 years or older not more than once each 24 months. (R) 61414 01JUL2021 31OCT2023 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61422 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61398 or 61406, applies has not been provided to the patient in the previous 24 months (R) 61414 01NOV2023 31DEC9999 Y Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61406 applies; and (g) if the patient is 17 years or older-a service to which this item, or item 61324, 61329, 61345, 61357, 61398 or 61406, applies has not been provided to the patient in the previous 24 months (R) 61415 01DEC1991 31DEC9999 Y DYNAMIC BLOOD FLOW STUDY OR REGIONAL BLOOD VOLUME QUANTITATIVE STUDY (not being a service associated with a service to which another item in this Group applies) (R) 61416 01DEC1991 31DEC9999 Y DYNAMIC BLOOD FLOW STUDY OR REGIONAL BLOOD VOLUME QUANTITATIVE STUDY (not being a service associated with a service to which another item in this Group applies) (R) (NC) 61417 01NOV1996 31DEC9999 Y DYNAMIC BLOOD FLOW STUDY OR REGIONAL BLOOD VOLUME QUANTITATIVE STUDY, not being a service associated with a service to which another item in this Group applies (R) 61418 01DEC2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) in the previous 24 months, the patient has had a service performed to which item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies, and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61349, 61365 or 61410 applies Applicable not more than once in 12 months (R) 61418 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion, with PET, if: (a) in the previous 24 months, the patient has had a service performed to which item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies, and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61349, 61365 or 61410 applies Applicable not more than once in 12 months (R) Item 61418 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61419 01DEC1991 31DEC9999 Y BONE STUDY whole body (R) 61420 01DEC1991 31DEC9999 Y BONE STUDY whole body (R) 61421 01NOV1996 30APR2020 N BONE STUDY - whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) 61421 01MAY2020 31DEC9999 Y Bone study-whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) 61422 01DEC2020 28FEB2021 N Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with PET, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) technetium is not available and the service uses an equivalent protocol to the single rest technetium-99m (Tc-99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies Applicable not more than once in 24 months (R) 61422 01MAR2021 31DEC9999 Y Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non-viable myocardium, with PET, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) technetium is not available and the service uses an equivalent protocol to the single rest technetium-99m (Tc-99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies Applicable not more than once in 24 months (R) Item 61422 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information. 61423 01DEC1991 31DEC9999 Y BONE STUDY whole body and DYNAMIC BLOOD FLOW OR REGIONAL BLOOD VOLUME QUANTITATIVE STUDY (R) 61424 01DEC1991 31DEC9999 Y BONE STUDY whole body and DYNAMIC BLOOD FLOW OR REGIONAL BLOOD VOLUME QUANTITATIVE STUDY (R) 61425 01NOV1996 30APR2020 N BONE STUDY - whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) 61425 01MAY2020 31DEC9999 Y Bone study-whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) 61426 01NOV1996 30APR2020 N WHOLE BODY STUDY using iodine (R) 61426 01MAY2020 31DEC9999 Y Whole body study using iodine (R) 61427 01DEC1991 31DEC9999 Y WHOLE BODY STUDY USING IODINE (R) 61428 01DEC1991 31DEC9999 Y WHOLE BODY STUDY USING IODINE (R) 61429 01NOV1996 30APR2020 N WHOLE BODY STUDY using gallium (R) 61429 01MAY2020 31DEC9999 Y Whole body study using gallium (R) 61430 01NOV1996 30APR2020 N WHOLE BODY STUDY using gallium, with single photon emission tomography (R) 61430 01MAY2020 31DEC9999 Y Whole body study using gallium, with single photon emission tomography (R) 61431 01DEC1991 31DEC9999 Y WHOLE BODY STUDY USING GALLIUM (R) 61432 01DEC1991 31DEC9999 Y WHOLE BODY STUDY USING GALLIUM (R) 61433 01NOV1996 30APR2020 N WHOLE BODY STUDY using cells labelled with technetium (R) 61433 01MAY2020 31DEC9999 Y Whole body study using cells labelled with technetium (R) 61434 01NOV1996 30APR2020 N WHOLE BODY STUDY using cells labelled with technetium, with single photon emission tomography (R) 61434 01MAY2020 31DEC9999 Y Whole body study using cells labelled with technetium, with single photon emission tomography (R) 61435 01DEC1991 31DEC9999 Y WHOLE BODY STUDY USING CELLS LABELLED WITH TECHNETIUM (R) 61436 01DEC1991 31DEC9999 Y WHOLE BODY STUDY USING CELLS LABELLED WITH TECHNETIUM (R) 61437 01NOV1996 31DEC9999 Y WHOLE BODY STUDY using thallium (R) 61438 01NOV1996 30APR2020 N WHOLE BODY STUDY using thallium, with single photon emission tomography (R) 61438 01MAY2020 31DEC9999 Y Whole body study using thallium (R) 61439 01DEC1991 31DEC9999 Y BONE MARROW STUDY whole body (R) 61440 01DEC1991 31DEC9999 Y BONE MARROW STUDY whole body (R) 61441 01NOV1996 31OCT1999 N BONE MARROW STUDY - whole body (R) 61441 01NOV1999 30APR2020 N BONE MARROW STUDY - whole body using technetium labelled bone marrow agents (R) 61441 01MAY2020 31DEC9999 Y Bone marrow study-whole body using technetium labelled bone marrow agents (R) 61442 01NOV1997 30APR2020 N WHOLE BODY STUDY, using gallium - with single photon emission tomography of 2 or more body regions acquired separately (R) 61442 01MAY2020 31DEC9999 Y Whole body study, using gallium-with single photon emission tomography of 2 or more body regions acquired separately (R) 61443 01DEC1991 31DEC9999 Y REPEAT OF A WHOLE BODY STUDY on a different occasion using the same administration of radiopharmaceutical (R) 61444 01DEC1991 31DEC9999 Y REPEAT OF A WHOLE BODY STUDY on a different occasion using the same administration of radiopharmaceutical (R) (NC) 61445 01NOV1999 30APR2020 N BONE MARROW STUDY - localised using technetium labelled agent (R) 61445 01MAY2020 31DEC9999 Y Bone marrow study-localised using technetium labelled agent (R) 61446 01NOV1996 30APR2020 N LOCALISED BONE OR JOINT STUDY, including when undertaken, blood flow, blood pool and repeat imaging on a separate occasion (R) 61446 01MAY2020 31DEC9999 Y Regional scintigraphic study, using an approved bone scanning agent, including when undertaken, blood flow imaging, blood pool imaging and repeat imaging on a separate occasion (R) 61447 01DEC1991 31DEC9999 Y LOCALISED BONE OR JOINT STUDY including FLOW AND BLOOD POOL STUDIES (R) 61448 01DEC1991 31DEC9999 Y LOCALISED BONE OR JOINT STUDY including FLOW AND BLOOD POOL STUDIES (R) 61449 01NOV1996 30APR2020 N LOCALISED BONE OR JOINT STUDY and single photon emission tomography, including when undertaken, blood flow, blood pool and imaging on a separate occasion (R) 61449 01MAY2020 31DEC9999 Y Regional scintigraphic study, using an approved bone scanning agent and single photon emission tomography, including when undertaken, blood flow imaging, blood pool imaging and repeat imaging on a separate occasion (R) 61450 01NOV1996 30APR2020 N LOCALISED STUDY using gallium (R) 61450 01MAY2020 31DEC9999 Y Localised study using gallium (R) 61451 01DEC1991 31DEC9999 Y LOCALISED BONE, JOINT, TUMOUR, INFECTION OR INFLAMMATION SEEKING STUDY using gallium (R) 61452 01DEC1991 31DEC9999 Y LOCALISED BONE, JOINT, TUMOUR, INFECTION OR INFLAMMATION SEEKING STUDY using gallium (R) 61453 01NOV1996 30APR2020 N LOCALISED STUDY using gallium, with single photon emission tomography (R) 61453 01MAY2020 31DEC9999 Y Localised study using gallium, with single photon emission tomography (R) 61454 01NOV1996 30APR2020 N LOCALISED STUDY using cells labelled with technetium (R) 61454 01MAY2020 31DEC9999 Y Localised study using cells labelled with technetium (R) 61455 01DEC1991 31DEC9999 Y LOCALISED BONE, JOINT, TUMOUR, INFECTION OR INFLAMMATION SEEKING STUDY using cells labelled with technetium (R) 61456 01DEC1991 31DEC9999 Y LOCALISED BONE, JOINT, TUMOUR, INFECTION OR INFLAMMATION SEEKING STUDY using cells labelled with technetium (R) 61457 01NOV1996 30APR2020 N LOCALISED STUDY using cells labelled with technetium, with single photon emission tomography (R) 61457 01MAY2020 31DEC9999 Y Localised study using cells labelled with technetium, with single photon emission tomography (R) 61458 01NOV1996 31DEC9999 Y LOCALISED STUDY using thallium (R) 61459 01DEC1991 31DEC9999 Y REPEAT OF A LOCALISED BONE, JOINT, TUMOUR, INFECTION OR INFLAMMATION SEEKING STUDY on a different occasion using the same administration of radiopharmaceutical (R) 61460 01DEC1991 31DEC9999 Y REPEAT OF A LOCALISED BONE, JOINT, TUMOUR, INFECTION OR INFLAMMATION SEEKING STUDY on a different occasion using the same administration of radiopharmaceutical (R) (NC) 61461 01NOV1996 30APR2020 N LOCALISED STUDY using thallium, with single photon emission tomography (R) 61461 01MAY2020 31DEC9999 Y Localised study using thallium (R) 61462 01NOV1996 19JAN1997 N REPEAT PLANAR AND SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING OR REPEAT PLANAR OR SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING on a separate occasion using the same administration of radiopharmaceutical, not being a service associated with items 61373, 61409, 61421, 61425, 61446, 61449, 61484 or 61485 (R) 61462 20JAN1997 31JAN2009 N REPEAT PLANAR AND SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING, OR REPEAT PLANAR IMAGING OR SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING on an occasion subsequent to the performance of any one of items 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469, where there is no additional administration of radiopharmaceutical and where the previous radionuclide scan was abnormal or equivocal. (R) 61462 01FEB2009 30APR2020 N REPEAT PLANAR AND SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING, OR REPEAT PLANAR IMAGING OR SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING on an occasion subsequent to the performance of any one of items 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469, 61484 or 61485 where there is no additional administration of radiopharmaceutical and where the previous radionuclide scan was abnormal or equivocal. (R) 61462 01MAY2020 31DEC9999 Y Repeat planar and single photon emission tomography imaging, or repeat planar imaging or single photon emission tomography imaging on an occasion subsequent to the performance of item 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469 or 61485, if there is no additional administration of radiopharmaceutical and if the previous radionuclide scan was abnormal or equivocal (R) 61463 01DEC1991 31DEC9999 Y VENOGRAPHY (including blood pool study, active uptake study or dynamic blood flow study) (R) 61464 01DEC1991 31DEC9999 Y VENOGRAPHY (including blood pool study, active uptake study or dynamic blood flow study) (R) 61465 01NOV1996 31DEC9999 Y VENOGRAPHY (R) 61466 01JUL2023 31DEC9999 Y Cerebro-spinal fluid transport study using indium-111, with imaging on 2 or more separate occasions (R) 61467 01DEC1991 31DEC9999 Y LYMPHOSCINTIGRAPHY (R) 61468 01DEC1991 31DEC9999 Y LYMPHOSCINTIGRAPHY (R) 61469 01NOV1996 30APR2020 N LYMPHOSCINTIGRAPHY (R) 61469 01MAY2020 31DEC9999 Y Lymphoscintigraphy (R) 61470 01JUL2023 31DEC9999 Y Whole body or localised study using thallium-201, or single rest myocardial perfusion study using thallium-201, if all of the following apply: (a) The service is bulk billed; (b) The service is performed in conjunction with a service described in items 61438, 61461 or 61325. 61471 01DEC1991 31DEC9999 Y THYROID STUDY (R) 61472 01DEC1991 31DEC9999 Y THYROID STUDY (R) 61473 01NOV1996 30APR2020 N THYROID STUDY including uptake measurement when undertaken (R) 61473 01MAY2020 31DEC9999 Y Thyroid study (R) 61475 01DEC1991 31DEC9999 Y THYROID UPTAKE STUDY PERFORMED ON GAMMA CAMERA (R) 61476 01DEC1991 31DEC9999 Y THYROID UPTAKE STUDY PERFORMED ON GAMMA CAMERA (R) 61477 08NOV2022 31DEC9999 Y Whole body or localised study using gallium, if all of the following apply: (a) the service is bulk-billed; (b) the service is performed in conjunction with a service described in items 61429, 61430, 61442, 61450 or 61453 61479 01DEC1991 31DEC9999 Y PARATHYROID (R) 61480 01NOV1996 30APR2020 N PARATHYROID STUDY, planar imaging and single photon emission tomography when undertaken (R) 61480 01MAY2020 31DEC9999 Y Parathyroid study (R) 61482 01DEC1991 31DEC9999 Y ADRENAL STUDY USING SELENOCHOLESTEROL (R) 61483 01DEC1991 31DEC9999 Y ADRENAL STUDY USING SELENOCHOLESTEROL (R) (NC) 61484 01NOV1996 31JAN2009 N ADRENAL STUDY, with imaging on 2 or more separate occasions (R) 61484 01FEB2009 31DEC9999 Y ADRENAL STUDY (R) 61485 01NOV1996 31JAN2009 N ADRENAL STUDY, with imaging on 2 or more occasions and renal localisation and single photon emission tomography when undertaken (R) 61485 01FEB2009 30APR2020 N ADRENAL STUDY, with single photon emission tomography (R) 61485 01MAY2020 31DEC9999 Y Adrenal study, with single photon emission tomography (R) 61486 01DEC1991 31DEC9999 Y ADRENAL STUDY (not being a service to which item 61482 or 61483 applies) (R) 61487 01DEC1991 31DEC9999 Y ADRENAL STUDY (not being a service to which item 61482 or 61483 applies) (R) (NC) 61490 01DEC1991 31DEC9999 Y SINGLE PHOTON EMISSION TOMOGRAPHY being a service associated with a service to which another item in this Group applies (R) 61493 01DEC1991 31DEC9999 Y TEAR DUCT STUDY (R) 61494 01DEC1991 31DEC9999 Y TEAR DUCT STUDY (R) 61495 01NOV1996 30APR2020 N TEAR DUCT STUDY (R) 61495 01MAY2020 31DEC9999 Y Tear duct study (R) 61497 01DEC1991 31DEC9999 Y PARTICLE PERFUSION STUDY (INTRAARTERIAL) OR LE VEEN SHUNT STUDY (R) 61498 01DEC1991 31DEC9999 Y PARTICLE PERFUSION STUDY (INTRAARTERIAL) OR LE VEEN SHUNT STUDY (R) 61499 01NOV1996 30APR2020 N PARTICLE PERFUSION STUDY (intra-arterial) or Le Veen shunt study (R) 61499 01MAY2020 31DEC9999 Y Particle perfusion study (infra arterial) or Le Veen shunt study (R) 61501 01DEC1991 31DEC9999 Y STUDY OF REGION OR ORGAN not being a service to which another item in this Group applies (R) 61502 01DEC1991 31DEC9999 Y Study of region or organ not being a service to which another item in this Group applies (R) (NC) 61503 01NOV1996 31DEC9999 Y STUDY OF REGION OR ORGAN not being a service to which another item in this Group applies (R) 61505 01MAY2007 30APR2020 N CT scan performed at the same time and covering the same body area as single photon emission tomography for the purpose of anatomic localisation or attenuation correction where no separate diagnostic CT report is issued and only in association with items 61302 - 61650 (R) 61505 01MAY2020 31JUL2020 N CT scan performed at the same time and covering the same body area as single photon emission tomography or positron emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and only in association with items 61302 to 61647 (R) 61505 01AUG2020 28FEB2021 N CT scan performed at the same time and covering the same body area as single photon emission tomography or positron emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and only in association with items 61310 to 61647 (R) 61505 01MAR2021 31DEC9999 Y CT scan performed at the same time and covering the same body area as single photon emission tomography or positron emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and performed in association with a service to which an item in Subgroup 1 or 2 of Group I4 applies (R) 61506 04DEC1999 31DEC9999 Y Test item reserved for ITEM FEE MAP - DO NOT USE FOR ANY PROCEDURE 61507 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61508 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61509 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61510 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61511 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61512 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61513 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61514 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61515 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61516 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61517 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61518 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61519 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61520 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61521 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61522 01OCT1997 31DEC9999 Y POSITRON EMISSION TOMOGRAPHY - location specific 61523 01OCT2001 21DEC2005 N Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodule where the lesion is considered unsuitable for transthoracic fine needle aspiration, or for which an attempt at pathological characterisation has failed. 61523 22DEC2005 31DEC9999 Y Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodule where the lesion is considered unsuitable for transthoracic fine needle aspiration biopsy, or for which an attempt at pathological characterisation has failed.(R) 61524 01NOV2019 31DEC9999 Y Whole body FDG PET study, performed for the staging of locally advanced (Stage III) breast cancer, for a patient who is considered suitable for active therapy (R) 61525 01NOV2019 31DEC9999 Y Whole body FDG PET study, performed for the evaluation of suspected metastatic or suspected locally or regionally recurrent breast carcinoma, for a patient who is considered suitable for active therapy (R) 61526 01OCT2001 31DEC9999 Y Whole body FDG PET study, performed for evaluation of a solitary nodule where the lesion is considered unsuitable for transthoracic fine needle aspiration, or for which an attempt at pathological characterisation has failed, with catheterisation of the bladder 61527 01AUG2022 31DEC9999 Y Whole body study using PET, if the service is performed because the services to which items 61429, 61430, 61442, 61450 or 61453 apply cannot be performed due to unavailability of gallium-67 (R) 61529 01OCT2001 21DEC2005 N Whole body FDG PET study, performed for the primary staging of proven non-small cell lung cancer, where curative surgery or radiotherapy is planned 61529 22DEC2005 31DEC9999 Y Whole body FDG PET study, performed for the staging of proven non-small cell lung cancer, where curative surgery or radiotherapy is planned (R) 61532 01OCT2001 31DEC9999 Y Whole body FDG PET study, performed for the primary staging of proven non-small cell lung cancer, where curative surgery or radiotherapy is planned, with catheterisation of the bladder 61535 01OCT2001 31DEC9999 Y FDG PET study of the brain performed for the evaluation of a suspected primary brain tumour to guide surgical biopsy of the lesion and to assist in treatment planning 61538 01OCT2001 30JUN2011 N FDG PET study of the brain performed for the evaluation of a residual structural brain lesion based on anatomical imaging findings, after definitive therapy for glioma 61538 01JUL2011 31DEC9999 Y FDG PET study of the brain for evaluation of suspected residual or recurrent malignant brain tumour based on anatomical imaging findings, after definitive therapy (or during ongoing chemotherapy) in patients who are considered suitable for further active therapy. (R) 61541 01OCT2001 30NOV2008 N Whole body FDG PET study, performed in a symptomatic patient for the evaluation of a residual structural lesion, after definitive therapy for colorectal cancer 61541 01DEC2008 30JUN2011 N Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in patients considered suitable for active therapy 61541 01JUL2011 31DEC9999 Y Whole body FDG PET study, following initial therapy, for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in patients considered suitable for active therapy (R) 61544 01OCT2001 30NOV2008 N Whole body FDG PET study, performed in a symptomatic patient for the evaluation of a residual structural lesion after definitive therapy for colorectal cancer, with catheterisation of the bladder 61544 01DEC2008 31DEC9999 Y Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in patients considered suitable for active therapy, with catheterisation of the bladder. 61547 01OCT2001 31DEC9999 Y Whole body FDG PET study, performed for the evaluation of apparently isolated liver or pulmonary metastases, following previous therapy for colorectal carcinoma, where surgical resection is planned 61550 01OCT2001 31DEC9999 Y Whole body FDG PET study, performed for the evaluation of apparently isolated liver or pulmonary metastases, following previous therapy for colorectal carcinoma, where surgical resection is planned, with catheterisation of the bladder 61553 01OCT2001 30NOV2008 N Whole body FDG PET study, performed for the evaluation of apparently limited metastatic disease from malignant melanoma, where surgical resection is planned 61553 01DEC2008 30JUN2011 N Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in patients considered suitable for active therapy 61553 01JUL2011 31DEC9999 Y Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in patients considered suitable for active therapy (R) 61556 01OCT2001 30NOV2008 N Whole body FDG PET study, performed for the evaluation of apparently limited metastatic disease from malignant melanoma, where surgical resection is planned, with catheterisation of the bladder 61556 01DEC2008 31DEC9999 Y Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in patients considered suitable for active therapy, with catheterisation of the bladder 61559 01OCT2001 21DEC2005 N FDG PET study of the brain, performed for the evaluation of refractory epilepsy which is being evaluated for surgery, where results of standard assessment are inconclusive for localisation of the epileptogenic focus 61559 22DEC2005 31DEC9999 Y FDG PET study of the brain, performed for the evaluation of refractory epilepsy which is being evaluated for surgery (R) 61560 01NOV2021 31DEC2021 N FDG PET study of the brain, performed for the diagnosis of Alzheimer's disease, if: clinical evaluation of the patient by a specialist, or in consultation with a specialist, is equivocal; and the service includes a quantitative comparison of the results of the study with the results of an FDG PET study of a normal brain from a reference database; and a service to which this item applies has not been performed on the patient in the previous 12 months; and a service to which item 61402 applies has not been performed on the patient in the previous 12 months for the diagnosis or management of Alzheimer's disease Applicable not more than 3 times per lifetime 61560 01JAN2022 31DEC9999 Y FDG PET study of the brain, performed for the diagnosis of Alzheimer's disease, if: clinical evaluation of the patient by a specialist, or in consultation with a specialist, is equivocal; and the service includes a quantitative comparison of the results of the study with the results of an FDG PET study of a normal brain from a reference database; and a service to which this item applies has not been performed on the patient in the previous 12 months; and a service to which item 61402 applies has not been performed on the patient in the previous 12 months for the diagnosis or management of Alzheimer's disease Applicable not more than 3 times per lifetime (R) 61562 01OCT2001 31DEC9999 Y FDG PET study of the heart, performed for the evaluation of ischaemic heart disease and impaired left ventricular function, where revascularisation surgery is being considered and standard myocardial viability tests are negative or equivocal for ischaemia 61563 01JUL2022 31DEC9999 Y Whole body prostate-specific membrane antigen PET study performed for the initial staging of intermediate to high-risk prostate adenocarcinoma, for a previously untreated patient who is considered suitable for locoregional therapy with curative intent Applicable once per lifetime (R) 61564 01JUL2022 31DEC9999 Y Whole body prostate-specific membrane antigen PET study performed for the restaging of recurrent prostate adenocarcinoma, for a patient who:(a) has undergone prior locoregional therapy; and(b) is considered suitable for further locoregional therapy to determine appropriate therapeutic pathways and timing of treatment initiation Applicable twice per lifetime (R) 61565 01OCT2001 30NOV2008 N Whole body FDG PET study, performed for the evaluation of epithelial ovarian carcinoma with suspected tumour recurrence following initial therapy, based on equivocal anatomical imaging findings or an elevation of CA-125 61565 01DEC2008 30JUN2011 N Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in patients considered suitable for active therapy. 61565 01JUL2011 31DEC9999 Y Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in patients considered suitable for active therapy. (R) 61568 01OCT2001 30NOV2008 N Whole body FDG PET study, performed for the evaluation of epithelial ovarian carcinoma with suspected tumour recurrence following initial therapy, based on equivocal anatomical imaging findings or an elevation of CA-125, with catheterisation of the bladder 61568 01DEC2008 31DEC9999 Y Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in patients considered suitable for active therapy with curative intent, with catheterisation of the bladder. 61571 01OCT2001 30JUN2011 N Whole body FDG PET study, performed for the primary staging of proven carcinoma of the uterine cervix, prior to planned radical radiation therapy or combined modality therapy 61571 01JUL2011 31DEC9999 Y Whole body FDG PET study, for the further primary staging of patients with histologically proven carcinoma of the uterine cervix, at FIGO stage IB2 or greater by conventional staging, prior to planned radical radiation therapy or combined modality therapy with curative intent. (R) 61574 01OCT2001 31DEC9999 Y Whole body FDG PET study, performed for the primary staging of proven carcinoma of the uterine cervix, prior to planned radical radiation therapy or combined modality therapy, with catheterisation of the bladder 61575 01JUL2011 31DEC9999 Y Whole body FDG PET study, for the further staging of patients with confirmed local recurrence of carcinoma of the uterine cervix considered suitable for salvage pelvic chemoradiotherapy or pelvic exenteration with curative intent. (R) 61577 01OCT2001 31AUG2009 N Whole body FDG PET study, performed for the staging of proven oesophageal carcinoma, where curative surgery or chemoradiation is planned 61577 01SEP2009 31DEC9999 Y Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in patients considered suitable for active therapy (R). 61580 01OCT2001 31AUG2009 N Whole body FDG PET study, performed for the staging of proven oesophageal carcinoma, where curative surgery or chemoradiation is planned, with catheterisation of the bladder 61580 01SEP2009 31DEC9999 Y Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in patients considered suitable for active therapy, with catheterisation of the bladder (R). 61583 01OCT2001 31DEC9999 Y Whole body FDG PET study, performed for the staging of proven gastric carcinoma, where curative surgery is planned 61586 01OCT2001 31DEC9999 Y Whole body FDG PET study, performed for the staging of proven gastric carcinoma, where curative surgery is planned, with catheterisation of the bladder 61589 01OCT2001 31DEC9999 Y FDG PET study for follow-up of a cancer shown to be positive by an earlier FDG PET service (the earlier service), if (a) the earlier service was eligible for Medicare benefit because of Health Insurance Determination HS/3/1997, (B) the service is not eligible for Medicare benefit otherwise than because of Health Insurance Determination HS/02/2001, and (c) the service is required to assess response to treatment or possible tumour recurrence 61592 01OCT2001 31DEC9999 Y FDG PET study, with catheterisation of the bladder, for follow-up of a cancer shown to be positive by an earlier FDG PET service (the earlier service), if (a) the earlier service was eligible for Medicare benefit because of Health Insurance Determination HS/3/1997, (B) the service is not eligible for Medicare benefit otherwise than because of Health Insurance Determination HS/02/2001, and (c) the service is required to assess response to treatment or possible tumour recurrence 61595 14JAN2002 31DEC9999 Y FDG PET study for the primary staging of carcinoma of the head and neck 61598 14JAN2002 31AUG2009 N Whole body FDG PET study for the primary staging of carcinoma of the head and neck 61598 01SEP2009 31DEC9999 Y Whole body FDG PET study performed for the staging of biopsy-proven newly diagnosed or recurrent head and neck cancer (R). 61601 14JAN2002 31DEC9999 Y FDG PET study for the further investigation of suspected residual or recurrent carcinoma of the head and neck 61604 14JAN2002 31AUG2009 N Whole body FDG PET study for the further investigation of suspected residual or recurrent carcinoma of the head and neck 61604 01SEP2009 31DEC9999 Y Whole body FDG PET study performed for the evaluation of patients with suspected residual head and neck cancer after definitive treatment, and who are suitable for active therapy (R). 61607 14JAN2002 31DEC9999 Y FDG PET study for the evaluation of metastatic squamous cell carcinoma involving cervical nodes from an unknown primary site 61610 14JAN2002 31AUG2009 N Whole body FDG PET study for the evaluation of metastatic squamous cell carcinoma involving cervical nodes from an unknown primary site 61610 01SEP2009 31DEC9999 Y Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma of unknown primary site involving cervical nodes (R). 61612 01NOV2022 31DEC9999 Y Whole body FDG PET study for the initial staging of eligible cancer types, for a patient who is considered suitable for active therapy, if: (a) the eligible cancer type is: (i) a rare or uncommon cancer (less than 12 cases per 100,000 persons per year); and (ii) a typically FDG-avid cancer; and (b) there is at least a 10% likelihood that the PET study result will inform a significant change in management for the patient Applicable once per cancer diagnosis (R) 61613 14JAN2002 31AUG2009 N Whole body FDG PET study for the evaluation of metastatic squamous cell carcinoma involving cervical nodes from an unknown primary site, with catherterisation of the bladder 61613 01SEP2009 31DEC9999 Y Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma from an unknown primary site involving cervical nodes, with catherterisation of the bladder (R). 61616 14JAN2002 30JUN2011 N Whole body FDG PET study for staging of newly diagnosed or previously untreated Hodgkin's or non-Hodgkin's lymphoma 61616 01JUL2011 31DEC9999 Y Whole body FDG PET study for the initial staging of indolent non-Hodgkin's lymphoma where clinical, pathological and imaging findings indicate that the stage is I or IIA and the proposed management is definitive radiotherapy with curative intent. (R) 61619 14JAN2002 31DEC9999 Y Whole body FDG PET study for staging of newly diagnosed or previously untreated Hodgkin's or non-Hodgkin's lymphoma, with catherterisation of the bladder 61620 01JUL2011 31OCT2017 N Whole body FDG PET study for the initial staging of newly diagnosed or previously untreated Hodgkin's or non-Hodgkin's lymphoma (excluding indolent non-Hodgkin's lymphoma. (R) 61620 01NOV2017 31DEC9999 Y Whole body FDG PET study for the initial staging of newly diagnosed or previously untreated Hodgkin or non-Hodgkin lymphoma (R) 61622 14JAN2002 30JUN2011 N Whole body FDG PET study for evaluation of a residual mass after treatment of Hodgkin's or non-Hodgkin's lymphoma 61622 01JUL2011 31OCT2017 N Whole body FDG PET study to assess response to first line therapy either during treatment or within three months of completing definitive first line treatment for Hodgkin's or non-Hodgkin's lymphoma (excluding indolent non-Hodgkin's lymphoma), (R) 61622 01NOV2017 31DEC9999 Y Whole body FDG PET study to assess response to first line therapy either during treatment or within three months of completing definitive first line treatment for Hodgkin or non-Hodgkin lymphoma (R) 61625 14JAN2002 31DEC9999 Y Whole body FDG PET study for evaluation of a residual mass after treatment of Hodgkin's or non-Hodgkin's lymphoma, with catherterisation of the bladder 61628 14JAN2002 30JUN2011 N Whole body FDG PET study for restaging of suspected recurrent or residual Hodgkin's or non-Hodgkin's lymphoma 61628 01JUL2011 31OCT2017 N Whole body FDG PET study for restaging following confirmation of recurrence of Hodgkin's or non-Hodgkin's lymphoma (excluding indolent non-Hodgkin's lymphoma). (R) 61628 01NOV2017 31DEC9999 Y Whole body FDG PET study for restaging following confirmation of recurrence of Hodgkin or non-Hodgkin lymphoma (R) 61631 14JAN2002 31DEC9999 Y Whole body FDG PET study for restaging of suspected recurrent or residual Hodgkin's or non-Hodgkin's lymphoma, with catherterisation of the bladder 61632 01JUL2011 31OCT2017 N Whole body FDG PET study to assess response to second-line chemotherapy when stem cell transplantation is being considered, for Hodgkin's or non-Hodgkin's lymphoma (excluding indolent non-Hodgkin's lymphoma). (R) 61632 01NOV2017 31DEC9999 Y Whole body FDG PET study to assess response to second-line chemotherapy if haemopoietic stem cell transplantation is being considered for Hodgkin or non-Hodgkin lymphoma (R) 61634 14JAN2002 31DEC9999 Y Whole body FDG PET study to guide biopsy of a suspected bone or soft tissue sarcoma, where structural imaging suggests lesional heterogeneity 61637 14JAN2002 31DEC9999 Y Whole body FDG PET study to guide biopsy of a suspected bone or soft tissue sarcoma, where structural imaging suggests lesional heterogeneity, with catheterisation of the bladder 61640 14JAN2002 30JUN2011 N Whole body FDG PET study for staging of biopsy-proven bone or soft tissue sarcoma being considered for resection of the primary or limited metastatic disease 61640 01JUL2011 31DEC9999 Y Whole body FDG PET study for initial staging of patients with biopsy-proven bone or soft tissue sarcoma (excluding gastrointestinal stromal tumour) considered by conventional staging to be potentially curable. (R) 61643 14JAN2002 31DEC9999 Y Whole body FDG PET study for staging of biopsy-proven bone or soft tissue sarcoma being considered for resection of the primary or limited metastatic disease, with catheterisation of the bladder 61644 01APR2022 30JUN2023 N Single rest myocardial perfusion study for the assessment of the extent and severity of non-viable myocardium, with PET, if: (a) the service is performed because the service to which item 61325 applies cannot be performed due to unavailability of thallous chloride 201 (Tl-201); and (b) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (c) the service is performed in conjunction with a rest myocardial perfusion study using technetium-99m; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (f) this service and item 61325 are applicable only twice each 24 months (R) Item 61644 is a substitute item that may only be used during periods of national shortage of Tl-201. See IN.4.4 of explanatory notes to this Category for further information. 61644 01JUL2023 31DEC9999 Y Single rest myocardial perfusion study for the assessment of the extent and severity of non-viable myocardium, with PET, if: (a) the service is performed because the service to which item 61325 applies cannot be performed due to unavailability of thallous chloride 201 (Tl-201); and (b) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (c) the service is performed in conjunction with a rest myocardial perfusion study using technetium-99m; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729 or 11730 applies; and (f) this service and item 61325 are applicable only twice each 24 months (R) 61646 14JAN2002 30JUN2011 N Whole body FDG PET study for the evaluation of suspected residual or recurrent sarcoma on structural imaging after definitive therapy 61646 01JUL2011 31DEC9999 Y Whole body FDG PET study for the evaluation of patients with suspected residual or recurrent sarcoma (excluding gastrointestinal stromal tumour) after the initial course of definitive therapy to determine suitability for subsequent therapy with curative intent. (R) 61647 01MAY2018 30APR2020 N Whole body 68Ga-DOTA-peptide PET study (including any associated computed tomography scans for anatomic localisation and attenuation correction), if: (a) a gastro-entero-pancreatic neuroendocrine tumour is suspected on the basis of biochemical evidence with negative or equivocal conventional imaging; or (b) both: (i) a surgically amenable gastro-entero-pancreatic neuroendocrine tumour has been identified on the basis of conventional techniques; and (ii) the study is for excluding additional disease sites (R) 61647 01MAY2020 31DEC9999 Y Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroendocrine tumour is suspected on the basis of biochemical evidence with negative or equivocal conventional imaging; or(b) both:(i) a surgically amenable gastro entero pancreatic neuroendocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is for excluding additional disease sites (R) 61649 14JAN2002 31DEC9999 Y Whole body FDG PET study for the evaluation of suspected residual or recurrent sarcoma on structural imaging after definitive therapy, with catheterisation of the bladder 61650 01JUN2004 30JUN2010 N LEUKOSCAN STUDY, for use in diagnostic imaging of the long bones and feet in patients with suspected osteomyelitis, and where patients do not have access to ex-vivo WBC scanning. (Ministerial Determination) Note LeukoScan is only indicated for diagnostic imaging in patients suspected of infection in the long bones and feet, including those with diabetic ulcers. The descriptor does not cover patients who are being investigated for other sites of infection 61650 01JUL2010 30APR2020 N LEUKOSCAN STUDY, for use in diagnostic imaging of the long bones and feet in patients with suspected osteomyelitis, and where patients do not have access to ex-vivo WBC scanning. (R) Note LeukoScan is only indicated for diagnostic imaging in patients suspected of infection in the long bones and feet, including those with diabetic ulcers. The descriptor does not cover patients who are being investigated for other sites of infection 61650 01MAY2020 31DEC9999 Y LeukoScan study of the long bones and feet for suspected osteomyelitis, if:(a) the patient does not have access to ex vivo white blood cell scanning; and(b) the patient is not being investigated for other sites of infection (R) 61651 01JUL2011 31DEC9999 Y SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY - planar imaging (R) (NK) 61652 01JUL2011 31DEC9999 Y SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY - with single photon emission tomography and with planar imaging when undertaken (R) (NK) 61653 01JUL2011 31DEC9999 Y COMBINED STRESS AND REST, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - planar imaging (R) (NK) 61654 01JUL2011 31DEC9999 Y COMBINED STRESS AND REST, stress and re-injection or rest and redistribution myocardial perfusion study, including delayed imaging or re-injection protocol on a subsequent occasion - with single photon emission tomography and with planar imaging when undertaken (R) (NK) 61655 01JUL2011 31DEC9999 Y MYOCARDIAL INFARCT-AVID-STUDY, with planar imaging and single photon emission tomography, OR planar imaging or single photon emission tomography (R) (NK) 61656 01JUL2011 31DEC9999 Y GATED CARDIAC BLOOD POOL STUDY, (equilibrium), with planar imaging and single photon emission tomography OR planar imaging or single photon emission tomography (R) (NK) 61657 01JUL2011 31DEC9999 Y GATED CARDIAC BLOOD POOL STUDY, and first pass blood flow or cardiac shunt study, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) (NK) 61658 01JUL2011 31DEC9999 Y GATED CARDIAC BLOOD POOL STUDY, with intervention, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) (NK) 61659 01JUL2011 31DEC9999 Y GATED CARDIAC BLOOD POOL STUDY, with intervention and first pass blood flow study or cardiac shunt study, with planar imaging and single photon emission tomography OR planar imaging, or single photon emission tomography (R) (NK) 61660 01JUL2011 31DEC9999 Y CARDIAC FIRST PASS BLOOD FLOW STUDY OR CARDIAC SHUNT STUDY, not being a service to which another item in this Group applies (R) (NK) 61661 01JUL2011 31DEC9999 Y LUNG PERFUSION STUDY, with planar imaging and single photon emission tomography OR planar imaging, or single photon emission tomography (R) (NK) 61662 01JUL2011 31DEC9999 Y LUNG VENTILATION STUDY using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography OR planar imaging or single photon emission tomography (R) (NK) 61663 01JUL2011 31DEC9999 Y LUNG PERFUSION STUDY AND LUNG VENTILATION STUDY using aerosol, technegas or xenon gas, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) (NK) 61664 01JUL2011 31DEC9999 Y LIVER AND SPLEEN STUDY (colloid) - planar imaging (R) (NK) 61665 01JUL2011 31DEC9999 Y LIVER AND SPLEEN STUDY (colloid), with single photon emission tomography and with planar imaging when undertaken (R) (NK) 61666 01JUL2011 31DEC9999 Y RED BLOOD CELL SPLEEN OR LIVER STUDY, including single photon emission tomography when undertaken (R) (NK) 61667 01JUL2011 26NOV2013 N HEPATOBILIARY STUDY, including morphine administration or pre-treatment with cholecystokinin (CCK) when undertaken (R) (NK) 61667 27NOV2013 31DEC9999 Y HEPATOBILIARY STUDY, including morphine administration or pre-treatment with a cholagogue when performed (R) (NK) 61668 01JUL2011 26NOV2013 N HEPATOBILIARY STUDY with formal quantification following baseline imaging, using an infusion of cholecystokinin (CCK) (R) (NK) 61668 27NOV2013 31DEC9999 Y HEPATOBILIARY STUDY with formal quantification following baseline imaging, using a cholagogue (R) (NK) 61669 01JUL2011 31DEC9999 Y BOWEL HAEMORRHAGE STUDY (R) (NK) 61670 01JUL2011 31DEC9999 Y MECKEL'S DIVERTICULUM STUDY (R) (NK) 61671 01JUL2011 31DEC9999 Y INDIUM-LABELLED OCTREOTIDE STUDY - including single photon emission tomography when undertaken, where: (a) there is a suspected gastro-entero-pancreatic endocrine tumour, based on biochemical evidence, with negative or equivocal conventional imaging; or (b) a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified based on conventional techniques, in order to exclude additional disease sites. (Ministerial Determination) (R) (NK) 61672 01JUL2011 31DEC9999 Y SALIVARY STUDY (R) (NK) 61673 01JUL2011 31DEC9999 Y GASTRO-OESOPHAGEAL REFLUX STUDY, including delayed imaging on a separate occasion when undertaken (R) (NK) 61674 01JUL2011 31DEC9999 Y OESOPHAGEAL CLEARANCE STUDY (R) (NK) 61675 01JUL2011 31DEC9999 Y GASTRIC EMPTYING STUDY, using single tracer (R) (NK) 61676 01JUL2011 31DEC9999 Y COMBINED SOLID AND LIQUID GASTRIC EMPTYING STUDY using dual isotope technique or the same isotope on separate days (R) (NK) 61677 01JUL2011 31DEC9999 Y RADIONUCLIDE COLONIC TRANSIT STUDY (R) (NK) 61678 01JUL2011 31DEC9999 Y RENAL STUDY, including perfusion and renogram images and computer analysis OR cortical study with planar imaging (R) (NK) 61679 01JUL2011 31DEC9999 Y RENAL CORTICAL STUDY, with single photon emission tomography and planar quantification (R) (NK) 61680 01JUL2011 31DEC9999 Y SINGLE RENAL STUDY with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R) (NK) 61681 01JUL2011 31DEC9999 Y RENAL STUDY with diuretic administration following a baseline study (R) (NK) 61682 01JUL2011 31DEC9999 Y COMBINED EXAMINATION INVOLVING A RENAL STUDY following angiotensin converting enzyme (ACE) inhibitor provocation and a baseline study, in either order and related to a single referral episode (R) (NK) 61683 01JUL2011 31DEC9999 Y CYSTOURETEROGRAM (R) (NK) 61684 01JUL2011 31DEC9999 Y TESTICULAR STUDY (R) (NK) 61685 01JUL2011 31DEC9999 Y CEREBRAL PERFUSION STUDY, with single photon emission tomography and with planar imaging when undertaken (R) (NK) 61686 01JUL2011 31DEC9999 Y BRAIN STUDY WITH BLOOD BRAIN BARRIER AGENT, with planar imaging and single photon emission tomography, OR planar imaging, or single photon emission tomography (R) (NK) 61687 01JUL2011 31DEC9999 Y CEREBRO-SPINAL FLUID TRANSPORT STUDY, with imaging on 2 or more separate occasions (R) (NK) 61688 01JUL2011 31DEC9999 Y CEREBRO-SPINAL FLUID SHUNT PATENCY STUDY (R) (NK) 61689 01JUL2011 31DEC9999 Y DYNAMIC BLOOD FLOW STUDY OR REGIONAL BLOOD VOLUME QUANTITATIVE STUDY, not being a service associated with a service to which another item in this Group applies (R) (NK) 61690 01JUL2011 31DEC9999 Y BONE STUDY - whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) (NK) 61691 01JUL2011 31DEC9999 Y BONE STUDY - whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) (NK) 61692 01JUL2011 31DEC9999 Y WHOLE BODY STUDY using iodine (R) (NK) 61693 01JUL2011 31DEC9999 Y WHOLE BODY STUDY using gallium (R) (NK) 61694 01JUL2011 31DEC9999 Y WHOLE BODY STUDY using gallium, with single photon emission tomography (R) (NK) 61695 01JUL2011 31DEC9999 Y WHOLE BODY STUDY using cells labelled with technetium (R) (NK) 61696 01JUL2011 31DEC9999 Y WHOLE BODY STUDY using cells labelled with technetium, with single photon emission tomography (R) (NK) 61697 01JUL2011 31DEC9999 Y WHOLE BODY STUDY using thallium (R) (NK) 61698 01JUL2011 31DEC9999 Y WHOLE BODY STUDY using thallium, with single photon emission tomography (R) (NK) 61699 01JUL2011 31DEC9999 Y BONE MARROW STUDY - whole body using technetium labelled bone marrow agents (R) (NK) 61700 01JUL2011 31DEC9999 Y WHOLE BODY STUDY, using gallium - with single photon emission tomography of 2 or more body regions acquired separately (R) (NK) 61701 01JUL2011 31DEC9999 Y BONE MARROW STUDY - localised using technetium labelled agent (R) (NK) 61702 01JUL2011 31DEC9999 Y LOCALISED BONE OR JOINT STUDY, including when undertaken, blood flow, blood pool and repeat imaging on a separate occasion (R) (NK) 61703 01JUL2011 31DEC9999 Y LOCALISED BONE OR JOINT STUDY and single photon emission tomography, including when undertaken, blood flow, blood pool and imaging on a separate occasion (R) (NK) 61704 01JUL2011 31DEC9999 Y LOCALISED STUDY using gallium (R) (NK) 61705 01JUL2011 31DEC9999 Y LOCALISED STUDY using gallium, with single photon emission tomography (R) (NK) 61706 01JUL2011 31DEC9999 Y LOCALISED STUDY using cells labelled with technetium (R) (NK) 61707 01JUL2011 31DEC9999 Y LOCALISED STUDY using cells labelled with technetium, with single photon emission tomography (R) (NK) 61708 01JUL2011 31DEC9999 Y LOCALISED STUDY using thallium (R) (NK) 61709 01JUL2011 31DEC9999 Y LOCALISED STUDY using thallium, with single photon emission tomography (R) (NK) 61710 01JUL2011 31DEC9999 Y REPEAT PLANAR AND SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING, OR REPEAT PLANAR IMAGING OR SINGLE PHOTON EMISSION TOMOGRAPHY IMAGING on an occasion subsequent to the performance of any one of items 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469, 61484, 61485, 61669, 61692, 61693, 61694, 61700, 61704, 61705, 61712, 61715 or 61716 where there is no additional administration of radiopharmaceutical and where the previous radionuclide scan was abnormal or equivocal. (R) (NK) 61711 01JUL2011 31DEC9999 Y VENOGRAPHY (R) (NK) 61712 01JUL2011 31DEC9999 Y LYMPHOSCINTIGRAPHY (R) (NK) 61713 01JUL2011 31DEC9999 Y THYROID STUDY including uptake measurement when undertaken (R) (NK) 61714 01JUL2011 31DEC9999 Y PARATHYROID STUDY, planar imaging and single photon emission tomography when undertaken (R) (NK) 61715 01JUL2011 31DEC9999 Y ADRENAL STUDY (R) (NK) 61716 01JUL2011 31DEC9999 Y ADRENAL STUDY, with single photon emission tomography (R) (NK) 61717 01JUL2011 31DEC9999 Y TEAR DUCT STUDY (R) (NK) 61718 01JUL2011 31DEC9999 Y PARTICLE PERFUSION STUDY (intra-arterial) or Le Veen shunt study (R) (NK) 61719 01JUL2011 31DEC9999 Y CT scan performed at the same time and covering the same body area as single photon emission tomography for the purpose of anatomic localisation or attenuation correction where no separate diagnostic CT report is issued and only in association with items 61302 - 61729 (R) (NK) 61729 01JUL2011 31DEC9999 Y LEUKOSCAN STUDY, for use in diagnostic imaging of the long bones and feet in patients with suspected osteomyelitis, and where patients do not have access to ex-vivo WBC scanning. (Ministerial Determination) (NK) Note LeukoScan is only indicated for diagnostic imaging in patients suspected of infection in the long bones and feet, including those with diabetic ulcers. The descriptor does not cover patients who are being investigated for other sites of infection 63000 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included in Subgroup 1 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head for the exclusion of: - tumour of the brain or meninges (R) (Anaes.) 63001 01AUG2004 30APR2020 N MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head for: - tumour of the brain or meninges (R) (Contrast) 63001 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Anaes.) (Contrast) 63002 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Contrast) 63003 01SEP1998 31DEC9999 Y - skull base or orbital tumour (R) (Anaes.) 63004 01AUG2004 30APR2020 N - inflammation of the brain or meninges (R) (Contrast) 63004 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Anaes.) (Contrast) 63005 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Contrast) 63006 01SEP1998 31DEC9999 Y - acoustic neuroma (R) (Anaes.) 63007 01AUG2004 30APR2020 N - skull base or orbital tumour (R) (Contrast) 63007 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Anaes.) (Contrast) 63008 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Contrast) 63009 01SEP1998 31DEC9999 Y - pituitary tumour (R) (Anaes.) 63010 01AUG2004 30APR2020 N - stereotactic scan of brain, with Fiducials in place, for the sole purpose to allow planning for stereotactic neurosurgery (R) (Contrast) 63010 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Anaes.) (Contrast) 63011 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Contrast) 63012 01SEP1998 31DEC9999 Y - inflammation of brain or meninges (R) (Anaes.) 63013 01JUL2011 31DEC9999 Y MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head for: - tumour of the brain or meninges (R) (NK) (Contrast) 63014 01JUL2011 31DEC9999 Y - inflammation of the brain or meninges (R) (NK) (Contrast) 63015 01SEP1998 31DEC9999 Y - toxic or metabolic or ischaemic encephalopathy (R) (Anaes.) 63016 01JUL2011 31DEC9999 Y - skull base or orbital tumour (R) (NK) (Contrast) 63017 01JUL2011 31DEC9999 Y - stereotactic scan of brain, with Fiducials in place, for the sole purpose to allow planning for stereotactic neurosurgery (R) (NK) (Contrast) 63018 01SEP1998 31DEC9999 Y - demyelinating disease of the brain (R) (Anaes.) 63019 01MAR2024 31DEC9999 Y MRI-scan of head (including MRA if performed) for the assessment of suitability for the treatment of medically refractory essential tremor with magnetic resonance imaging-guided focused ultrasound Applicable once per patient per lifetime (R) (Contrast) 63020 01MAR2024 31DEC9999 Y MRI-scan of head (including MRA if performed) for the post-procedure assessment of the patient following magnetic resonance imaging-guided focused ultrasound for the treatment of medically refractory essential tremor Applicable once per patient per lifetime (R) (Contrast) 63021 01SEP1998 31DEC9999 Y - congenital malformation of brain or meninges (R) 63024 01SEP1998 31DEC9999 Y - venous sinus thrombosis (R) (Anaes.) 63040 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 2 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head for: - acoustic neuroma (R) (Contrast) 63040 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for acoustic neuroma (R) (Anaes.) (Contrast) 63041 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for acoustic neuroma (R) (Contrast) 63042 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for pituitary tumour (R) (Contrast) 63043 01AUG2004 30APR2020 N - pituitary tumour (R) (Contrast) 63043 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for pituitary tumour (R) (Anaes.) (Contrast) 63044 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for toxic or metabolic or ischaemic encephalopathy (R) (Contrast) 63045 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for demyelinating disease of the brain (R) (Contrast) 63046 01AUG2004 30APR2020 N - toxic or metabolic or ischaemic encephalopathy (R) (Contrast) 63046 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for toxic or metabolic or ischaemic encephalopathy (R) (Anaes.) (Contrast) 63047 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for congenital malformation of the brain or meninges (R) (Contrast) 63048 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for venous sinus thrombosis (R) (Contrast) 63049 01AUG2004 30APR2020 N - demyelinating disease of the brain (R) (Contrast) 63049 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for demyelinating disease of the brain (R) (Anaes.) (Contrast) 63050 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 2 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head and cervical spine for the exclusion of: - tumour of the central nervous system or meninges (R) (Anaes.) 63051 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for head trauma (R) (Contrast) 63052 01AUG2004 30APR2020 N - congenital malformation of the brain or meninges (R) (Contrast) 63052 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for congenital malformation of the brain or meninges (R) (Anaes.) (Contrast) 63053 01SEP1998 31DEC9999 Y - inflammation of the central nervous system or meninges (R) (Anaes.) 63054 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for epilepsy (R) (Contrast) 63055 01AUG2004 30APR2020 N - venous sinus thrombosis (R) (Contrast) 63055 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for venous sinus thrombosis (R) (Anaes.) (Contrast) 63056 01SEP1998 31DEC9999 Y - demyelinating disease of the central nervous system (R) (Anaes.) 63057 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for stroke (R) (Contrast) 63058 01AUG2004 30APR2020 N - head trauma (R) (Contrast) 63058 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for head trauma (R) (Anaes.) (Contrast) 63059 01SEP1998 31DEC9999 Y - congenital malformation of the central nervous system or meninges (R) (Anaes.) 63060 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for carotid or vertebral artery dissection (R) (Contrast) 63061 01AUG2004 30APR2020 N - epilepsy (R) (Contrast) 63061 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for epilepsy (R) (Anaes.) (Contrast) 63062 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63063 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for intracranial aneurysm (R) (Contrast) 63064 01AUG2004 30APR2020 N - stroke (R) (Contrast) 63064 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for stroke (R) (Anaes.) (Contrast) 63065 01JUL2006 31DEC9999 Y MRI - scan of head (including MRA, if performed) for intracranial arteriovenous malformation (R) (Contrast) 63067 01AUG2004 30APR2020 N - carotid or vertebral artery desection (R) (Contrast) 63067 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for carotid or vertebral artery dissection (R) (Anaes.) (Contrast) 63070 01AUG2004 30APR2020 N - intracranial aneurysm (R) (Contrast) 63070 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for intracranial aneurysm (R) (Anaes.) (Contrast) 63073 01AUG2004 30APR2020 N - intracranial arteriovenous malformation (R) (Contrast) 63073 01MAY2020 31DEC9999 Y MRI-scan of head (including MRA, if performed) for intracranial arteriovenous malformation (R) (Anaes.) (Contrast) 63074 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 2 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head for: - acoustic neuroma (R) (NK) (Contrast) 63075 01JUL2011 31DEC9999 Y - pituitary tumour (R) (NK) (Contrast) 63076 01JUL2011 31DEC9999 Y - toxic or metabolic or ischaemic encephalopathy (R) (NK) (Contrast) 63077 01JUL2011 31DEC9999 Y - demyelinating disease of the brain (R) (NK) (Contrast) 63078 01JUL2011 31DEC9999 Y - congenital malformation of the brain or meninges (R) (NK) (Contrast) 63079 01JUL2011 31DEC9999 Y - venous sinus thrombosis (R) (NK) (Contrast) 63080 01JUL2011 31DEC9999 Y - head trauma (R) (NK) (Contrast) 63081 01JUL2011 31DEC9999 Y - epilepsy (R) (NK) (Contrast) 63082 01JUL2011 31DEC9999 Y - stroke (R) (NK) (Contrast) 63083 01JUL2011 31DEC9999 Y - carotid or vertebral artery desection (R) (NK) (Contrast) 63084 01JUL2011 31DEC9999 Y - intracranial aneurysm (R) (NK) (Contrast) 63085 01JUL2011 31DEC9999 Y - intracranial arteriovenous malformation (R) (NK) (Contrast) 63100 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 3 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head for further investigation of: - tumour of the brain or meninges (R) (Anaes.) 63101 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 3 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY of extra and/or intracranial circulation, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head and neck vessels for: - stroke (R) (Contrast) 63101 01MAY2020 31DEC9999 Y MRI and MRA of extracranial or intracranial circulation (or both)-scan of head and neck vessels for stroke (R) (Anaes.) (Contrast) 63102 01JUL2006 31DEC9999 Y MRI and MRA of extracranial or intracranial circulation (or both) - scan of head and neck vessels for stroke (R) (Contrast) 63103 01SEP1998 31DEC9999 Y - skull base or orbital tumour (R) (Anaes.) 63104 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 3 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY of extra and/or intracranial circulation, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head and neck vessels for: - stroke (R) (NK) (Contrast) 63106 01SEP1998 31DEC9999 Y - acoustic neuroma (R) (Anaes.) 63109 01SEP1998 31DEC9999 Y - pituitary tumour (R) (Anaes.) 63111 01AUG2004 30APR2020 N MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head and cervical spine for: - tumour of the central nervous system or meninges (R) (Contrast) 63111 01MAY2020 31DEC9999 Y MRI-scan of head and cervical spine (including MRA, if performed) for tumour of the central nervous system or meninges (R) (Anaes.) (Contrast) 63112 01SEP1998 31DEC9999 Y - inflammation of the brain or meninges (R) (Anaes.) 63113 01JUL2006 31DEC9999 Y MRI - scan of head and cervical spine (including MRA, if performed) for tumour of the central nervous system or meninges (R) (Contrast) 63114 01AUG2004 30APR2020 N - inflammation of the central nervous system or meninges (R) (Contrast) 63114 01MAY2020 31DEC9999 Y MRI-scan of head and cervical spine (including MRA, if performed) for inflammation of the central nervous system or meninges (R) (Anaes.) (Contrast) 63115 01SEP1998 31DEC9999 Y - toxic or metabolic or ischaemic encephalopathy (R) (Anaes.) 63116 01JUL2006 31DEC9999 Y MRI - scan of head and cervical spine (including MRA, if performed) for inflammation of the central nervous system or meninges (R) (Contrast) 63117 01JUL2011 31DEC9999 Y MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head and cervical spine for: - tumour of the central nervous system or meninges (R) (NK) (Contrast) 63118 01SEP1998 31DEC9999 Y - demyelinating disease of the brain (R) (Anaes.) 63119 01JUL2011 31DEC9999 Y - inflammation of the central nervous system or meninges (R) (NK) (Contrast) 63121 01SEP1998 31DEC9999 Y - congenital malformation of the brain or meninges (R) (Anaes.) 63124 01SEP1998 31DEC9999 Y - head trauma (R) (Anaes.) 63125 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 5 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head and cervical spine for: - demyelinating disease of the central nervous system (R) (Contrast) 63125 01MAY2020 31DEC9999 Y MRI-scan of head and cervical spine (including MRA, if performed) for demyelinating disease of the central nervous system (R) (Anaes.) (Contrast) 63126 01JUL2006 31DEC9999 Y MRI - scan of head and cervical spine (including MRA, if performed) for demyelinating disease of the central nervous system (R) (Contrast) 63127 01SEP1998 31DEC9999 Y - epilepsy (R) (Anaes.) 63128 01AUG2004 30APR2020 N - congenital malformation of the central nervous system or meninges (R) (Contrast) 63128 01MAY2020 31DEC9999 Y MRI-scan of head and cervical spine (including MRA, if performed) for congenital malformation of the central nervous system or meninges (R) (Anaes.) (Contrast) 63129 01JUL2006 31DEC9999 Y MRI - scan of head and cervical spine (including MRA, if performed) for congenital malformation of the central nervous system or meninges (R) (Contrast) 63130 01SEP1998 31DEC9999 Y - stroke (R) (Anaes.) 63131 01AUG2004 30APR2020 N - syrinx (congenital or acquired) (R) (Contrast) 63131 01MAY2020 31DEC9999 Y MRI-scan of head and cervical spine (including MRA, if performed) for syrinx (congenital or acquired) (R) (Anaes.) (Contrast) 63132 01JUL2006 31DEC9999 Y MRI - scan of head and cervical spine (including MRA, if performed) for syrinx (congenital or acquired) (R) (Contrast) 63133 01SEP1998 31DEC9999 Y - venous sinus thrombosis (R) (Anaes.) 63134 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 5 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of head and cervical spine for: - demyelinating disease of the central nervous system (R) (NK) (Contrast) 63135 01JUL2011 31DEC9999 Y - congenital malformation of the central nervous system or meninges (R) (NK) (Contrast) 63136 01JUL2011 31DEC9999 Y - syrinx (congenital or acquired) (R) (NK) (Contrast) 63150 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 4 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head and cervical spine for further investigation of: - tumour of the central nervous system or meninges (R) (Anaes.) 63151 01AUG2004 30APR2020 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of one region or two contiguous regions of the spine for: - infection (R) (Contrast) 63151 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for infection (R) (Anaes.) (Contrast) 63152 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for infection (R) (Contrast) 63153 01SEP1998 31DEC9999 Y - inflammation of the central nervous system or meninges (R) (Anaes.) 63154 01AUG2004 30APR2020 N - tumour (R) (Contrast) 63154 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for tumour (R) (Anaes.) (Contrast) 63155 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for tumour (R) (Contrast) 63156 01SEP1998 31DEC9999 Y - demyelinating disease of the central nervous system (R) (Anaes.) 63157 01JUL2011 31DEC9999 Y MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of one region or two contiguous regions of the spine for: - infection (R) (NK) (Contrast) 63158 01JUL2011 31DEC9999 Y - tumour (R) (NK) (Contrast) 63159 01SEP1998 31DEC9999 Y - congenital malformation of the central nervous system or meninges (R) (Anaes.) 63161 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 7 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of one region or two contiguous regions of the spine for: - demyelinating (R) (Contrast) 63161 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for demyelinating disease (R) (Anaes.) (Contrast) 63162 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63163 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for demyelinating disease (R) (Contrast) 63164 01AUG2004 30APR2020 N - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Contrast) 63164 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) (Contrast) 63165 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or th emeninges (R) (Contrast) 63167 01AUG2004 30APR2020 N myelopathy (R) (Contrast) 63167 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for myelopathy (R) (Anaes.) (Contrast) 63168 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for myelopathy (R) (Contrast) 63169 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for syrinx (congenital or acquired) (R) (Contrast) 63170 01AUG2004 30APR2020 N - syrinx (congenital or acquired) (R) (Contrast) 63170 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for syrinx (congenital or acquired) (R) (Anaes.) (Contrast) 63171 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for cervical radiculopathy (R) (Contrast) 63172 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for sciatica (R) (Contrast) 63173 01AUG2004 30APR2020 N - cervical radiculopathy (R) (Contrast) 63173 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for cervical radiculopathy (R) (Anaes.) (Contrast) 63174 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for spinal canal stenosis (R) (Contrast) 63175 01JUL2006 31DEC9999 Y MRI - scan or 1 region or 2 contiguous regions of the spine for previous spinal surgery (R) (Contrast) 63176 01AUG2004 30APR2020 N - sciatica (R) (Contrast) 63176 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for sciatica (R) (Anaes.) (Contrast) 63177 01JUL2006 31DEC9999 Y MRI - scan of 1 region or 2 contiguous regions of the spine for trauma (R) 63179 01AUG2004 30APR2020 N - spinal canal stenosis (R) (Contrast) 63179 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for spinal canal stenosis (R) (Anaes.) (Contrast) 63182 01AUG2004 30APR2020 N - previous spinal surgery (R) (Contrast) 63182 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for previous spinal surgery (R) (Anaes.) (Contrast) 63185 01AUG2004 30APR2020 N - trauma (R) 63185 01MAY2020 31DEC9999 Y MRI-scan of one region or 2 contiguous regions of the spine for trauma (R) (Anaes.) 63186 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 7 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of one region or two contiguous regions of the spine for: - demyelinating (R) (NK) (Contrast) 63187 01JUL2011 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (NK) (Contrast) 63188 01JUL2011 31DEC9999 Y - myelopathy (R) (NK) (Contrast) 63189 01JUL2011 31DEC9999 Y - syrinx (congenital or acquired) (R) (NK) (Contrast) 63190 01JUL2011 31DEC9999 Y - cervical radiculopathy (R) (NK) (Contrast) 63191 01JUL2011 31DEC9999 Y - sciatica (R) (NK) (Contrast) 63192 01JUL2011 31DEC9999 Y - spinal canal stenosis (R) (NK) (Contrast) 63193 01JUL2011 31DEC9999 Y - previous spinal surgery (R) (NK) (Contrast) 63194 01JUL2011 31DEC9999 Y - trauma (R) (NK) 63200 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 5 on two occasions only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head for monitoring of: - acoustic neuroma (R) (Anaes.) 63201 01AUG2004 30APR2020 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of three contiguous regions or two non contiguous regions of the spine for: - infection (R) (Contrast) 63201 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for infection (R) (Anaes.) (Contrast) 63202 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for infection (R) (Contrast) 63203 01SEP1998 31DEC9999 Y - pituitary tumour (R) (Anaes.) 63204 01AUG2004 30APR2020 N - tumour (R) (Contrast) 63204 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for tumour (R) (Anaes.) (Contrast) 63205 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous of 2 non-contiguous regions of the spine for tumour (R) (Contrast) 63206 01SEP1998 31DEC9999 Y - demyelinating disease of the brain (R) (Anaes.) 63207 01JUL2011 31DEC9999 Y MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of three contiguous regions or two non contiguous regions of the spine for: - infection (R) (NK) (Contrast) 63208 01JUL2011 31DEC9999 Y - tumour (R) (NK) (Contrast) 63209 01SEP1998 31DEC9999 Y - congenital malformation of brain or meninges (R) (Anaes.) 63212 01SEP1998 31DEC9999 Y - head trauma (R) (Anaes.) 63215 01SEP1998 31DEC9999 Y - epilepsy (R) (Anaes.) 63218 01SEP1998 31DEC9999 Y - stroke (R) (Anaes.) 63219 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 9 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of three contiguous regions or two non contiguous regions of the spine for: - demyelinating disease (R) (Contrast) 63219 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for demyelinating disease (R) (Anaes.) (Contrast) 63220 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine of rdemyelinating disease (R) (Contrast) 63221 01SEP1998 31DEC9999 Y - toxic or metabolic or ischaemic encephalopathy (R) (Anaes.) 63222 01AUG2004 30APR2020 N - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Contrast) 63222 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) (Contrast) 63223 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Contrast) 63224 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for myelopathy (R) (Contrast) 63225 01AUG2004 30APR2020 N - myelopathy (R) (Contrast) 63225 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for myelopathy (R) (Anaes.) (Contrast) 63226 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for syrinx (congenital or acquired) (R) (Contrast) 63227 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for cervial radiculopathy (R) (Contrast) 63228 01AUG2004 30APR2020 N - syrinx (congenital or acquired ) (R) (Contrast) 63228 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for syrinx (congenital or acquired) (R) (Anaes.) (Contrast) 63229 27JUN2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for sciatica (R) (Contrast) 63230 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for spinal canal stenosis (R) (Contrast) 63231 01AUG2004 30APR2020 N - cervical radiculopathy (R) (Contrast) 63231 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for cervical radiculopathy (R) (Anaes.) (Contrast) 63232 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for previous spinal surgery (R) (Contrast) 63234 01AUG2004 30APR2020 N - sciatica (R) (Contrast) 63234 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for sciatica (R) (Anaes.) (Contrast) 63237 01AUG2004 30APR2020 N - spinal canal stenosis (R) (Contrast) 63237 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for spinal canal stenosis (R) (Anaes.) (Contrast) 63240 01AUG2004 30APR2020 N - previous spinal surgery (R) (Contrast) 63240 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for previous spinal surgery (R) (Anaes.) (Contrast) 63243 01AUG2004 30APR2020 N - trauma (R) 63243 01MAY2020 31DEC9999 Y MRI-scan of 3 contiguous or 2 non contiguous regions of the spine for trauma (R) (Anaes.) 63244 01JUL2006 31DEC9999 Y MRI - scan of 3 contiguous or 2 non-contiguous regions of the spine for trauma (R) 63250 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 6 on two occasions only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head and cervical spine for monitoring of: - demyelinating disease of the central nervous system (R) (Anaes.) 63253 01SEP1998 31DEC9999 Y - congenital malformation of the central nervous system or meninges (R) (Anaes.) 63256 01SEP1998 31DEC9999 Y -syrinx (congenital or acquired) (R) (Anaes.) 63257 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 9 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of three contiguous regions or two non contiguous regions of the spine for: - demyelinating disease (R) (NK) (Contrast) 63258 01JUL2011 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (NK) (Contrast) 63259 01JUL2011 31DEC9999 Y - myelopathy (R) (NK) (Contrast) 63260 01JUL2011 31DEC9999 Y - syrinx (congenital or acquired ) (R) (NK) (Contrast) 63261 01JUL2011 31DEC9999 Y - cervical radiculopathy (R) (NK) (Contrast) 63262 01JUL2011 31DEC9999 Y - sciatica (R) (NK) (Contrast) 63263 01JUL2011 31DEC9999 Y - spinal canal stenosis (R) (NK) (Contrast) 63264 01JUL2011 31DEC9999 Y - previous spinal surgery (R) (NK) (Contrast) 63265 01JUL2011 31DEC9999 Y - trauma (R) (NK) 63270 01SEP1998 31DEC9999 Y MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head for monitoring of: - tumour of the brain or meninges (R) (Anaes.) 63271 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 10 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of cervical spine and brachial plexus for: - tumour (R) (Contrast) 63271 01MAY2020 31DEC9999 Y MRI-scan of cervical spine and brachial plexus for tumour (R) (Anaes.) (Contrast) 63272 01JUL2006 31DEC9999 Y MRI - scan of cervial spine and brachial plexus for tumour (R) (Contrast) 63273 01SEP1998 31DEC9999 Y - skull base or orbital tumour (R) (Anaes.) 63274 01AUG2004 30APR2020 N - trauma (R) (Contrast) 63274 01MAY2020 31DEC9999 Y MRI-scan of cervical spine and brachial plexus for trauma (R) (Anaes.) (Contrast) 63275 01JUL2006 31DEC9999 Y MRI - scan of cervical spine and brachial plexus for trauma (R) (Contrast) 63276 01SEP1998 31DEC9999 Y - inflammation of brain or meninges (R) (Anaes.) 63277 01AUG2004 30APR2020 N - cervical radiculopathy (R) (Contrast) 63277 01MAY2020 31DEC9999 Y MRI-scan of cervical spine and brachial plexus for cervical radiculopathy (R) (Anaes.) (Contrast) 63278 01JUL2006 31DEC9999 Y MRI - scan of cervical spine and brachial plexus for cervical radiculopathy (R) (Contrast) 63279 01SEP1998 31DEC9999 Y - venous sinus thrombosis (R) (Anaes.) 63280 01AUG2004 30APR2020 N - previous surgery (R) (Contrast) 63280 01MAY2020 31DEC9999 Y MRI-scan of cervical spine and brachial plexus for previous surgery (R) (Anaes.) (Contrast) 63281 01JUL2006 31DEC9999 Y MRI - scan of cervical spine and brachial plexus for previous surgery (R) (Contrast) 63282 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 10 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of cervical spine and brachial plexus for: - tumour (R) (NK) (Contrast) 63283 01JUL2011 31DEC9999 Y - trauma (R) (NK) (Contrast) 63284 01JUL2011 31DEC9999 Y - cervical radiculopathy (R) (NK) (Contrast) 63285 01JUL2011 31DEC9999 Y - previous surgery (R) (NK) (Contrast) 63290 01SEP1998 31DEC9999 Y MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of head and cervical spine for monitoring of: - tumour of the central nervous system or meninges (R) (Anaes.) 63293 01SEP1998 31DEC9999 Y - inflammation of the central nervous system or meninges (R) (Anaes.) 63300 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 9 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of one region or two contiguous regions of the spine for the exclusion of: - infection (R) (Anaes.) 63301 01AUG2004 30APR2020 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of musculoskeletal system for: - tumour arising in bone or musculoskeletal system, this excludes tumours arising in breast, prostate or rectum (R) (Contrast) 63301 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for tumour arising in bone or musculoskeletal system, excluding tumours arising in breast, prostate or rectum (R) (Anaes.) (Contrast) 63302 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for tumour arising, in bone or musculoskeletal system, excluding tumours arising in breast, prostate or rectum (R) (Contrast) 63303 01SEP1998 31DEC9999 Y - tumour (R) (Anaes.) 63304 01AUG2004 30APR2020 N - infection arising in bone or musculoskeletal system, this excludes infection arising in breast, prostate or rectum (R) (Contrast) 63304 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for infection arising in bone or musculoskeletal system, excluding infection arising in breast, prostate or rectum (R) (Anaes.) (Contrast) 63305 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for infection arising in bone or musculoskeletal system, excluding infection arising in breast, prostate or rectum (R) (Contrast) 63306 01SEP1998 31DEC9999 Y - demyelinating disease (R) (Anaes.) 63307 01AUG2004 30APR2020 N - osteonecrosis (R) (Contrast) 63307 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for osteonecrosis (R) (Anaes.) (Contrast) 63308 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for osteonecrosis (R) (Contrast) 63309 01SEP1998 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) 63310 01JUL2011 31DEC9999 Y MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of musculoskeletal system for: - tumour arising in bone or musculoskeletal system, this excludes tumours arising in breast, prostate or rectum (R) (NK) (Contrast) 63311 01JUL2011 31DEC9999 Y - infection arising in bone or musculoskeletal system, this excludes infection arising in breast, prostate or rectum (R) (NK) (Contrast) 63312 01SEP1998 31DEC9999 Y - myelopathy (R) (Anaes.) 63313 01JUL2011 31DEC9999 Y - osteonecrosis (R) (NK) (Contrast) 63315 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63322 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 12 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of musculoskeletal system for: - derangement of hip or its supporting structures (R) (Contrast) 63322 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for derangement of hip or its supporting structures (R) (Anaes.) (Contrast) 63323 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for derangement of hip or its supporting structures (R) (Contrast) 63324 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for derangement of shoulder its supporting structures (R) (Contrast) 63325 01AUG2004 30APR2020 N - derangment of shoulder or its supporting structures (R) (Contrast) 63325 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for derangement of shoulder or its supporting structures (R) (Anaes.) (Contrast) 63326 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for derangement of knee or its supporting structures (R) (Contrast) 63327 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (Contrast) 63328 01AUG2004 30APR2020 N - derangment of knee or its supporting structures (R) (Contrast) 63328 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for derangement of knee or its supporting structures (R) (Anaes.) (Contrast) 63329 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for derangement of 1 or both temporomandibular joints or their supporting structures (R) (Contrast) 63330 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (Contrast) 63331 01AUG2004 30APR2020 N - derangment of ankle and/or foot or its supporting structures (R) (Contrast) 63331 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (Anaes.) (Contrast) 63332 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for derangement of elbow or its supporting structures (R) (Contrast) 63334 01AUG2004 30APR2020 N - derangment of one or both temporomandibular joints or their supporting structures (R) (Contrast) 63334 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for derangement of one or both temporomandibular joints or their supporting structures (R) (Anaes.) (Contrast) 63337 01AUG2004 30APR2020 N - derangment of wrist and/or hand or its supporting structures (R) (Contrast) 63337 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (Anaes.) (Contrast) 63340 01AUG2004 30APR2020 N - derangment of elbow or its supporting structures (R) (Contrast) 63340 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for derangement of elbow or its supporting structures (R) (Anaes.) (Contrast) 63341 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 12 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of musculoskeletal system for: - derangement of hip or its supporting structures (R) (NK) (Contrast) 63342 01JUL2011 31DEC9999 Y - derangement of shoulder or its supporting structures (R) (NK) (Contrast) 63343 01JUL2011 31DEC9999 Y - derangement of knee or its supporting structures (R) (NK) (Contrast) 63345 01JUL2011 31DEC9999 Y - derangement of ankle and/or foot or its supporting structures (R) (NK) (Contrast) 63346 01JUL2011 31DEC9999 Y - derangement of one or both temporomandibular joints or their supporting structures (R) (NK) (Contrast) 63347 01JUL2011 31DEC9999 Y - derangement of wrist and/or hand or its supporting structures (R) (NK) (Contrast) 63348 01JUL2011 31DEC9999 Y - derangement of elbow or its supporting structures (R) (NK) (Contrast) 63350 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 10 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of three contiguous regions or two non contiguous regions of the spine for the exclusion of: - infection (R) (Anaes.) 63353 01SEP1998 31DEC9999 Y - tumour (R) (Anaes.) 63356 01SEP1998 31DEC9999 Y - demyelinating disease (R) (Anaes.) 63359 01SEP1998 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) 63361 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 13 on two occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of musculoskeletal system for: - Gaucher disease (R) 63361 01MAY2020 31DEC9999 Y MRI-scan of musculoskeletal system for Gaucher disease (R) (Anaes.) 63362 01SEP1998 31DEC9999 Y - myelopathy (R) (Anaes.) 63363 01JUL2006 31DEC9999 Y MRI - scan of musculoskeletal system for Gaucher disease (R) 63364 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 13 on two occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of musculoskeletal system for: - Gaucher disease (R) (NK) 63365 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63385 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 14 on two occasions only in any 12 month period MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of cardiovascular system for: - congenital disease of the heart or a great vessel (R) (Contrast) 63385 01MAY2020 31DEC9999 Y MRI-scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Anaes.) (Contrast) 63386 01JUL2006 31DEC9999 Y MRI - scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Contrast) 63387 01JUL2006 31DEC9999 Y MRI - scan of cardiovascular system for tumour of the heart or a great vessel (R) (Contrast) 63388 01AUG2004 30APR2020 N - tumour of the heart or a great vessel (R) (Contrast) 63388 01MAY2020 31DEC9999 Y MRI-scan of cardiovascular system for tumour of the heart or a great vessel (R) (Anaes.) (Contrast) 63389 01JUL2006 31DEC9999 Y MRI - scan of cardiovascular system for abnormality of thoracic aorta (R) (Contrast) 63391 01AUG2004 30APR2020 N - abnormality of thoracic aorta (R) (Contrast) 63391 01MAY2020 31DEC9999 Y MRI-scan of cardiovascular system for abnormality of thoracic aorta (R) (Anaes.) (Contrast) 63392 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 14 on two occasions only in any 12 month period MAGNETIC RESONANCE IMAGING (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of cardiovascular system for: - congenital disease of the heart or a great vessel (R) (NK) (Contrast) 63393 01JUL2011 31DEC9999 Y - tumour of the heart or a great vessel (R) (NK) (Contrast) 63394 01JUL2011 31DEC9999 Y - abnormality of thoracic aorta (R) (NK) (Contrast) 63395 01MAY2018 02AUG2018 N MRI scan of the cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that: (d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or (e) investigative findings in relation to the patient are consistent with ARVC NOTE: benefits are payable once in 12 months (R) (K) (Contrast) 63395 03AUG2018 09AUG2018 N MRI scan of the cardiovascular system, performed by a specialist in diagnostic radiology or a consultant physician who is recognised by the Conjoint Committee for Certification in Cardiac MRI, for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that: (d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or (e) investigative findings in relation to the patient are consistent with ARVC NOTE: benefits are payable once in 12 months (R) (K) (Contrast) 63395 10AUG2018 30APR2020 N MRI scan of the cardiovascular system, performed by a person who is: (a) a specialist in diagnostic radiology or a consultant physician; and (b) recognised by the Conjoint Committee for Certification in Cardiac MRI for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that: (d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or (e) investigative findings in relation to the patient are consistent with ARVC NOTE: benefits are payable once in 12 months (R) (K) (Contrast) 63395 01MAY2020 31DEC9999 Y MRI-scan of cardiovascular system for assessment of myocardial structure and function involving:(a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that:(d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or(e) investigative findings in relation to the patient are consistent with ARVC(R) (Contrast) 63396 01MAY2018 02AUG2018 N MRI scan of the cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that: (d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or (e) investigative findings in relation to the patient are consistent with ARVC NOTE: benefits are payable once in 12 months (R) (NK) (Contrast) 63396 03AUG2018 09AUG2018 N MRI scan of the cardiovascular system, performed by a specialist in diagnostic radiology or a consultant physician who is recognised by the Conjoint Committee for Certification in Cardiac MRI, for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that: (d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or (e) investigative findings in relation to the patient are consistent with ARVC NOTE: benefits are payable once in 12 months (R) (NK) (Contrast) 63396 10AUG2018 31DEC9999 Y MRI scan of the cardiovascular system, performed by a person who is: (a) a specialist in diagnostic radiology or a consultant physician; and (b) recognised by the Conjoint Committee for Certification in Cardiac MRI for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that: (d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or (e) investigative findings in relation to the patient are consistent with ARVC NOTE: benefits are payable once in 12 months (R) (NK) (Contrast) 63397 01MAY2018 02AUG2018 N MRI scan of the cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that the patient: (d) is asymptomatic; and (e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC) NOTE: benefits are payable once in 36 months (R) (K) (Contrast) 63397 03AUG2018 09AUG2018 N MRI scan of the cardiovascular system, performed by a specialist in diagnostic radiology or a consultant physician who is recognised by the Conjoint Committee for Certification in Cardiac MRI, for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that the patient: (d) is asymptomatic; and (e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC) NOTE: benefits are payable once in 36 months (R) (K) (Contrast) 63397 10AUG2018 30APR2020 N MRI scan of the cardiovascular system, performed by a person who is: (a) a specialist in diagnostic radiology or a consultant physician; and (b) recognised by the Conjoint Committee for Certification in Cardiac MRI for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that the patient: (d) is asymptomatic; and (e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC) NOTE: benefits are payable once in 36 months (R) (K) (Contrast) 63397 01MAY2020 31DEC9999 Y MRI-scan of cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that the patient:(d) is asymptomatic; and(e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC)(R) (Contrast) 63398 01MAY2018 02AUG2018 N MRI scan of the cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that the patient: (d) is asymptomatic; and (e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC) NOTE: benefits are payable once in 36 months (R) (NK) (Contrast) 63398 03AUG2018 09AUG2018 N MRI scan of the cardiovascular system, performed by a specialist in diagnostic radiology or a consultant physician who is recognised by the Conjoint Committee for Certification in Cardiac MRI, for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that the patient: (d) is asymptomatic; and (e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC) NOTE: benefits are payable once in 36 months (R) (NK) (Contrast) 63398 10AUG2018 31DEC9999 Y MRI scan of the cardiovascular system, performed by a person who is: (a) a specialist in diagnostic radiology or a consultant physician; and (b) recognised by the Conjoint Committee for Certification in Cardiac MRI for the assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and (b) 3D volumetric assessment of the right ventricle; and (c) reporting of end-diastolic and end-systolic volumes, ejection fraction and BSA-indexed values; if the request for the scan indicates that the patient: (d) is asymptomatic; and (e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC) NOTE: benefits are payable once in 36 months (R) (NK) (Contrast) 63399 01JAN2022 31DEC9999 Y MRI-scan of cardiovascular system for the assessment of myocardial structure and function, if the service is requested by a consultant physician who has assessed the patient, and the request for the scan indicates: the patient has suspected myocarditis after receiving a mRNA COVID-19 vaccine; and the patient had symptom onset within 21 days of a mRNA COVID-19 vaccine administration; and the results from the following examinations are inconclusive to form a diagnosis of myocarditis:(i) echocardiogram; and(ii) troponin; and(iii) chest X-ray. Applicable not more than once in a patient's lifetime (R) (Contrast) 63400 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 11 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of one region or two contiguous regions of the spine for further investigation of: - infection (R) (Anaes.) 63401 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 15 on three occasions only in any 12 month period MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system for: - vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) 63401 01MAY2020 31DEC9999 Y MRA-if the request for the scan specifically identifies the clinical indication for the scan-scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) 63402 01JUL2006 31DEC9999 Y MRA - if the request for the scan specifically identifies the clinical identification for the scan - scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) 63403 01SEP1998 31DEC9999 Y - tumour (R) (Anaes.) 63404 01AUG2004 30APR2020 N - obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) 63404 01MAY2020 31DEC9999 Y MRA-if the request for the scan specifically identifies the clinical indication for the scan-scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) 63405 01JUL2006 31DEC9999 Y MRA - if the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) 63406 01SEP1998 31DEC9999 Y - demyelinating disease (R) (Anaes.) 63407 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 15 on three occasions only in any 12 month period MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system for: - vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (NK) (Contrast) 63408 01JUL2011 31DEC9999 Y - obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (NK) (Contrast) 63409 01SEP1998 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) 63412 01SEP1998 31DEC9999 Y - myelopathy (R) (Anaes.) 63415 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63416 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 16 on one occasion only in any 12 month period MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of person under the age of 16 for: - the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Contrast) 63416 01MAY2020 31DEC9999 Y MRA-scan of person under the age of 16 for the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Contrast) 63417 01JUL2006 31DEC9999 Y MRA - scan of person under the age of 16 for the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Contrast) 63418 01SEP1998 31DEC9999 Y - cervical radiculopathy (R) (Anaes.) 63419 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 16 on one occasion only in any 12 month period MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of person under the age of 16 for: - the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) NK) (Contrast) 63421 01SEP1998 31DEC9999 Y - sciatica (R) (Anaes.) 63424 01SEP1998 31DEC9999 Y - spinal canal stenosis (R) (Anaes.) 63425 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 17 on two occasions only in any 12 month period, for previously diagnosed conditions MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of person under the age of 16 for: - post-inflammatory or post-traumatic physeal fusion (R) 63425 01MAY2020 31DEC9999 Y MRI-scan of person under the age of 16 for post inflammatory or post traumatic physeal fusion (R) 63426 01JUL2006 31DEC9999 Y MRI - scan of person under the age of 16 for post-inflammatory or post-traumatic physeal fusion (R) 63427 01SEP1998 31DEC9999 Y - previous spinal surgery (R) (Anaes.) 63428 01AUG2004 30APR2020 N - Gaucher disease (R) 63428 01MAY2020 31DEC9999 Y MRI-scan of person under the age of 16 for Gaucher disease (R) 63429 01JUL2006 31DEC9999 Y MRI - scan of person under the age of 16 for Gaucher disease (R) 63430 01SEP1998 31DEC9999 Y - trauma (R) (Anaes.) 63432 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 17 on two occasions only in any 12 month period, for previously diagnosed conditions MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of person under the age of 16 for: - post-inflammatory or post-traumatic physeal fusion (R) (NK) 63433 01JUL2011 31DEC9999 Y - Gaucher disease (R) (NK) 63440 01AUG2004 30APR2020 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of person under the age of 16 for: - pelvic or abdominal mass (R) (Contrast) 63440 01MAY2020 31DEC9999 Y MRI-scan of person under the age of 16 for pelvic or abdominal mass (R) (Contrast) 63441 01JUL2006 31DEC9999 Y MRI - scan of person under the age of 16 for pelvic or abdominal mass (R) (Contrast) 63442 01JUL2006 31DEC9999 Y MRI - scan of person under the age of 16 for mediastinal mass (R) (Contrast) 63443 01AUG2004 30APR2020 N - mediastinal mass (R) (Contrast) 63443 01MAY2020 31DEC9999 Y MRI-scan of person under the age of 16 for mediastinal mass (R) (Contrast) 63444 01JUL2006 31DEC9999 Y MRI - scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) 63446 01AUG2004 30APR2020 N - congenital uterine or anorectal abnormality (R) (Contrast) 63446 01MAY2020 31DEC9999 Y MRI-scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) 63447 01JUL2011 31DEC9999 Y MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of person under the age of 16 for: - pelvic or abdominal mass (R) (NK) (Contrast) 63448 01JUL2011 31DEC9999 Y - mediastinal mass (R) (NK) (Contrast) 63449 01JUL2011 31DEC9999 Y - congenital uterine or anorectal abnormality (R) (NK) (Contrast) 63450 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 12 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of three contiguous regions or two non contiguous regions of the spine for further investigation of: - infection (R) (Anaes.) 63453 01SEP1998 31DEC9999 Y - tumour (R) (Anaes.) 63454 01MAY2019 31JUL2019 N MAGNETIC RESONANCE IMAGING scan of the pelvis or abdomen, where: (a) the patient is referred by a specialist obstetrician; and(b) the patient is pregnant at 18 weeks gestation or greater; and(c) a fetal central nervous system (CNS) abnormality is suspected and diagnosis is indeterminate; and(d) further examination is clinically indicated in the same pregnancy to which item 55712 or 55715 or 55719 or 55720 or 55721 or 55724 or 55725 or 55727 applies. (R) (K) (Anaes.) (Contrast) 63454 01AUG2019 30APR2020 N MAGNETIC RESONANCE IMAGING scan of the pelvis or abdomen, where:(a) the patient is referred by a specialist obstetrician; and(b) the patient is pregnant at 18 weeks gestation or greater; and(c) a fetal central nervous system (CNS) abnormality is suspected; and (d) an ultrasound provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics, has been performed and diagnosis is indeterminate or requires further examination. (R) (K) (Contrast) 63454 01MAY2020 30JUN2021 N MRI - scan of the pelvis or abdomen, if: (a) the pregnancy is at, or after, 18 weeks gestation; and(b) fetal central nervous system abnormality is suspected; and(c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and(d) the diagnosis is indeterminate or requires further examination; and(e) the service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) 63454 01JUL2021 31OCT2022 N MRI - scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and(b) fetal central nervous system abnormality is suspected; and(c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and(d) the diagnosis is indeterminate or requires further examination; and(e) the service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) 63454 01NOV2022 31DEC9999 Y MRI scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) 63455 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 19 on one occasion only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of body for: - adrenal mass in a patient with malignancy which is otherwise resectable (R) (NK) 63456 01SEP1998 31DEC9999 Y - demyelinating disease (R) (Anaes.) 63457 01JUL2011 31DEC2013 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the woman is asymptomatic and is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer, due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives: - has been diagnosed with bilateral breast cancer; - had onset of breast cancer before the age of 40 years; - had onset of ovarian cancer before the age of 50 years; - has been diagnosed with breast and ovarian cancer, at the same time or at different times; - has Ashkenazi Jewish ancestry; - is a male relative who has been diagnosed with breast cancer; (C) 1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period (NK) 63457 01JAN2014 31DEC9999 Y MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the person is asymptomatic and is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer, due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives: - has been diagnosed with bilateral breast cancer; - had onset of breast cancer before the age of 40 years; - had onset of ovarian cancer before the age of 50 years; - has been diagnosed with breast and ovarian cancer, at the same time or at different times; - has Ashkenazi Jewish ancestry; - is a male relative who has been diagnosed with breast cancer; (C) 1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period (NK) 63458 01JUL2011 31DEC2013 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the woman has had an abnormality detected as a result of a service described in item 63464 or 63457 performed in the previous 12 months Scan of both breasts for: - detection of cancer (R) NOTE 1: Benefits are payable on one occasion only in any 12 month period NOTE 2: This item is intended for follow-up imaging of abnormalities diagnosed on a scan described by item 63464 or 63457 (NK) 63458 01JAN2014 31DEC9999 Y MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the person has had an abnormality detected as a result of a service described in item 63464 or 63457 performed in the previous 12 months Scan of both breasts for: - detection of cancer (R) NOTE 1: Benefits are payable on one occasion only in any 12 month period NOTE 2: This item is intended for follow-up imaging of abnormalities diagnosed on a scan described by item 63464 or 63457 (NK) 63459 01SEP1998 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) 63460 01MAY2019 31JUL2019 N MAGNETIC RESONANCE IMAGING scan of the pelvis or abdomen, where: (a) the patient is referred by a specialist obstetrician; and(b) the patient is pregnant at 18 weeks gestation or greater; and(c) a fetal central nervous system (CNS) abnormality is suspected and diagnosis is indeterminate; and(d) further examination is clinically indicated in the same pregnancy to which item 55712 or 55715 or 55719 or 55720 or 55721 or 55724 or 55725 or 55727 applies. (R) (NK) (Anaes.) (Contrast) 63460 01AUG2019 31DEC9999 Y MAGNETIC RESONANCE IMAGING scan of the pelvis or abdomen, where:(a) the patient is referred by a specialist obstetrician; and(b) the patient is pregnant at 18 weeks gestation or greater; and(c) a fetal central nervous system (CNS) abnormality is suspected; and (d) an ultrasound provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics, has been performed and diagnosis is indeterminate or requires further examination. (R) (NK) (Contrast) 63461 01AUG2004 30APR2020 N NOTE: Benefits are payable for each service included by Subgroup 19 on one occasion only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of body for: - adrenal mass in a patient with malignancy which is otherwise resecetable (R) 63461 01MAY2020 31DEC9999 Y MRI-scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) 63462 01SEP1998 31DEC9999 Y - myelopathy (R) (Anaes.) 63463 01JUL2006 31DEC9999 Y MRI - scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) 63464 01FEB2009 16APR2009 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the woman is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, including any of the following features: - bilateral breast cancer; - onset of breast cancer before the age of 40 years; - onset of ovarian cancer before the age of 50 years; - breast and ovarian cancer in one relative; - Ashkenazi Jewish ancestry; - breast cancer in a male relative; (C)1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period 63464 17APR2009 31DEC2009 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the woman is asymptomatic and is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, including any of the following features: - bilateral breast cancer; - onset of breast cancer before the age of 40 years; - onset of ovarian cancer before the age of 50 years; - breast and ovarian cancer in one relative; - Ashkenazi Jewish ancestry; - breast cancer in a male relative; (C)1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period 63464 01JAN2010 31DEC2013 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the woman is asymptomatic and is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer, due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives: - has been diagnosed with bilateral breast cancer; - had onset of breast cancer before the age of 40 years; - had onset of ovarian cancer before the age of 50 years; - has been diagnosed with breast and ovarian cancer, at the same time or at different times; - has Ashkenazi Jewish ancestry; - is a male relative who has been diagnosed with breast cancer; (C) 1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period 63464 01JAN2014 30APR2020 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the person is asymptomatic and is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer, due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives: - has been diagnosed with bilateral breast cancer; - had onset of breast cancer before the age of 40 years; - had onset of ovarian cancer before the age of 50 years; - has been diagnosed with breast and ovarian cancer, at the same time or at different times; - has Ashkenazi Jewish ancestry; - is a male relative who has been diagnosed with breast cancer; (C) 1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period 63464 01MAY2020 31OCT2022 N MRI-scan of both breasts for the detection of cancer, if a dedicated breast coil is used, the request for the scan identifies that the person is asymptomatic and is younger than 50 years of age, and the request for the scan identifies: (a) that the patient is at high risk of developing breast cancer, due to one of the following:(i) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer;(ii) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the relatives has been diagnosed with bilateral breast cancer, had onset of breast cancer before the age of 40 years, had onset of ovarian cancer before the age of 50 years, has been diagnosed with breast and ovarian cancer (at the same time or at different times), has Ashkenazi Jewish ancestry or is a male relative who has been diagnosed with breast cancer;(iii) one first or second degree relative diagnosed with breast cancer at age 45 years or younger, and another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or(b) that genetic testing has identified the presence of a high risk breast cancer gene mutation (R) 63464 01NOV2022 31DEC9999 Y MRI scan of both breasts for the detection of cancer in a patient, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient is asymptomatic and is younger than 60 years of age; and (c) the request for the scan identifies that the patient is at high risk of developing breast cancer due to one or more of the following: (i) genetic testing has identified the presence of a high risk breast cancer gene mutation in the patient or in a first degree relative of the patient; (ii) both: (A) one of the patient's first or second degree relatives was diagnosed with breast cancer at age 45 years or younger; and (B) another first or second degree relative on the same side of the patient's family was diagnosed with bone or soft tissue sarcoma at age 45 years or younger; (iii) the patient has a personal history of breast cancer before the age of 50 years; (iv) the patient has a personal history of mantle radiation therapy; (v) the patient has a lifetime risk estimation greater than 30% or a 10 year absolute risk estimation greater than 5% using a clinically relevant risk evaluation algorithm; and (d) the service is not performed in conjunction with item 55076 or 55079 Applicable not more than once in a 12 month period (R) (Contrast) 63465 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63466 01FEB2009 16APR2009 N NOTE: benefits are payable on one occasion only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the woman is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, including any of the following features: - bilateral breast cancer; - onset of breast cancer before the age of 40 years; - onset of ovarian cancer before the age of 50 years; - breast and ovarian cancer in one relative; - Ashkenazi Jewish ancestry; - breast cancer in a male relative; (C)1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) 63466 17APR2009 31DEC2009 N NOTE: benefits are payable on one occasion only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the woman is asymptomatic and is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives: - has been diagnosed with bilateral breast cancer; - had onset of breast cancer before the age of 40 years; - had onset of ovarian cancer before the age of 50 years; - has been diagnosed with breast and ovarian cancer, at the same time or at different times; - has Ashkenazi Jewish ancestry; - is a male relative who has been diagnosed with breast cancer; (C)1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period 63466 01JAN2010 31DEC9999 Y NOTE: benefits are payable on one occasion only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the request for scan identifies that the woman is asymptomatic and is less than 50 years of age; and (c) the request for scan identifies either: (i) that the patient is at high risk of developing breast cancer, due to 1 of the following: (A) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer; (B) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the following applies to at least 1 of the relatives: - has been diagnosed with bilateral breast cancer; - had onset of breast cancer before the age of 40 years; - had onset of ovarian cancer before the age of 50 years; - has been diagnosed with breast and ovarian cancer, at the same time or at different times; - has Ashkenazi Jewish ancestry; - is a male relative who has been diagnosed with breast cancer; (C) 1 first or second degree relative diagnosed with breast cancer at age 45 years or younger, plus another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or (ii) that genetic testing has identified the presence of a high risk breast cancer gene mutation. Scan of both breasts for: - detection of cancer (R) NOTE: Benefits are payable on one occasion only in any 12 month period 63467 01FEB2009 31DEC2013 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the woman has had an abnormality detected as a result of a service described in item 63464 performed in the previous 12 months Scan of both breasts for: - detection of cancer (R) NOTE 1: Benefits are payable on one occasion only in any 12 month period NOTE 2: This item is intended for follow-up imaging of abnormalities diagnosed on a scan described by item 63464 63467 01JAN2014 30APR2020 N MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the person has had an abnormality detected as a result of a service described in item 63464 performed in the previous 12 months Scan of both breasts for: - detection of cancer (R) NOTE 1: Benefits are payable on one occasion only in any 12 month period NOTE 2: This item is intended for follow-up imaging of abnormalities diagnosed on a scan described by item 63464 63467 01MAY2020 31DEC9999 Y MRI-scan of both breasts for the detection of cancer, if:(a) a dedicated breast coil is used; and(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) 63468 01SEP1998 31DEC9999 Y - cervical radiculopathy (R) (Anaes.) 63469 01FEB2009 31DEC9999 Y MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a dedicated breast coil is used; and (b) the woman has had an abnormality detected as a result of a service described in item 63464 performed in the previous 12 months Scan of both breasts for: - detection of cancer (R) NOTE 1: Benefits are payable on one occasion only in any 12 month period NOTE 2: This item is intended for follow-up imaging of abnormalities diagnosed on a scan described by item 63466 63470 01AUG2004 31OCT2010 N NOTE: Benefits are payable for a service included by Subgroup 20 on one occasion only. MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where: (a) the patient is referred by a specialist or by a consultant physician and (b) the request for scan identifies that (i) a histological diagnosis of carcinoma of the cervix has been made and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater Scan of: - Pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Contrast) 63470 01NOV2010 30APR2020 N NOTE: Benefits are payable for a service under items 63470 and 63473 on one occasion only. MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where: (a) the patient is referred by a specialist or by a consultant physician and (b) the request for scan identifies that (i) a histological diagnosis of carcinoma of the cervix has been made and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater Scan of: - Pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Contrast) 63470 01MAY2020 31DEC9999 Y MRI-scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) 63471 01SEP1998 31DEC9999 Y - sciatica (R) (Anaes.) 63472 01JUL2006 31DEC9999 Y MRI - if: (a) the patient is referred by a specialist or by a consultant physician; and (b) the request for scan identifies that: (i) a histological diagnosis of carcinoma of the cervix has been made; and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater - scan of pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Contrast) 63473 01AUG2004 30APR2020 N - Pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Contrast) 63473 01MAY2020 31DEC9999 Y MRI-scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for the scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) 63474 01SEP1998 31DEC9999 Y - spinal canal stenosis (R) (Anaes.) 63475 01JUL2006 31DEC9999 Y MRI - if: (a) the patient is referred by a specialist or by a consultant physician; and (b) the request for scan identifies that: (i) a histological diagnosis of carcinoma of the cervix has been made; and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater - scan of pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Contrast) 63476 01JUL2009 31OCT2010 N NOTE: benefits are payable for a service included by Subgroup 20 on one occasion only. MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a phased array body coil is used, and (b) the request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum). Scan of: - Pelvis for the initial staging of rectal cancer (R) (contrast) 63476 01NOV2010 30APR2020 N NOTE: benefits are payable for a service under item 63476 on one occasion only. MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a phased array body coil is used, and (b) the request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum). Scan of: - Pelvis for the initial staging of rectal cancer (R) (contrast) 63476 01MAY2020 31DEC9999 Y MRI-scan of the pelvis for the initial staging of rectal cancer, if: (a) a phased array body coil is used; and(b) the request for the scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum) (R) (Contrast) 63477 01SEP1998 31DEC9999 Y - previous spinal surgery (R) (Anaes.) 63478 01JUL2009 31DEC9999 Y NOTE: benefits are payable for a service included by Subgroup 20 on one occasion only. MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a phased array body coil is used, and (b) the request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum). Scan of: - Pelvis for the initial staging of rectal cancer (R) (contrast) 63479 01JUL2011 31DEC9999 Y NOTE: Benefits are payable for a service included by Subgroup 20 on one occasion only. MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where: (a) the patient is referred by a specialist or by a consultant physician and (b) the request for scan identifies that (i) a histological diagnosis of carcinoma of the cervix has been made and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater Scan of: - Pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (NK) (Contrast) 63480 01SEP1998 31DEC9999 Y - trauma (R) (Anaes.) 63481 01JUL2011 31DEC9999 Y - Pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (NK) (Contrast) 63482 01JAN2006 31OCT2012 N NOTE: Benefits are only payable for each service included by Subgroup 21 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of pancreas and biliary tree for: - suspected biliary or pancreatic pathology (R) (Contrast) 63482 01NOV2012 30APR2020 N NOTE: Benefits are only payable for each service included by Subgroup 21 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of pancreas and biliary tree for: - suspected biliary or pancreatic pathology (R) 63482 01MAY2020 31DEC9999 Y MRI-scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) 63483 01JUL2006 31DEC9999 Y MRI - scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) 63484 01JUL2011 31DEC9999 Y NOTE: benefits are payable for a service included by Subgroup 20 on one occasion only. MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where: (a) a phased array body coil is used, and (b) the request for scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum). Scan of: - Pelvis for the initial staging of rectal cancer (R) (NK) (contrast) 63486 01JUL2011 31DEC9999 Y NOTE: Benefits are only payable for each service included by Subgroup 21 on three occasions only in any 12 month period MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician - scan of pancreas and biliary tree for: - suspected biliary or pancreatic pathology (R) (NK) 63487 01NOV2016 30APR2020 N MRI-performed under the professional supervision of an eligible provider at an eligible location, if: (a) the patient is referred by a specialist or a consultant physician; and (b) a dedicated breast coil is used; and (c) the request for the scan identifies that: (i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and (ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (K) (Anaes) 63487 01MAY2020 31DEC9999 Y MRI-scan of both breasts, if:(a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.) 63488 01NOV2016 31DEC9999 Y MRI-performed under the professional supervision of an eligible provider at an eligible location, if: (a) the patient is referred by a specialist or a consultant physician; and (b) a dedicated breast coil is used; and (c) the request for the scan identifies that: (i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and (ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (NK) (Anaes) 63489 01NOV2016 30APR2020 N MRI-guided biopsy, performed under the professional supervision of an eligible provider at an eligible location, if: (a) the patient is referred by a specialist or a consultant physician; and (b) a dedicated breast coil is used; and (c) the request for the scan identifies that: (i) the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (ii) the lesion is not amenable to biopsy guided by conventional imaging; and (d) a repeat ultrasound scan of the affected breast is performed: (i) before the guided biopsy is performed; and (ii) as part of the service under this item (R) (K) (Anaes.) 63489 01MAY2020 31OCT2021 N MRI-guided biopsy, if:(a) the request for the scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and(b) an ultrasound scan of the affected breast, performed immediately before the biopsy, confirms that the lesion is not amenable to biopsy guided by conventional imaging; and(c) a dedicated breast coil is used (R) (Anaes.) 63489 01NOV2021 31DEC9999 Y MRI-scan of one breast, performed in conjunction with a biopsy procedure on that breast and an ultrasound scan of that breast, if: (a) the request for the MRI scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (b) the ultrasound scan is performed immediately before the MRI scan and confirms that the lesion is not amenable to biopsy guided by conventional imaging; and (c) a dedicated breast coil is used (R) 63490 01NOV2016 31DEC9999 Y MRI-guided biopsy performed under the professional supervision of an eligible provider at an eligible location, if: (a) the patient is referred by a specialist or a consultant physician; and (b) a dedicated breast coil is used; and (c) the request for the scan identifies that: (i) the patient has a suspicious lesion seen on MRI but not on conventional imaging; and (ii) the lesion is not amenable to biopsy guided by conventional imaging; and (d) a repeat ultrasound scan of the affected breast is performed: (i) before the guided biopsy is performed; and (ii) as part of the service under this item (R) (NK) (Anaes.) 63491 01AUG2004 31OCT2012 N NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. Modifying items for use with MAGNETIC RESONANCE IMAGING or MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician. Scan performed: - involves the use of contrast agent for eligible Magnetic Resonance Imaging items (Note: (Contrast) denotes an item eligible for use with this item) 63491 01NOV2012 30APR2020 N NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. Modifying items for use with MAGNETIC RESONANCE IMAGING or MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the service requested by a medical practitioner. Scan performed: - involves the use of contrast agent for eligible Magnetic Resonance Imaging items (Note: (Contrast) denotes an item eligible for use with this item) 63491 01MAY2020 31DEC9999 Y NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the item for the service includes in its description '(Contrast)'; and(c) the service is performed using a contrast agent 63492 01JUL2006 31OCT2012 N MRI or MRA service to which an item in the Group (other than an item in this Subgroup) applies if: (a) the item for the service includes in its description '(Contrast)'; and (b) the service is performed using a contrast agent 63492 01NOV2012 31DEC9999 Y NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. Modifying items for use with MAGNETIC RESONANCE IMAGING or MAGNETIC RESONANCE ANGIOGRAPHY performed under the professional supervision of an eligible provider at an eligible location where the service is requested by a medical practitioner. Scan performed: - involves the use of contrast agent for eligible Magnetic Resonance Imaging items (Note: (Contrast) denotes an item eligible for use with this item) 63493 01JUL2006 31OCT2012 N MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if the service is performed on a person using intravenous or intra muscular sedation 63493 01NOV2012 31DEC9999 Y - involves use of intravenous or intramuscular sedation on a patient 63494 01AUG2004 30APR2020 N - involves use of intravenous or intramuscular sedation on a patient 63494 01MAY2020 31DEC9999 Y MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed using intravenous or intra muscular sedation 63495 01JUL2006 31OCT2012 N MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic 63495 01NOV2012 31DEC9999 Y - on a patient under anaesthetic in the presence of a medical practitioner qualified to perform an anaesthetic 63496 01MAY2019 30APR2020 N NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. Modifying item for use with MAGNETIC RESONANCE IMAGING performed under the professional supervision of an eligible provider at an eligible location where the service requested by a specialist or by a consultant and the scan performed involves the use of HEPATOBILIARY SPECIFIC contrast agent, as clinically indicated for eligible MRI items 64545 and 64546. 63496 01MAY2020 31DEC9999 Y NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI service to which item 63545 or 63546 applies if: (a) the service is performed on a person under the supervision of an eligible provider; and(b) the service is performed using an hepatobiliary specific contrast agent 63497 01AUG2004 30APR2020 N - on a patient under anaesthetic in the presence of a medical practitioner qualified to perform an anaesthetic 63497 01MAY2020 31DEC9999 Y MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic 63498 12MAR2012 30JUN2023 N MRI service to which item 63501, 63502, 63504 or 63505 applies if: (a) the service is performed in accordance with the determination; and (b) the service is performed on a person using intravenous or intra muscular sedation 63498 01JUL2023 31DEC9999 Y MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person using intravenous or intra muscular sedation 63499 12MAR2012 30JUN2023 N MRI service to which item 63501, 63502, 63504 or 63505 applies if: (a) the service is performed in accordance with the determination; and (b) the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic. 63499 01JUL2023 31DEC9999 Y MRI service to which item 63501, 63502, 63504 or 63505 applies, if the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic 63500 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 13 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of one region or two contiguous regions of the spine for monitoring of: - demyelinating disease (R) (Anaes.) 63501 12MAR2012 30APR2020 N MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan confirms a loss of integrity of the implant (R) Note: Benefits are payable on one occasion only in any 12 Month Period 63501 01MAY2020 30JUN2023 N MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and(ii) the result of the scan confirms a loss of integrity of the implant. (R) Note: Benefits are payable on one occasion only in any 24 Month Period 63501 01JUL2023 31DEC9999 Y MRI-scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan confirms a loss of integrity of the implant (R) 63502 12MAR2012 30APR2020 N MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R) Note: Benefits are payable on one occasion only in any 12 Month Period 63502 01MAY2020 30JUN2023 N MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R) Note: Benefits are payable on one occasion only in any 24 Month Period 63502 01JUL2023 31DEC9999 Y MRI-scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R) 63503 01SEP1998 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) 63504 12MAR2012 30JUN2023 N MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R) 63504 01JUL2023 31DEC9999 Y MRI-scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R) 63505 12MAR2012 30JUN2023 N MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R) 63505 01JUL2023 31DEC9999 Y MRI-scan of one or both breasts for the evaluation of implant integrity, if: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R) 63506 01SEP1998 31DEC9999 Y - myelopathy (R) (Anaes.) 63507 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for any of the following: unexplained seizure(s) (R) (Contrast) (Anaes.); or unexplained headache where significant pathology is suspected (R) (Contrast) (Anaes.); or paranasal sinus pathology which has not responded to conservative therapy (R) (Contrast) (Anaes.) 63507 01OCT2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for a patient under 16 years for any of the following: unexplained seizure(s) (R) (Contrast) (Anaes.); or unexplained headache where significant pathology is suspected (R) (Contrast) (Anaes.); or paranasal sinus pathology which has not responded to conservative therapy (R) (Contrast) (Anaes.) 63507 01MAY2020 31DEC9999 Y MRI-scan of head for a patient under 16 years if the service is for:(a) an unexplained seizure; or(b) an unexplained headache if significant pathology is suspected; or(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast) 63508 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for any of the following: unexplained seizure(s) (R) (NK) (Contrast) (Anaes.); or unexplained headache where significant pathology is suspected (R) (NK) (Contrast) (Anaes.); or paranasal sinus pathology which has not responded to conservative therapy (R) (NK) (Contrast) (Anaes.) 63508 01OCT2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for a patient under 16 years for any of the following: unexplained seizure(s) (R) (NK) (Contrast) (Anaes.); or unexplained headache where significant pathology is suspected (R) (NK) (Contrast) (Anaes.); or paranasal sinus pathology which has not responded to conservative therapy (R) (NK) (Contrast) (Anaes.) 63509 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63510 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine following radiographic examination for any of the following: significant trauma (R) (Contrast) (Anaes.); or unexplained neck or back pain with associated neurological signs (R) (Contrast) (Anaes.); or unexplained back pain where significant pathology is suspected (R) (Contrast) (Anaes.) 63510 01OCT2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient under 16 years following radiographic examination for: significant trauma (R) (Contrast) (Anaes.); or unexplained neck or back pain with associated neurological signs (R) (Contrast) (Anaes.); or unexplained back pain where significant pathology is suspected (R) (Contrast) (Anaes.) 63510 01MAY2020 31DEC9999 Y MRI-scan of spine following radiographic examination for a patient under 16 years if the service is for: (a) significant trauma; or(b) unexplained neck or back pain with associated neurological signs; or(c) unexplained back pain if significant pathology is suspected (R) (Contrast) 63511 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine following radiographic examination for any of the following: significant trauma (R) (NK) (Contrast) (Anaes.); or unexplained neck or back pain with associated neurological signs (R) (NK) (Contrast) (Anaes.); or unexplained back pain where significant pathology is suspected (R) (NK) (Contrast) (Anaes.) 63511 01OCT2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient under 16 years following radiographic examination for: significant trauma (R) (NK) (Contrast) (Anaes.); or unexplained neck or back pain with associated neurological signs (R) (NK) (Contrast) (Anaes.); or unexplained back pain where significant pathology is suspected (R) (NK) (Contrast) (Anaes.) 63512 01SEP1998 31DEC9999 Y - cervical radiculopathy (R) (Anaes.) 63513 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following radiographic examination for internal joint derangement. (R) (Contrast) (Anaes.) 63513 01OCT2013 31OCT2018 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee for a patient under 16 years following radiographic examination for internal joint derangement (R) (Contrast) (Anaes.) 63513 01NOV2018 30APR2020 N MRI - referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee for a patient aged under 16 years for internal joint derangement (R) (K) (Contrast) (Anaes.) 63513 01MAY2020 31DEC9999 Y MRI-scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast) 63514 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following radiographic examination for internal joint derangement. (R) (NK) (Contrast) (Anaes.) 63514 01OCT2013 31OCT2018 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee for a patient under 16 years following radiographic examination for internal joint derangement (R) (NK) (Contrast) (Anaes.) 63514 01NOV2018 31DEC9999 Y MRI - referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee for a patient aged under 16 years for internal joint derangement (R) (NK) (Contrast) (Anaes.) 63515 01SEP1998 31DEC9999 Y - sciatica (R) (Anaes.) 63516 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of hip following radiographic examination for any of the following: suspected septic arthritis (R) (Contrast) (Anaes.); or suspected slipped capital femoral epiphysis (R) (Contrast) (Anaes.); or suspected Perthes disease (R) (Contrast) (Anaes.) 63516 01OCT2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of hip for a patient under 16 years following radiographic examination for: suspected septic arthritis (R) (Contrast) (Anaes.); or suspected slipped capital femoral epiphysis (R) (Contrast) (Anaes.); or suspected Perthes disease (R) (Contrast) (Anaes.) 63516 01MAY2020 31DEC9999 Y MRI-scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected: (a) septic arthritis;(b) slipped capital femoral epiphysis;(c) Perthes disease (R) (Contrast) 63517 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of hip following radiographic examination for any of the following: suspected septic arthritis (R) (NK) (Contrast) (Anaes.); or suspected slipped capital femoral epiphysis (R) (NK) (Contrast) (Anaes.); or suspected Perthes disease (R) (NK) (Contrast) (Anaes.) 63517 01OCT2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of hip for a patient under 16 years following radiographic examination for: suspected septic arthritis (R) (NK) (Contrast) (Anaes.); or suspected slipped capital femoral epiphysis (R) (NK) (Contrast) (Anaes.); or suspected Perthes disease (R) (NK) (Contrast) (Anaes.) 63518 01SEP1998 31DEC9999 Y - spinal canal stenosis (R) (Anaes.) 63519 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of elbow following radiographic examination where a significant fracture or avulsion injury is suspected that would change the way in which the patient is managed. (R) (Contrast) (Anaes.) 63519 01OCT2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of elbow for a patient under 16 years following radiographic examination where a significant fracture or avulsion injury is suspected that will change management (R) (Contrast) (Anaes.) 63519 01MAY2020 31DEC9999 Y MRI-scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast) 63520 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of elbow following radiographic examination where a significant fracture or avulsion injury is suspected that would change the way in which the patient is managed. (R) (NK) (Contrast) (Anaes.) 63520 01OCT2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of elbow for a patient under 16 years following radiographic examination where a significant fracture or avulsion injury is suspected that will change management (R) (NK) (Contrast) (Anaes.) 63521 01SEP1998 31DEC9999 Y - previous spinal surgery (R) (Anaes.) 63522 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of wrist following radiographic examination where scaphoid fracture is suspected (R) (Contrast) (Anaes.) 63522 01OCT2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of wrist for a patient under 16 years following radiographic examination where scaphoid fracture is suspected (R) (Contrast) (Anaes.) 63522 01MAY2020 31DEC9999 Y MRI-scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast) 63523 01NOV2012 30SEP2013 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of wrist following radiographic examination where scaphoid fracture is suspected (R) (NK) (Contrast) (Anaes.) 63523 01OCT2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of wrist for a patient under 16 years following radiographic examination where scaphoid fracture is suspected (R) (NK) (Contrast) (Anaes.) 63524 01SEP1998 31DEC9999 Y - trauma (R) (Anaes.) 63525 01NOV2012 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for any of the following: unexplained seizure(s) (R) (Contrast) (Anaes.); or unexplained headache where significant pathology is suspected (R) (Contrast) (Anaes.); or paranasal sinus pathology which has not responded to conservative therapy (R) (Contrast) (Anaes.) 63526 01NOV2012 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine following radiographic examination for any or the following: significant trauma (R) (Contrast) (Anaes.); or unexplained neck or back pain with associated neurological signs (R) (Contrast) (Anaes.); or unexplained back pain where significant pathology is suspected (R) (Contrast) (Anaes.) 63527 01NOV2012 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following radiographic examination for internal joint derangement. (R) (Contrast) (Anaes.) 63528 01NOV2012 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of hip following radiographic examination for any of the following: suspected septic arthritis (R) (Contrast) (Anaes.); suspected slipped capital femoral epiphysis (R) (Contrast) (Anaes.); suspected Perthes disease (R) (Contrast) (Anaes.) 63529 01NOV2012 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of elbow following radiographic examination where a significant fracture or avulsion injury is suspected that would change the way in which the patient is managed. (R) (Contrast) (Anaes.) 63530 01NOV2012 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of wrist following radiographic examination where scaphoid fracture is suspected (R) (Contrast) (Anaes.) 63531 01NOV2019 30APR2020 N MRI - scan of both breasts, performed under the supervision of a specialist in diagnostic radiology who is a participant of the Royal Australian and New Zealand College of Radiologists' (RANZCR) Quality and Accreditation Program at an eligible location, if: a dedicated breast coil is used; and the service has been requested by a specialist or consultant physician; and the request for the scan identifies that: the patient has a breast lesion; and the results of conventional imaging are inconclusive for the presence of breast cancer; and biopsy has not been possible. NOTE: This service can be provided on both full and partial MRI eligible equipment. There are no frequency restrictions for this item. (R) (K) (Anaes.) (Contrast) 63531 01MAY2020 31DEC9999 Y MRI-scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast lesion; and(ii) the results of conventional imaging are inconclusive for the presence of breast cancer; and(iii) biopsy has not been possible (R) (Contrast) 63532 01NOV2019 31DEC9999 Y MRI - scan of both breasts, performed under the supervision of a specialist in diagnostic radiology who is a participant of the Royal Australian and New Zealand College of Radiologists' (RANZCR) Quality and Accreditation Program at an eligible location, if: a dedicated breast coil is used; and the service has been requested by a specialist or consultant physician; and the request for the scan identifies that: the patient has a breast lesion; and the results of conventional imaging are inconclusive for the presence of breast cancer; and biopsy has not been possible. NOTE: This service can be provided on both full and partial MRI eligible equipment. There are no frequency restrictions for this item. (R) (NK) (Anaes.) (Contrast) 63533 01NOV2019 30APR2020 N MRI - scan of both breasts, performed under the supervision of a specialist in diagnostic radiology who is a participant of the Royal Australian and New Zealand College of Radiologists' (RANZCR) Quality and Accreditation Program at an eligible location, if: a dedicated breast coil is used; and the service has been requested by a specialist or consultant physician; and the request for the scan identifies that: the patient has been diagnosed with a breast cancer; and there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and the results of breast MRI imaging may alter treatment planning. NOTE: This service can be provided on both full and partial MRI eligible equipment. There are no frequency restrictions for this item. (R) (K) (Anaes.) (Contrast) 63533 01MAY2020 31DEC9999 Y MRI-scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with a breast cancer; and(ii) there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and(c) the results of breast MRI imaging may alter treatment planning (R) (Contrast) 63534 01NOV2019 31DEC9999 Y MRI - scan of both breasts, performed under the supervision of a specialist in diagnostic radiology who is a participant of the Royal Australian and New Zealand College of Radiologists' (RANZCR) Quality and Accreditation Program at an eligible location, if: a dedicated breast coil is used; and the service has been requested by a specialist or consultant physician; and the request for the scan identifies that: the patient has been diagnosed with a breast cancer;and there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and the results of breast MRI imaging may alter treatment planning. NOTE: This service can be provided on both full and partial MRI eligible equipment. There are no frequency restrictions for this item. (R) (NK) (Anaes.) (Contrast) 63541 01JUL2018 30JUN2020 N Multiparametric Magnetic Resonance Imaging scan of the prostate for the detection of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and the request for the scan identifies:that the patient is suspected of developing prostate cancer, due to one of the following: (i) a digital rectal examination which is suspicious for prostate cancer; or (ii) in a person under 70 years, at least two prostate specific antigen (PSA) tests performed within an interval of 1- 3 months are greater than 3.0 ng/ml, and the free/total PSA ratio is less than 25% or the repeat PSA exceeds 5.5 ng/ml; or (iii) in a person under 70 years, whose risk of developing prostate cancer based on relevant family history is at least double the average risk, at least two PSA tests performed within an interval of 1- 3 months are greater than 2.0 ng/ml, and the free/total PSA ratio is less than 25%; or (iv) in a person 70 years or older, at least two PSA tests performed within an interval of 1- 3 months are greater than 5.5ng/ml and the free/total PSA ratio is less than 25%.using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated) (R) (K) Note: Benefits are payable on one occasion only in any 12 month period. Relevant family history is a first degree relative with prostate cancer, or suspected of carrying a BRCA 1 or BRCA 2 mutation. 63541 01JUL2020 31OCT2021 N Multiparametric Magnetic Resonance Imaging scan of the prostate for the detection of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and the request for the scan identifies: that the patient is suspected of developing prostate cancer, due to one of the following: (i) a digital rectal examination which is suspicious for prostate cancer; or (ii) in a person under 70 years, at least two prostate specific antigen (PSA) tests performed within an interval of 1- 3 months are greater than 3.0 ng/ml, and the free/total PSA ratio is less than 25% or the repeat PSA exceeds 5.5 ng/ml; or (iii) in a person under 70 years, whose risk of developing prostate cancer based on relevant family history is at least double the average risk, at least two PSA tests performed within an interval of 1- 3 months are greater than 2.0 ng/ml, and the free/total PSA ratio is less than 25%; or (iv) in a person 70 years or older, at least two PSA tests performed within an interval of 1- 3 months are greater than 5.5ng/ml and the free/total PSA ratio is less than 25%.using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated) (R) Note: Benefits are payable on one occasion only in any 12 month period. Relevant family history is a first degree relative with prostate cancer, or suspected of carrying a BRCA 1 or BRCA 2 mutation. 63541 01NOV2021 31DEC9999 Y Multiparametric MRI-scan of the prostate for the detection of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient is suspected of developing prostate cancer: (i) on the basis of a digital rectal examination; or (ii) in the circumstances mentioned in clause 2.5.9A; and (b) using a standardised image acquisition protocol involving: (i) T2-weighted imaging; and (ii) diffusion-weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.1 for the meaning of Clause 2.5.9 in the descriptor for this item and the claiming limitations. 63542 01JUL2018 31DEC9999 Y Multiparametric Magnetic Resonance Imaging scan of the prostate for the detection of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and the request for the scan identifies:that the patient is suspected of developing prostate cancer, due to one of the following: (i) a digital rectal examination which is suspicious for prostate cancer; or (ii) in a person under 70 years, at least two prostate specific antigen (PSA) tests performed within an interval of 1- 3 months are greater than 3.0 ng/ml, and the free/total PSA ratio is less than 25% or the repeat PSA exceeds 5.5 ng/ml; or (iii) in a person under 70 years, whose risk of developing prostate cancer based on relevant family history is at least double the average risk, at least two PSA tests performed within an interval of 1- 3 months are greater than 2.0 ng/ml, and the free/total PSA ratio is less than 25%; or (iv) in a person 70 years or older, at least two PSA tests performed within an interval of 1- 3 months are greater than 5.5ng/ml and the free/total PSA ratio is less than 25%.using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated) (R) (NK) Note: Benefits are payable on one occasion only in any 12 month period. Relevant family history is a first degree relative with prostate cancer, or suspected of carrying a BRCA 1 or BRCA 2 mutation. 63543 01JUL2018 30JUN2020 N Multiparametric Magnetic Resonance Imaging scan of the prostate for the assessment of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and: the request for the scan identifies: (i) the patient is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) the patient is not planning or undergoing treatment for prostate cancer. using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated)(R) (K) Note: Benefits are payable at the time of diagnosis of prostate cancer, 12 months following diagnosis and then every 3rd year thereafter or at any time, if there is a clinical concern, including PSA progression. This item is not to be used for the purposes of treatment planning or for monitoring after treatment. 63543 01JUL2020 31OCT2021 N Multiparametric Magnetic Resonance Imaging scan of the prostate for the assessment of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and: the request for the scan identifies: (i) the patient is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) the patient is not planning or undergoing treatment for prostate cancer. using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated)(R) Note: Benefits are payable at the time of diagnosis of prostate cancer, 12 months following diagnosis and then every 3rd year thereafter or at any time, if there is a clinical concern, including PSA progression. This item is not to be used for the purposes of treatment planning or for monitoring after treatment. 63543 01NOV2021 31DEC9999 Y Multiparametric MRI-scan of the prostate for the assessment of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient: (i) is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) is not undergoing, or planning to undergo, treatment for prostate cancer; and (b) using a standardised image acquisition protocol involving: (i) T2-weighted imaging; and (ii) diffusion-weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.2 for claiming restrictions for this item. 63544 01JUL2018 31DEC9999 Y Multiparametric Magnetic Resonance Imaging scan of the prostate for the assessment of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and: the request for the scan identifies: (i) the patient is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) the patient is not planning or undergoing treatment for prostate cancer. using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated)(R) (NK) Note: Benefits are payable at the time of diagnosis of prostate cancer, 12 months following diagnosis and then every 3rd year thereafter or at any time, if there is a clinical concern, including PSA progression. This item is not to be used for the purposes of treatment planning or for monitoring after treatment 63545 01MAY2019 30APR2020 N Note: Benefits are payable on only one occasion in any 12-month period MAGNETIC RESONANCE IMAGING with a contrast agent - multiphase scans of the liver (including delayed imaging, when performed) - performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or consultant physician - for characterisation or intervention planning, in a patient with: known colorectal carcinoma; and known, suspected, or possible liver metastasis; and previous computed tomography or ultrasound imaging has identified a mass lesion in the liver. For use with HEPATOBILIARY-SPECIFIC CONTRAST AGENT (item 63496). If a patient has known or suspected clinical indication/s considered by a specialist or consultant physician to indicate the need for imaging with an extracellular contrast agent, the modifying MRI item 63491 can be used with this item. Fee: $550 Benefit: 75% = $412.50 85% = $467.50 (R) (K) (Anaes.) (See IN.0.18, IN.0.19 of explanatory notes to this category) 63545 01MAY2020 31OCT2022 N MRI - multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for characterisation or intervention planning, if:(a) the patient has: (i) known colorectal carcinoma; and(ii) known, suspected, or possible liver metastasis; and(b) computed tomography, or ultrasound imaging, has identified a mass lesion in patient's liver.For any particular patient-applicable not more than once in a 12 month period (R) (Contrast) 63545 01NOV2022 30JUN2023 N MRI-multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for staging where surgical resection or interventional techniques are under consideration to treat any liver metastases detected, if: (a) the patient has a confirmed extra-hepatic primary malignancy (other than hepatocellular carcinoma), with no persistent extra-hepatic disease; and (b) computed tomography of the patient's liver is negative or inconclusive for metastatic disease; and (c) the identification of liver metastases would change the patient's treatment planning Applicable not more than once in a 12 month period (R) (Contrast) 63545 01JUL2023 31DEC9999 Y MRI - multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for characterisation, or staging where surgical resection or interventional techniques are under consideration, if: (a) the patient has a confirmed extra-hepatic primary malignancy (other than hepatocellular carcinoma); and (b) computed tomography is negative or inconclusive for hepatic metastatic disease; and (c) the identification of liver metastases would change the patient's treatment planning Applicable not more than once in a 12 month period (R) (Contrast) 63546 01MAY2019 30APR2020 N Note: Benefits are payable on only one occasion in any 12-month period MAGNETIC RESONANCE IMAGING with a contrast agent - multiphase scans of the liver (including delayed imaging, when performed) - performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or consultant physician - for diagnosis or staging, in a patient with known or suspected hepatocellular carcinoma, and: chronic liver disease, that has been confirmed by a specialist or consultant physician; and liver function identified as Child-Pugh class A or B; and an identified hepatic lesion over 10 mm in diameter. For use with HEPATOBILIARY-SPECIFIC CONTRAST AGENT (item 63496). If a patient has known or suspected clinical indication/s considered by a specialist or consultant physician to indicate the need for imaging with an extracellular contrast agent, the modifying MRI item 63491 can be used with this item. Fee: $550 Benefit: 75% = $412.50 85% = $467.50 (R) (K) (Anaes.) (See IN.0.18, IN.0.19 of explanatory notes to this category) 63546 01MAY2020 31DEC9999 Y MRI - multiphase scans of the liver (including delayed imaging, if performed) with a contrast agent, for diagnosis or staging, if: (a) the patient has:(i) known or suspected hepatocellular carcinoma; and(ii) chronic liver disease that has been confirmed by a specialist or consultant physician; and(b) the patient's liver function has been identified as Child Pugh class A or B; and(c) the patient has an identified hepatic lesion over 10 mm in diameter.For any particular patient-applicable not more than once in a 12 month period (R) (Contrast) 63547 01MAY2018 30APR2020 N MRI scan of both breasts for the detection of cancer, if (a) a dedicated breast coil is used; and (b) the request for the scan identifies that: (i) the patient has a breast implant in situ; and (ii) anaplastic large cell lymphoma has been diagnosed NOTE: benefits are payable once in a patient's lifetime (R) (K) (Contrast) 63547 01MAY2020 31DEC9999 Y MRI-scan of both breasts for the detection of cancer, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast implant in situ; and(ii) anaplastic large cell lymphoma has been diagnosed(R) (Contrast) 63548 01MAY2018 31DEC9999 Y MRI scan of both breasts for the detection of cancer, if (a) a dedicated breast coil is used; and (b) the request for the scan identifies that: (i) the patient has a breast implant in situ; and (ii) anaplastic large cell lymphoma has been diagnosed NOTE: benefits are payable once in a patient's lifetime (R) (NK) (Contrast) 63549 01NOV2022 31DEC9999 Y MRI scan of the pelvis or abdomen, for a patient with a multiple pregnancy, if: (a) the multiple pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) 63550 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 14 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of three contiguous regions or two non contiguous regions of the spine for monitoring of: - demyelinating disease (R) (Anaes.) 63551 01NOV2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for a patient 16 years or older for any of the following: - unexplained seizure(s) (R) (Contrast) (Anaes.) - unexplained chronic headache with suspected intracranial pathology (R) (Contrast) (Anaes.) 63551 01MAY2020 30JUN2020 N Scan of head for a patient 16 years or older, after a request by a medical practitioner (other than a specialist or consultant physician), for any of the following: (a) unexplained seizure(s);(b) unexplained chronic headache with suspected intracranial pathology (R) (Contrast) 63551 01JUL2020 31DEC9999 Y MRI - scan of head for a patient 16 years or older, after a request by a medical practitioner (other than a specialist or consultant physician), for any of the following: (a) unexplained seizure(s);(b) unexplained chronic headache with suspected intracranial pathology (R) (Contrast) 63552 01NOV2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for a patient 16 years or older for any of the following: - unexplained seizure(s) (R) (NK) (Contrast) (Anaes.) - unexplained chronic headache with suspected intracranial pathology (R) (NK) (Contrast) (Anaes.) 63553 01SEP1998 31DEC9999 Y - congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) 63554 01NOV2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: - cervical radiculopathy (R) (Contrast) (Anaes.) 63554 01MAY2020 30JUN2020 N Scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical radiculopathy (R) (Contrast) 63554 01JUL2020 31DEC9999 Y MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical radiculopathy (R) (Contrast) 63555 01NOV2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: - cervical radiculopathy (R) (NK) (Contrast) (Anaes.) 63556 01SEP1998 31DEC9999 Y - myelopathy (R) (Anaes.) 63557 01NOV2013 30APR2020 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: - cervical spine trauma (R) (Contrast) (Anaes.) 63557 01MAY2020 30JUN2020 N Scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical spinal trauma (R) (Contrast) 63557 01JUL2020 31DEC9999 Y MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical spinal trauma (R) (Contrast) 63558 01NOV2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: - cervical spine trauma (R) (NK) (Contrast) (Anaes.) 63559 01SEP1998 31DEC9999 Y - syrinx (congenital or acquired) (R) (Anaes.) 63560 01NOV2013 31OCT2018 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following acute knee trauma for a patient 16 years or older with: - inability to extend the knee suggesting the possibility of acute meniscal tear (R) (Contrast) (Anaes.); or - clinical findings suggesting acute anterior cruciate ligament tear. (R) (Contrast) (Anaes.) 63560 01NOV2018 30APR2020 N MRI - scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient aged 16 to 49 years with: inability to extend the knee suggesting the possibility of acute meniscal tear; or clinical findings suggesting acute anterior cruciate ligament tear. (R) (K) (Contrast) (Anaes.) 63560 01MAY2020 30JUN2020 N Scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 to 49 years with: (a) inability to extend the knee suggesting the possibility of acute meniscal tear; or(b) clinical findings suggesting acute anterior cruciate ligament tear (R) (Contrast) 63560 01JUL2020 31DEC9999 Y MRI - scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 to 49 years with: (a) inability to extend the knee suggesting the possibility of acute meniscal tear; or(b) clinical findings suggesting acute anterior cruciate ligament tear (R) (Contrast) 63561 01NOV2013 31OCT2018 N referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following acute knee trauma for a patient 16 years or older with: - inability to extend the knee suggesting the possibility of acute meniscal tear (R) (NK) (Contrast) (Anaes.); or - clinical findings suggesting acute anterior cruciate ligament tear. (R) (NK) (Contrast) (Anaes.) 63561 01NOV2018 31DEC9999 Y MRI - scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient aged 16 to 49 years with: inability to extend the knee suggesting the possibility of acute meniscal tear; or clinical findings suggesting acute anterior cruciate ligament tear. (R) (NK) (Contrast) (Anaes.) 63562 01SEP1998 31DEC9999 Y - cervical radiculopathy (R) (Anaes.) 63563 01NOV2022 31DEC9999 Y MRI scan of the pelvis or abdomen, if the request for the scan identifies that the investigation is for: (a) sub-fertility that requires one or more of the following: (i) an investigation of suspected Mullerian duct anomaly seen in pelvic ultrasound or hysterosalpingogram; (ii) an assessment of uterine mass identified on pelvic ultrasound before consideration of surgery; (iii) an investigation of recurrent implantation failure in IVF (2 or more embryo transfer cycles without viable pregnancy); or (b) surgical planning of a patient with known or suspected deep endometriosis involving the bowel, bladder or ureter (or any combination of the bowel, bladder or ureter), where the results of pelvic ultrasound are inconclusive Applicable not more than once in a 2 year period (R) (Contrast) 63564 01MAR2023 31DEC9999 Y Note: the requirements for services provided under item 63564 are detailed under note IN.5.4 MRI - whole body scan for the early detection of cancer: a) requested by a specialist or consultant physician in consultation with a clinical geneticist in a familial cancer or genetic clinic; and b) the request identifies that the patient has a high risk of developing cancer malignancy due to heritable TP53 - related cancer (hTP53rc) syndrome (R) 63565 01SEP1998 31DEC9999 Y - sciatica (R) (Anaes.) 63568 01SEP1998 31DEC9999 Y - spinal canal stenosis (R) (Anaes.) 63571 01SEP1998 31DEC9999 Y - previous spinal surgery (R) (Anaes.) 63574 01SEP1998 31DEC9999 Y - trauma (R) (Anaes.) 63580 01SEP1998 31DEC9999 Y MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of one region or two contiguous regions of the spine for monitoring of: - infection (R) (Anaes.) 63583 01SEP1998 31DEC9999 Y - tumour (R) (Anaes.) 63584 01NOV2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of head for a patient 16 years or older for any of the following: unexplained seizure(s) (R) (Contrast) (Anaes.) unexplained chronic headache with suspected intracranial pathology (R) (Contrast) (Anaes.) 63585 01NOV2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: cervical radiculopathy (R) (Contrast) (Anaes.) 63586 01NOV2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: cervical spine trauma (R) (Contrast) (Anaes.) 63587 01NOV2013 31DEC9999 Y referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of knee following acute knee trauma for a patient 16 years or older with: inability to extend the knee suggesting the possibility of acute meniscal tear (R) (Contrast) (Anaes.); or clinical findings suggesting acute anterior cruciate ligament tear (R) (Contrast) (Anaes.) 63590 01SEP1998 31DEC9999 Y MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of three contiguous regions or two non contiguous regions of the spine for monitoring of: - infection (R) (Anaes.) 63593 01SEP1998 31DEC9999 Y - tumour (R) (Anaes.) 63600 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 17 on one occasion only in a 12 month period for one service per item per episode MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of musculoskeletal system for the exclusion of: - tumour arising in bone or other connective tissue (R) (Anaes.) 63603 01SEP1998 31DEC9999 Y - infection arising in bone or other connective tissue (R) (Anaes.) 63606 01SEP1998 31DEC9999 Y - osteonecrosis (R) (Anaes.) 63609 01SEP1998 31DEC9999 Y - derangement of hip or its supporting structures (R) (Anaes.) 63612 01SEP1998 31DEC9999 Y - derangement of shoulder or its supporting structures (R) (Anaes.) 63615 01SEP1998 31DEC9999 Y - derangement of knee or its supporting structures (R) (Anaes.) 63618 01SEP1998 31DEC9999 Y - derangement of ankle or its supporting structures (R) (Anaes.) 63621 01SEP1998 31DEC9999 Y - derangement of temporomandibular joint or its supporting structures (R) (Anaes.) 63624 01SEP1998 31DEC9999 Y - derangement of wrist or its supporting structures (R) (Anaes.) 63627 01SEP1998 31DEC9999 Y - derangement of elbow or its supporting structures (R) (Anaes.) 63650 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 18 on one occasion only in a 12 month period, for one service per item per episode. MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of musculoskeletal system for further investigation of: - tumour arising in bone or other connective tissue (R) (Anaes.) 63653 01SEP1998 31DEC9999 Y - infection arising in bone or other connective tissue (R) (Anaes.) 63656 01SEP1998 31DEC9999 Y - osteonecrosis (R) (Anaes.)) 63659 01SEP1998 31DEC9999 Y - derangement of hip or its supporting structures (R) (Anaes.) 63662 01SEP1998 31DEC9999 Y - derangement of shoulder or its supporting structures (R) (Anaes.) 63665 01SEP1998 31DEC9999 Y - derangement of knee or its supporting structures (R) (Anaes.) 63668 01SEP1998 31DEC9999 Y - derangement of ankle or its supporting structures (R) (Anaes.) 63671 01SEP1998 31DEC9999 Y - derangement of temporomandibular joint or its supporting structures (R) (Anaes.) 63674 01SEP1998 31DEC9999 Y - derangement of wrist or its supporting structures (R) (Anaes.) 63677 01SEP1998 31DEC9999 Y - derangement of elbow or its supporting structures (R) (Anaes.) 63680 01SEP1998 31DEC9999 Y - post-inflammatory or post-traumatic physeal fusion in a person under 16 years of age (R) (Anaes.) 63700 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 19 on one occasion only in a 12 month period, for one service per item per episode. MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of musculoskeletal system for monitoring of: - derangement of hip or its supporting structures (R) (Anaes.) 63703 01SEP1998 31DEC9999 Y - derangement of shoulder or its supporting structures (R) (Anaes.) 63706 01SEP1998 31DEC9999 Y - derangement of knee or its supporting structures (R) (Anaes.) 63709 01SEP1998 31DEC9999 Y - derangement of ankle or its supporting structures (R) (Anaes.) 63712 01SEP1998 31DEC9999 Y - derangement of temporomandibular joint or its supporting structures (R) (Anaes.) 63715 01SEP1998 31DEC9999 Y - derangement of wrist or its supporting structures (R) (Anaes.) 63718 01SEP1998 31DEC9999 Y - derangement of elbow or its supporting structures (R) (Anaes.) 63721 01SEP1998 31DEC9999 Y - post-inflammatory or post-traumatic physeal fusion in a person under 16 years of age (R) (Anaes.) 63736 01SEP1998 31DEC9999 Y MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of musculoskeletal system for monitoring of: - osteonecrosis (R) (Anaes.) 63739 01SEP1998 31DEC9999 Y - tumour arising in bone or other connective tissue (R) (Anaes.) 63740 01NOV2014 30APR2020 N MRI to evaluate small bowel Crohn's disease. Medicare benefits are only payable for this item if the service is provided to patients: (a) Evaluation of disease extent at time of initial diagnosis of Crohn's disease (b) Evaluation of exacerbation/suspected complications of known Crohn's disease (c) Evaluation of known or suspected Crohn's disease in pregnancy (d) Assessment of change to therapy in patients with small bowel Crohn's disease Assessment of change to therapy can only be claimed once in a 12 month period. (R) (K) (Contrast) 63740 01MAY2020 31DEC9999 Y MRI-scan to evaluate small bowel Crohn's disease if the service is provided to a patient for: (a) evaluation of disease extent at time of initial diagnosis of Crohn's disease; or(b) evaluation of exacerbation, or suspected complications, of known Crohn's disease; or(c) evaluation of known or suspected Crohn's disease in pregnancy; or(d) assessment of change to therapy in a patient with small bowel Crohn's disease (R) (Contrast) 63741 01NOV2014 30APR2020 N MRI enteroclysis for Crohn's disease. Medicare benefits are only payable for this item if the service is related to item 63740. (R) (K) 63741 01MAY2020 31DEC9999 Y MRI-scan with enteroclysis for Crohn's disease if the service is related to item 63740 (R) 63742 01SEP1998 31DEC9999 Y - infection arising in bone or other connective tissue (R) (Anaes.) 63743 01NOV2014 30APR2020 N MRI for fistulising perianal Crohn's disease. Medicare benefits are only payable for this item if the service is provided to patients for: - Evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn's disease - Assessment of change to therapy of pelvis sepsis and fistulas from Crohn's disease Assessment of change to therapy can only be claimed once in a 12 month period. (R) (K) (Contrast) 63743 01MAY2020 31DEC9999 Y MRI-scan for fistulising perianal Crohn's disease if the service is provided to a patient for:(a) evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn's disease; or(b) assessment of change to therapy of pelvis sepsis and fistulas from Crohn's disease (R) (Contrast) 63744 01NOV2014 31DEC9999 Y MRI to evaluate small bowel Crohn's disease. Medicare benefits are only payable for this item if the service is provided to patients: (a) Evaluation of disease extent at time of initial diagnosis of Crohn's disease (b) Evaluation of exacerbation/suspected complications of known Crohn's disease (c) Evaluation of known or suspected Crohn's disease in pregnancy (d) Assessment of change to therapy in patients with small bowel Crohn's disease Assessment of change to therapy can only be claimed once in a 12 month period. (R) (NK) (Contrast) 63745 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 21 on two occasions only in a 12 month period, and for a maximum of one service per item per episode of care. MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of musculoskeletal system for further investigation or monitoring of: - Gaucher disease (R) (Anaes.) 63746 01NOV2014 31DEC9999 Y MRI enteroclysis for Crohn's disease. Medicare benefits are only payable for this item if the service is related to item 63744. (R) (NK) 63747 01NOV2014 31DEC9999 Y MRI for fistulising perianal Crohn's disease. Medicare benefits are only payable for this item if the service is provided to patients for: - Evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn's disease - Assessment of change to therapy of pelvis sepsis and fistulas from Crohn's disease Assessment of change to therapy can only be claimed once in a 12 month period. (R) (NK) (Contrast) 63750 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 22 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system for further investigation of: - congenital disease of the heart or a great vessel (R) (Anaes.) 63753 01SEP1998 31DEC9999 Y - tumour of the heart or a great vessel (R) (Anaes.) 63756 01SEP1998 31DEC9999 Y - abnormality of thoracic aorta (R) (Anaes.) 63800 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 23 on two occasions only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast (including Magnetic Resonance Angiography if performed), performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system for monitoring of: - congenital disease of the heart or a great vessel (R) (Anaes.) 63803 01SEP1998 31DEC9999 Y - tumour of the heart or a great vessel (R) (Anaes.) 63806 01SEP1998 31DEC9999 Y - abnormality of the thoracic aorta (R) (Anaes.) 63850 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 24 on two occasions only in a 12 month period MAGNETIC RESONANCE ANGIOGRAPHY with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system for exclusion of or further investigation of: - stroke (R) (Anaes.) 63853 01SEP1998 31DEC9999 Y - carotid or vertebral artery dissection (R) (Anaes.) 63856 01SEP1998 31DEC9999 Y - intracranial aneurysm (R) (Anaes.) 63859 01SEP1998 31DEC9999 Y - intracranial arteriovenous malformation (R) (Anaes.) 63862 01SEP1998 31DEC9999 Y - venous sinus thrombosis (R) (Anaes.) 63865 01SEP1998 31DEC9999 Y - vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Anaes.) 63868 01SEP1998 31DEC9999 Y - obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Anaes.) 63870 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 25 on one occasion only in a 12 month period MAGNETIC RESONANCE ANGIOGRAPHY with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system of a person under the age of 16 years for further investigation of: - the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Anaes.) 63880 01SEP1998 31DEC9999 Y MAGNETIC RESONANCE ANGIOGRAPHY with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of cardiovascular system for monitoring of: - carotid or vertebral artery dissection (R) (Anaes.) 63883 01SEP1998 31DEC9999 Y - venous sinus thrombosis (R) (Anaes.) 63900 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for each service included by Subgroup 27 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of the body of a person under the age of 16 years for further investigation of: - pelvic or abdominal mass (R) (Anaes.) 63903 01SEP1998 31DEC9999 Y - mediastinal mass (R) (Anaes.) 63906 01SEP1998 31DEC9999 Y - congenital uterine or anorectal abnormality (R) (Anaes.) 63909 01SEP1998 31DEC9999 Y - Gaucher disease (R) (Anaes.) 63920 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for the each service included by item 63920 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of the body for further investigation of: - adrenal mass in a patient with a malignancy which is otherwise resectable (R) (Anaes.) 63930 01SEP1998 31DEC9999 Y NOTE: Benefits are payable for the each service included by item 63930 on one occasion only in a 12 month period MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of the body of a person under the age of 16 years for monitoring of: - congenital uterine or anorectal abnormality (R) (Anaes.) 63940 01SEP1998 31DEC9999 Y MAGNETIC RESONANCE IMAGING with or without intravenous contrast, performed under the professional supervision of an eligible provider at an eligible location where the patient is referred by a specialist or by a consultant physician and where the request for the scan specifically identifies the clinical indication for the scan - scan of the body of a person under the age of 16 years for monitoring of: - mediastinal mass (R) (Anaes.) 63943 01SEP1998 31DEC9999 Y - pelvic or abdominal mass (R) (Anaes.) 63946 01SEP1998 31DEC9999 Y - Gaucher disease (R) (Anaes.) 63960 01MAY2004 31DEC9999 Y Note: Benefits are payable for each service included by Subgroup 31 on one occasion only. Magnetic Resonance Imaging, performed under the professional supervision of an eligible provider at an eligible location where: (a) the patient is referred by a specialist or by a consultant physician; and (b) the request for scan identifies that (i) a histological diagnosis of carcinoma of the cervix has been made and (ii) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater. Scan for the further investigation of: Pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) 63963 01MAY2004 31DEC9999 Y - Pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) 64990 01FEB2004 31DEC2021 N A diagnostic imaging service to which an item in this table (other than this item or item 64991) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service 64990 01JAN2022 31DEC9999 Y A diagnostic imaging service to which an item in this table (other than this item or item 64991, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service 64991 01MAY2004 31AUG2004 N A diagnostic imaging service to which an item in this table (other than this item or item 64990) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder: and (c) the person is not an admitted patient of a hospital or day-hospital facility: and (d) the service is bulk-billed in respect of the fees for: (i) this item: and (ii) the other item in this table applying to the service (e) the service is provided at, or from, a practice location in: (i) a regional, rural or remote area; or (ii) Tasmania 64991 01SEP2004 31DEC2019 N A diagnostic imaging service to which an item in this table (other than this item or item 64990) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a regional, rural or remote area; or (ii) Tasmania; or (iii) A geographical area included in any of the following SSD spatial units: (A) Beaudesert Shire Part A (B) Belconnen (C) Darwin City (D) Eastern Outer Melbourne (E) East Metropolitan, Perth (F) Frankston City (G) Gosford-Wyong (H) Greater Geelong City Part A (I) Gungahlin-Hall (J) Ipswich City (part in BSD) (K) Litchfield Shire (L) Melton-Wyndham (M) Mornington Peninsula Shire (N) Newcastle (O) North Canberra (P) Palmerston-East Arm (Q) Pine Rivers Shire (R) Queanbeyan (S) South Canberra (T) South Eastern Outer Melbourne (U) Southern Adelaide (V) South West Metropolitan, Perth (W) Thuringowa City Part A (X) Townsville City Part A (Y) Tuggeranong (Z) Weston Creek-Stromlo (ZA) Woden Valley (ZB) Yarra Ranges Shire Part A; or (iv) the geographical area included in the SLA spatial unit of Palm Island (AC) 64991 01JAN2020 31DEC2021 N A diagnostic imaging service to which an item in this table (other than this item or item 64990) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location within Modified Monash areas 2 to 7. 64991 01JAN2022 31DEC9999 Y A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area 64992 01JAN2022 31DEC9999 Y A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 are; or (ii) a Modified Monash 4 area 64993 01JAN2022 31DEC9999 Y A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 5 area 64994 01JAN2022 31DEC9999 Y A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 6 area 64995 01JAN2022 31DEC9999 Y A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64994) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 7 area 65001 01DEC1991 30JUN1994 N Blood count consisting of erythrocyte count, Creactive protein, erythrocyte sedimentation rate, blood viscosity, haematocrit, haemoglobin, platelet count, leucocyte count, reticulocyte count 1 or 2 procedures 65001 01JUL1994 31DEC9999 Y Erythrocyte count, Creactive protein, erythrocyte sedimentation rate, blood viscosity, haematocrit, haemoglobin, platelet count, leucocyte count, or reticulocyte count 1 or 2 tests 65002 01DEC1991 31DEC9999 Y Blood count consisting of erythrocyte count, Creactive protein, erythrocyte sedimentation rate, blood viscosity, haematocrit, haemoglobin, platelet count, leucocyte count, reticulocyte count one or two procedures. 65003 01DEC1991 30JUN1994 N 3 or more procedures to which item 65001 applies, including any calculation or measurement of erythrocyte or other indices 65003 01JUL1994 31DEC9999 Y 3 or more tests described in 65001, and calculation or measurement of cell index or indices 65004 01DEC1991 31DEC9999 Y Three or more procedures to which item 65001/65002 applies, including any calculation or measurement of erythrocyte or other indices 65005 01DEC1991 30JUN1994 N Examination of blood film, with or without 5 part differential cell count, or 5 part differential cell count with or without examination of blood film, and if performed, any of these additional services Direct Coombs test, tests for heterophile antibodies, cold agglutinins, examination of blood film by special stains to demonstrate Heinz bodies, parasites or iron, or examination of a blood film with alphanaphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphatase, nitroblue tetrazolium, periodic acid Schiff, Sudan Black stains, or Kleihauer test for HbF on blood film, including any services specified in item 65027 65005 01JUL1994 19MAR1997 N Examination of blood film, or 5 part differential cell count, or both 5 part differential cell count and examination of blood film, including (if performed): (a) a service described in item 65027; and (b) any of the following services: (i) examination of blood film by special stains to demonstrate Heinz bodies, parasites or iron; (ii) examination of a blood film with alphanaphthyl acetate esterase, choloroacetate esterase, neutrophil alkaline phosphatase, nitroblue tetrazolium, periodic acid Schiff or Sudan Black stains; (iii) Kleihauer test for HbF on blood film 65005 20MAR1997 31DEC9999 Y Examination of: (a) a blood film by special stains to demonstrate Heinz bodies, parasites or iron; or (b) a blood film by enzyme cytochemistry for neutrophil alkaline phosphatese, alphanaphthyl acetate esterase or chloroacetate esterase; or (c) a blood film using any other special staining methods including periodic acid Schiff and Sudan black; or (d) a urinary sediment for haemosiderin including a service described in item 65072 65006 01DEC1991 31DEC9999 Y Examination of blood film, with or without five part differential cell count, or five part differential cell count with or without examination of blood film, and if performed, any of these additional services Direct Coombs test, tests for heterophile antibodies, cold agglutinins, examination of blood film by special stains to demonstrate Heinz bodies, parasites or iron, or examination of a blood film with alphanaphthylacetate esterase, choloroacetate esterase, neutrophil alkaline phosphatase, nitro blue tetrazolium, periodic acid Schiff, Sudan Black stains, or Kleihauer test for HbF on blood film, including any services specified in item 65027/65028 65007 01DEC1991 30JUN1994 N Full blood examination consisting of items 65003 and 65005 65007 01JUL1994 31DEC9999 Y Full blood examination (consisting of the services described in items 65003 and 65005) 65008 01DEC1991 31DEC9999 Y Full blood examination consisting of items 65003/65004 and 65005/65006 65009 01DEC1991 30JUN1994 N Erythrocytes, qualitative or quantitative assessment of haemolysis or metabolic enzymes by erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test, and quantitation of muramidase in serum or urine 1 or more procedures 65009 01JUL1994 31DEC9999 Y Haemolysis or metabolic enzymes - assessment by: (a) erythrocyte autohaemolysis test; (b) erythrocyte fragility test; (c) sugar water test; (d) erythrocyte metabolic enzyme test; (e) heat denaturation test; (f) isopropanol precipitation test; (g) acid haemolysis test;and (h) quantitation of muramidase in serum or urine; 1 or more tests 65010 01DEC1991 31DEC9999 Y Erythrocytes, qualitative or quantitative assessment of haemolysis or metabolic enzymes by erythrocyte autohaemolysis test, erythrocyte fragility test, sugar water test, erythrocyte metabolic enzyme test, heat denaturation test, isopropanol precipitation test, acid haemolysis test, and quantitation of muramidase in serum or urine one or more procedures 65011 01DEC1991 30JUN1994 N Tests for the diagnosis of haemoglobinopathy consisting of haemoglobin electrophoresis and 2 of the following examination for HbH, quantitation of HbA2 or HbF, including any services specified in items 65001, 65003, 65005, and 65007 65011 01JUL1994 31DEC9999 Y Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and instrument generated differential count including any services in item 65060 or 65072 2 or more instrument generated results from a single sample 65012 01DEC1991 31DEC9999 Y Tests for the diagnosis of haemoglobinopathy consisting of haemoglobin electrophoresis and two of the following examination for HbH, quantitation of HbA2 or HbF, including any services specified in items 65001/65002, 65003/65004, 65005/65006 and 65007/65008 65013 01DEC1991 30JUN1994 N Histopathological examination of sections of bone marrow trephine biopsy including where indicated, examination of marrow smears and any special stains and immunochemical techniques, including any services specified in items 65001, 65003, 65005, 65007 and 65015 65013 01JUL1994 31DEC9999 Y Bone marrow trephine biopsy - histopathological examination of sections of bone marrow, including (if performed): (a) examination of aspirated material; and (b) special stains or immunochemical techniques (if any); and (c) a service described in item 65001, 65003, 65005, 65007 or 65015 65014 01DEC1991 31DEC9999 Y Histopathological examination of sections of bone marrow trephine biopsy including where indicated, examination of marrow smears and any special stains and immunochemical techniques, including any services specified in items 65001/65002, 65003/65004, 65005/65006, 65007/65008 and 65015/65016 65015 01DEC1991 30JUN1994 N Bone marrow examination of aspirated material including any special stains, immunochemical techniques and clot sections where necessary, including any services specified in items 65001, 65003, 65005 and 65007 65015 01JUL1994 31DEC9999 Y Bone marrow - examination of aspirated material (including clot sections where necessary), including (if performed): (a) special stains or immunochemical techniques (if any); and (b) a service described in item 65001, 65003, 65005 or 65007 65016 01DEC1991 31DEC9999 Y Bone marrow examination of aspirated material including any special stains, immunochemical techniques and clot sections where necessary, including any services specified in items 65001/65002, 65003/65004, 65005/65006 and 65007/65008 65017 01DEC1991 30JUN1994 N Blood grouping, including backgrouping when performed ABO and Rh (D antigen) 65017 01JUL1994 31DEC9999 Y Blood grouping (including backgrouping if performed) ABO and Rh (D antigen) 65018 01DEC1991 31DEC9999 Y Blood grouping, including backgrouping when performed ABO and Rh (D antigen). 65019 01DEC1991 30JUN1994 N Blood grouping Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system 1 or more systems, including any services specified in item 65017 65019 01JUL1994 31DEC9999 Y Blood grouping Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system 1 or more systems, including a service described in item 65017 (if performed) 65020 01DEC1991 31DEC9999 Y Blood grouping Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system one or more systems, including any services specified in item 65017/65018 65021 01DEC1991 30JUN1994 N Blood grouping, including backgrouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any services specified in items 65001, 65003, 65005 and 65007 65021 01JUL1994 31DEC9999 Y Blood grouping (including backgrouping if performed), and examination of serum for Rh and other blood group antibodies, including: (a) identification and quantitation of any antibodies detected; and (b) (if performed) a service described in item 65001, 65003, 65005 or 65007 65022 01DEC1991 31DEC9999 Y Blood grouping, including backgrouping when performed, and examination of serum for Rh and other blood group antibodies, including identification and quantitative estimation of any antibodies detected, and including any services specified in items 65001/65002, 65003/65004, 65005/65006 and 65007/65008 65023 01DEC1991 30JUN1994 N Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and, if necessary, quantitative estimation of any antibodies detected and any services specified in items 65001, 65003, 65005, 65007, 65017 and 65021 including all testing performed on any 1 day 65023 01JUL1994 31DEC9999 Y Compatibility tests - all tests performed on any 1 day, including: (a) all grouping checks of patient and donor; and (b) examination for antibodies, and, if necessary, quantitation of any antibodies detected; and (c) a service described in item 65001, 65003, 65005, 65007, 65017 or 65021 (if performed) 65024 01DEC1991 31DEC9999 Y Compatibility testing, including all necessary grouping checks of patient and donor, examination for antibodies, identification and, if necessary, quantitative estimation of any antibodies detected and any services specified in items 65001/65002, 65003/65004, 65005/65006, 65007/65008, 65017/65018 and 65021/65022 including all testing performed on any one day 65025 01DEC1991 30JUN1994 N Examination of serum for blood group antibodies including identification and, if necessary, quantitative estimation of any antibodies detected 65025 01JUL1994 31DEC9999 Y Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected) 65026 01DEC1991 31DEC9999 Y Examination of serum for blood group antibodies including identification and, if necessary, quantative estimation of any antibodies detected 65027 01DEC1991 30JUN1994 N Direct Coombs test, qualitative or quantitative test for cold agglutinins, or heterophile antibodies, qualitative spectroscopic examination of blood for abnormal haemoglobins, qualitative test for red cell porphyrins and detection of metalbumin (Schumm's test) including those services specified in items 65005 and 65007 1 or more tests 65027 01JUL1994 31DEC9999 Y 1 or more of the following tests (a) direct Coombs test; (b) qualitative or quantitative test for cold agglutinins or heterophile antibodies; (c) qualitative spectroscopic examination of blood for abnormal haemoglobins; (d) qualitative test for red cell porphyrins and detection of metalbumin (Schumm's test) 65028 01DEC1991 31DEC9999 Y Direct Coombs test, qualitative or quantitative test for cold agglutinins, or heterophile antibodies, qualitative spectroscopic examinations of blood for abnormal haemoglobins, qua;itative test for red cell porphyrins and detected of metalbumin (Schumm's test) including those services specified in items 65005/65006 and 65007/65008 - one or more tests 65029 01DEC1991 30JUN1994 N Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), test for factor XIII deficiency, fibrinogen, or 1 of fibrinogen degradation products, fibrin monomer or Ddimer 1 estimation 65029 01JUL1994 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), test for factor XIII deficiency, fibrinogen, or 1 of: fibrinogen degradation products, fibrin monomer or Ddimer 1 test 65030 01DEC1991 31DEC9999 Y Skin bleeding time, coagulation time, prothrombin time, activated partial thromboplastin time, thrombin time (including test for presence of an inhibitor and serial tests for fibrinolysis), test for factor XIII deficiency, fibrinogen, or one of fibrinogen degradation products, fibrin monomer or Ddimer one estimation 65031 01DEC1991 30JUN1994 N 2 estimations specified in item 65029 65031 01JUL1994 31DEC9999 Y 2 tests described in item 65029 65032 01DEC1991 31DEC9999 Y Two estimations specified in item 65029/65030 65033 01DEC1991 30JUN1994 N 3 estimations specified in item 65029 65033 01JUL1994 31DEC9999 Y 3 tests described in item 65029 65034 01DEC1991 31DEC9999 Y Three estimations specified in item 65029/65030 65035 01DEC1991 30JUN1994 N 4 or more estimations specified in item 65029 65035 01JUL1994 31DEC9999 Y 4 or more tests described in item 65029 65036 01DEC1991 31DEC9999 Y Four or more estimations specified in item 65029/65030 65037 01DEC1991 30JUN1994 N Quantitative assay, by 1 or more techniques, of plasminogen, antithrombin III, Protein C, Protein S, heparin cofactor II, euglobulin clot lysis time and test for lupus anticoagulant 1 estimation 65037 01JUL1994 31DEC9999 Y Quantitation, by 1 or more techniques, of: plasminogen, antithrombin III, Protein C, Protein S, heparin cofactor II, euglobulin clot lysis time and test for lupus anticoagulant 1 to 3 tests 65038 01DEC1991 31DEC9999 Y Quantitative assay, by one or more techniques, of plasminogen, antithrombin III, Protein C, Protein S, heparin cofactor II, Euglobulin clot lysis time and test for lupus anticoagulant one estimation. 65039 01DEC1991 30JUN1994 N 4 or more estimations specified in item 65037 65039 01JUL1994 31DEC9999 Y 4 or more tests described in item 65037 65040 01DEC1991 31DEC9999 Y Four or more estimations specified in item 65037/65038 65041 01DEC1991 30JUN1994 N Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance 1 or more estimations 65041 01JUL1994 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance 1 or more tests 65042 01DEC1991 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or similar substance one or more estimations 65043 01DEC1991 30JUN1994 N Heparin assay, only when monitoring a patient on subcutaneous heparin or low molecular weight heparin 1 or more estimations 65043 01JUL1994 31DEC9999 Y Heparin quantitation when monitoring a patient on subcutaneous heparin or low molecular weight heparin 1 or more tests 65044 01DEC1991 31DEC9999 Y Heparin assay, only when monitoring a patient on subcutaneous heparin or low molecular weight heparin one or more estimations 65045 01DEC1991 30JUN1994 N Quantitative assay of Von Willebrand's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, Passovy factor 1 estimation 65045 01JUL1994 31DEC9999 Y Quantitation of Von Willebrand's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, or Passovy factor 1 test 65046 01DEC1991 31DEC9999 Y Quantitative assay of Von Willebrand's factor antigen (factor VIII related antigen), Von Willebrand's factor (ristocetin cofactor), factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, Passovy factor one estimation 65047 01DEC1991 30JUN1994 N 2 estimations specified in item 65045 65047 01JUL1994 31DEC9999 Y 2 tests described in item 65045 65048 01DEC1991 31DEC9999 Y Two estimations as specified in item 65045/65046 65049 01DEC1991 30JUN1994 N 3 or more estimations specified in item 65045 65049 01JUL1994 31DEC9999 Y 3 or more tests described in item 65045 65050 01DEC1991 31DEC9999 Y Three or more estimations as specified in item 65045/65046 65052 20MAR1997 31DEC9999 Y Examination of a maternal blood film for the presence of fetal red blood cells (Kleihauer test) including any service described in item 65005 (if performed) 65053 20MAR1997 31DEC9999 Y Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell surface antigens using flow cytometric methods including any service described in item 65007 or 65052 (if performed) 65060 01NOV1998 31DEC9999 Y Haemoglobin, erythrocyte sedimentation rate, blood viscosity - 1 or more tests 65063 01NOV1998 31OCT1999 N Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and instrument generated differential count including any services in item 65060 or 65072 2 or more instrument generated results from a single sample 65063 01NOV1999 31DEC9999 Y Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and instrument generated differential count - not being a service where haemoglobin only is requested including any services in item 65060 or 65072 - 1 or more instrument generated results from a single sample 65066 01NOV1998 31DEC9999 Y Examination of: (a) a blood film by special stains to demonstrate Heinz bodies, parasites or iron; or (b) a blood film by enzyme cytochemistry for neutrophil alkaline phosphatase, alpha-naphthyl acetate esterase or chloroacetate esterase; or (c) a blood film using any other special staining methods including periodic acid Schiff and Sudan Black; or (d) a urinary sediment for haemosiderin including a service described in item 65072 65069 01NOV1998 31DEC9999 Y Full blood examination consisting of: (a) a morphological assessment of a blood film; (b) item 65063; and (c) (if performed) any test in item 65060 or 65072 65070 01NOV2000 30JUN2020 N Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and manual or instrument generated differential count - not being a service where haemoglobin only is requested - one or more instrument generated set of results from a single sample; and (if performed) (a) a morphological assessment of a blood film; (b) any service in item 65060 or 65072 65070 01JUL2020 31DEC9999 Y Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and manual or instrument generated differential count - not being a service where haemoglobin only is requested - one or more instrument generated sets of results from a single sample; and (if performed) (a) a morphological assessment of a blood film; (b) any service in item 65060 or 65072 65072 01NOV1998 30APR2005 N Examination for reticulocytes including a reticulocyte count by any method - 1 or more tests in any episode 65072 01MAY2005 31DEC9999 Y Examination for reticulocytes including a reticulocyte count by any method - 1 or more tests 65075 01NOV1998 31DEC9999 Y Haemolysis or metabolic enzymes - assessment by: (a) erythrocyte autohaemolysis test; or (b) erythrocyte osmotic fragility test; or (c) sugar water test; or (d) G-6-P D (qualitative or quantitative) test; or (e) pyruvate kinase (qualitative or quantitative) test; or (f) acid haemolysis test; or (g) quantitation of muramidase in serum or urine; or (h) Donath Landsteiner antibody test; or (i) other erythrocyte metabolic enzyme tests 1 or more tests 65078 01NOV1998 30APR2008 N Tests for the diagnosis of thalassaemia when indicated on the basis of an abnormal full blood examination or by the clinical need for family studies, consisting of haemoglobin electrophoresis or chromatography and at least 2 of: (a) examination for HbH; or (b) quantitation of HbA2; or (c) quantitation of HbF; including (if performed) any service described in item 65060 or 65070 65078 01MAY2008 31DEC9999 Y Tests for the diagnosis of thalassaemia consisting of haemoglobin electrophoresis or chromatography and at least 2 of: (a) examination for HbH; or (b) quantitation of HbA2; or (c) quantitation of HbF; including (if performed) any service described in item 65060 or 65070 65079 01MAY2007 31DEC9999 Y Tests described in item 65078 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 65081 01NOV1998 30APR2008 N Tests for the investigation of haemoglobinopathy (including S, C, D, E), other than thalassaemia, when indicated on the basis of an abnormal full blood examination or by the clinical need for family studies, consisting of haemoglobin electrophoresis or chromatography and at least 1 of: (a) heat denaturation test; or (b) isopropanol precipitation test; or (c) tests for the presence of haemoglobin S; or (d) quantitation of any haemoglobin fraction (including S, C, D, E); including (if performed) any service described in item 65060, 65070 or 65078 65081 01MAY2008 31DEC9999 Y Tests for the investigation of haemoglobinopathy consisting of haemoglobin electrophoresis or chromatography and at least 1 of: (a) heat denaturation test; or (b) isopropanol precipitation test; or (c) tests for the presence of haemoglobin S; or (d) quantitation of any haemoglobin fraction (including S, C, D, E); including (if performed) any service described in item 65060, 65070 or 65078 65082 01MAY2007 31DEC9999 Y Tests described in item 65081 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 65084 01NOV1998 30APR2008 N Bone marrow trephine biopsy - histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed): (a) special stains or immunohistochemical techniques (if any); and (b) any test described in item 65060, 65066 or 65070 65084 01MAY2008 31DEC9999 Y Bone marrow trephine biopsy - histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070 65087 01NOV1998 30APR2008 N Bone marrow - examination of aspirated material (including clot sections where necessary), including (if performed): (a) special stains or immunohistochemical techniques (if any); and (b) any test described in item 65060, 65066 or 65070 65087 01MAY2008 31DEC9999 Y Bone marrow - examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070 65090 01NOV1998 31DEC9999 Y Blood grouping (including back-grouping if performed) - ABO and Rh (D antigen) 65093 01NOV1998 31DEC9999 Y Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - 1 or more systems, including item 65090 (if performed) 65096 01NOV1998 31DEC9999 Y Blood grouping (including back-grouping if performed), and examination of serum for Rh and other blood group antibodies, including: (a) identification and quantitation of any antibodies detected; and (b) (if performed) any test described in item 65060 or 65070 65099 01NOV1998 31OCT1999 N Compatibility tests by crossmatch all tests performed on any one day for up to 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies, and if necessary identification of any antibodies detected; and (c) any tests described in item 65060, 65063, 65069, 65090 or 65096 (if performed) 65099 01NOV1999 30JUN2020 N Compatibility tests by crossmatch - all tests performed on any one day for up to 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies, and if necessary identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5) 65099 01JUL2020 31DEC9999 Y Compatibility tests by crossmatch - all tests performed on any 1 day for up to 6 units, including: (a) direct testing of donor red cells from each unit against the serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c) examination for antibodies, and if necessary identification of any antibodies detected; and (d) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5) 65102 01NOV1998 30JUN2020 N Compatibility tests by crossmatch - all tests performed on any one day in excess of 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies, and if necessary identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5) 65102 01JUL2020 31DEC9999 Y Compatibility tests by crossmatch - all tests performed on any 1 day in excess of 6 units, including: (a) direct testing of donor red cells from each unit against serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c) examination for antibodies, and if necessary identification of any antibodies detected; and (d) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5) 65105 01NOV1998 31OCT1999 N Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion all tests performed on any one day for up to 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies, and if necessary identification of any antibodies detected; and (c) any tests described in item 65060, 65063, 65069, 65090 or 65096 (if performed) 65105 01NOV1999 31DEC9999 Y Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day for up to 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5) 65108 01NOV1998 31DEC9999 Y Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day in excess of 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5) 65109 01MAY2007 31DEC9999 Y Release of fresh frozen plasma or cryoprecipitate for the use in a patient for the correction of a coagulopathy - 1 release. 65110 01MAY2007 31DEC9999 Y Release of compatible fresh platelets for the use in a patient for platelet support as prophylaxis to minimize bleeding or during active bleeding - 1 release. 65111 01NOV1998 31DEC9999 Y Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected) 65114 01NOV1998 31DEC9999 Y 1 or more of the following tests: (a) direct Coombs (antiglobulin) test; (b) qualitative or quantitative test for cold agglutinins or heterophil antibodies 65117 01NOV1998 30APR2003 N 1 or more of the following tests: (a) qualitative spectroscopic examination of blood for chemically altered haemoglobins; (b) detection of methaemalbumin (Schumm's test) 65117 01MAY2003 31DEC9999 Y 1 or more of the following tests: (a) Spectroscopic examination of blood for chemically altered haemoglobins; (b) detection of methaemalbumin (Schumm's test) 65120 01NOV1998 31DEC9999 Y Prothrombin time (including INR where appropriate), activated partial thromboplastin time, thrombin time (including test for the presence of heparin), test for factor XIII deficiency (qualitative), Echis test, Stypven test, reptilase time, fibrinogen, or 1 of fibrinogen degradation products, fibrin monomer or D-dimer - 1 test 65123 01NOV1998 31DEC9999 Y 2 tests described in item 65120 65126 01NOV1998 31DEC9999 Y 3 tests described in item 65120 65129 01NOV1998 31DEC9999 Y 4 or more tests described in item 65120 65132 01NOV1998 30APR2000 N Quantitation, by 1 or more techniques, of antithrombin III, Protein C, Protein S, heparin cofactor II, plasminogen, euglobulin clot lysis time and test for lupus anticoagulant 1 to 3 tests 65132 01MAY2000 31OCT2000 N Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where any request for the test by a medical practitioner specifically identifies in writing a history of venous thromboembolism or arterial thrombosis - quantitation by 1 or more techniques - 1 test 65132 01NOV2000 31OCT2003 N Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - if the request for the test specifically identifies in writing a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test 65132 01NOV2003 31DEC9999 Y Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where the request for the test(s) specifically identifies that the patient has a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test 65133 01MAY2000 31DEC9999 Y 2 tests described in item 65132 65134 01MAY2000 31DEC9999 Y 3 tests described in item 65132 65135 01MAY2000 31DEC9999 Y 4 tests described in item 65132 65136 01MAY2000 31DEC9999 Y 5 tests described in item 65132 65137 01MAY2000 31OCT2000 N Test for the presence of lupus anticoagulant not being a service associated with any service to which item 65132 applies 65137 01NOV2000 31OCT2007 N Test for the presence of lupus anticoagulant not being a service associated with any service to which items 65132, 65133, 65134, 65135 and 65136 apply 65137 01NOV2007 31DEC9999 Y Test for the presence of lupus anticoagulant not being a service associated with any service to which items 65175, 65176, 65177, 65178 and 65179 apply 65138 01NOV1998 31DEC9999 Y 4 or more tests described in item 65132 65139 01MAY2000 31DEC9999 Y Quantitation of plasminogen - 1 test 65140 01MAY2000 31DEC9999 Y Quantitation of euglobulin clot lysis time - 1 test 65141 01NOV1998 31DEC9999 Y Test for Activated Protein C resistance for a patient with a history of venous thrombosis or pulmonary thromboembolism where any request for the test by a medical practitioner specifically identifies in writing a history of venous thrombosis or pulmonary thromboembolism 65142 01MAY2000 31OCT2000 N Confirmation or characterisation of an abnormal or indeterminate results using a separate specimen collected on a different day using tests described in item 65132 - 1 or more tests 65142 01NOV2000 31OCT2007 N Confirmation or clarification of an abnormal or indeterminate result from a test described in item 65132, by testing a specimen collected on a different day - 1 or more tests 65142 01NOV2007 31DEC9999 Y Confirmation or clarification of an abnormal or indeterminate result from a test described in item 65175, by testing a specimen collected on a different day - 1 or more tests 65144 01NOV1998 31DEC9999 Y Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs - 1 or more tests 65147 01NOV1998 31DEC9999 Y Quantitation of anti-Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid - 1 test 65150 01NOV1998 30APR2007 N Quantitation of von Willebrand factor antigen, von Willebrand factor activity (ristocetin cofactor assay), von Willebrand factor collagen binding activity, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, circulating coagulation factor inhibitors other than by Bethesda assay - 1 test 65150 01MAY2007 31DEC9999 Y Quantitation of von Willebrand factor antigen, von Willebrand factor activity (ristocetin cofactor assay), von Willebrand factor collagen binding activity, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, circulating coagulation factor inhibitors other than by Bethesda assay - 1 test (Item is subject to rule 6 ) 65153 01NOV1998 30APR2007 N 2 tests described in item 65150 65153 01MAY2007 31DEC9999 Y 2 tests described in item 65150 (Item is subject to rule 6 ) 65156 01NOV1998 30APR2007 N 3 or more tests described in item 65150 65156 01MAY2007 31DEC9999 Y 3 or more tests described in item 65150 (Item is subject to rule 6 ) 65157 01MAY2007 31DEC9999 Y A test described in item 65150, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 65158 01MAY2007 31DEC9999 Y Tests described in item 65150, other than that described in 65157, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18) 65159 01NOV1998 31DEC9999 Y Quantitation of circulating coagulation factor inhibitors by Bethesda assay - 1 test 65162 01NOV1998 31DEC9999 Y Examination of a maternal blood film for the presence of fetal red blood cells (Kleihauer test) 65165 01NOV1998 31OCT2003 N Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell surface antigens using flow cytometric methods including (if performed) any test described in item 65070 or 65162 65165 01NOV2003 31DEC9999 Y Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell antigens using flow cytometric methods including (if performed) any test described in item 65070 or 65162 65166 01MAY2007 31DEC9999 Y A test described in item 65165 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 65168 01MAY2000 31DEC9999 Y Characterisation of the genotype of a patient for Factor V Leiden gene mutation, or detection of other relevant mutations in the investigation of proven venous thrombosis or pulmonary embolism - 1 or more tests 65171 01MAY2000 31DEC9999 Y Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency or activated protein C resistance in a first degree relative of a person who has a proven defect of any of the above - 1 or more tests 65174 01MAY2000 31DEC9999 Y Characterisation of the genotype of a person who is a first degree relative of a person who has been proven to have 1 or more abnormal genotypes under item 65168 - 1 or more tests 65175 01MAY2007 31DEC9999 Y Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where the request for the test(s) specifically identifies that the patient has a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test (Item is subject to Rule 6) 65176 01MAY2007 31DEC9999 Y 2 tests described in item 65175 (Item is subject to rule 6) 65177 01MAY2007 31DEC9999 Y 3 tests described in item 65175 (Item is subject to rule 6) 65178 01MAY2007 31DEC9999 Y 4 tests described in item 65175 (Item is subject to rule 6) 65179 01MAY2007 31DEC9999 Y 5 tests described in item 65175 (Item is subject to rule 6) 65180 01MAY2007 31DEC9999 Y A test described in item 65175, if rendered by a receiving APA, where no tests in the item have been rendered by the referring APA - 1 test (Item is subject to rule 6 and 18) 65181 01MAY2007 30JUN2020 N Tests described in item 65175, other than that described in 65180, if rendered by a receiving APA - each test to a maximum of 4 tests (Item is subject to rule 6 and 18) 65181 01JUL2020 31DEC9999 Y A test described in item 65175, if rendered by a receiving APP, if one or more tests described in the item have been rendered by the referring APP - one test (Item is subject to rule 6 and 18) 65200 09AUG2004 31DEC9999 Y Characterisation of gene rearrangement by nucleic acid amplification in the diagnosis and monitoring of patients with laboratory evidence of: (a) acute myeloid leukaemia; or (b) acute promyelocytic leukaemia; or (c) acute lymphoid leukaemia; or (d) chronic myeloid leukaemia; each test to a maximum of 4 tests in a 12 month period 66201 01DEC1991 30JUN1993 N Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter or electrophoresis of alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, creatine kinase, creatine kinase isoenzymes (when not performed as specified in item 66245), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, triglycerides, urate, urea 1 estimation 66201 01JUL1993 31OCT1993 N Quantitative in serum, plasma, urine or other body fluid, by any method except by reagent strip with or without reflectance meter or electrophoresis, when not performed as specified in item 66331, of alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionised), chloride, creatine kinase, creatine kinase isoenzymes (when not performed as specified in item 66245), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, urate, or urea 1 estimation 66201 01NOV1993 30JUN1994 N Quantitative estimation in serum, plasma, urine or other body fluid, by any method except by reagent strip with or without reflectance meter or electrophoresis of alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionised), chloride, creatine kinase, creatine kinase isoenzymes (when not performed as specified in item 66245), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, urate, urea 1 estimation 66201 01JUL1994 30JUN1995 N Quantitation in serum, plasma, urine or other body fluid, by any method except reagent strip (with or without reflectance meter or electrophoresis) of: alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionised), chloride, creatine kinase, creatine kinase isoenzymes (if not performed as described in item 66249), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, urate, or urea 1 test 66201 01JUL1995 31OCT1995 N Quantitation in serum, plasma, urine or other body fluid, by any method except reagent strip (with or without reflectance meter or electrophoresis) of: alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), calcium (total, dialysed or ionised), chloride, creatine kinase, creatine kinase isoenzymes (if not performed as described in item 66249), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, urate or urea 1 test 66201 01NOV1995 31DEC9999 Y Quantitation in serum, plasma, urine or other body fluid, by any method except reagent tablet or reagent strip (with or without reflectance meter or electrophoresis) of: alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), calcium (total, dialysed or ionised), chloride, creatine kinase, creatine kinase isoenzymes (if not performed as described in item 66249), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, urate or urea 1 test 66202 01DEC1991 31DEC9999 Y Quantitative estimation in serum, plasma, urine or any other body fluid, by any method except by reagent strip with or without reflectance meter or electrophoresis of alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total and any fractions), calcium (total, dialysed or ionized), chloride, cholesterol, creatine kinase, creatine kinase isoenzymes (when not performed as specified in item 66245/66246), creatinine, fructosamine, gamma glutamyl transpeptidase, globulin, glucose, lactate dehydrogenase, lipase, lithium, magnesium, phosphate, potassium, total protein, sodium, triglycerides, urate, urea one estimation 66203 01DEC1991 30JUN1994 N 2 estimations specified in item 66201 66203 01JUL1994 31DEC9999 Y 2 tests described in item 66201 66204 01DEC1991 31DEC9999 Y Two estimations specified in item 66201/66202 66205 01DEC1991 30JUN1994 N 3 estimations specified in item 66201 66205 01JUL1994 31DEC9999 Y 3 tests described in item 66201 66206 01DEC1991 31DEC9999 Y Three estimations specified in item 66201/66202 66207 01DEC1991 30JUN1994 N 4 estimations specified in item 66201 66207 01JUL1994 31DEC9999 Y 4 tests described in item 66201 66208 01DEC1991 31DEC9999 Y Four estimations specified in item 66201/66202 66209 01DEC1991 30JUN1994 N 5 estimations specified in item 66201 66209 01JUL1994 31DEC9999 Y 5 tests described in item 66201 66210 01DEC1991 31DEC9999 Y Five estimations specified in item 66201/66202 66211 01DEC1991 30JUN1994 N 6 or more estimations specified in item 66201 66211 01JUL1994 31DEC9999 Y 6 or more tests described in item 66201 66212 01DEC1991 31DEC9999 Y Six or more estimations specified in item 66201/66202 66213 01DEC1991 30JUN1994 N Qualitative estimation by any method, except by reagent strip or dip-stick of the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in plasma - 1 or more estimations 66213 01JUL1994 31DEC9999 Y Test by any method (except reagent strip or dip-stick): (a) for the presence of: (i) the following urine constituents - bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrins, urobilinogen; or (ii) cryoglobulins or cryofibrinogen in plasma; or (b) of pH of body fluids other than urine (not including urine acidification test); 1 or more tests 66214 01DEC1991 31DEC9999 Y Qualitative estimation by any method, except by reagent strip or dipstick of the following urine constituents bilirubin, cystine (cysteine), haemoglobin, melanin (melanogen), myoglobin, porphobilinogen, porphyrin, urobilinogen or pH measurement of body fluids other than urine (excepting urine acidification test), or cryoglobulins or cryofibrinogen in plasma one or more estimations 66215 01SEP1992 30JUN1994 N Quantitative estimation of cryoglobulins or cryofibrinogen after a positive result for cryoglobulin is obtained in any service specified in item 66213 (including provision of that service) - 1 or more estimations 66215 01JUL1994 31DEC9999 Y Quantitation of cryoglobulins or cryofibrinogen following their detection in a test described in item 66213, including that service - 1 or more tests 66217 01DEC1991 30JUN1994 N Qualitative estimation by any method except by reagent strip or dipstick of the following faecal constituents haemoglobin, porphyrins, reducing substances each estimation, to a maximum of 3 estimations, taken on separate days 66217 01JUL1994 31DEC9999 Y Tests by any chemical method (except reagent strip or dipstick) for the following faecal constituents haemoglobin, porphyrins, reducing substances each test, to a maximum of 3 tests taken on separate days 66218 01DEC1991 31DEC9999 Y Qualitative estimation by any method except by reagent strip or dipstick of the following faecal constituents haemoglobin, porphyrins, reducing substances each estimation, to a maximum of three estimations, taken on separate days 66219 01DEC1991 31AUG1992 N Immunological detection of human haemoglobin in faeces, including any additional services specified in items 66217 - 1 estimation in any 28 day period 66219 01SEP1992 30JUN1994 N Immunological detection of human haemoglobin in faeces, including any additional services specified in item 66217 - 1 estimation in any 28 day period 66219 01JUL1994 31DEC9999 Y Identification of human haemoglobin in faeces, including a service (if performed) described in item 66217 - 1 test in a 28 - day period 66220 01DEC1991 31DEC9999 Y Immunological detection of human haemoglobin in faeces, including any additional services specified in item 66217/66218 - one estimation in any twenty eight day period 66221 01NOV1994 31DEC9999 Y Test for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces) by: (a) an immunological method; and (b) a chemical method (except reagent strip or dip-stick); each test, to a maximum of 3 tests taken on separate days in a 28 day period 66223 01DEC1991 30JUN1994 N Osmolality, estimation by osmometer, in serum or in urine 1 or more estimations 66223 01JUL1994 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine 1 or more tests 66224 01DEC1991 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine one or more estimations 66225 01DEC1991 30JUN1994 N Quantitative estimation of blood gases including tests performed from pO2, oxygen saturation, pCO2, bicarbonate, pH, and any other measurement (eg. haemoglobin, potassium) or calculation performed on the same specimen 1 or more estimations on 1 specimen 66225 01JUL1994 31DEC9999 Y Quantitation of: (a) blood gases (including pO2, oxygen saturation and pCO2; and (b) bicarbonate and pH; including any other measurement (eg., haemoglobin or potassium) or calculation performed on the same specimen 1 or more tests on 1 specimen 66226 01DEC1991 31DEC9999 Y Quantitative estimation of blood gases including tests performed from pO2, oxygen saturation, pCO2, bicarbonate, pH, and any other measurement (eg. haemoglobin, potassium) or calculation performed on the same specimen one or more estimations on one specimen 66227 01DEC1991 30JUN1994 N Estimation of blood gases as specified in item 66225 on each specimen in excess of 1 to a maximum of 6 specimens within any 1 day 66227 01JUL1994 31DEC9999 Y Quantitation of blood gases, bicarbonate and pH as described in item 66225 on each specimen in excess of 1 to a maximum of 6 specimens within any 1 day 66228 01DEC1991 31DEC9999 Y Estimation of blood gases as specified in items 66225/66226 on each specimen in excess of 1 to a maximum of 6 specimens within any one day 66229 01DEC1991 30JUN1994 N Calculus, analysis of 1 or more 66229 01JUL1994 31DEC9999 Y Calculus, analysis of 1 or more 66230 01DEC1991 31DEC9999 Y Calculus, analysis of one or more 66231 01DEC1991 31OCT1993 N Drug or chemical assays including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, ingested or absorbed toxic chemicals including any services specified in items 66235, 66237 and 66239, but excluding the surveillance of sports people and athletes for performance improving substances 1 or more assays 66231 01NOV1993 30JUN1994 N Drug or chemical assays including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, ingested or absorbed toxic chemicals including any services specified in items 66235, 66237 and 66239, but excluding the surveillance of sports people and athletes for performance improving substances or the monitoring of patients participating in a drug abuse treatment program 66231 01JUL1994 31DEC9999 Y All qualitative and quantitative tests on blood, urine or other body fluid for: (a) a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or (b) ingested or absorbed toxic chemicals; including a service described in item 66235, 66237 or 66239 (if performed), but excluding: (c) the surveillance of sports people and athletes for performance improving substances; and (d) the monitoring of patients participating in a drug abuse treatment program 66232 01DEC1991 31DEC9999 Y Drug or chemical assays including all qualitative and quantitative tests on blood, urine or other body fluid for a drug or drugs of abuse, including illegal drugs and legally available drugs taken other than in appropriate dosage, ingested or absorbed toxic chemicals including any services specified in items 66235/66236, 66237/66238 and 66239/66240, but excluding the surveillance of sports people and athletes for performance improving substances one or more assays. 66233 01DEC1991 30JUN1993 N Drug assays including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug or drugs of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects or under a court order or parole board supervision, but excluding the detection of nicotine and metabolites in smoking withdrawal programmes each assay to a maximum of 4 assays within any 28 day period 66233 01JUL1993 31DEC9999 Y Drug assays including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug, or drugs, of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment program, being treated for drug effects or under a court order or parole board supervision, but excluding the detection of nicotine and metabolites in smoking withdrawal programs each assay to a maximum of 21 assays in any 12 month period 66234 01DEC1991 31DEC9999 Y Drug assays including all qualitative and quantitative estimations on blood, urine orother body fluid for a drug or drugs of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment programme, or being treated for drug effects or under a court order or parole board supervision, but excluding the detection of nicotine and metabolites in smoking withdrawal programmes each assay to a maximum of four assays within any twenty eight day period 66235 01DEC1991 30JUN1993 N Drug assay quantitative estimation on blood or other body fluid by any method or methods of a drug being used therapeutically for the patient from whom the specimen was taken and not elsewhere specified in the Schedule 1 estimation 66235 01JUL1993 30JUN1994 N Drug assay quantitative estimation on blood or other body fluid by any method or methods of a drug being used therapeutically for the patient from whom the specimen was taken and not elsewhere specified in the Schedule 1 estimation (This fee applies where a laboratory performs the only drug assay specified on the request form or performs 1 assay and refers the rest to the laboratory of a separate APA) 66235 01JUL1994 31DEC9999 Y Quantitation, not elsewhere described in this Table by any method or methods, in blood or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken - 1 test (This fee applies where a laboratory performs the only drug assay specified on the request form or performs 1 assay refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66236 01DEC1991 31DEC9999 Y Drug assay quantitative estimation on blood or other body fluid by any method or methods of a drug being used therapeutically for the patient from whom the specimen was taken and not elsewhere specified in the Schedule one estimation 66237 01DEC1991 30JUN1993 N 2 estimations specified in item 66235 66237 01JUL1993 30JUN1994 N 2 estimations specified in item 66235 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 2 of the drug assays specified on the request form and refers the remainder to the laboratory of a separate APA.) 66237 01JUL1994 31DEC9999 Y 2 tests described in item 66235 (This fee applies where 1 laboratory performs the only drug assay specified on the request form or performs 2 assay and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66238 01DEC1991 31DEC9999 Y Two estimations specified in item 66235/66236 66239 01DEC1991 30JUN1994 N 3 or more estimations specified in item 66235 66239 01JUL1994 31DEC9999 Y 3 or more tests described in item 66235 66240 01DEC1991 31DEC9999 Y Three or more estimations specified in item 66235/66236 66241 01SEP1992 30JUN1993 N Estimations specified in any of items 66235 to 66239 (inclusive), if the number of estimations relating to the same patient episode does not exceed 3 - each estimation to a maximum of 2 estimations 66241 01JUL1993 30JUN1994 N "Estimations specified in any of items 66235 to 66239 (inclusive), if the number of estimations relating to the same patient episode does not exceed 3 - each estimation to a maximum of 2 estimations (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the drug assays specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"".)" 66241 01JUL1994 31OCT1994 N "Tests described in any of items 66235 to 66237 (inclusive), if the number of tests relating to the same patient episode does not exceed 3 - each test to a maximum of 2 tests (Item is subject to Rule 6) (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the drug assays specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"".)" 66241 01NOV1994 31OCT1995 N Tests described in item 66235, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 (Item is subject to Rule 6) 66241 01NOV1995 31DEC9999 Y Tests described in item 66235, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 - each test to a maximum of 2 tests (Item is subject to Rule 6) 66243 01DEC1991 30JUN1994 N Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio, palmitic acid, phosphatidylglycerol or lamellar body phospholipid 1 or more examinations or estimations 66243 01JUL1994 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, and quantitation of : (a) lecithin/sphingomyelin ratio; or (b) palmitic acid, phosphatidylglycerol or lamellar body phospholipid; 1 or more tests 66244 01DEC1991 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, estimation of lecithin/sphingomyelin ratio or palmitic acid, phosphatidylglycerol or lamellar body phospholipid - one or more examinations or estimations 66245 01DEC1991 31DEC9999 Y Electrophoresis, quantitative or qualitative of serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, or the isoenzymes of lactate dehydrogenase, alkaline phosphatase and creatine kinase or lipoprotein electrophoresis (only when the cholesterol is >6.5 mmol/l and triglyceride >3.0 mmol/l or in the diagnosis of types III and IV hyperlipidaemia), including the preliminary quantitation of total protein, albumin and globulin or of total relevant enzyme activity 1 examination to a maximum of 2 examinations in any 12 month period 66246 01DEC1991 31DEC9999 Y Electrophoresis, quantitative or qualitative of serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, or the isoenzymes of lactate dehydrogenase, alkaline phosphatase and creatine kinase or lipoprotein electrophoresis (only when the Cholesterol is >6.5 mmol/l and Triglyceride >3.0 mmol/l or in the diagnosis of types III and IV hyperlipidaemia), including the preliminary quantitation of total protein, albumin and globulin or of total relevant enzyme activity one examination to a maximum of two examinations in any twelve month period 66247 01DEC1991 31DEC9999 Y Electrophoresis, quantitative or qualitative of concurrently collected, or collected within a 28 day period, serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, including the preliminary quantitation of total protein, albumin and globulin or of total rele'/ant enzyme activity - 2 or more examinations 66248 01DEC1991 31DEC9999 Y Electrophoresis, quantitative or qualitative of concurrently collected, or collected within a twenty eight day period, serum, urine or other body fluid to demonstrate protein classes or presence and amount of paraprotein, including the preliminary quantitation of total protein, albumin and globulin or of total relevant enzyme activity two or more examinations 66249 01JUL1994 31DEC9999 Y Electrophoresis, quantitative or qualitative, of serum, urine or other body fluid to demonstrate: (a) protein classes; or (b) presence and amount of paraprotein; or (c) the isoenzymes of lactate dehydrogenase, alkaline phosphatase and creatine kinase; including the preliminary quantitation of total protein, albumin and globulin or of total relevant enzyme activity 66250 01JUL1994 31DEC9999 Y Electrophoresis, quantitation or qualitative, of serum, for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >3.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - each episode to a maximum of 2 episodes in a 12 month period 66251 01DEC1991 31DEC9999 Y Alphafeto protein, Alpha1 antitrypsin, Alpha2 macroglobulin, beta2 microglobulin, C1 esterase inhibitor, Caeruloplasmin, Ferritin (unless specified in items 66263), Haptoglobins, Microalbumin (in proven diabetes mellitus), Prealbumin, Prostate Specific Antigen, Prostatic Acid Phosphotase, Transferrin (unless specified in items 66263), and, in the follow up of proven malignancy, Mucinlike carcinoma associated antigen, CA125 antigen, CA19.9 antigen, CA15.3 antigen, Carcinoembryonic antigen, Mammary serum antigen, Neuron specificenolase, Thyroglobulin quantitative estimation in serum, urine or other body fluid 1 estimation 66252 01DEC1991 31DEC9999 Y Alphafeto protein, Alpha1 antitrypsin, Alpha2 macroglobulin, beta2 microglobulin, C1 esterase inhibitor, Caeruloplasmin, Ferritin (unless specified in items 66263/66264), Haptoglobins, Microalbumin (in proven diabetes mellitus), Prealbumin, Prostate Specific Antigen, Prostatic Acid Phosphotase, Transferrin (unless specified in items 66263/66264), and, in the follow up of proven malignancy, Mucinlike carcinoma associated antigen, CA125 antigen, CA19.9 antigen, CA15.3 antigen, Carcinoembryonic antigen, Mammary serum antigen, Neuron specific enolase, Thyroglobulin quantitative estimation in serum, urine or other body fluid one estimation 66253 01DEC1991 31DEC9999 Y Two or more estimations specified in item 66251 66254 01DEC1991 31DEC9999 Y Two or more estimations specified in item 66251/66252 66255 01SEP1992 30JUN1994 N Alpha-1-acid glycoprotein, alpha-1-antitrypsin, alpha-2-macroglobulin, quantitative estimation in serum, urine or other body fluid - 1 or more estimations 66255 01JUL1994 31DEC9999 Y Alpha-1-acid glycoprotein, alpha-1-antitrypsin, or alpha-2-macroglobulin - quantitation in serum, urine or other body fluid - 1 or more tests 66257 01SEP1992 30JUN1994 N C-1 esterase inhibitor, quantitative estimation 66257 01JUL1994 31DEC9999 Y C-1 esterase inhibitor, quantitation 66258 01SEP1992 31DEC9999 Y C-1 esterase inhibitor, functional assay 66259 01SEP1992 31DEC9999 Y Alpha-fetoprotein, beta-2-microglobulin, caeruloplasmin, ferritin (except when part of item 66263), haptoglobulins, microalbumin in proven diabetes mellitus, prealbumin, prostate specific antigen, prostatic acid phosphatase, transferrin (except when part of item 66263) - quantitative estimation in serum, urine or other body fluid - 1 estimation 66260 01SEP1992 31DEC9999 Y 2 or more estimations as specified in item 66259 66261 01SEP1992 30JUN1994 N CA-125 antigen, CA-15.3 antigen, CA-19.9 antigen, carcinoembryonic antigen (CEA), mammary serum antigen, mucin-like carcinoma associated antigen (1 or more fractions), neuron-specific enolase, thyroglobulin in serum or other body fluid, in the monitoring or confirmation of malignancy, quantitative estimation - 1 estimation 66261 01JUL1994 31DEC9999 Y CA-125 antigen, CA-15.3 antigen, CA-19.9 antigen, carcinoembryonic antigen (CEA), mammary serum antigen, mucin-like carcinoma associated antigen (1 or more fractions), neuron-specific enolase, thyroglobulin in serum or other body fluid, in the monitoring or confirmation of malignancy - quantitation - 1 test 66262 01SEP1992 30JUN1994 N 2 or more estimations specified in item 66261 66262 01JUL1994 31DEC9999 Y 2 or more tests described in item 66261 66263 01DEC1991 30JUN1994 N Iron studies consisting of quantitative analysis of iron, transferrin or iron binding capacity and ferritin 66263 01JUL1994 31DEC9999 Y Iron studies consisting of quantitation of: (a) serum iron; (b) transferrin or iron binding capacity; and (c) ferritin 66264 01DEC1991 31DEC9999 Y Iron studies consisting of quantitative analysis of iron, transferrin or iron binding capacity and ferritin 66265 01DEC1991 30JUN1994 N Serum B12, serum folate 1 or more estimations within any 28 day period 66265 01JUL1994 31DEC9999 Y Serum B12 or serum folate 1 or more tests within a 28 - day period 66266 01DEC1991 31DEC9999 Y Serum B12, serum folate one or more estimations within any twenty eight day period 66267 01DEC1991 30JUN1994 N Red cell folate and serum B12 and, if required, serum folate, to a maximum of 3 estimations in any 12 month period 66267 01JUL1994 31DEC9999 Y Red cell folate and serum B12 and, if required, serum folate, to a maximum of 3 episodes in a 12 month period 66268 01DEC1991 31DEC9999 Y Red cell folate and serum B12 add, if required, serum folate, to a maximum of three estimations in any twelve month period 66269 01DEC1991 30JUN1994 N Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of vitamins A, B1, B2, B3, B6, C, and E 1 or more estimations within any 6 month period 66269 01JUL1994 31DEC9999 Y Vitamins - quantitation of vitamins A, B1, B2, B3, B6, C, and E in blood, urine or other body fluid - 1 or more tests within a 6 month period 66270 01DEC1991 31DEC9999 Y Vitamins, quantitative estimation in blood, urine or other body fluid, by direct or indirect means, of Vitamins A, B1, B2, B3, B6, C, and E one or more estimations within any six month period 66271 01DEC1991 30JUN1994 N Vitamin D or D fractions 1 or more estimations 66271 01JUL1994 31DEC9999 Y Vitamin D or D fractions 1 or more tests 66272 01DEC1991 31DEC9999 Y Vitamin D or D fractions one or more estimations 66273 01DEC1991 31DEC9999 Y Acetoacetate, alcohol, amino acids, ammonia, angiotensin converting enzyme, betahydroxybutyrate, cholinesterase, cystine (cysteine), total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline, lactate, neonatal bilirubin (1 or more fractions), oxalate, pyruvate, serotonin, xylose, zinc 1 quantitative estimation 66274 01DEC1991 31DEC9999 Y Acetoacetate, alcohol, aminoacids, ammonia, angiotensin converting enzyme, betahydroxybutyrate, cholinesterase, cystine (cysteine), total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline, lactate, neonatal bilirubin (one or more fractions), oxalate, pyruvate, serotonin, xylose, zinc one quantitative estimation 66275 01DEC1991 31DEC9999 Y 2 or more estimations specified in item 66273 66276 01DEC1991 31DEC9999 Y Two or more estimations specified in item 66273/66274 66277 01DEC1991 30JUN1994 N Aluminium (except if item 66325 applies), arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium, in blood, urine or other body fluid or tissue - 1 or more estimations in any 6 month period 66277 01JUL1994 31DEC9999 Y Quantitation of aluminium (except if item 66325 applies), arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, or strontium, in blood, urine or other body fluid or tissue - 1 or more tests in a 6 month period 66278 01DEC1991 31DEC9999 Y Aluminium, arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium - in blood, urine or other body fluid or tissue - one or more estimations within any six months 66279 01DEC1991 30JUN1994 N Blood lead estimation, other than for occupational health screening purposes, to a maximum of 3 estimations in any 6 month period each estimation 66279 01JUL1994 31DEC9999 Y Blood lead quantitation (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 month period each test 66280 01DEC1991 31DEC9999 Y Blood lead estimation, other than for occupational health screening purposes, to a maximum of three estimations in any six month period each estimation 66281 01DEC1991 30JUN1994 N Porphyrins (1 or more fractions), catecholamines (1 or more fractions), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), phenylacetic acid (PAA) quantitative including any qualitative estimations 1 or more estimations 66281 01JUL1994 31DEC9999 Y Porphyrins (1 or more fractions), catecholamines (1 or more fractions), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), or phenylacetic acid (PAA) quantitation 1 or more tests 66282 01DEC1991 31DEC9999 Y Porphyrins (one or more fractions), Catecholamines (one or more fractions), Hydroxy Methoxy Mandelic Acid (HMMA), Homovanillic Acid (HVA), Metanephrines, Methoxy Hydroxy Phenylethylene Glycol (MHPG), Phenyl Acetic Acid (PAA) quantitative including any qualitative estimations one or more estimations 66283 01DEC1991 30JUN1994 N Faecal fat, breath hydrogen measurements in response to loading with disaccharides 1 or more quantitative estimations within any 28 day period 66283 01JUL1994 31DEC9999 Y Quantitation of: (a) faecal fat; or (b) breath hydrogen in response to loading with disaccharides; 1 or more tests within a 28 day period 66284 01DEC1991 31DEC9999 Y Faecal Fat, Breath Hydrogen measurements in response to loading with disaccharides one or more quantitative estimations within any twenty eight day period 66285 01DEC1991 30JUN1994 N Solid tissue or tissues excluding blood elements assay of 1 or 2 enzymes 66285 01JUL1994 31DEC9999 Y Enzymes - quantitation of 1 or 2 in solid tissue or tissues other than blood elements 66286 01DEC1991 31DEC9999 Y Solid tissue or tissues excluding blood elements assay of one or two enzymes 66287 01DEC1991 30JUN1994 N Assay of 3 to 5 enzymes specified in item 66285 66287 01JUL1994 31DEC9999 Y Quantitation of 3 to 5 enzymes as described in item 66285 66288 01DEC1991 31DEC9999 Y Assay of three to five enzymes as specified in item 66285/66286 66289 01DEC1991 30JUN1994 N Assay of 6 or more enzymes specified in item 66285 66289 01JUL1994 31DEC9999 Y Quantitation of 6 or more enzymes as described in item 66285 66290 01DEC1991 31DEC9999 Y Assay of six or more enzymes as specified in item 66285/66286 66291 01DEC1991 30JUN1994 N Thyroid function tests, including thyrotrophin (TSH) and at least 1 or more of the following tests free thyroxine index, free thyroxine, free T3, total T3, thyroxine binding globulin 66291 01JUL1994 31DEC9999 Y Thyroid function tests, including thyrotrophin (TSH) and 1 or more of the following tests free thyroxine index, free thyroxine, free T3, total T3, thyroxine-binding globulin 66292 01DEC1991 31DEC9999 Y Thyroid function tests, including thyrotrophin (TSH) and at least one or more of the following tests free thyroxine index, free thyroxine, free T3, total T3, thyroxine binding globulin 66293 01DEC1991 30JUN1994 N Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones 66293 01JUL1994 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and quantitation of hormones 66294 01DEC1991 31DEC9999 Y Thyrotrophin releasing hormone (TRH) test, including provision and administration of TRH and all necessary estimations of hormones 66295 01DEC1991 30JUN1994 N Growth hormone suppression by glucose loading, growth hormone stimulation by exercise, dexamethasone suppression test, Ldopa stimulation of growth hormone, where physically performed by a recognised pathologist 1 or more procedures 66295 01JUL1994 31DEC9999 Y Personal performance by a recognised pathologist of 1 or more of the following: (a) growth hormone suppression by glucose loading; (b) growth hormone stimulation by exercise; (c) dexamethasone suppression test; (d) Ldopa stimulation of growth hormone 66296 01DEC1991 31DEC9999 Y Growth hormone suppression by glucose loading, Growth hormone stimulation by exercise, Dexamethasone suppression test, LDopa stimulation of growth hormone, where physically performed by a recognised pathologist one or more procedures 66297 01DEC1991 30JUN1994 N Gonadotrophin releasing hormone stimulation test, synacthen stimulation test, glucagon stimulation test with Cpeptide measurement, pentagastrin stimulation of thyrocalcitonin release, secretin stimulation of gastrin release, insulin hypoglycaemia, arginine infusion, where physically performed by a recognised pathologist 1 procedure 66297 01JUL1994 31DEC9999 Y Personal performance by a recognised pathologist of 1 of the following: (a) gonadotrophin releasing hormone stimulation test; (b) synacthen stimulation test; (c) glucagon stimulation test with Cpeptide measurement; (d) pentagastrin stimulation of thyrocalcitonin release; (e) secretin stimulation of gastrin release; (f) insulin hypoglycaemia; (g) arginine infusion 66298 01DEC1991 31DEC9999 Y Gonadotrophin releasing stimulation test, Synacthen stimulation test, Glucagon stimulation test with Cpeptide measurement, Pentagastrin stimulation of thyrocalcitonin release, Secretin stimulation of gastrin release, Insulin hypoglycaemia, Arginine infusion, where physically performed by a recognised pathologist one procedure 66299 01DEC1991 30JUN1994 N 2 or more tests specified in item 66297 66299 01JUL1994 31DEC9999 Y Personal performance by a recognised pathologist of 2 or more tests described in item 66297 66300 01DEC1991 31DEC9999 Y Two or more procedures specified in item 66297/66298 66301 01DEC1991 30JUN1993 N Hormones and hormone binding proteins, quantitative estimation by any method of ACTH, aldosterone, androstenedione, Cpeptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, human placental lactogen, hydroxyprogesterone, insulin, LH, oestradiol, oestriol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IgF1), free or total testosterone, TSH (where not requested as part of a thyroid function test), urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (anti diuretic hormone) 1 estimation 66301 01JUL1993 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of ACTH, aldosterone, androstenedione, Cpeptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, human placental lactogen, hydroxyprogesterone, insulin, LH, oestradiol, oestriol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IgF1), free or total testosterone, TSH (where not requested as part of a thyroid function test), urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) 1 estimation (This fee applies where a laboratory performs the only hormone estimation specified on the request form or performs 1 estimation and refers the rest to the laboratory of a separate APA) 66302 01DEC1991 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of ACTH, Aldosterone, Androstenedione, Cpeptide, Calcitonin, Cortisol, Cyclic AMP, DHEAS, 11Deoxycortisol, Dihydrotestosterone, FSH, Gastrin, Glucagon, Growth hormone, Human Placental Lactogen, Hydroxyprogesterone, Insulin, LH, Oestradiol, Oestriol, Oestrone, Progesterone, Prolactin, PTH, Renin, Sex hormone binding globulin, Somatomedin C(IgF1), free or total Testosterone, TSH (where not requested as part of a thyroid function test), Urine steroid fraction or fractions, Vasoactive intestinal peptide, Vasopressin (anti diuretic hormone) one estimation 66303 01DEC1991 30JUN1993 N 2 estimations specified in item 66301 66303 01JUL1993 31DEC9999 Y 2 estimations specified in item 66301 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 2 of the hormone estimations specified on the request form and refers the remainder to the laboratory of a separate APA.) 66304 01DEC1991 31DEC9999 Y Two estimations specified in item 66301/66302 66305 01DEC1991 30JUN1993 N 3 estimations specified in item 66301 66305 01JUL1993 31DEC9999 Y 3 estimations specified in item 66301 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 3 of the hormone estimations specified on the request form and refers the remainder to the laboratory of a separate APA.) 66306 01DEC1991 31DEC9999 Y Three estimations specified in item 66301/66302 66307 01DEC1991 30JUN1993 N 4 estimations specified in item 66301 66307 01JUL1993 31DEC9999 Y 4 estimations specified in item 66301 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 4 of the hormone estimations specified on the request form and refers the remainder to the laboratory of a separate APA.) 66308 01DEC1991 31DEC9999 Y Four estimations specified in item 66301/66302 66309 01DEC1991 30JUN1993 N 5 estimations specified in item 66301 66309 01JUL1993 31DEC9999 Y 5 estimations specified in item 66301 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 5 of the hormone estimations specified on the request form refers the remainder to the laboratory of a separate APA.) 66310 01DEC1991 31DEC9999 Y Five estimations specified in item 66301/66302 66311 01DEC1991 31DEC9999 Y 6 or more estimations specified in item 66301 66312 01DEC1991 31DEC9999 Y Six or more estimations specified in item 66301/66302 66313 01SEP1992 30JUN1993 N Estimations specified in any of items 66301 to 66311 (inclusive), if the number of estimations relating to the same patient episode does not exceed 6 - each estimation to a maximum of 5 estimations 66313 01JUL1993 31DEC9999 Y "Estimations specified in any of items 66301 to 66311 (inclusive), if the number of estimations relating to the same patient episode does not exceed 6 - each estimation to a maximum of 5 estimations (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the hormone estimations specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"".)" 66315 01DEC1991 30JUN1994 N Hormone receptor assay on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast 1 or more assays 66315 01JUL1994 31DEC9999 Y Quantitation of hormone receptors on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast 1 or more tests 66316 01DEC1991 31DEC9999 Y Hormone receptor assay on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast one or more assays 66317 01DEC1991 31OCT1993 N HDL cholesterol, or apolipoprotein B/A1 ratio, estimation of, in patients with serum cholesterol >5.5mmol/l or those on prescribed lipid lowering drugs or with a fasting serum triglyceride level > 2.0 mmol/1 each estimation to a maximum of 4 estimations in any 12 month period 66317 01NOV1993 30JUN1994 N HDL cholesterol or apolipoprotein B/A1 ratio, estimation of, in patients with serum cholesterol >5.5mmol/l or those on prescribed lipid lowering drugs or with a fasting serum triglyceride level > 2.0 mmol/1 each episode to a maximum of 4 episodes in any 12 month period 66317 01JUL1994 31OCT1994 N Quantitation of HDL cholesterol or apolipoprotein B/A1 ratio in a patient who: (a) has a serum cholesterol level >5.5mmol/l; or (b) is on prescribed lipid lowering drugs; or (c) has a fasting serum triglyceride level > 2.0 mmol/1; each episode to a maximum of 4 episodes in a 12 - month period 66317 01NOV1994 31DEC9999 Y Quantitation of HDL cholesterol or apolipoprotein B/A1 ratio in a patient who: (a) has a serum cholesterol level >5.5mmol/L; or (b) has a fasting serum triglyceride level > 2.0 mmol/L; or (c) is on a lipid lowering drug prescribed by a medical practitioner; each episode to a maximum of 4 episodes in a 12 month period (Item is subject to rule 9) 66318 01DEC1991 31DEC9999 Y HDL cholesterol, or apolipoprotein B/A1 ratio, estimation of, in patients with serum cholesterol >5.5mmol/l or those on prescribed lipid lowering drugs each estimation to a maximum of four estimations in any twelve month period 66319 01DEC1991 30JUN1994 N Glycosylated haemoglobin only when performed in the management of established diabetes each estimation to a maximum of 4 estimations in any 12 month period 66319 01JUL1994 31DEC9999 Y Quantitation of glycosylated haemoglobin performed in the management of established diabetes each test to a maximum of 4 tests in a 12 month period 66320 01DEC1991 31DEC9999 Y Glycosylated haemoglobin only when performed in the management of established diabetes each estimation to a maximum of four estimations in any twelve month period 66321 01MAR1992 31OCT1993 N Quantitative estimation in the 2nd trimester of pregnancy of alpha-fetoprotein, human chorionic gonadotrophin and oestriol and any other substance to detect foetal abnormality, including any service specified in 1 or more of items 66353, 66373, 73527 or 73529 - 1 patient episode in that pregnancy 66321 01NOV1993 30JUN1994 N Quantitative estimation in the 2nd trimester of pregnancy of alpha-fetoprotein, human chorionic gonadotrophin and oestriol and any other substance to detect foetal abnormality, including any service specified in 1 or more of items 66353, 66373, 73527 or 73529 - 1 patient episode in that pregnancy 66321 01JUL1994 31DEC9999 Y Quantitation in the 2nd trimester of pregnancy, of alpha-fetoprotein, human chorionic gonadotrophin, oestriol and any other substance to detect foetal abnormality, including a service described in 1 or more of items 66353, 66373, 73527 and 73529 (if performed) - 1 patient episode in a pregnancy 66322 20MAR1997 31DEC9999 Y Quantitation of glycosylated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - each test to a maximum of 6 tests in a 12 month period which includes the whole pregnancy, including a service in item 66319 (if performed) 66323 01SEP1992 30JUN1994 N Estimation of tryptic activity in faeces for the investigation of diarrhoea of greater than 4 weeks duration in children less than 6 years of age 66323 01JUL1994 31DEC9999 Y Test for tryptic activity in faeces in the investigation of diarrhoea of longer than 4 weeks duration in children under 6 years old 66325 01SEP1992 30JUN1994 N Estimation of serum aluminium in a patient in a renal dialysis program - each estimation 66325 01JUL1994 31DEC9999 Y Quantitation of serum aluminium in a patient in a renal dialysis program - each test 66327 01NOV1994 19MAR1997 N TSH - quantitation, requested as a preliminary test to thyroid function testing 66327 20MAR1997 31DEC9999 Y TSH quantitation 66329 01NOV1994 31OCT1995 N Thyroid function tests (comprising the service described in item 66327 and 1 or more of the following tests - estimation of free thyroxine index, free thryoxine, free T3, total T3, thyroxine binding globulin) in respect of a patient, if at least one of the following conditions is satisfied: (a) the patient has an abnormal level of TSH; (b) the test are performed for the purpose of: (i) monitoring thyroid disease in the patient; or (ii) if the patient is in a hospital - investigating thyroid function in the patient; or (iii) investigating dementia or psychiatric illness of the patient; or (iv) investigating amenorrhoea or infertility of the patient (c) the medical practitioner who requested the tests suspects the patient has a pituitary dysfunction; (d) the patient is on drugs that interfere with thyroid hormone metabolism or function (Item is subject to rule 7B) 66329 01NOV1995 31DEC9999 Y Thyroid function tests (comprising the service described in item 66327 and 1 or more of the following tests - estimation of free thyroxine index, free thryoxine, free T3, total T3, thyroxine binding globulin) in respect of a patient, if at least one of the following conditions is satisfied: (a) the patient has an abnormal level of TSH; (b) the tests are performed for the purpose of: (i) monitoring thyroid disease in the patient; or (ii) if the patient is an admitted patient -investigating the sick euthyroid syndrome; or (iii) investigating dementia or psychiatric illness of the patient; or (iv) investigating amenorrhoea or infertility of the patient (c) the medical practitioner who requested the tests suspects the patient has a pituitary dysfunction; (d) the patient is on drugs that interfere with thyroid hormone metabolism or function (Item is subject to rule 10) 66331 01JUL1993 30JUN1994 N Quantitative estimation in serum, plasma, urine or other body fluid of cholesterol or triglycerides or both, except by reagent strip with or without reflectance meter or electrophoresis 66331 01JUL1994 31DEC9999 Y Quantitation (except by reagent strip with or without reflectance meter or electrophoresis) of cholesterol or triglycerides or both in serum, plasma, urine or other body fluid 66335 01JUL1993 30JUN1994 N Services specified in item 66331 and 1 estimation specified in item 66201 66335 01JUL1994 31DEC9999 Y A service described in item 66331 and 1 test described in item 66201 66337 01JUL1993 30JUN1994 N Services specified in item 66331 and 2 estimations specified in item 66201 66337 01JUL1994 31DEC9999 Y A service described in item 66331 and 2 tests described in item 66201 66339 01JUL1993 30JUN1994 N Services specified in item 66331 and 3 estimations specified in item 66201 66339 01JUL1994 31DEC9999 Y A service described in item 66331 and 3 tests described in item 66201 66341 01JUL1993 30JUN1994 N Services specified in item 66331 and 4 or more estimations specified in item 66201 66341 01JUL1994 31DEC9999 Y A service described in item 66331 and 4 or more tests described in item 66201 66343 01JUL1993 30JUN1994 N Drug assays including all qualitative and quantitative estimations on blood, urine or other body fluid for a drug, or drugs, of abuse or a therapeutic drug on a sample collected from a patient participating in a drug abuse treatment program, or being treated for drug effects or under a court order or parole board supervision, but excluding the detection of nicotine and metabolites in smoking withdrawal programs each assay to a maximum of 21 assays in any 12 month period 66343 01JUL1994 31DEC9999 Y Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient: (a) participating in a drug abuse treatment program; or (b) being treated for drug effects; including all tests on blood, urine or other body fluid - each episode, to a maximum of 21 episodes in a 12 month period 66353 01NOV1993 30JUN1994 N Alpha-fetoprotein (where not requested as part of item 66321) - quantitative estimation in serum or other body fluids 66353 01JUL1994 31DEC9999 Y Quantitation in serum or other body fluids of alpha fetoprotein, except if requested as part of item 66321 66355 01NOV1993 30JUN1994 N Ferritin (where not requested as part of iron studies) - quantitative estimation 66355 01JUL1994 31DEC9999 Y Ferritin - quantitation, except if requested as part of iron studies 66357 01NOV1993 30JUN1994 N Prostate specific antigen, prostatic acid phosphatase, in the monitoring or confirmation of malignancy - quantitative estimation - 1 estimation 66357 01JUL1994 31DEC9999 Y Prostate specific antigen or prostatic acid phosphatase - quantitation in the confirmation or monitoring of malignancy - 1 test 66359 01NOV1993 30JUN1994 N 2 estimations specified in item 66357 66359 01JUL1994 31DEC9999 Y 2 tests described in item 66357 66361 01NOV1993 30JUN1994 N Beta-2-microglobulin, caeruloplasmin, haptoglobulins, microalbumin in proven diabetes mellitus, prealbumin - quantitative estimation in serum, urine or other body fluids - 1 estimation 66361 01JUL1994 31DEC9999 Y Beta-2-microglobulin, caeruloplasmin, haptoglobins, microalbumin in proven diabetes mellitus, or prealbumin - quantitation in serum, urine or other body fluids - 1 test 66363 01NOV1993 30JUN1994 N 2 or more estimations specified in item 66361 66363 01JUL1994 31DEC9999 Y 2 or more tests described in item 66361 66365 01NOV1993 30JUN1994 N Neonatal bilirubin (1 or more fractions) - quantitative estimation 66365 01JUL1994 31DEC9999 Y Neonatal bilirubin (1 or more fractions) - quantitation 66367 01NOV1993 30JUN1994 N Acetoacetate, alcohol, amino acids, ammonia, angiotensin converting enzyme, beta-hydroxybutyrate, cholinesterase, cysteine, total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline, lactate, oxalate, pyruvate, serotonin, xylose, zinc - 1 quantitative estimation 66367 01JUL1994 31OCT1996 N Quantitation of acetoacetate, alcohol, amino acids, ammonia, angiotensin converting enzyme, beta-hydroxybutyrate, cholinesterase, cysteine, total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline, lactate, oxalate, pyruvate, serotonin, xylose, or zinc - 1 test 66367 01NOV1996 31DEC9999 Y Quantitation of acetoacetate, alcohol, amino acids, ammonia, angiotensin converting enzyme, beta-hydroxybutyrate, cholinesterase, cysteine, total free fatty acids, histamine, hydroxyindoleacetic acid, hydroxyproline (except if performed as part of item 66425 or 66426), lactate, oxalate, pyruvate, serotonin, xylose, or zinc - 1 test 66369 01NOV1993 30JUN1994 N 2 or more estimations specified in item 66367 66369 01JUL1994 31DEC9999 Y 2 or more tests described in item 66367 66371 01NOV1993 30JUN1994 N TSH (where not requested as part of thyroid function test or in association with other hormones or hormone binding proteins specified in item 66377) - quantitative estimation 66371 01JUL1994 31DEC9999 Y TSH - quantitation, except if requested as part of thyroid function test or in association with other hormones or hormone binding proteins described in item 66405 66373 01NOV1993 30JUN1994 N Human placental lactogen, oestriol (where not requested as part of item 66321 - quantitative estimation by any method - 1 estimation 66373 01JUL1994 31DEC9999 Y Human placental lactogen or oestriol - quantitation, except if requested as part of item 66321 - 1 test 66375 01NOV1993 30JUN1994 N 2 estimations specified in item 66373 66375 01JUL1994 31DEC9999 Y 2 tests described in item 66373 66377 01NOV1993 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of - androstenedione, DHEAS, dihydrotestosterone, FSH, hydroxyprogesterone, LH, oestradiol, oestrone, progesterone, prolactin, sex hormone binding globulin, free or total testosterone, TSH (where it is not requested on its own or as part of a thyroid function test) - 1 estimation 66379 01NOV1993 31DEC9999 Y 2 estimations specified in item 66377 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 2 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66381 01NOV1993 31DEC9999 Y 3 estimations specified in item 66377 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 3 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66383 01NOV1993 31DEC9999 Y 4 estimations specified in item 66377 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 4 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66385 01NOV1993 31DEC9999 Y 5 estimations specified in item 66377 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 5 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66387 01NOV1993 31DEC9999 Y 6 or more estimations specified in item 66377 66389 01NOV1993 31DEC9999 Y "Estimations specified in any of items 66377 to 66387 (inclusive), if the number of estimations relating to the same patient episode does not exceed 6 - each estimation to a maximum of 5 estimations (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the tests specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"".)" 66391 01NOV1993 31DEC9999 Y Hormones and hormone binding proteins, quantitative estimation by any method of - ACTH, aldosterone, C-peptide, calcitonin, cortisol, cyclic AMP, 11-deoxycortisol, gastrin, glucagon, growth hormone, insulin, PTH, renin, somatomedin C(IgF1), urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (anti-diuretic hormone) - 1 estimation 66393 01NOV1993 31DEC9999 Y 2 estimations specified in item 66391 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 2 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66395 01NOV1993 31DEC9999 Y 3 estimations specified in item 66391 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 3 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66397 01NOV1993 31DEC9999 Y 4 estimations specified in item 66391 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 4 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66399 01NOV1993 31DEC9999 Y 5 estimations specified in item 66391 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 5 of the tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 66401 01NOV1993 31DEC9999 Y 6 or more estimations specified in item 66391 66403 01NOV1993 31DEC9999 Y "Estimations specified in any of items 66391 to 66401 (inclusive), if the number of estimations relating to the same patient episode does not exceed 6 - each estimation to a maximum of 5 estimations (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the tests specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"".)" 66405 01JUL1994 19MAR1997 N Quantitation of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(1gF1), free or total testosterone, TSH (where not requested on its own or as part of a thyroid function test), urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) - 1 test (This fee applies where a laboratory performs the only hormone test specified on the request form or performs 1 test and refers the rest to a laboratory of a separate APA) (Item is subject to rule 6) 66405 20MAR1997 31DEC9999 Y Quantitation of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IgF1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) - 1 test 66407 01JUL1994 31DEC9999 Y 2 tests described in item 66405 (This fee applies where 1 laboratory belonging to the same APA, performs 2 of the hormone tests specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 66409 01JUL1994 31DEC9999 Y 3 tests described in item 66405 (This fee applies where 1 laboratory belonging to the same APA, performs 3 of the hormone tests specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 66411 01JUL1994 31DEC9999 Y 4 tests described in item 66405 (This fee applies where 1 laboratory belonging to the same APA, performs 4 of the hormone tests specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 66413 01JUL1994 31DEC9999 Y 5 tests described in item 66405 (This fee applies where 1 laboratory belonging to the same APA, performs 5 of the hormone tests specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 66415 01JUL1994 31DEC9999 Y 6 or more tests described in item 66405 66417 01JUL1994 31OCT1994 N "Tests described in any of items 66405 to 66413 (inclusive), if the number of tests relating to the same patient episode does not exceed 6 - each test to a maximum of 5 tests (Item subject to Rule 6) (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the hormone tests specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"")." 66417 01NOV1994 31OCT1995 N Tests described in item 66405, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 (Item subject to Rule 6) 66417 01NOV1995 31DEC9999 Y Tests described in item 66405, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 - each test to a maximum of 5 tests (Item is subject to Rule 6) 66419 01NOV1994 30JUN1995 N Oral glucose test that includes the following: (a) administration of glucose; (b) at least 3 estimations of blood glucose; (c) 1 or more of the tests (other than those described in paragraph (a) or (b) described in item 66405 66419 01JUL1995 31DEC9999 Y Oral glucose test for the diagnosis of diabetes mellitus that includes the following: (a) administration of glucose; (b) at least 3 estimations of blood glucose; (c) if performed, any test described in item 66405 66421 01NOV1995 31DEC9999 Y Tests for reducing substances in faeces by any method (except reagent strip or dipstick) 66422 01JUL1996 31DEC9999 Y Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces) by: (a) an immunological method; and (b) a chemical method (except reagent strip or dip stick); with a maximum of 3 examinations on specimens collected on separate days in a 28 day period - 1 examination by both methods 66423 01JUL1996 31DEC9999 Y 2 examinations by both methods described in item 66422 performed on separately collected and identified specimens 66424 01JUL1996 31DEC9999 Y 3 examinations by both methods described in item 66422 performed on separately collected and identified specimens 66425 01NOV1996 31DEC9999 Y Quantitation of products of collagen breakdown for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66367 - 1 or more tests (Low bone densitometry is defined in paragraph D1.14 of explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule) 66426 01NOV1996 31DEC9999 Y Quantitation of products of collagen breakdown for the monitoring of patients with metabolic bone disease, and if performed, a service described in item 66367 - 1 or more tests 66427 20MAR1997 31DEC9999 Y TSH quantitation described in item 66327 and 1 test described in item 66405 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66428 20MAR1997 31DEC9999 Y TSH quantitation described in item 66327 and 2 tests described in item 66405 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 tests specified on the request form or performs 3 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66429 20MAR1997 31DEC9999 Y TSH quantitation described in item 66327 and 3 tests described in item 66405 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66430 20MAR1997 31DEC9999 Y TSH quantitation described in item 66327 and 4 tests described in item 66405 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 tests specified on the request form or performs 5 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66431 20MAR1997 31DEC9999 Y TSH quantitation described in item 66327 and 5 tests described in item 66405 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 6 or more tests specified on the request form) (Item is subject to rule 6) 66432 20MAR1997 31DEC9999 Y Tests described in items 66327 and 66405, if rendered under a request mentioned in subparagraph (2)(a)(iii) of rule 6 - each test to a maximum of 5 tests (Item is subject to Rule 6) 66435 01JUL1998 31DEC9999 Y Detection of the C282Y genetic mutation for haemochromatosis where: a) the patient has an elevated transferrin saturation or elevated serum ferritin on testing of repeated specimens; or b) the patient has a first degree relative with haemochromatosis or with homozygosity for the C282Y genetic mutation. Not exceeding 1 episode in a 3 year period. 66500 01NOV1998 31OCT2001 N Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter or electrophoresis) of: acetoacetate, acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, beta-hydroxybutyrate, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, pyruvate, sodium, total protein, total cholesterol, triglycerides, urate or urea 1 test 66500 01NOV2001 30APR2002 N Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter or electrophoresis) of: acetoacetate, acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, beta-hydroxybutyrate, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, pyruvate, sodium, total protein, total cholesterol, triglycerides, urate or urea - 1 test 66500 01MAY2002 31OCT2008 N Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter) of: acetoacetate, acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, beta-hydroxybutyrate, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, pyruvate, sodium, total protein, total cholesterol, triglycerides, urate or urea - 1 test 66500 01NOV2008 31DEC9999 Y Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter) of: acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, sodium, total protein, total cholesterol, triglycerides, urate or urea - 1 test 66503 01NOV1998 31DEC9999 Y 2 tests described in item 66500 66506 01NOV1998 31DEC9999 Y 3 tests described in item 66500 66509 01NOV1998 31DEC9999 Y 4 tests described in item 66500 66512 01NOV1998 30JUN2008 N 5 tests described in item 66500 66512 01JUL2008 31DEC9999 Y 5 or more tests described in item 66500 66515 01NOV1998 31DEC9999 Y 6 or more tests described in item 66500 66517 01NOV2007 30JUN2020 N Quantitation of bile acids in blood in pregnancy. To a maximum of 3 tests in a pregnancy. 66517 01JUL2020 31DEC9999 Y Quantitation of bile acids in blood in pregnancy. Applicable not more than 3 times in a pregnancy. 66518 01NOV1998 31OCT2001 N Investigation of cardiac or skeletal muscle damage by measurement of creatine kinase isoenzymes (by any method), troponin or myoglobin in plasma or serum - 1 or more tests in a 24 hour period 66518 01NOV2001 31OCT2004 N Investigation of cardiac or skeletal muscle damage by measurement of creatine kinase isoenzymes (by any method), troponin or myoglobin in plasma or serum - testing on 1 specimen in a 24 hour period 66518 01NOV2004 30APR2005 N Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in plasma or serum - testing on 1 specimen in a 24 hour period 66518 01MAY2005 31DEC9999 Y Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 1 specimen in a 24 hour period 66519 01NOV2001 31OCT2004 N Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in plasma or serum - testing on 2 or more specimens in a 24 hour period 66519 01NOV2004 30APR2005 N Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in plasma or serum - testing on 2 or more specimens in a 24 hour period 66519 01MAY2005 31DEC9999 Y Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 2 or more specimens in a 24 hour period 66521 01NOV1998 31DEC9999 Y Quantitation (except by reagent strip with or without reflectance meter or electrophoresis) of cholesterol or triglycerides or both in serum, plasma, urine or other body fluid 66522 01NOV2021 31DEC9999 Y Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the patient is under 50 years of age; the patient has gastrointestinal symptoms suggestive of inflammatory or functional bowel disease of more than 6 weeks' duration; infectious causes have been excluded; the likelihood of malignancy has been assessed as low; no relevant clinical alarms are present 66523 01NOV2021 31DEC9999 Y Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all the following apply: the results of a service to which item 66522 applies were inconclusive for the patient (that is, the results showed a faecal calprotectin level of more than 50 μg/g but not more than 100 μg/g); the patient has ongoing gastrointestinal symptoms suggestive of inflammatory or functional bowel disease; the service is requested by a specialist or consultant physician practising as a specialist gastroenterologist; the request indicates that an endoscopic examination is not initially required; no relevant clinical alarms are present 66524 01NOV1998 31DEC9999 Y A service described in item 66521 and 1 test described in item 66500 66527 01NOV1998 31DEC9999 Y A service described in item 66521 and 2 tests described in item 66500 66530 01NOV1998 31DEC9999 Y A service described in item 66521 and 3 tests described in item 66500 66533 01NOV1998 31DEC9999 Y A service described in item 66521 and 4 or more tests described in item 66500 66536 01NOV1998 31OCT2000 N Quantitation of HDL cholesterol or apolipoprotein B/A1 ratio in a patient who: (a) has a serum cholesterol level >5.5mmol/L; or (b) has a fasting serum triglyceride level > 2.0 mmol/L; or (c) is on a lipid lowering drug prescribed by a medical practitioner; each episode to a maximum of 4 episodes in a 12 month period (Item is subject to rule 9) 66536 01NOV2000 31OCT2001 N Quantitation of HDL cholesterol or apolipoprotein B/A1 ratio in a patient who: (a) has a serum cholesterol level >5.5mmol/L; or (b) has a fasting serum triglyceride level > 2.0 mmol/L; or (c) is on a lipid lowering drug prescribed by a medical practitioner; or (d) has a serum cholesterol level >4.0 mmol/L and has a history of ischaemic heart disease; each episode to a maximum of 4 episodes in a 12 month period (Item is subject to rule 9) 66536 01NOV2001 31DEC9999 Y Quantitation of HDL cholesterol 66539 01NOV1998 30APR2005 N Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - each episode to a maximum of 2 episodes in a 12 month period 66539 01MAY2005 30APR2007 N Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - 1 of this item to a maximum of 2 in a 12 month period 66539 01MAY2007 31DEC9999 Y Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - (Item is subject to rule 25) 66542 01NOV1998 30APR2000 N Oral glucose tolerence test for the diagnosis of diabetes mellitus that includes the following: (a) administration of glucose; (b) at least 3 estimations of blood glucose; and if performed (c) any test described in item 66695 66542 01MAY2000 31DEC9999 Y Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes: (a) administration of glucose; and (b) at least 2 measurements of blood glucose; and (c) (if performed) any test described in item 66695 66545 01NOV1998 31OCT1999 N Oral glucose challenge test in pregnancy for the detection of gestational diabetes that includes: (a) administration of glucose; (b) 1 or 2 measurements of blood glucose; and (c) any test in item 66695 (if performed) 1 patient episode in a pregnancy 66545 01NOV1999 31DEC9999 Y Oral glucose challenge test in pregnancy for the detection of gestational diabetes that includes: (a) administration of glucose; and (b) 1 or 2 measurements of blood glucose; and (c) (if performed) any test in item 66695 66548 01NOV1998 31OCT1999 N Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes: (a) administration of glucose; (b) at least 3 measurements of blood glucose; and (c) any test in item 66695 (if performed) 1 patient episode in a pregnancy 66548 01NOV1999 31OCT2001 N Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes: (a) administration of glucose; and (b) at least 3 measurements of blood glucose; and (c) (if performed) any test in item 66695 66548 01NOV2001 31DEC9999 Y Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes: (a) administration of glucose; and (b) at least 3 measurements of blood glucose; and (c) any test in item 66695 (if performed) 66551 01NOV1998 30APR2007 N Quantitation of glycosylated haemoglobin performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period 66551 01MAY2007 31OCT2014 N Quantitation of glycosylated haemoglobin performed in the management of established diabetes - (Item is subject to rule 25) 66551 01NOV2014 31DEC2021 N Quantitation of glycated haemoglobin performed in the management of established diabetes - (Item is subject to rule 25) 66551 01JAN2022 31DEC9999 Y Quantitation of glycated haemoglobin performed in the management of established diabetes (See para PR.2.2 of explanatory notes to this Category) 66554 01NOV1998 30APR2007 N Quantitation of glycosylated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - each test to a maximum of 6 tests in a 12 month period which includes the whole pregnancy, including a service in item 66551 (if performed) 66554 01MAY2007 31OCT2014 N Quantitation of glycosylated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - including a service in item 66551 (if performed) (Item is subject to rule 25) 66554 01NOV2014 31DEC9999 Y Quantitation of glycated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - including a service in item 66551 (if performed) - (Item is subject to rule 25) 66557 01NOV1998 31DEC9999 Y Quantitation of fructosamine performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period 66560 01NOV1998 31OCT2000 N Microalbumin in proven diabetes mellitus quantitation in urine 1 or more tests 66560 01NOV2000 31DEC9999 Y Microalbumin - quantitation in urine 66563 01NOV1998 31DEC9999 Y Osmolality, estimation by osmometer, in serum or in urine - 1 or more tests 66566 01NOV1998 31OCT2008 N Quantitation of: (a) blood gases (including pO2, oxygen saturation and pCO2) ; and (b) bicarbonate and pH; including any other measurement (eg. haemoglobin, potassium or ionised calcium) or calculation performed on the same specimen - 1 or more tests on 1 specimen 66566 01NOV2008 31DEC9999 Y Quantitation of: (a) blood gases (including pO2, oxygen saturation and pCO2) ; and (b) bicarbonate and pH; including any other measurement (eg. haemoglobin, lactate, potassium or ionised calcium) or calculation performed on the same specimen - 1 or more tests on 1 specimen 66569 01NOV1998 31DEC9999 Y Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 2 specimens performed within any 1 day 66572 01NOV1998 31DEC9999 Y Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 specimens performed within any 1 day 66575 01NOV1998 31DEC9999 Y Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 specimens performed within any 1 day 66578 01NOV1998 31DEC9999 Y Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 specimens performed within any 1 day 66581 01NOV1998 31DEC9999 Y Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 or more specimens performed within any 1 day 66584 01NOV1998 31DEC9999 Y Quantitation of ionised calcium (except if performed as part of item 66566) - 1 test 66585 01NOV2023 31DEC9999 Y Quantification of laboratory-based BNP or NT-proBNP testing in a patient with systemic sclerosis (scleroderma) to assess risk of pulmonary arterial hypertension Maximum of 2 tests in a 12 month period 66587 01NOV1998 31DEC9999 Y Urine acidification test for the diagnosis of renal tubular acidosis including the administration of an acid load, and pH measurements on 4 or more urine specimens and at least 1 blood specimen 66590 01NOV1998 31DEC9999 Y Calculus, analysis of 1 or more 66593 01NOV1998 31DEC9999 Y Ferritin - quantitation, except if requested as part of iron studies 66596 01NOV1998 31DEC9999 Y Iron studies, consisting of quantitation of: (a) serum iron; and (b) transferrin or iron binding capacity; and (c) ferritin 66599 01NOV1998 28FEB1999 N Serum B12 or red cell folate and, if required, serum folate (Item is subject to rule 23) 66599 01MAR1999 31DEC9999 Y Serum B12 or red cell folate and, if required, serum folate (Item is subject to Rule 21) 66602 01NOV1998 28FEB1999 N Red cell folate and serum B12 and, if required, serum folate, to a maximum of 3 episodes in a 12 month period 66602 01MAR1999 31DEC9999 Y Serum B12 and red cell folate and, if required, serum folate (Item is subject to rule 21) 66605 01NOV1998 30APR2009 N Vitamins - quantitation of vitamins A, B1, B2, B3, B6, C and E in blood, urine or other body fluid - 1 or more tests within a 6 month period 66605 01MAY2009 30JUN2011 N Vitamins - quantitation of vitamins B1, B2, B3, B6 and C in blood, urine or other body fluid - 1 or more tests within a 6 month period 66605 01JUL2011 31DEC9999 Y Vitamins - quantitation of vitamins B1, B2, B3, B6 or C in blood, urine or other body fluid - 1 or more tests 66606 01MAY2007 31DEC9999 Y A test described in item 66605 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 25) 66607 01MAY2009 30JUN2011 N Vitamins - quantitation of vitamins A and E in blood, urine or other body fluid - 1 or more tests within a 6 month period 66607 01JUL2011 31DEC9999 Y Vitamins - quantitation of vitamins A or E in blood, urine or other body fluid - 1 or more tests within a 6 month period 66608 01NOV1998 31DEC9999 Y Vitamin D or D fractions - 1 or more tests 66609 01MAY2007 31DEC9999 Y A test described in item 66608 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66610 01JUL2011 31DEC9999 Y A test described in item 66607 if rendered by a receiving APP - 1 or more tests 66611 01NOV1998 31DEC9999 Y Quantitation, not elsewhere described in this Table by any method or methods, in blood or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken - 1 test (This fee applies where 1 laboratory performs the only test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66614 01NOV1998 31DEC9999 Y 2 tests described in item 66611 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66617 01NOV1998 31DEC9999 Y 3 or more tests described in item 66611 (Item is subject to rule 6) 66620 01NOV1998 31DEC9999 Y Tests described in item 66611, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 - each test to a maximum of 2 tests (Item is subject to rule 6) 66623 01NOV1998 31OCT2003 N All qualitative and quantitative tests on blood, urine or other body fluid for: (a) a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or (b) ingested or absorbed toxic chemicals; including a service described in item 66611, 66614 or 66617 (if performed), but excluding: (c) the surveillance of sports people and athletes for performance improving substances; and (d) the monitoring of patients participating in a drug abuse treatment program 66623 01NOV2003 31DEC9999 Y All qualitative and quantitative tests on blood, urine or other body fluid for: (a) a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or (b) ingested or absorbed toxic chemicals; including a service described in item 66800, 66803, 66806, 66812 or 66815 (if performed), but excluding: (c) the surveillance of sports people and athletes for performance improving substances; and (d) the monitoring of patients participating in a drug abuse treatment program 66626 01NOV1998 30APR2002 N Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient: (a) participating in a drug abuse treatment program; or (b) being monitored for drug effects; but excluding (c) the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid - each episode, to a maximum of 21 episodes in a 12 month period 66626 01MAY2002 30APR2005 N Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient participating in a drug abuse treatment program; but excluding the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid - each episode, to a maximum of 36 episodes in a 12 month period 66626 01MAY2005 30APR2007 N Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient participating in a drug abuse treatment program; but excluding the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid 66626 01MAY2007 31DEC9999 Y Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient participating in a drug abuse treatment program; but excluding the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid (Item is subject to rule 25) 66629 01NOV1998 31DEC9999 Y Beta-2-microglobulin - quantitation in serum, urine or other body fluids - 1 or more tests 66632 01NOV1998 31DEC9999 Y Caeruloplasmin, haptoglobins, or prealbumin - quantitation in serum, urine or other body fluids - 1 or more tests 66635 01NOV1998 31DEC9999 Y Alpha-1-antitrypsin - quantitation in serum, urine or other body fluid - 1 or more tests 66638 01NOV1998 31DEC9999 Y Isoelectric focussing or similar methods for determination of alpha-1-antitrypsin phenotype in serum - 1 or more tests 66639 01MAY2007 31DEC9999 Y A test described in item 66638 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66641 01NOV1998 31DEC9999 Y Electrophoresis of serum or other body fluid to demonstrate: (a) the isoenzymes of lactate dehydrogenase; or (b) the isoenzymes of alkaline phosphatase; including the preliminary quantitation of total relevant enzyme activity - 1 or more tests 66642 01MAY2007 31DEC9999 Y A test described in item 66641 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66644 01NOV1998 31DEC9999 Y C-1 esterase inhibitor - quantitation 66647 01NOV1998 31DEC9999 Y C-1 esterase inhibitor - functional assay 66650 01NOV1998 31OCT1999 N Alphafetoprotein, CA15.3 antigen (CA15.3), CA125 antigen (CA125), CA19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), mammary serum antigen (MSA), thyroglobulin in serum or other body fluid, in the monitoring of malignancy quantitation 1 test 66650 01NOV1999 30APR2003 N Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), mammary serum antigen (MSA), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of gestational trophoblastic disease - quantitation - 1 test 66650 01MAY2003 30APR2007 N Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), mammary serum antigen (MSA), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of hepatic tumours, gestational trophoblastic disease or germ cell tumour - quantitation - 1 test 66650 01MAY2007 31OCT2008 N Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), mammary serum antigen (MSA), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of hepatic tumours, gestational trophoblastic disease or germ cell tumour - quantitation - 1 test (Item is subject to rule 6) 66650 01NOV2008 31DEC9999 Y Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), neuron specific enolase (NSE), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of hepatic tumours, gestational trophoblastic disease or germ cell tumour - quantitation - 1 test (Item is subject to rule 6) 66651 01MAY2007 31DEC9999 Y A test described in item 66650 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 66652 01MAY2007 31DEC9999 Y A test described in item 66650 if rendered by a receiving APP - other than that described in 66651, if rendered by a receiving APP, 1 test (Item is subject to rule 6 and 18) 66653 01NOV1998 30APR2007 N 2 or more tests described in item 66650 66653 01MAY2007 31DEC9999 Y 2 or more tests described in item 66650 (Item is subject to rule 6) 66654 01NOV2023 31DEC9999 Y Prostate specific antigen - quantitation in the monitoring of high-risk patients For any particular patient, applicable not more than once in 11 months 66655 01MAY2001 30APR2002 N Prostate specific antigen - quantitation in the assessment of clinically suspected prostatic disease - 1 patient episode in a 12 month period 66655 01MAY2002 30APR2005 N Prostate specific antigen - quantitation - 1 patient episode in a 12 month period 66655 01MAY2005 30APR2007 N Prostate specific antigen - quantitation - 1 of this item in a 12 month period 66655 01MAY2007 31OCT2023 N Prostate specific antigen - quantitation - 1 of this item in a 12 month period (Item is subject to rule 25) 66655 01NOV2023 31DEC9999 Y Prostate specific antigen-quantitation For any particular patient, applicable not more than once in 23 months 66656 01NOV1998 30APR2001 N Prostate specific antigen or prostate acid phosphatase - quantitation in the confirmation or monitoring of malignancy - 1 test 66656 01MAY2001 31OCT2002 N Prostate specific antigen - quantitation in the monitoring of previously diagnosed prostatic disease (including a test described in item 66655) - each patient episode to a maximum of 4 patient episodes in a 12 month period 66656 01NOV2002 31OCT2023 N Prostate specific antigen - quantitation in the monitoring of previously diagnosed prostatic disease (including a test described in item 66655) 66656 01NOV2023 31DEC9999 Y Prostate specific antigen (PSA) quantitation in the monitoring of previously diagnosed prostatic disease (including prostate cancer, prostatitis or a premalignant condition such as atypical small acinar proliferation) 66659 01NOV1998 30APR2001 N 2 tests described in item 66656 66659 01MAY2001 30APR2005 N Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the followup of a PSA result which lies in the equivocal range of the particular method of assay used to determine the level - 1 patient episode in a 12 month period 66659 01MAY2005 30APR2007 N Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the followup of a PSA result which lies in the equivocal range of the particular method of assay used to determine the level - 1 of this item in a 12 month period 66659 01MAY2007 30APR2009 N Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the followup of a PSA result which lies in the equivocal range of the particular method of assay used to determine the level - 1 of this item in a 12 month period (Item is subject to rule 25) 66659 01MAY2009 30JUN2009 N Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the followup of a PSA result which lies above the age related median but below the age related, method specific 97.5% reference limit - 1 of this item in a 12 month period (Item is subject to rule 25) 66659 01JUL2009 31OCT2023 N Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the follow up of a PSA result that lies at or above the age related median but below the age related, method specific 97.5% reference limit - 1 of this item in a 12 month period (Item is subject to rule 25) 66659 01NOV2023 31DEC9999 Y Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, including, if performed, a test described in item 66656, in the follow up of a PSA result under item 66654 or 66655 that lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than once in 11 months 66660 01MAY2009 30JUN2009 N Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the follow up of a PSA result which lies above the age related, method specific 97.5% reference limit, but below a value of 10 ug/L - 4 of this item in a 12 month period. (Item is subject to rule 25) 66660 01JUL2009 31OCT2023 N Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the follow up of a PSA result that lies at or above the age related, method specific 97.5% reference limit, but below a value of 10 ug/L - 4 of this item in a 12 month period. (Item is subject to rule 25) 66660 01NOV2023 31DEC9999 Y Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, in the monitoring of previously diagnosed prostatic disease, including, if performed, a test described in item 66656, if the current PSA level lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than 4 times in 11 months 66662 01NOV1998 31DEC9999 Y Quantitation of hormone receptors on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast - 1 or more tests 66663 01MAY2007 31DEC9999 Y A test described in item 66662 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66665 01NOV1998 31DEC9999 Y Lead quantitation in blood or urine (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 month period - each test 66666 01MAY2007 31DEC9999 Y A test described in item 66665 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66667 01NOV2000 31DEC9999 Y Quantitation of serum zinc in a patient receiving intravenous alimentation - each test 66668 01NOV1998 31DEC9999 Y Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, copper, chromium, gold, manganese, mercury, nickel, selenium, strontium, or zinc, in blood, urine or other body fluid or tissue - 1 or more tests in a 6 month period 66669 01NOV2000 30APR2005 N Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid or tissue - 1 test to a maximum of 3 episodes in a 6 month period (Item is subject to rule 22) 66669 01MAY2005 31DEC9999 Y Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 22) 66670 01NOV2000 30APR2005 N Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid or tissue - 2 or more tests to a maximum of 3 episodes in a 6 month period (Item is subject to rule 22) 66670 01MAY2005 31DEC9999 Y Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 22) 66671 01NOV1998 31DEC9999 Y Quantitation of serum aluminium in a patient in a renal dialysis program - each test 66672 01NOV2000 30APR2005 N Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 1 test to a maximum of 3 episodes in a 6 month period (Item is subject to rule 22) 66672 01MAY2005 31DEC9999 Y Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 22) 66673 01NOV2000 30APR2005 N Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 2 or more tests to a maximum of 3 episodes in a 6 month period (Item is subject to rule 22) 66673 01MAY2005 31DEC9999 Y Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 22) 66674 01NOV1998 31DEC9999 Y Quantitation of: (a) faecal fat; or (b) breath hydrogen in response to loading with disaccharides; 1 or more tests within a 28 day period 66677 01NOV1998 31DEC9999 Y Test for tryptic activity in faeces in the investigation of diarrhoea of longer than 4 weeks duration in children under 6 years old 66680 01NOV1998 31DEC9999 Y Quantitation of disaccharidases and other enzymes in intestinal tissue - 1 or more tests 66683 01NOV1998 31DEC9999 Y Enzymes - quantitation in solid tissue or tissues other than blood elements or intestinal tissue - 1 or more tests 66686 01NOV1998 31DEC9999 Y Performance of 1 or more of the following procedures: (a) growth hormone suppression by glucose loading; (b) growth hormone stimulation by exercise; (c) dexamethasone suppression test; (d) sweat collection by iontophoresis for chloride analysis; (e) pharmacological stimulation of growth hormone 66689 01NOV1998 31DEC9999 Y Personal performance by a recognised pathologist of 1 of the following procedures: (a) gonadotrophin releasing hormone stimulation test; (b) synacthen stimulation test; (c) glucagon stimulation test with C-peptide measurement; (d) pentagastrin or calcium stimulation of thyrocalcitonin release; (e) secretin or calcium stimulation of gastrin release; (f) insulin hypoglycaemia; (g) arginine infusion; (h) thyrotrophin releasing hormone (TRH) test 66692 01NOV1998 31DEC9999 Y Personal performance by a recognised pathologist of 2 or more tests described in item 66689 66695 01NOV1998 31OCT2004 N Quantitation of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) - 1 test 66695 01NOV2004 30APR2007 N Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) - 1 test 66695 01MAY2007 31OCT2008 N Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, cyclic AMP, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, vasopressin (antidiuretic hormone) - 1 test (Item is subject to rule 6) 66695 01NOV2008 31DEC9999 Y Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide, - 1 test (Item is subject to rule 6) 66696 01MAY2007 31DEC9999 Y A test described in item 66695, if rendered by a receiving APP - where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18) 66697 01MAY2007 31OCT2008 N Tests described in item 66695, other than that described in 66696, if rendered by a receiving APP - each test to a maximum of 5 tests (Item is subject to rule 6 and 18) 66697 01NOV2008 31DEC9999 Y Tests described in item 66695, other than that described in 66696, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6 and 18) 66698 01NOV1998 31DEC9999 Y 2 tests described in item 66695 (Item is subject to rule 6) 66701 01NOV1998 31DEC9999 Y 3 tests described in item 66695 (Item is subject to rule 6) 66704 01NOV1998 31DEC9999 Y 4 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66707 01NOV1998 30JUN2008 N 5 tests described in item 66695 (Item is subject to rule 6) 66707 01JUL2008 31DEC9999 Y 5 or more tests described in item 66695 (Item is subject to rule 6) 66710 01NOV1998 31DEC9999 Y 6 or more tests described in item 66695 (Item is subject to rule 6) 66711 01NOV2005 30APR2007 N Quantitation in saliva of cortisol in: (a) the investigation of Cushing's syndrome; or (b) the management of children with congenital adrenal hyperplasia 66711 01MAY2007 31DEC9999 Y Quantitation in saliva of cortisol in: (a) the investigation of Cushing's syndrome; or (b) the management of children with congenital adrenal hyperplasia (Item is subject to rule 6) 66712 01NOV2005 30APR2007 N Two tests described in item 66711 66712 01MAY2007 31DEC9999 Y Two tests described in item 66711 (Item is subject to rule 6) 66713 01NOV1998 31DEC9999 Y Tests described in item 66695, if rendered under a request referred to in subparagraph (2)(a)(iii) of rule 6 - each test to a maximum of 5 tests (Item is subject to rule 6) 66714 01MAY2007 31DEC9999 Y A test described in item 66711, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18) 66715 01MAY2007 31DEC9999 Y Tests described in item 66711, other than that described in 66714, if rendered by a receiving APP, each test to a maximum of 1 test (Item is subject to rule 6 and 18) 66716 01NOV1998 31DEC9999 Y TSH quantitation 66719 01NOV1998 31OCT2008 N Thyroid function tests (comprising the service described in item 66716 and 1 or more of the following tests - estimation of free thyroxine index, free thyroxine, free T3, total T3, thyroxine binding globulin) for a patient, if at least 1 of the following conditions is satisfied: (a) the patient has an abnormal level of TSH; (b) the tests are performed: (i) for the purpose of monitoring thyroid disease in the patient; or (ii) to investigate the sick euthyroid syndrome if the patient is an admitted patient; or (iii) to investigate dementia or psychiatric illness of the patient; or (iv) to investigate amenorrhoea or infertility of the patient; (c) the medical practitioner who requested the tests suspects the patient has a pituitary dysfunction; (d) the patient is on drugs that interfere with thyroid hormone metabolism or function (Item is subject to rule 9) 66719 01NOV2008 30JUN2020 N Thyroid function tests (comprising the service described in item 66716 and 1 or more of the following tests - free thyroxine, free T3, for a patient, if at least 1 of the following conditions is satisfied: (a) the patient has an abnormal level of TSH; (b) the tests are performed: (i) for the purpose of monitoring thyroid disease in the patient; or (ii) to investigate the sick euthyroid syndrome if the patient is an admitted patient; or (iii) to investigate dementia or psychiatric illness of the patient; or (iv) to investigate amenorrhoea or infertility of the patient; (c) the medical practitioner who requested the tests suspects the patient has a pituitary dysfunction; (d) the patient is on drugs that interfere with thyroid hormone metabolism or function (Item is subject to rule 9) 66719 01JUL2020 31DEC9999 Y Thyroid function tests (comprising the service described in item 66716 and either or both of a test for free thyroxine and a test for free T3) for a patient, if: (a) the patient has a level of TSH that is outside the normal reference range for the particular method of assay used to determine the level; or (b) the request from the requesting medical practitioner indicates that the tests are performed: (i) for the purpose of monitoring thyroid disease in the patient; or (ii) to investigate the sick euthyroid syndrome if the patient is an admitted patient; or (iii) to investigate dementia or psychiatric illness of the patient; or (iv) to investigate amenorrhoea or infertility of the patient; or (c) the request from the requesting medical practitioner indicates that the medical practitioner suspects the patient has a pituitary dysfunction; or (d) the request from the requesting medical practitioner indicates that the patient is on drugs that interfere with thyroid hormone metabolism or function 66722 01NOV1998 31DEC9999 Y TSH quantitation described in item 66716 and 1 test described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66723 01MAY2007 31DEC9999 Y Tests described in item 66722, that is, TSH quantitation and 1 test described in 66695, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 66724 01MAY2007 31DEC9999 Y Tests described in item 66722, if rendered by a receiving APP, other than that described in 66723. It is to include a quantitation of TSH - each test to a maximum of 4 tests described in item 66695 (Item is subject to rule 6 and 18) 66725 01NOV1998 31DEC9999 Y TSH quantitation described in item 66716 and 2 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 tests specified on the request form or performs 3 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66728 01NOV1998 31DEC9999 Y TSH quantitation described in item 66716 and 3 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66731 01NOV1998 31DEC9999 Y TSH quantitation described in item 66716 and 4 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 tests specified on the request form or performs 5 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66734 01NOV1998 31DEC9999 Y TSH quantitation described in item 66716 and 5 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 6 or more tests specified on the request form) (Item is subject to rule 6) 66737 01NOV1998 31DEC9999 Y Tests described in items 66716 and 66695, if rendered under a request mentioned in subparagraph (2)(a)(iii) of rule 6 - each test to a maximum of 5 tests (Item is subject to rule 6) 66740 01NOV1998 31DEC9999 Y Quantitation, in pregnancy, of alpha-fetoprotein, human chorionic gonadotrophin, oestriol and any other substance to detect fetal abnormality, including a service described in 1 or more of items 66743, 66746, 73527 and 73529 (if performed) - 1 patient episode in a pregnancy 66743 01NOV1998 30APR2003 N Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy except if requested as part of item 66740 66743 01MAY2003 31DEC9999 Y Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy except if requested as part of items 66750 or 66751 66746 01NOV1998 31DEC9999 Y Human placental lactogen or oestriol - quantitation, except if requested as part of item 66740 - 1 test 66749 01NOV1998 31DEC9999 Y Amniotic fluid, spectrophotometric examination of, and quantitation of: (a) lecithin/sphingomyelin ratio; or (b) palmitic acid, phosphatidylglycerol or lamellar body phospholipid; or (c) bilirubin, including correction for haemoglobin 1 or more tests 66750 01MAY2003 30APR2005 N Quantitation, in pregnancy, of any two of the following - total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - to detect foetal abnormality, including a service described in 1 or more of items 73527 and 73529 (if performed) - 1 patient episode in a pregnancy 66750 01MAY2005 30APR2007 N Quantitation, in pregnancy, of any two of the following - total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - to detect foetal abnormality, including a service described in 1 or more of items 73527 and 73529 (if performed) - 1 of this item in a pregnancy 66750 01MAY2007 30JUN2020 N Quantitation, in pregnancy, of any two of the following - total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - to detect foetal abnormality, including a service described in 1 or more of items 73527 and 73529 (if performed) - (Item is subject to rule 25) 66750 01JUL2020 31DEC9999 Y Quantitation, in pregnancy, of any 2 of the following to detect foetal abnormality - total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - including (if performed) a service described in item 73527 or 73529 - Applicable not more than once in a pregnancy 66751 01MAY2003 30APR2007 N Quantitation, in pregnancy, of any three or more tests described in 66750 66751 01MAY2007 31DEC9999 Y Quantitation, in pregnancy, of any three or more tests described in 66750 (Item is subject to rule 25) 66752 01NOV1998 30APR2007 N Quantitation of citrate, oxalate, total free fatty acids or amino acids including cysteine, homocysteine, cystine and hydroxyproline (except if performed as part of item 66773 or 66776) - 1 test 66752 01MAY2007 31OCT2008 N Quantitation of citrate, oxalate, total free fatty acids, cysteine, homocysteine, cystine or other amino acids and hydroxyproline (except if performed as part of item 66773 or 66776) - 1 test 66752 01NOV2008 31DEC9999 Y Quantitation of acetoacetate, beta-hydroxybutyrate, citrate, oxalate, total free fatty acids, cysteine, homocysteine, cystine, lactate, pyruvate or other amino acids and hydroxyproline (except if performed as part of item 66773 or 66776) - 1 test 66755 01NOV1998 31DEC9999 Y 2 or more tests described in item 66752 66756 01MAY2007 31DEC9999 Y Quantitation of 10 or more amino acids for the diagnosis of inborn errors of metabolism - up to 4 tests in a 12 month period on specimens of plasma, CSF and urine. 66757 01MAY2007 31DEC9999 Y Quantitation of 10 or more amino acids for monitoring of previously diagnosed inborn errors of metabolism in 1 tissue type. 66758 01NOV1998 31DEC9999 Y Quantitation of angiotensin converting enzyme, or cholinesterase - 1 or more tests 66761 01NOV1998 31DEC9999 Y Test for reducing substances in faeces by any method (except reagent strip or dipstick) 66764 01NOV1998 31OCT2008 N Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces) by: (a) an immunological method; and (b) a chemical method (except reagent strip or dip stick); with a maximum of 3 examinations on specimens collected on separate days in a 28 day period - 1 examination by both methods 66764 01NOV2008 31DEC9999 Y Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces except by reagent strip or dip stick methods) with a maximum of 3 examinations on specimens collected on separate days in a 28 day period 66767 01NOV1998 31OCT2008 N 2 examinations by both methods described in item 66764 performed on separately collected and identified specimens 66767 01NOV2008 31DEC9999 Y 2 examinations described in item 66764 performed on separately collected and identified specimens 66770 01NOV1998 31OCT2008 N 3 examinations by both methods described in item 66764 performed on separately collected and identified specimens 66770 01NOV2008 31DEC9999 Y 3 examinations described in item 66764 performed on separately collected and identified specimens 66773 01NOV1998 31OCT2001 N Quantitation of products of collagen breakdown for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 - 1 or more tests (Low bone densitometry is defined in paragraph D1.15 of explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule) 66773 01NOV2001 31OCT2007 N Quantitation of products of collagen breakdown for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 - 1 or more tests (Low bone densitometry is defined in the explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule) 66773 01NOV2007 31DEC9999 Y Quantitation of products of collagen breakdown or formation for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 - 1 or more tests (Low bone densitometry is defined in the explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule) 66776 01NOV1998 31OCT2007 N Quantitation of products of collagen breakdown for the monitoring of patients with metabolic bone disease or Paget's disease of bone, and if performed, a service described in item 66752 - 1 or more tests 66776 01NOV2007 31DEC9999 Y Quantitation of products of collagen breakdown or formation for the monitoring of patients with metabolic bone disease or Paget's disease of bone, and if performed, a service described in item 66752 - 1 or more tests 66779 01NOV1998 31DEC9999 Y Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic acid (5HIAA), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), phenylacetic acid (PAA) or serotonin quantitation - 1 or more tests 66780 01MAY2007 31DEC9999 Y A test described in item 66779 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66782 01NOV1998 31DEC9999 Y Porphyrins or porphyrins precursors - detection in plasma, red cells, urine or faeces - 1 or more tests 66783 01MAY2007 31DEC9999 Y A test described in item 66782 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66785 01NOV1998 30APR2007 N Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 1 test 66785 01MAY2007 31DEC9999 Y Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 1 test (Item is subject to rule 6) 66788 01NOV1998 30APR2007 N Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 2 or more tests 66788 01MAY2007 31DEC9999 Y Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 2 or more tests (Item is subject to rule 6) 66789 01MAY2007 31DEC9999 Y A test described in item 66785 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 66790 01MAY2007 31DEC9999 Y A test described in item 66785 other than that described in 66789, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18) 66791 01NOV1998 31DEC9999 Y Porphyrin biosynthetic enzymes - measurement of activity in blood cells or other tissues - 1 or more tests 66792 01MAY2007 31DEC9999 Y A test described in item 66791 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 66794 01NOV1998 31OCT1999 N Detection of the C282Y genetic mutation for haemochromatosis where: (a) the patient has an elevated transferrin saturation or elevated serum ferritin on testing of repeated specimens; or (b) the patient has a first degree relative with haemochromatosis or with homozygosity for the C282Y genetic mutation; not exceeding 1 episode in a 3 year period (Item is subject to rule 22) 66794 01NOV1999 31DEC9999 Y Detection of the C282Y genetic mutation of the HFE gene and, if performed, detection of other mutations for haemochromatosis where: (a) the patient has an elevated transferrin saturation or elevated serum ferritin on testing of repeated specimens; or (b) the patient has a first degree relative with haemochromatosis; or (c) the patient has a first degree relative with homozygosity for the C282Y genetic mutation, or with compound heterozygosity for recognised genetic mutations for haemochromatosis (Item is subject to rule 20) 66800 01NOV2003 31DEC9999 Y Quantitation in blood, urine or other body fluid by any method (except reagent tablet or reagent strip) of any of the following being used therapeutically by the patient from whom the specimen was taken: amikacin, carbamazepine, digoxin, disopyramide, ethanol, ethosuximide, gentamicin, lithium, lignocaine, netilmicin, paracetamol, phenobarbitone, primidone, phenytoin, procainamide, quinidine, salicylate, theophylline, tobramycin, valproate or vancomycin - 1 test (Item to be subject to rule 6) 66803 01NOV2003 31DEC9999 Y 2 tests described in item 66800 (Item is subject to rule 6) 66804 01MAY2007 31DEC9999 Y A test described in item 66800 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 66805 01MAY2007 31DEC9999 Y A test described in item 66800 other than that described in 66804, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18) 66806 01NOV2003 31DEC9999 Y 3 tests described in item 66800 (Item is subject to rule 6) 66809 01NOV2003 31DEC9999 Y Tests described in item 66800, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 - each test to a maximum of 2 tests (Item is subject to rule 6) 66812 01NOV2003 31DEC9999 Y Quantitation, not elsewhere described in this Table by any method or methods, in blood, urine or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken - 1 test (This fee applies where 1 laboratory performs the only test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66815 01NOV2003 31DEC9999 Y 2 tests described in item 66812 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 66816 01MAY2007 31DEC9999 Y A test described in item 66812 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 66817 01MAY2007 31DEC9999 Y A test described in item 66812, other than that described in 66816, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18) 66818 01NOV2003 31DEC9999 Y Tests described in item 66812, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 - each test to a maximum of 1 test (Item is subject to rule 6) 66819 01MAY2007 31OCT2008 N Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25) 66819 01NOV2008 31DEC9999 Y Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 1 test. (Item is subject to rule 6, 22 and 25) 66820 01MAY2007 31DEC9999 Y A test described in item 66819 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18, 22 and 25) 66821 01MAY2007 31DEC9999 Y A test described in item 66819 other than that described in 66820 if rendered by a receiving APP to a maximum of 1 test (Item is subject to rule 6, 18, 22 and 25) 66822 01MAY2007 31OCT2008 N Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25) 66822 01NOV2008 31DEC9999 Y Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 2 or more tests. (Item is subject to rule 6, 22 and 25) 66825 01MAY2007 31DEC9999 Y Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25) 66826 01MAY2007 31DEC9999 Y A test described in item 66825 if rendered by a receiving APP where no tests have been rendered by the referring APP - 1 test (Item is subject to rules 6, 18, 22 and 25 ) 66827 01MAY2007 31DEC9999 Y A test described in item 66825, other than that described in 66826, if rendered by a receiving APP to a maximum of 1 test (Item is subject to rules 6, 18, 22 and 25) 66828 01MAY2007 31DEC9999 Y Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25) 66830 01JUL2008 31DEC9999 Y Quantitation of BNP or NT-proBNP for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department (Item is subject to rule 25) 66831 01NOV2008 31DEC9999 Y Quantitation of copper or iron in liver tissue biopsy 66832 01NOV2008 31DEC9999 Y A test described in item 66831 if rendered by a receiving APP (Item is subject to rule 18A and 22) 66833 01NOV2014 31DEC9999 Y 25-hydroxyvitamin D, quantification in serum, for the investigation of a patient who: (a) has signs or symptoms of osteoporosis or osteomalacia; or (b) has increased alkaline phosphatase and otherwise normal liver function tests; or (c) has hyperparathyroidism, hypo- or hypercalcaemia, or hypophosphataemia; or (d) is suffering from malabsorption (for example, because the patient has cystic fibrosis, short bowel syndrome, inflammatory bowel disease or untreated coeliac disease, or has had bariatric surgery); or (e) has deeply pigmented skin, or chronic and severe lack of sun exposure for cultural, medical, occupational or residential reasons; or (f) is taking medication known to decrease 25OH-D levels (for example, anticonvulsants); or (g) has chronic renal failure or is a renal transplant recipient; or (h) is less than 16 years of age and has signs or symptoms of rickets; or (i) is an infant whose mother has established vitamin D deficiency; or (j) is a exclusively breastfed baby and has at least one other risk factor mentioned in a paragraph in this item; or (k) has a sibling who is less than 16 years of age and has vitamin D deficiency 66834 01NOV2014 31DEC9999 Y A test described in item 66833 if rendered by a receiving APP (Item is subject to Rule 18) 66835 01NOV2014 31DEC9999 Y 1, 25-dihydroxyvitamin D - quantification in serum, if the request for the test is made by, or on advice of, the specialist or consultant physician managing the treatment of the patient 66836 01NOV2014 31DEC9999 Y 1, 25-dihydroxyvitamin D-quantification in serum, if: (a) the patient has hypercalcaemia; and (b) the request for the test is made by a general practitioner managing the treatment of the patient 66837 01NOV2014 31DEC9999 Y A test described in item 66835 or 66836 if rendered by a receiving APP (Item is subject to Rule 18) 66838 01NOV2014 31DEC9999 Y Serum vitamin B12 test (Item is subject to Rule 25) 66839 01NOV2014 31DEC9999 Y Quantification of vitamin B12 markers such as holoTranscobalamin or methylmalonic acid, where initial serum vitamin B12 result is low or equivocal 66840 01NOV2014 31DEC9999 Y Serum folate test and, if required, red cell folate test for a patient at risk of folate deficiency, including patients with malabsorption conditions, macrocytic anaemia or coeliac disease 66841 01NOV2014 31DEC9999 Y Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk. (Item is subject to rule 25) 66900 01MAY2009 31DEC9999 Y CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, including the measurement of exhaled 13CO2 or 14CO2 (except if item 12533 applies) for either:- (a) the confirmation of Helicobacter pylori colonisation OR (b) the monitoring of the success of eradication of Helicobacter pylori. 69201 01DEC1991 30JUN1994 N Microscopic examination of material other than blood, from 1 or more sites, obtained directly from a patient and excluding material from cultures wet film, including differential cell count if performed, examination for dermatophytes or dark ground illumination, or stained preparation or preparations using any relevant stain or stains 1 or more examinations 69201 01JUL1994 31DEC9999 Y Microscopy of wet film material other than blood, from 1 or more sites, obtained directly from a patient (not cultures) including: (a) differential cell count (if performed); or (b) examination for dermatophytes; or (c) dark ground illumination; or (d) stained preparation or preparations using any relevant stain or stains; 1 or more tests 69202 01DEC1991 31DEC9999 Y Microscopic examination of material other than blood, from one or more sites, obtained directly from a patient and excluding material from cultures wet film, including differential cell count if performed, examination for dermatophytes or dark ground illumination, or stained preparation or preparations using any relevant stain or stains one or more examinations 69203 01DEC1991 30JUN1994 N Microscopic examination of faeces for parasites using concentration techniques including the use of appropriate stains, to a maximum of 3 estimations taken on separate days including any services specified in item 69201 each estimation 69203 01JUL1994 31DEC9999 Y Microscopy of faeces for parasites using concentration techniques (including the use of appropriate stains) to a maximum of 3 tests taken on separate days, including a service (if performed) described in item 69201 each test 69204 01DEC1991 31DEC9999 Y Microscopic examination of faeces forparasites using concentration techniques including the use of appropriate stains, to a maximum of three estimations taken on separate days including any services specified in item 69201/69202 each estimation 69205 01DEC1991 30JUN1994 N The cultural examination and microscopical examination when indicated (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic micro-organisms, including fungi but excluding viruses, from nasal swabs, throat swabs, eye swabs and ear swabs, including pathogen identification and antibiotic sensitivity testing, including any services specified in item 69201 1 or more sites 69205 01JUL1994 31DEC9999 Y Culture and (if performed) microscopy to detect pathogenic micro-organisms (including fungi but excluding viruses), from nasal swabs, throat swabs, eye swabs and ear swabs, including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) the detection of antigens not elsewhere described in this Table; or (c) a service described in item 69201; specimens from 1 or more sites 69206 01DEC1991 31DEC9999 Y The cultural examination and microscopical examination when indicated (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic microorganisms, including fungi but excluding viruses, from nasal swabs, throat swabs, eye swabs and ear swabs, including pathogen identification and antibiotic sensitivity testing, including any services specified in items 69201 one or more sites 69207 01DEC1991 31OCT1993 N Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic micro-organisms, including fungi but excluding viruses, from the following sites skin or other superficial sites, urethra, vagina, cervix or rectum (except for faecal pathogens), or specimens of sputum (except when part of item 69213), including pathogenic identification and antibiotic sensitivity testing, including any services specified in items 69201 and 69205 1 or more examinations on 1 or more specimens 69207 01NOV1993 30JUN1994 N Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic micro-organisms, including fungi but excluding viruses, from the following sites skin or other superficial sites, urethra, vagina, cervix or rectum (except for faecal pathogens), or specimens of sputum (except when part of item 69213), including pathogenic identification and antibiotic sensitivity testing, including any services specified in items 69201, 69205 and 73810 1 or more examinations on 1 or more specimens 69207 01JUL1994 31DEC9999 Y Microscopy and culture to detect pathogenic micro-organisms, including fungi but excluding viruses, from: (a) skin or other superficial sites, urethra, vagina, cervix or rectum (except for faecal pathogens); or (b) specimens of sputum (except when part of item 69213); including (if performed): (c) the detection of antigens not elsewhere specified in this Table; or (d) pathogenic identification and antibiotic susceptibility testing; or (e) a service described in item 69201, 69205 and 73810; 1 or more tests on 1 or more specimens 69208 01DEC1991 31DEC9999 Y Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) to determine the presence of pathogenic microorganisms, including fungi but excluding viruses, from the following sites skin or other superficial sites, urethra, vagina, cervix, or rectum (except for faecal pathogens), or specimens of sputum (except when part of item 69213/69214), including pathogenic identification and antibiotic sensitivity testing, including any services specified in items 69201/69202, 69205/69206 one or more examinations on one or more specimens 69209 01DEC1991 30JUN1994 N Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) of postoperative wounds, aspirations of body cavities, synovial fluid, CSF and operative or biopsy specimens for the presence of pathogenic micro-organisms, including fungi but excluding viruses, involving aerobic and anaerobic culture and the use of different culture media and including pathogen identification and antibiotic sensitivity testing, including any services specified in items 69201, 69205 and 69207 1 or more sites 69209 01JUL1994 31DEC9999 Y Microscopy and culture of postoperative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms (including fungi but excluding viruses) involving aerobic and anaerobic culture and the use of different culture media, and including (if performed); (a) pathogen identification and antibiotic susceptibility testing; (b) the detection of antigens not elsewhere specified in this Table; or (c) a service described in item 69201, 69205 or 69207; specimens from 1 or more sites 69210 01DEC1991 31DEC9999 Y Microscopical and cultural examination (including the detection of antigens not elsewhere specified in the Schedule) of postoperative wounds, aspirations of body cavities, synovial fluid, CSF and operative or biopsy specimens for the presence of pathogenic microorganisms, including fungi but excluding viruses, involving aerobic and anaerobic culture and the use of different culture media and including pathogen identification and antibiotic sensitivity testing, including any services specified in items 69201/69202, 69205/69206 and 69207/69208 one or more sites 69211 01DEC1991 30JUN1994 N Cultural examination (including the detection of clostridial toxins or antigens not elsewhere specified in the Schedule) of faeces to determine the presence or absence of faecal pathogens, involving the use of at least 2 selective or enrichment media as well as culture in at least 2 different atmospheres and includes pathogen identification and antibiotic sensitivity testing, including any services specified in item 69201, to a maximum of 3 specimens in any 7 day period each examination 69211 01JUL1994 31DEC9999 Y Culture of faeces for faecal pathogens, involving the use of at least 2 selective or enrichment media and culture in at least 2 different atmospheres and including (if performed): (a) pathogen identification and antibiotic susceptibility testing; (b) the detection of clostridial toxins or antigens not elsewhere specified in this Table; or (c) a service described in item 69201; to a maximum of 3 specimens in any 7-day period each test 69212 01DEC1991 31DEC9999 Y Cultural examination (including the detection of clostridial toxins or antigens not elsewhere specified in the Schedule) of faeces to determine the presence or absence of faecal pathogens, involving the use of at least two selective or enrichment media as well as culture in at least two different atmospheres and includes pathogen identification and antibiotic sensitivity testing, including any services specified in item 69201/69202, to a maximum of three specimens in any seven day period each examination 69213 01DEC1991 30JUN1994 N Microscopy with appropriate stains and cultural examinations of 3 specimens of sputum, urine or other bodily fluids for mycobacteria and any other bacterial pathogens, including pathogen identification and antibiotic sensitivity testing and including any services specified in item 69201 69213 01JUL1994 31DEC9999 Y Microscopy with appropriate stains and culture of 3 specimens of sputum, urine or other body fluids for mycobacteria including (if performed): (a) microscopy and culture of other bacterial pathogens; or (b) pathogen identification and antibiotic susceptibility testing; and (c) a service described in item 69201 69214 01DEC1991 31DEC9999 Y Microscopy with appropriate stains and cultural examinations of three specimens of sputum, urine or other bodily fluids for mycobacteria and any other bacterial pathogens, including pathogen identification and antibiotic sensitivity testing and including any services specified in item 69201/69202 69215 01DEC1991 30JUN1994 N Blood culture to determine the presence or absence of pathogenic micro-organisms excluding viruses, including serial cultures and sub-cultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing - each set of cultures to a maximum of 3 sets 69215 01JUL1994 31DEC9999 Y Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a) identification of any cultured pathogen; and (b) necessary antibiotic susceptibility testing; each set of cultures to a maximum of 3 sets 69216 01DEC1991 31DEC9999 Y Blood culture to determine the presence or absence of pathogenic microorganisms excluding viruses, including serial cultures and subcultures, any relevant cultural methods and any tests necessary to identify any cultured pathogen and necessary antibiotic sensitivity testing each set of cultures to a maximum of three sets 69217 01DEC1991 30JUN1994 N Urine examination including serial examination, with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts (simple culture by dip slide is excluded from this item) 69217 01JUL1994 31DEC9999 Y Urine examination (including serial examination) by any means other than simple culture by dip slide, including: (a) cell count; and (b) culture; and (c) colony count (if performed); and (d) stained preparations; and (e) identification of cultured pathogens; and (f) antibiotic susceptibility testing; and (g) any examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts 69218 01DEC1991 31DEC9999 Y Urine examination including serial examination,with cell count, relevant stained preparations, culture, colony count by any method, identification of any cultured pathogens, antibiotic sensitivity testing when necessary, and with any relevant general examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts (Simple culture by dip slide is excluded from this item) 69219 01DEC1991 30JUN1994 N Direct detection of the antigens of Haemophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, Group B streptococcus (in CSF and urine specimens only), RSV, cryptococcal antigens and Varicella zoster or detection of Clostridium difficile toxin except where item 69211 has been performed 1 or more estimations 69219 01JUL1994 31OCT1996 N Detection of: (a) the antigens of Haemophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, Group B streptococcus, respiratory syncytial virus, cryptococcal antigens or Varicella zoster; or (b) Clostridium difficile toxin (except if the service described in item 69211 has been performed); 1 or more tests 69219 01NOV1996 31DEC9999 Y Detection of: (a) the antigens of Haemophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, Group B streptococcus, respiratory syncytial virus, cryptococcal antigens or Varicella zoster; or (b) Clostridium difficile toxin (except if a service described in item 69289 to 69291 has been performed); 1 or more tests 69220 01DEC1991 31DEC9999 Y Direct detection of the antigens of Heamophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, Group B streptococcus (in CSF andurine specimens only), RSV, cryptococcal antigens and Varicella zoster or detection of Clostridium difficile toxin except where item 69211/69212 has been performed one or more estimations 69221 01DEC1991 30JUN1994 N Direct detection of Chlamydia from clinical material, not cultures 1 or more estimations 69221 01JUL1994 31DEC9999 Y Detection of Chlamydia from material obtained directly from a patient (not cultures) - 1 or more tests 69222 01DEC1991 31DEC9999 Y Direct detection of Chlamydia from clinical material, not cultures one or more estimations 69223 01DEC1991 30JUN1994 N Direct detection of herpes simplex virus from clinical material, not cultures 1 or more estimations 69223 01JUL1994 31DEC9999 Y Detection of herpes simplex virus from material obtained directly from a patient (not cultures) 1 or more tests 69224 01DEC1991 31DEC9999 Y Direct detection of Herpes simplex from clinical material, not cultures one or more estimations 69225 01DEC1991 31DEC9999 Y Investigation for herpes simplex virus (1 or more types) or Chlamydia trachomatis, in material obtained directly from a patient, by 1 or more cultural methods, including any services specified in items 69221 and 69223 69226 01DEC1991 31DEC9999 Y Investigation for Herpes simplex virus (one or more types) or Chlamydia trachomatis, in material obtained directly from a patient, by one or more cultural methods, including any services specified in items 69221/69222 and 69223/69224 69227 01DEC1991 31DEC9999 Y All microbiological serology during pregnancy, which must include the determination of Rubella immune status, syphilis serology and Hepatitis B surface antigen and including all services in Items 69229, 69243 and 69245, except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy 69228 01DEC1991 31DEC9999 Y All microbiological serology during pregnancy, which must include the determination of Rubella immune status, syphilis serology and Hepatitis B surface antigen and including all services in Items 69230, 69244 and 69246, except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy 69229 01DEC1991 30JUN1993 N Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule estimation of 1 antibody 69229 01JUL1993 30JUN1994 N Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule estimation of 1 antibody (This fee applies where a laboratory performs the only antibody estimation specified on the request form or performs 1 estimation and refers the rest to the laboratory of a separate APA) 69229 01JUL1994 31DEC9999 Y Quantitation of 1 antibody to microbial or exogenous antigens not elsewhere described in the Schedule - 1 test (This fee applies where a laboratory performs the only antibody test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 69230 01DEC1991 31DEC9999 Y Antibodies to microbial or exogenous antigens not elsewhere specified in the Schedule estimation of one antibody 69231 01DEC1991 30JUN1993 N 2 estimations specified in item 69229 69231 01JUL1993 30JUN1994 N 2 estimations specified in item 69229 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 2 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 69231 01JUL1994 31DEC9999 Y 2 tests described in item 69229 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 2 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 69232 01DEC1991 31DEC9999 Y Two estimations specified in item 69229/69230 69233 01DEC1991 30JUN1993 N 3 estimations specified in item 69229 69233 01JUL1993 30JUN1994 N 3 estimations specified in item 69229 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 3 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 69233 01JUL1994 31DEC9999 Y 3 tests described in item 69229 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 3 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 69234 01DEC1991 31DEC9999 Y Three estimations specified in item 69229/69230 69235 01DEC1991 30JUN1993 N 4 estimations specified in item 69229 69235 01JUL1993 30JUN1994 N 4 estimations specified in item 69229 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 4 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA.) 69235 01JUL1994 31DEC9999 Y 4 tests described in item 69229 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 69236 01DEC1991 31DEC9999 Y Four estimations specified in item 69229/69230 69237 01DEC1991 30JUN1993 N 5 estimations specified in item 69229 69237 01JUL1993 31DEC9999 Y 5 tests described in item 69229 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 5 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA.) (Item is subject to rule 6) 69238 01DEC1991 31DEC9999 Y Five estimations specified in item 69229/69230 69239 01DEC1991 30JUN1994 N 6 or more estimations specified in item 69229 69239 01JUL1994 31DEC9999 Y 6 or more tests described in item 69229 69240 01DEC1991 31DEC9999 Y Six or more estimations specified in item 69229/69230 69241 01SEP1992 30JUN1993 N Estimations specified in any of items 69229 to 69239 (inclusive), if the number of estimations relating to the same patient episode does not exceed 6 - each estimation to a maximum of 5 estimations 69241 01JUL1993 30JUN1994 N "Estimations specified in any of items 69229 to 69239 (inclusive), if the number of estimations relating to the same patient episode does not exceed 6 - each estimation to a maximum of 5 estimations (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the antibody estimations specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"".)" 69241 01JUL1994 31OCT1994 N "Tests described in any of items 69229 to 69237, if the number of tests relating to the same patient episode does not exceed 6 - each tests to a maximum of 5 tests (Item is subject to rule 6) (This fee applies to the laboratory of a different APA to the first laboratory, which has referred to it the remainder of the antibody tests specified on the request form. The PEI applicable to this item is 73921, the ""Specimen Referred Fee"".)" 69241 01NOV1994 31OCT1995 N Tests described in item 69229, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 (Item is subject to rule 6) 69241 01NOV1995 31DEC9999 Y Tests described in item 69229, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 - each test to a maximum of 5 tests (Item is subject to rule 6) 69243 01DEC1991 31DEC9999 Y Hepatitis B surface antigen test 69244 01DEC1991 31DEC9999 Y Hepatitis B surface antigen test 69245 01DEC1991 30JUN1994 N Hepatitis B serology to define the immune status of an individual, including at least hepatitis B surface antibody or hepatitis B core antibody tests, including services specified in items 69243, 69247 and 69249 69245 01JUL1994 31DEC9999 Y Hepatitis B serology to define the immune status of an individual, including at least hepatitis B surface antibody or hepatitis B core antibody test, and including a service described in item 69243, 69247 or 69249 (if performed) 69246 01DEC1991 31DEC9999 Y Hepatitis B serology to define the immune status of an individual, including at least Hepatitis B surface antibody or Hepatitis B core antibody tests, including services specified in items 69243/69244, 69247/69248 and 69249/69250 69247 01DEC1991 30JUN1994 N All serological tests performed for the identification of the agent causing acute hepatitis, which must include hepatitis B surface antigen, hepatitis B core antibody and hepatitis A IgM antibody tests and those services specified in items 69243, 69245 and 69249 69247 01JUL1994 31DEC9999 Y Serological tests to identify the agent causing acute hepatitis (must include hepatitis B surface antigen, hepatitis B core antibody and hepatitis A IgM antibody test and the services described in item 69243, 69245 and 69249) 69248 01DEC1991 31DEC9999 Y All serological tests performed for the identification of the agent causing acute Hepatitis, which must include Hepatitis B surface antigen, Hepatitis B core antibody and Hepatitis A IgM antibody tests and those services specified in items 69243/69244, 69245/69246 and 69249/69250 69249 01DEC1991 30JUN1994 N All tests performed in the follow up of a patient with proven hepatitis B, including hepatitis B surface antigen and either hepatitis B antigen or hepatitis B surface antibody tests, including services specified in items 69243 and 69245 69249 01JUL1994 31DEC9999 Y Tests performed in the follow-up of a patient with proven hepatitis B, including: (a) hepatitis B surface antigen test; and (b) either: (i) hepatitis Be antigen test; or (ii) hepatitis B surface antibody test, and (c) (if performed) services described in item 69243 and 69245 69250 01DEC1991 31DEC9999 Y All tests performed in the follow up of a patient with proven Hepatitis B, including Hepatitis B surface antigen and either Hepatitis Be antigen or Hepatitis B surface antibody tests, including services specified in items 69243/69244 and 69245/69246 69251 01DEC1991 30JUN1994 N Antibiotics or antimicrobial chemotherapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent 1 or more estimations 69251 01JUL1994 31DEC9999 Y Antibiotics or antimicrobial chemotherapeutic agents in serum, urine or other body fluid - quantitation 1 or more tests 69252 01DEC1991 31DEC9999 Y Antibiotics or antimicrobial chemotherapeutic agents, concentration in serum, urine or other body fluid, by direct quantitative measurement of the agent one or more estimations 69253 01SEP1992 30JUN1994 N All microbiological serology during a pregnancy, which must include the determination of 1 of the following - rubella immune status, specific syphilis serology or hepatitis B surface antigen - including any service specified in 1 or more of items 69229, 69243 or 69245, except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy 69253 01JUL1994 19MAR1997 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including: (a) the determination of 1 of the following: rubella immune status, specific syphilis serology, hepatitis B surface antigen; and (b) a service described in 1 or more of items 69229, 69266 to 69273, 69275 to 69278, 69280 and 69281 (if performed) 69253 20MAR1997 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including: (a) the determination of 1 of the following: rubella immune status, specific syphilis serology, hepatitis B surface antigen; and (b) a service described in 1 or more of items 69229, 69266 to 69273, 69275 to 69278, 69280 and 69281 (if performed) 69255 01SEP1992 30JUN1994 N All microbiological serology during a pregnancy, which must include the determination of 2 of the following - rubella immune status, specific syphilis serology or hepatitis B surface antigen and including any service specified in 1 or more of items 69229, 69243 or 69245, except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy 69255 01JUL1994 31OCT1995 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including: (a) the determination of 2 of the following: rubella immune status, specific syphilis serology or hepatitis B surface antigen; (b) a service described in 1 or more of items 69229, 69243 and 69245 (if performed) 69255 01NOV1995 19MAR1997 N Microbiological serology during a pregnancy (except in the investigation of a clinically intercurrent microbial illness during that pregnancy) including: (a) the determination of 2 of the following: rubella immune status, specific syphilis serology or hepatitis B antigen; (b) a service described in 1 or more of items 69229, 69266 to 69281 (if performed) 69255 20MAR1997 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including: (a) the determination of 2 of the following: rubella immune status, specific syphilis serology or hepatitis B surface antigen; and (b) a service described in 1 or more of items 69229, 69266 to 69273, 69275 to 69278, 69280 and 69281 (if performed) 69257 01SEP1992 30JUN1994 N All microbiological serology during a pregnancy, which must include the determination of all 3 of the following - rubella immune status, specific syphilis serology and hepatitis B surface antigen - including any service specified in 1 or more of items 69229, 69243 or 69245, except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy 69257 01JUL1994 31OCT1996 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including : (a) the determination of all 3 of the following: rubella immune status, specific syphilis serology and hepatitis B surface antigen; and (b) a service described in 1 or more of items 69229, 69243 and 69245 (if performed) 69257 01NOV1996 19MAR1997 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including : (a) the determination of all 3 of the following: rubella immune status, specific syphilis serology and hepatitis B surface antigen; and (b) a service described in 1 or more of items 69229, 69266 to 69281 (if performed) 69257 20MAR1997 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including : (a) the determination of all 3 of the following: rubella immune status, specific syphilis serology and hepatitis B surface antigen; and (b) a service described in 1 or more of items 69229, 69266 to 69273, 69275 to 69278, 69280 and 69281 (if performed) 69259 01JUL1998 31DEC9999 Y Quantitation of HIV viral RNA load in plasma, serum or cerebrospinal fluid in the monitoring of a HIV sero-positive patient, who is not on antiretroviral therapy. 1 or more assays on 1 or more specimens in any 1 episode to a maximum of 6 episodes in a 12 month period 69260 01JUL1998 31DEC9999 Y Quantitation of HIV viral RNA load in plasma, serum or cerebrospinal fluid in the monitoring of antiretroviral therapy in a HIV sero-positive patient. 1 or more assays on 1 or more specimens in any 1 episode to a maximum of 6 episodes in a 12 month period 69261 01JUL1993 30JUN1994 N Examination for chlamydia by culture or by the demonstration of chlamydial nucleic acid using a DNA probe in material collected directly from a patient, including a service specified in item 69221, 69223 or 69263 69261 01JUL1994 31DEC9999 Y Examination for Chlamydia (by culture or by the demonstration of chlamydial nucleic acid using a DNA probe) in material obtained directly from a patient, including a service specified in item 69221, 69223 or 69263 (if performed) 69262 01JUL1996 31DEC9999 Y Detection of chlamydia by any method in specimens from 1 or more sites 69263 01JUL1993 30JUN1994 N Examination for herpes simplex virus of 1 or more types in material collected directly from a patient by culture, including a service specified in item 69221, 69223 or 69261 69263 01JUL1994 31DEC9999 Y Examination for herpes simplex virus of 1 or more types by culture in material obtained directly from a patient, including a service described in item 69221, 69223 or 69261 (if performed) 69264 01JUL1996 31DEC9999 Y Examination for Herpes simplex virus of 1 or more types by culture in material obtained directly from a patient, including a service described in items 69223, 69262 or 69282 (if performed) 69265 01JUL1993 30JUN1994 N Determination of antibodies to hepatitis C 69265 01JUL1994 31DEC9999 Y Hepatitis C antibody test 69266 01JUL1996 19MAR1997 N Investigation for acute Hepatitis A - Hepatitis A IgM antibody test (Item is subject to rule 12) 69266 20MAR1997 31DEC9999 Y Investigation for acute Hepatitis A using: Hepatitis A IgM antibody test (Item is subject to rule 12) 69267 01JUL1996 19MAR1997 N Determination of immune status to Hepatitis A - Hepatitis A IgG antibody test (Item is subject to rule 12) 69267 20MAR1997 31DEC9999 Y Determination of immune status to Hepatitis A using: Hepatitis A IgG antibody test (Item is subject to rule 12) 69268 01JUL1996 19MAR1997 N Investigation for acute or resolving Hepatitis B, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B core antibody test; and (c) Hepatitis B e antibody test (if the Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive) (if performed) (Item is subject to rule 12) 69268 20MAR1997 31DEC9999 Y Investigation for acute or resolving Hepatitis B, or testing of close, recent contacts of proven Hepatitis B infection, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B core antibody test; and (c) Hepatitis B e antibody test (if the Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive) (if performed) (Item is subject to rule 12) 69269 01JUL1996 19MAR1997 N Investigation for resolving Hepatitis B if Hepatitis B core antibody test is positive and Hepatitis B surface antigen test is negative, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B core antibody test; and (c) Hepatitis B surface antibody test (Item is subject to rule 12) 69269 20MAR1997 31DEC9999 Y Investigation for resolution of Hepatitis B if the Hepatitis B core antibody test is positive and the Hepatitis B surface antigen test is negative, including: (a) Hepatitis B core antibody test; and (b) Hepatitis B surface antigen test; and (c) Hepatitis B surface antibody test (Item is subject to rule 12) 69270 01JUL1996 19MAR1997 N Determination of immune status to Hepatitis B (post exposure) - Hepatitis B core antibody test (Item is subject to rule 12) 69270 20MAR1997 31DEC9999 Y Determination of immune status to Hepatitis B (post exposure) using: Hepatitis B core antibody test (Item is subject to rule 12) 69271 01JUL1996 19MAR1997 N Determination of immune status to Hepatitis B (post vaccination) - Hepatitis B surface antibody test (Item is subject to rule 12) 69271 20MAR1997 31DEC9999 Y Determination of immune status to Hepatitis B (post vaccination) using: Hepatitis B surface antibody test (Item is subject to rule 12) 69272 01JUL1996 19MAR1997 N Investigation for chronic Hepatitis B or determination of carriage of Hepatitis B antigen - Hepatitis B surface antigen test (Item is subject to rule 12) 69272 20MAR1997 31DEC9999 Y Investigation for chronic Hepatitis B or determination of carriage of Hepatitis B antigen using: Hepatitis B surface antigen test (Item is subject to rule 12) 69273 01JUL1996 31DEC9999 Y Investigation for chronic Hepatitis B or carriage of Hepatitis B antigen if the Hepatitis B surface antigen test is positive, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B e antigen test (Item is subject to rule 12) 69274 01JUL1996 19MAR1997 N Investigation for Hepatitis C - Hepatitis C antibody test (Item is subject to rule 12) 69274 20MAR1997 31DEC9999 Y Testing for Hepatitis C using: Hepatitis C antibody test (Item is subject to rule 12) 69275 01JUL1996 19MAR1997 N Investigation for acute or chronic Hepatitis D in a patient with a positive Hepatitis B surface antigen test - Hepatitis D antibody test (Item is subject to rule 12) 69275 20MAR1997 31DEC9999 Y Investigation for acute or chronic Hepatitis D in a patient with a positive Hepatitis B surface antigen test using: Hepatitis D antibody test (Item is subject to rule 12) 69276 01JUL1996 31DEC9999 Y Determination of immune status to Hepatitis A and Hepatitis B, including: (a) Hepatitis A IgG antibody test; and (b) Hepatitis B core antibody test or Hepatitis B surface antibody test (Item is subject to rule 12) 69277 01JUL1996 19MAR1997 N Investigation for chronic viral hepatitis, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis C antibody test (Item is subject to rule 12) 69277 20MAR1997 31DEC9999 Y Investigation for chronic viral hepatitis, or Hepatitis B or Hepatitis C carriage, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis C antibody test (Item is subject to rule 12) 69278 01JUL1996 19MAR1997 N Investigation for chronic viral hepatitis if Hepatitis B surface antigen test is positive, including: (a) Hepatitis C antibody test; and (b) Hepatitis B surface antigen test; and (c) Hepatitis B e antigen test (Item is subject to rule 12) 69278 20MAR1997 31DEC9999 Y Investigation for chronic viral hepatitis, or Hepatitis B or Hepatitis C carriage, if Hepatitis B surface antigen test is positive, including: (a) Hepatitis C antibody test; and (b) Hepatitis B surface antigen test; and (c) Hepatitis B e antigen test (Item is subject to rule 12) 69279 01JUL1996 19MAR1997 N Investigation for acute Hepatitis A, Hepatitis B or Hepatitis C in a patient with a currently elevated transaminase level, including: (a) Hepatitis A IgM antibody test; and (b) Hepatitis C antibody test; and (c) Hepatitis B surface antigen test; and (d) Hepatitis B core antibody test; and (e) Hepatitis B e antibody test (if Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive) (if performed) (Item is subject to rule 12) 69279 20MAR1997 31DEC9999 Y Investigation for acute Hepatitis A, Hepatitis B, Hepatitis C and Hepatitis D in a patient with a currently elevated transaminase level, including: (a) Hepatitis A IgM antibody test; and (b) Hepatitis C antibody test; and (c) Hepatitis B surface antigen test; and (d) Hepatitis B core antibody test; and (e) Hepatitis B e antibody test (if Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive) (if performed); and (f) Hepatitis D antibody test (if Hepatitis B surface antigen test is positive) (if performed) (Item is subject to rule 12) 69280 20MAR1997 31DEC9999 Y Determination of immune status to Hepatitis B and testing for Hepatitis C, including: (a) Hepatitis C antibody test; and (b) Hepatitis B core antibody test or Hepatitis B surface antibody test (Item is subject to rule 12) 69281 01JUL1996 31DEC9999 Y Syphilis serology and any 1 of items 69273, 69274 or 69277 (Item is subject to rule 12) 69282 01JUL1996 31DEC9999 Y Microscopy and culture to detect pathogenic micro-organisms, including the detection of chlamydia by any method from urethra, vagina, cervix or rectum and including (if performed): (a) the detection of microbial antigens; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in item 69201, 69205, 69207, 69223, 69262, 69264 or 73810; 1 or more tests on 1 or more specimens 69283 20MAR1997 31DEC9999 Y Investigation for acute Hepatitis A and Hepatitis C in a patient with a currently elevated transaminase level, including: (a) Hepatitis A IgM antibody test; and (b) Hepatitis C antibody test (Item is subject to rule 12) 69284 01JUL1998 31DEC9999 Y Detection of Hepatitis C viral RNA if at least one of the following criteria is satisfied: a) the patient is Hepatitis C sero-positive and has normal liver function tests on two occasions six months apart; b) the patient's serological status is uncertain after testing; c) the test is performed for the purpose of: (i) determining the Hepatitis C status in immunosuppressed in an immunocompromised patient; or (ii) the detection of acute Hepatitis C prior to seroconversion where considered necessary for the clinical management of the patient. Not exceeding 1 episode in a 12 month period. 69285 01JUL1996 31DEC9999 Y Microscopy of faeces for parasites using concentration techniques (including the use of appropriate stains) with a maximum of 3 examinations on specimens collected on separate days, including a service (if performed) described in item 69201 - 1 examination 69286 01JUL1996 31DEC9999 Y 2 examinations described in item 69285 performed on separately collected and identified specimens 69287 01JUL1996 31DEC9999 Y 3 examinations described in item 69285 performed on separately collected and identified specimens 69289 01JUL1996 31DEC9999 Y Culture of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins or antigens not elsewhere specified in this Table; and (c) a service described in item 69201; with a maximum of 3 examinations performed on separately collected and identified specimens in any 7 day period - 1 examination 69290 01JUL1996 31DEC9999 Y 2 examinations described in item 69289 performed on separately collected and identified specimens 69291 01JUL1996 31DEC9999 Y 3 examinations described in item 69289 performed on separately collected and identified specimens 69293 01JUL1996 31DEC9999 Y Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a) identification of any cultured pathogen; and (b) necessary antibiotic susceptibility testing; to a maximum of 3 sets of cultures - 1 set of cultures 69294 01JUL1996 31DEC9999 Y 2 sets of cultures described in item 69293 69295 01JUL1996 31DEC9999 Y 3 sets of cultures described in item 69293 69300 01NOV1998 31DEC9999 Y Microscopy of wet film material other than blood, from 1 or more sites, obtained directly from a patient (not cultures) including: (a) differential cell count (if performed); or (b) examination for dermatophytes; or (c) dark ground illumination; or (d) stained preparation or preparations using any relevant stain or stains; 1 or more tests 69303 01NOV1998 31OCT2005 N Culture and (if performed) microscopy to detect pathogenic micro-organisms (including fungi but excluding viruses) from nasal swabs, throat swabs, eye swabs and ear swabs (excluding swabs taken for epidemiological surveillance), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) the detection of antigens not elsewhere described in this Table; or (c) a service described in item 69300; specimens from 1 or more sites 69303 01NOV2005 31DEC9999 Y Culture and (if performed) microscopy to detect pathogenic micro-organisms from nasal swabs, throat swabs, eye swabs and ear swabs (excluding swabs taken for epidemiological surveillance), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300; specimens from 1 or more sites 69306 01NOV1998 31OCT2005 N Microscopy and culture to detect pathogenic micro-organisms (including fungi but excluding viruses) from skin or other superficial sites, including (if performed): (a) the detection of antigens not elsewhere specified in this Table; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in items 69300, 69303, 69312, 69318 and 73810; 1 or more tests on 1 or more specimens 69306 01NOV2005 31DEC9999 Y Microscopy and culture to detect pathogenic micro-organisms from skin or other superficial sites, including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69312, 69318; 1 or more tests on 1 or more specimens 69309 01NOV1998 31OCT2005 N Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed): (a) the detection of antigens not elsewhere specified in this Table; or (b) a service described in items 69300, 69303, 69306, 69312, 69318 and 73810; 1 or more tests on 1 or more specimens 69309 01NOV2005 30JUN2020 N Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed): (a) the detection of antigens not elsewhere specified in this Table; or (b) a service described in items 69300, 69303, 69306, 69312, 69318; 1 or more tests on 1 or more specimens 69309 01JUL2020 31DEC9999 Y Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed): (a) the detection of antigens not elsewhere specified in this Schedule; or (b) a service described in items 69300, 69303, 69306, 69312, 69318; 1 or more tests on 1 or more specimens 69312 01NOV1998 31OCT2005 N Microscopy and culture to detect pathogenic micro-organisms (including fungi but excluding viruses) from urethra, vagina, cervix or rectum (except for faecal pathogens), including (if performed): (a) the detection of antigens not elsewhere specified in this Table; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in items 69300, 69303, 69306 and 69318; 1 or more tests on 1 or more specimens 69312 01NOV2005 31DEC9999 Y Microscopy and culture to detect pathogenic micro-organisms from urethra, vagina, cervix or rectum (except for faecal pathogens), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69318; 1 or more tests on 1 or more specimens 69315 01NOV1998 31OCT1999 N Microscopy and culture to detect pathogenic microorganisms, including the detection of chlamydia by any method from urethra, vagina, cervix or rectum and including (if performed): (a) the detection of microbial antigens; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in item 69300, 69303, 69306, 69312, 69318, 69363, 69369, 69372, 69375 or 73810 1 or more tests on 1 or more specimens 69315 01NOV1999 31OCT2000 N Microscopy and culture to detect pathogenic microorganisms, and the detection of chlamydia from urethra, vagina, cervix or rectum and including (if performed): (a) the detection of microbial antigens; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in item 69300, 69303, 69306, 69312, 69318, 69363, 69369, 69372, 69375 or 73810; 1 or more tests on 1 or more specimens 69315 01NOV2000 31DEC9999 Y Microscopy and culture to detect pathogenic micro-organisms, and the detection of chlamydia from urethra, vagina, cervix or rectum and including (if performed): (a) the detection of microbial antigens; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in items 69300, 69303, 69306, 69312, 69318, 69363, 69369, 69370, 69372, 69375 or 73810; 1 or more tests on 1 or more specimens 69316 01MAY2007 31DEC9999 Y Detection of Chlamydia trachomatis by any method - 1 test (Item is subject to rule 26) 69317 01MAY2007 31DEC9999 Y 1 test described in item 69494 and a test described in 69316. (Item is subject to rule 26) 69318 01NOV1998 30APR2003 N Microscopy and culture to detect pathogenic micro-organisms (including fungi but excluding viruses) from specimens of sputum (except when part of items 69324, 69327 and 69330), including (if performed): (a) the detection of antigens not elsewhere specified in this Table; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in items 69300, 69303, 69306 and 69312; 1 or more tests on 1 or more specimens 69318 01MAY2003 31OCT2005 N Microscopy and culture to detect pathogenic micro-organisms (including fungi but excluding viruses) from specimens of sputum (except when part of items 69324, 69327 and 69330), including (if performed): (a) the detection of antigens (from any type of specimen) not elsewhere specified in this Table including item 69372; or (b) pathogen identification and antibiotic susceptibility testing; or (c) a service described in items 69300, 69303, 69306 and 69312; 1 or more tests on 1 or more specimens 69318 01NOV2005 31DEC9999 Y Microscopy and culture to detect pathogenic micro-organisms from specimens of sputum (except when part of items 69324, 69327 and 69330), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69312; 1 or more tests on 1 or more specimens 69319 01MAY2007 31DEC9999 Y 2 tests described in item 69494 and a test described in 69316. (Item is subject to rule 26) 69321 01NOV1998 31OCT2005 N Microscopy and culture of post-operative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms (including fungi but excluding viruses) involving aerobic and anaerobic cultures and the use of different culture media, and including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) the detection of antigens not elsewhere specified in this Table; or (c) a service described in item 69300, 69303, 69306, 69312 or 69318; specimens from 1 or more sites 69321 01NOV2005 31DEC9999 Y Microscopy and culture of post-operative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms involving aerobic and anaerobic cultures and the use of different culture media, and including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b) a service described in item 69300, 69303, 69306, 69312 or 69318; specimens from 1 or more sites 69324 01NOV1998 30APR2000 N Microscopy with appropriate stains and culture of 1 specimen of sputum, urine, other body fluids or operative or biopsy specimens for mycobacteria including (if performed): (a) microscopy and culture of other bacterial pathogens; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300 69324 01MAY2000 31OCT2000 N Microscopy with appropriate stains and culture of 1 specimen of sputum, urine, other body fluids or operative or biopsy specimens for mycobacteria including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300 69324 01NOV2000 30JUN2020 N Microscopy (with appropriate stains) and culture for mycobacteria - 1 specimen of sputum, urine, or other body fluid or 1 operative or biopsy specimen, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300 69324 01JUL2020 31DEC9999 Y Microscopy (with appropriate stains) and culture for mycobacteria - 1 specimen of sputum, urine, or other body fluid or 1 operative or biopsy specimen, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300 69325 01MAY2007 31DEC9999 Y A test described in item 69324 if rendered by a receiving APP (Item is subject to rule 18) 69327 01NOV1998 31OCT2000 N Microscopy with appropriate stains and culture of 2 specimens of sputum, urine, other body fluids or operative or biopsy specimens for mycobacteria including (if performed): (a) microscopy and culture of other bacterial pathogens; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300 69327 01NOV2000 31DEC9999 Y Microscopy (with appropriate stains) and culture for mycobacteria - 2 specimens of sputum, urine, or other body fluid or 2 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300 69328 01MAY2007 31DEC9999 Y A test described in item 69327 if rendered by a receiving APP (Item is subject to rule 18) 69330 01NOV1998 31OCT2000 N Microscopy with appropriate stains and culture of 3 specimens of sputum, urine, other body fluids or operative or biopsy specimens for mycobacteria including (if performed): (a) microscopy and culture of other bacterial pathogens; or (b) pathogen identification and antibiotic susceptibility testing; including a service described in item 69300 69330 01NOV2000 31DEC9999 Y Microscopy (with appropriate stains) and culture for mycobacteria - 3 specimens of sputum, urine, or other body fluid or 3 operative or biopsy specimens, including (if performed): (a) microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b) pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300 69331 01MAY2007 31DEC9999 Y A test described in item 69330 if rendered by a receiving APP (Item is subject to rule 18) 69333 01NOV1998 30JUN2011 N Urine examination (including serial examination) by any means other than simple culture by dip slide, including: (a) cell count; and (b) culture; and (c) colony count; and (d) (if performed) stained preparations; and (e) (if performed) identification of cultured pathogens; and (f) (if performed) antibiotic suseptibility testing; and (g) (if performed) examination for pH, specific gravity, blood, albumin, urobilinogen, sugar, acetone or bile salts 69333 01JUL2011 30JUN2020 N Urine examination (including serial examination) by any means other than simple culture by dip slide, including: (a) cell count; and (b) culture; and (c) colony count; and (d) (if performed) stained preparations; and (e) (if performed) identification of cultured pathogens; and (f) (if performed) antibiotic susceptibility testing; and (g) (if performed) examination for pH, specific gravity, blood, protein, urobilinogen, sugar, acetone or bile salts 69333 01JUL2020 31DEC9999 Y Urine examination (including serial examinations) by any means other than simple culture by dip slide, including: (a) cell count; and (b) culture; and (c) colony count; and (d) (if performed) stained preparations; and (e) (if performed) identification of cultured pathogens; and (f) (if performed) antibiotic susceptibility testing; and (g) (if performed) examination for pH, specific gravity, blood, protein, urobilinogen, sugar, acetone or bile salts 69336 01NOV1998 30APR2000 N Microscopy of faeces for parasites using concentration techniques (including the use of appropriate stains) with a maximum of 3 examinations on specimens collected on separate days, including (if performed) a service described in item 69300 - 1 examination 69336 01MAY2000 31OCT2000 N Microscopy of faeces for parasites using concentration techniques (including the use of appropriate stains) with a maximum of 3 examinations on specimens collected on separate days in any 7 day period, including (if performed) a service described in item 69300 - 1 examination 69336 01NOV2000 30APR2003 N Microscopy of faeces for ova, cysts and parasites using concentration techniques (including the use of appropriate stains) with no more than 3 examinations on specimens collected on separate days in any 7 day period, including (if performed) a service mentioned in item 69300 - 1 examination 69336 01MAY2003 31OCT2003 N Microscopy of faeces for ova, cysts and parasites using concentration techniques and including use of fixed stains for cryptosporidia and giardia - 1 examination in any 7 day period 69336 01NOV2003 30APR2005 N Microscopy of faeces for ova, cysts and parasites using concentration techniques including use of fixed stains or antigen detection for cryptosporidia and giardia - including (if performed) a service mentioned in item 69300 - 1 examination in any 7 day period 69336 01MAY2005 30JUN2020 N Microscopy of faeces for ova, cysts and parasites that must include a concentration technique, and the use of fixed stains or antigen detection for cryptosporidia and giardia - including (if performed) a service mentioned in item 69300 - 1 of this item in any 7 day period 69336 01JUL2020 31DEC9999 Y Microscopy of faeces for ova, cysts and parasites that must include a concentration technique, and the use of fixed stains or antigen detection for cryptosporidia and giardia - including (if performed) a service described in item 69300 - 1 of this item in any 7 day period 69339 01NOV1998 30APR2003 N 2 examinations described in item 69336 performed on separately collected and identified specimens 69339 01MAY2003 31DEC9999 Y Microscopy of faeces for ova, cysts and parasites using concentration techniques examined subsequent to item 69336 on a separately collected and identified specimen collected within 7 days of the examination described in 69336 - 1 examination in any 7 day period 69342 01NOV1998 31DEC9999 Y 3 examinations described in item 69336 performed on separately collected and identified specimens 69345 01NOV1998 31OCT2000 N Culture of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins or antigens not elsewhere specified in this Table; and (c) a service described in item 69300; with a maximum of 3 examinations performed on separately collected and identified specimens in any 7 day period - 1 examination 69345 01NOV2000 30APR2002 N Culture and (if performed) microscopy without concentration techniques of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins or antigens not elsewhere specified in this Table; and (c) a service described in item 69300; with no more than 3 examinations performed on separately collected and identified specimens in any 7 day period - 1 examination 69345 01MAY2002 30APR2003 N Culture and (if performed) microscopy without concentration techniques of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins or antigens not elsewhere specified in this Table; and (c) a service described in item 69300; with no more than 3 examinations performed on separately identified specimens, collected at different times in any 7 day period - 1 examination 69345 01MAY2003 31DEC9999 Y Culture and (if performed) microscopy without concentration techniques of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a) pathogen identification and antibiotic susceptibility testing; and (b) the detection of clostridial toxins; and (c) a service described in item 69300; - 1 examination in any 7 day period 69348 01NOV1998 31DEC9999 Y 2 examinations described in item 69345 performed on separately collected and identified specimens 69351 01NOV1998 31DEC9999 Y 3 examinations described in item 69345 performed on separately collected and identified specimens 69354 01NOV1998 31DEC9999 Y Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a) identification of any cultured pathogen; and (b) necessary antibiotic susceptibility testing; to a maximum of 3 sets of cultures - 1 set of cultures 69357 01NOV1998 31DEC9999 Y 2 sets of cultures described in item 69354 69360 01NOV1998 31DEC9999 Y 3 sets of cultures described in item 69354 69363 01NOV1998 31OCT2001 N Detection of clostridium difficile or clostridium difficile toxin (except if a service described in item 69345, 69348, 69351, 69369 or 69372 has been performed) - 1 or more tests 69363 01NOV2001 31OCT2002 N Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345, 69348, 69351, 69369 or 69372 has been performed) - 1 or more tests 69363 01NOV2002 30APR2003 N Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345, 69348, 69351, 69369, 69370 or 69372 has been performed) - 1 or more tests 69363 01MAY2003 30APR2004 N Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345, 69369, 69370 or 69372 has been performed) - 1 or more tests 69363 01MAY2004 31OCT2005 N Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in items 69345, 69369, 69370, 69372, 69373 or 69375 has been performed) - 1 or more tests 69363 01NOV2005 31OCT2014 N Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in items 69345, 69369, 69370, 69373 or 69375 has been performed) - 1 or more tests 69363 01NOV2014 31DEC9999 Y Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345 has been performed) - one or more tests 69364 01NOV2005 30APR2006 N Detection of a virus or microbial antigen or microbial nucleic acid (not elsewhere specified) 1 test (Item is subjuect to rule 25) 69364 01MAY2006 31DEC9999 Y Detection of a virus or microbial antigen or microbial nucleic acid (not elsewhere specified) 1 test (Item is subject to rule 26) 69365 01NOV2005 30APR2006 N 2 or more tests described in 69364 (Item is subject to rule 25) 69365 01MAY2006 31OCT2006 N 2 or more tests described in 69364 (Item is subject to rule 26) 69365 01NOV2006 31DEC9999 Y 2 tests described in 69364 (Item is subject to rule 26) 69366 01NOV1998 31DEC9999 Y Test for Helicobacter pylori in faeces, for either: (a) the confirmation of Helicobacter pylori colonisation; where (i) suitable biopsy material for diagnosis cannot be obtained at endoscopy in patients with peptic ulcer disease, or where the diagnosis of peptic ulcer has been made on barium meal; or (ii) in patients with a history of peptic ulcer disease or gastric neoplasia, where endoscopy is not indicated; or (b) the monitoring of the success of eradication therapy for Helicobacter pylori in patients with peptic ulcer disease; where any request for the test by a medical practitioner specifically identifies in writing one or more of the clinical indications for the test 69367 01NOV2006 31DEC9999 Y 3 or more tests described in 69364 (Item is subject to rule 26) 69369 01NOV1998 31DEC9999 Y Detection of chlamydia by any method in specimens from 1 or more sites 69370 01NOV1999 31DEC9999 Y Detection of chlamydia by any method and Neisseria gonorrhoeae by nucleic acid amplification techniques in specimens from 1 or more sites 69372 01NOV1998 31OCT2000 N Detection of microbial antigens (except if the service described in item 69369 has been performed) 1 or more tests 69372 01NOV2000 31OCT2002 N Detection of microbial antigens (except if the service described in item 69369 or 69370 has been performed) - 1 or more tests 69372 01NOV2002 30APR2004 N Detection of microbial antigens or nucleic acids (except if the service described in item 69369 or 69370 has been performed) - 1 or more tests 69372 01MAY2004 31DEC9999 Y Detection of microbial antigens or nucleic acids (not elsewhere described in this table) - 1 or more tests 69373 01MAY2004 31DEC9999 Y Detection of a virus or microbial antigen or nucleic acid from a respiratory tract specimen - 1 test 69374 01MAY2004 31DEC9999 Y 2 or more tests described in 69373 69375 01NOV1998 28FEB1999 N Examination for Herpes simplex virus, varicella zoster virus and cytomegalovirus by culture, including a service described in item 69315, 69369 or 69372 (if performed) 69375 01MAR1999 31OCT2001 N Examination for Herpes simplex virus, varicella zoster virus or cytomegalovirus by culture, including a service described in item 69369 or 69372 (if performed) - 1 or more tests 69375 01NOV2001 31OCT2002 N Examination for Herpes simplex virus, varicella zoster virus or cytomegalovirus by culture or by nucleic acid amplification technique, including a service described in item 69369 or 69372 (if performed) - 1 or more tests 69375 01NOV2002 30APR2004 N Examination for Herpes simplex virus, varicella zoster virus or cytomegalovirus by culture or by nucleic acid amplification technique, including a service described in item 69369, 69370 or 69372 (if performed) - 1 or more tests 69375 01MAY2004 31DEC9999 Y Examination for Herpes simplex virus, varicella zoster virus or cytomegalovirus by culture or by detection of microbial antigen or nucleic acid, including a service described in item 69363, 69369, 69370, 69372 or 69373 (if performed) - 1 test 69376 01MAY2004 31DEC9999 Y 2 or more tests described in 69375 69378 01NOV1998 28FEB1999 N Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV seropositive patient, who is not on antiretroviral therapy 1 or more assays on 1 or more specimens in any 1 episode to a maximum of 7 episodes in a 12 month period (Item is subject to rule 20) 69378 01MAR1999 30JUN1999 N Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV seropositive patient, who is not on antiretroviral therapy 1 or more assays on 1 or more specimens in any 1 episode to a maximum of 7 episodes in a 12 month period (Item is subject to rule 20) 69378 01JUL1999 30APR2005 N Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy - 1 or more assays on 1 or more specimens in any 1 episode 69378 01MAY2005 30APR2008 N Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy - 1 or more tests on 1 or more specimens 69378 01MAY2008 31DEC9999 Y Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy - 1 or more tests 69379 01MAY2007 31DEC9999 Y A test described in item 69378 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 69380 01JUL2011 31DEC9999 Y Genotypic testing for HIV antiretroviral resistance in a patient with confirmed HIV infection if the patient's viral load is greater than 1,000 copies per ml at any of the following times: (a) at presentation; or (b) before antiretroviral therapy: or (c) when treatment with combination antiretroviral agents fails; maximum of 2 tests in a 12 month period 69381 01NOV1998 28FEB1999 N Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV seropositive patient 1 or more assays on 1 or more specimens in any 1 episode to a maximum of 7 episodes in a 12 month period (Item is subject to rule 20) 69381 01MAR1999 30JUN1999 N Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV seropositive patient 1 or more assays on 1 or more specimens in any 1 episode to a maximum of 7 episodes in a 12 month period (Item is subject to rule 20) 69381 01JUL1999 30APR2005 N Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV sero-positive patient - 1 or more assays on 1 or more specimens in any 1 episode 69381 01MAY2005 31DEC9999 Y Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV sero-positive patient - 1 or more tests on 1 or more specimens 69382 01MAR1999 30JUN1999 N Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero-positive patient - 1 or more assays on 1 or more specimens in any 1 episode (Item is not subject to rule 20) 69382 01JUL1999 30APR2005 N Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero-positive patient - 1 or more assays on 1 or more specimens in any 1 episode 69382 01MAY2005 31DEC9999 Y Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero-positive patient - 1 or more tests on 1 or more specimens 69383 01MAY2007 31DEC9999 Y A test described in item 69381 if rendered by a receiving APP - 1 or more tests on 1 or more specimens (Item is subject to rule 18) 69384 01NOV1998 31OCT2007 N Quantitation of 1 antibody to microbial or exogenous antigens not elsewhere described in the Schedule - 1 test (This fee applies where a laboratory performs the only antibody test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 69384 01NOV2007 31DEC9999 Y Quantitation of 1 antibody to microbial antigens not elsewhere described in the Schedule - 1 test (This fee applies where a laboratory performs the only antibody test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6) 69387 01NOV1998 31DEC9999 Y 2 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 estimations specified on the request form or performs 2 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6) 69390 01NOV1998 31DEC9999 Y 3 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 estimations specified on the request form or performs 3 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6) 69393 01NOV1998 31DEC9999 Y 4 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 estimations specified on the request form or performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6) 69396 01NOV1998 30JUN2008 N 5 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6) 69396 01JUL2008 31DEC9999 Y 5 or more tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6) 69399 01NOV1998 30APR2007 N 6 or more tests described in item 69384 69399 01MAY2007 31DEC9999 Y 6 or more tests described in item 69384 (Item is subject to rule 6) 69400 01MAY2007 31DEC9999 Y A test described in item 69384, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rules 6 and 18) 69401 01MAY2007 31OCT2008 N A test described in item 69384, other than that described in 69400, if rendered by a receiving APP - each test to a maximum of 5 tests (Item is subject to rule 6 and 18) 69401 01NOV2008 31DEC9999 Y A test described in item 69384, other than that described in 69400, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6, 18 and 18A) 69402 01NOV1998 31DEC9999 Y Tests described in item 69384, if rendered under a request referred to in subparagraph (2) (a) (iii) of rule 6 - each test to a maximum of 5 tests (Item is subject to rule 6) 69405 01NOV1998 31OCT2002 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, hepatitis B surface antigen; and (b) (if performed) a service described in 1 or more of items 69384, 69414 to 69435, 69447 to 69456, 69462 and 69465 69405 01NOV2002 30APR2003 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, Hepatitis B surface antigen; and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478, 69481, 69484, 69487, 69490 and 69493 69405 01MAY2003 31OCT2003 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, or carriage of Hepatitis B; and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478, 69481, 69487, 69490 and 69493 69405 01NOV2003 31OCT2005 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69405 01NOV2005 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 1 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69408 01NOV1998 31OCT2002 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology or, hepatitis B surface antigen; and (b) (if performed) a service described in 1 or more of items 69384, 69414 to 69435, 69447 to 69456, 69462 and 69465 69408 01NOV2002 30APR2003 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology, Hepatitis B surface antigen; and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478, 69481, 69484, 69487, 69490 and 69493 69408 01MAY2003 31OCT2003 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody test; and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69408 01NOV2003 31OCT2005 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69408 01NOV2005 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69411 01NOV1998 31OCT2002 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness during that pregnancy) including: (a) the determination of all 3 of the following - rubella immune status, specific syphilis serology and, hepatitis B surface antigen; and (b) (if performed) a service described in 1 or more of items 69384, 69414 to 69435, 69447 to 69456, 69462 and 69465 69411 01NOV2002 30APR2003 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 3 of the following - rubella immune status, specific syphilis serology, Hepatitis B surface antigen; and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478, 69481, 69484, 69487, 69490 and 69493 69411 01MAY2003 31OCT2003 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 3 of the following - rubella immune status, specific syphilis serology, and carriage of Hepatitis B; and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478, 69481, 69487, 69490 and 69493 69411 01NOV2003 31OCT2005 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 3 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69411 01NOV2005 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 3 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69413 01NOV2003 31OCT2005 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 4 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69413 01NOV2005 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of 4 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69414 01NOV1998 31DEC9999 Y Investigation for acute Hepatitis A using: Hepatitis A IgM antibody test (Item is subject to rule 11) 69415 01NOV2005 30APR2008 N Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 5 of the following - rubella immune status, specific syphillis serology, carriage of Hepatitus B, Hepatitus C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69415 01MAY2008 31DEC9999 Y Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a) the determination of all 5 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b) (if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481 69417 01NOV1998 31DEC9999 Y Determination of immune status to Hepatitis A using: Hepatitis A IgG antibody test (Item is subject to rule 11) 69418 01MAY2007 31DEC9999 Y A test for high risk human papillomaviruses (HPV) in a patient who: - has received excisional or ablative treatment for high grade squamous intraepithelial lesions (HSIL) of the cervix within the last two years; or - who within the last two years has had a positive HPV test after excisional or ablative treatment for HSIL of the cervix; or - is already undergoing annual cytological review for the follow-up of a previously treated HSIL. - to a maximum of 2 of this item in a 24 month period (Item is subject to rule 25) 69419 01MAY2007 31DEC9999 Y A test described in item 69418 if rendered by a receiving APP - 1 test (Item is subject to rule 18 and 25 ) 69420 01NOV1998 31DEC9999 Y Investigation for acute or resolving Hepatitis B, or testing of close, recent contacts of proven Hepatitis B infection, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B core antibody test; and (c) (if performed,) Hepatitis B e antibody test (where the Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive) (Item is subject to rule 11) 69423 01NOV1998 31DEC9999 Y Investigation for resolution of Hepatitis B if the Hepatitis B core antibody test is positive and the Hepatitis B surface antigen test is negative, including: (a) Hepatitis B core antibody test; and (b) Hepatitis B surface antigen test; and (c) Hepatitis B surface antibody test (Item is subject to rule 11) 69426 01NOV1998 31DEC9999 Y Determination of immune status to Hepatitis B (post exposure) using: Hepatitis B core antibody test (Item is subject to rule 11) 69429 01NOV1998 31DEC9999 Y Determination of immune status to Hepatitis B (post vaccination) using: Hepatitis B surface antibody test (Item is subject to rule 11) 69432 01NOV1998 31DEC9999 Y Investigation for chronic Hepatitis B or determination of carriage of Hepatitis B antigen using: Hepatitis B surface antigen test (Item is subject to rule 11) 69435 01NOV1998 31DEC9999 Y Investigation for chronic Hepatitis B or carriage of Hepatitis B antigen if the Hepatitis B surface antigen test is positive, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis B e antigen test (Item is subject to rule 11) 69438 01NOV1998 31DEC9999 Y Testing for Hepatitis C using: Hepatitis C antibody test (Item is subject to rule 11) 69441 01NOV1998 31DEC9999 Y Supplementary testing for Hepatitis C antibodies using a different Hepatitis C antibody assay on the specimen which has a reactive result on the initial Hepatitis C antibody test. (Item is not subject to rule 11) 69442 01NOV2000 07DEC2003 N Quantitation of HCV RNA load in plasma or serum in the pretreatment evaluation for antiviral therapy of a patient with chronic HCV hepatitis - where any request for the test is made by or on the advice of the specialist or consultant physician who manages the treatment of the patient with chronic HCV hepatitis (including a service in item 69444 or 69445) - not exceeding 1 episode in a 12 month period (Item is subject to rule 19) 69442 08DEC2003 30APR2005 N Quantitation of HCV RNA load in plasma or serum in the pretreatment evaluation or the assessment of efficacy of antiviral therapy of a patient with chronic HCV hepatitis - where any request for the test is made by or on the advice of the specialist or consultant physician who manages the treatment of the patient with chronic HCV hepatitis (including a service in item 69444 or 69445) - not more than 2 tests in a 12 month period 69442 01MAY2005 31DEC9999 Y Quantitation of HCV RNA load in plasma or serum in the pretreatment evaluation or the assessment of efficacy of antiviral therapy of a patient with chronic HCV hepatitis - where any request for the test is made by or on the advice of the specialist or consultant physician who manages the treatment of the patient with chronic HCV hepatitis (including a service in item 69444 or 69445) - To a maximum of 2 of this item in a 12 month period 69443 01NOV2000 31OCT2001 N Nucleic acid amplification and determination of hepatitis C virus (HCV) genotype provided: (a) the patient is HCV RNA positive; and (b) the patient is being evaluated for antiviral therapy of chronic HCV hepatitis; where any request for the test is made by or on the advice of the specialist or consultant physician who manages the treatment of the patient with chronic HCV hepatitis - not exceeding 1 episode 69443 01NOV2001 30APR2005 N Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if: (a) the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis; and (b) the request for the test is made by, or on the advice of, the specialist or consultant physician managing the treatment of the patient; No more than 1 episode in a 12 month period 69443 01MAY2005 31DEC9999 Y Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if: (a) the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis; and (b) the request for the test is made by, or on the advice of, the specialist or consultant physician managing the treatment of the patient; To a maximum of 1 of this item in a 12 month period 69444 01NOV1998 30APR2004 N Detection of Hepatitis C viral RNA if at least 1 of the following criteria is satisfied: (a) the patient is Hepatitis C seropositive and has normal liver function tests on 2 occasions at least 6 months apart; (b) the patient's serological status is uncertain after testing; (c) the test is performed for the purpose of: (i) determining the Hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii) the detection of acute Hepatitis C prior to seroconversion where considered necessary for the clinical management of the patient; Not exceeding 1 episode in a 12 month period (Item is subject to rule 19) 69444 01MAY2004 30APR2005 N Detection of Hepatitis C viral RNA if at least 1 of the following criteria is satisfied: (a) the patient is Hepatitis C seropositive; (b) the patient's serological status is uncertain after testing; (c) the test is performed for the purpose of: (i) determining the Hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii) the detection of acute Hepatitis C prior to seroconversion where considered necessary for the clinical management of the patient; Not exceeding 1 episode in a 12 month period (Item is subject to rule 19) 69444 01MAY2005 31DEC9999 Y Detection of Hepatitis C viral RNA if at least 1 of the following criteria is satisfied: (a) the patient is Hepatitis C seropositive; (b) the patient's serological status is uncertain after testing; (c) the test is performed for the purpose of: (i) determining the Hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii) the detection of acute Hepatitis C prior to seroconversion where considered necessary for the clinical management of the patient; To a maximum of 1 of this item in a 12 month period (Item is subject to rule 19) 69445 01NOV2000 30APR2005 N Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69444) - not exceeding 4 episodes in a 12 month period (Item is subject to rule 19) 69445 01MAY2005 30APR2007 N Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69444) - 1 test. To a maximum of 4 of this item in a 12 month period (Item is subject to rule 19) 69445 01MAY2007 31OCT2007 N Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69444) - 1 test. To a maximum of 4 of this item in a 12 month period (Item is subject to rule 25) 69445 01NOV2007 31DEC9999 Y Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69499) - 1 test. To a maximum of 4 of this item in a 12 month period (Item is subject to rule 25) 69447 01NOV1998 31DEC9999 Y Investigation for acute or chronic Hepatitis D in a patient with a positive Hepatitis B surface antigen test using: Hepatitis D antibody test (Item is subject to rule 11) 69450 01NOV1998 31DEC9999 Y Determination of immune status to Hepatitis A and Hepatitis B, including: (a) Hepatitis A IgG antibody test; and (b) Hepatitis B core antibody test or Hepatitis B surface antibody test (Item is subject to rule 11) 69451 01MAY2007 31DEC9999 Y A test described in item 69445 if rendered by a receiving APP - 1 test. (Item is subject to rule 18 and 25) 69453 01NOV1998 31DEC9999 Y Investigation for chronic viral hepatitis, or Hepatitis B or Hepatitis C carriage, including: (a) Hepatitis B surface antigen test; and (b) Hepatitis C antibody test (Item is subject to rule 11) 69456 01NOV1998 31DEC9999 Y Investigation for chronic viral hepatitis, or Hepatitis B or Hepatitis C carriage, if Hepatitis B surface antigen test is positive, including: (a) Hepatitis C antibody test; and (b) Hepatitis B surface antigen test; and (c) Hepatitis B e antigen test (Item is subject to rule 11) 69459 01NOV1998 31DEC9999 Y Investigation for acute Hepatitis A, Hepatitis B, Hepatitis C and Hepatitis D in a patient with a currently elevated transaminase level, including: (a) Hepatitis A IgM antibody test; and (b) Hepatitis C antibody test; and (c) Hepatitis B surface antigen test; and (d) Hepatitis B core antibody test; and (e) (if performed) Hepatitis B e antibody test (if Hepatitis B surface antigen test is negative and Hepatitis B core antibody test is positive); and (f) ( if performed) Hepatitis D antibody test (if Hepatitis B surface antigen test is positive) (Item is subject to rule 11) 69462 01NOV1998 31OCT2000 N Determination of immune status to Hepatitis B and testing for Hepatitis C, including: (a) Hepatitis C antibody test; and (b) Hepatitis B core antibody test or Hepatitis B surface antibody test (Item is subject to rule 12) 69462 01NOV2000 31DEC9999 Y Determination of Hepatitis B status and testing for Hepatitis C, including: (a) Hepatitis C antibody test; and (b) Hepatitis B core antibody test and if this is positive; (c) Hepatitis B surface antigen test (Item is subject to rule 11) 69465 01NOV1998 31DEC9999 Y Syphilis serology and any 1 of items 69435, 69438 or 69453 (Item is subject to rule 11) 69468 01NOV1998 31DEC9999 Y Investigation for acute Hepatitis A and Hepatitis C in a patient with a currently elevated transaminase level, including: (a) Hepatitis A IgM antibody test; and (b) Hepatitis C antibody test (Item subject to rule 11) 69471 01NOV1998 31OCT2008 N Test of cell-mediated immunity in blood for the detection of active tuberculosis or atypical mycobacterial infection in an immunosuppressed or immunocompromised patient - 1 test 69471 01NOV2008 30APR2017 N Test of cell-mediated immunity in blood for the detection of latent tuberculosis in an immunosuppressed or immunocompromised patient - 1 test 69471 01MAY2017 31DEC9999 Y Test of cell-mediated immune response in blood for the detection of latent tuberculosis by interferon gamma release assay (IGRA) in the following people: (a) a person who has been exposed to a confirmed case of active tuberculosis; (b) a person who is infected with human immunodeficiency virus; (c) a person who is to commence, or has commenced, tumour necrosis factor (TNF) inhibitor therapy; (d) a person who is to commence, or has commenced, renal dialysis; (e) a person with silicosis; (f) a person who is, or is about to become, immunosuppressed because of a disease, or a medical treatment, not mentioned in paragraphs (a) to (e) 69472 01NOV2001 31DEC9999 Y Detection of antibodies to Epstein Barr Virus using specific serology - 1 test 69474 01NOV2001 31DEC9999 Y Detection of antibodies to Epstein Barr Virus using specific serology - 2 or more tests 69475 01NOV2002 30APR2008 N One test for hepatitis antigen or antibodies to determine immune status or viral carriage following exposure or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D including: (a) One test for antibodies to Hepatitis A; or (b) One test for antibodies to or antigens of Hepatitis B; or (c) One test for antibodies to Hepatitis C; or (d) One test for antibodies to Hepatitis D in a patient who is Hepatitis B surface antigen positive (Item subject to rule 11) 69475 01MAY2008 31DEC9999 Y One test for hepatitis antigen or antibodies to determine immune status or viral carriage following exposure or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D (Item subject to rule 11) 69476 13MAR2020 30MAR2020 N Detection of a SARS-CoV-2 nucleic acid 1 or more tests if the service was bulk-billed between 13 March 2020 and 31 March 2020 where: (a) the person was a private patient in a recognised hospital; or (b) the person received the service from a prescribed laboratory as described in 2.10.1 of the Pathology Services Table Supplementary item in addition to item 69485 69476 31MAR2020 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid 1 or more tests if the service was bulk-billed between 13 March 2020 and 31 March 2020 where: (a) the person was a private patient in a recognised hospital; or (b) the person received the service from a prescribed laboratory as described in 2.10.1 of the Pathology Services Table Supplementary item in addition to item 69485 69477 13MAR2020 30MAR2020 N Detection of a SARS-CoV-2 nucleic acid 1 or more tests if the service was bulk-billed between 13 March 2020 and 31 March 2020: (a) the person was not a private patient in a recognised hospital; or (b) the person did not receive the service from a prescribed laboratory as described in 2.10.1 of the Pathology Services Table Supplementary item in addition to item 69485 69477 31MAR2020 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid 1 or more tests if the service was bulk-billed between 13 March 2020 and 31 March 2020: (a) the person was not a private patient in a recognised hospital; or (b) the person did not receive the service from a prescribed laboratory as described in 2.10.1 of the Pathology Services Table Supplementary item in addition to item 69485 69478 01NOV2002 30APR2008 N Two tests for hepatitis antigens or antibodies to determine immune status or viral carriage following exposure to, or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D including: (a) One test for antibodies to Hepatitis A; or (b) One test for surface or core antibodies to Hepatitis B; or (c) One test for surface antigen of Hepatitis B; or (d) One test for 'e' antibodies to or 'e' antigen of Hepatitis B; or (e) One test for antibodies to Hepatitis C; or (f) One test for antibodies to Hepatitis D in a patient who is Hepatitis B surface antigen positive (Item subject to rule 11) 69478 01MAY2008 31DEC9999 Y 2 tests described in 69475 (Item subject to rule 11) 69479 01APR2020 18MAY2020 N Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory as described in 2.10.1 of the Pathology Services Table Where the service is bulk-billed. 69479 19MAY2020 31DEC2021 N Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory as described in 4.1 of the Pathology Services Table Where the service is bulk-billed. 69479 01JAN2022 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the person is a private patient in a recognised hospital and the fee charged for the service does not exceed the schedule fee; or (b) the person receives a bulk-billed service from a prescribed laboratory as described in 4.1 of the Pathology Services Table 69480 01APR2020 31DEC2021 N Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the service is not covered by item 69479 Where the service is bulk billed 69480 01JAN2022 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the person is a private patient in a hospital other than a recognised hospital and the fee charged for the service does not exceed the schedule fee; or (b) the person receives a bulk-billed service not covered by item 69479 69481 01NOV2002 30APR2008 N Three tests for the investigation of infectious causes of acute or chronic hepatitis including: (a) One test for antibodies to Hepatitis A; or (b) One test for core antibodies to Hepatitis B; or (c) One test for 'e' antibodies to or 'e' antigens of Hepatitis B; or (d) One test for surface antibodies to or surface antigen of Hepatitis B; or (e) One test for antibodies to Hepatitis C; or (f) One test for antibodies to Hepatitis D in a patient who is Hepatitis B surface antigen positive (Item subject to rule 11) 69481 01MAY2008 31DEC9999 Y Investigation of infectious causes of acute or chronic hepatitis - 3 tests for hepatitis antibodies or antigens, (Item subject to rule 11) 69482 01JUL2008 31DEC9999 Y Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and have chronic hepatitis B, but are not receiving antiviral therapy - 1 test (Item is subject to rule 25) 69483 01JUL2008 31DEC9999 Y Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and who have chronic hepatitis B and are receiving antiviral therapy - 1 test (Item is subject to rule 25) 69484 01NOV2002 30APR2008 N Supplementary testing for Hepatitis B surface antigen or Hepatitis C antibody using a different assay on the specimen which yielded a reactive result on initial testing (Item is not subject to rule 11) 69484 01MAY2008 31DEC9999 Y Supplementary testing for Hepatitis B surface antigen or Hepatitis C antibody using a different assay on the specimen which yielded a reactive result on initial testing (Item is subject to rule 18) 69485 13MAR2020 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid 1 or more tests if the service is bulk-billed.(See PN.3.5 of explanatory notes to this Category) 69486 01NOV2005 30APR2006 N A test for high risk human papillomaviruses (HPV) in a patient who: - has received excisional or ablative treatment for high grade intraepithelial abnormalities of the cervix within the last two years; or - who within the last two years has had a positive HPV test after excisional or ablative treatment for high grade intraepithelial abnormalities of the cervix to a maximum of 2 of this item in a 24 month period 69486 01MAY2006 31DEC9999 Y A test for high risk human papillomaviruses (HPV) in a patient who: - has received excisional or ablative treatment for high grade squamous intraepithelial lesions (HSIL) of the cervix within the last two years; or - who within the last two years has had a positive HPV test after excisional or ablative treatment for HSIL of the cervix; or - is already undergoing annual cytological review for the follow-up of a previously treated HSIL. - to a maximum of 2 of this item in a 24 month period 69487 01NOV2002 31DEC9999 Y One test referred to in 69475 and a supplementary test described in 69484 (Item subject to rule 11) 69488 01MAY2007 30NOV2017 N Quantitation of HCV RNA load in plasma or serum in the pretreatment evaluation or the assessment of efficacy of antiviral therapy of a patient with chronic HCV hepatitis - where any request for the test is made by or on the advice of the specialist or consultant physician who manages the treatment of the patient with chronic HCV hepatitis (including a service in item 69499 or 69445) (Item is subject to rule 18 and 25) 69488 01DEC2017 31DEC9999 Y Quantitation of HCV RNA load in plasma or serum in: (a) the pre-treatment evaluation, of a patient with chronic HCV hepatitis, for antiviral therapy; or (b) the assessment of efficacy of antiviral therapy for such a patient (including a service in item 69499 or 69445) (Item is subject to rule 18 and 25) 69489 01MAY2007 31DEC9999 Y A test described in item 69488 if rendered by a receiving APP (Item is subject to rule 18 and 25) 69490 01NOV2002 31DEC9999 Y Two tests referred to in 69478 and a supplementary test described in 69484 (Item subject to rule 11) 69491 01MAY2007 30NOV2017 N Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if: (a) the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis; and (b) the request for the test is made by, or on the advice of, the specialist or consultant physician managing the treatment of the patient; To a maximum of 1 of this item in a 12 month period 69491 01DEC2017 31DEC9999 Y Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis. To a maximum of 1 of this item in a 12 month period 69492 01MAY2007 31DEC9999 Y A test described in item 69491 if rendered by a receiving APP - 1 test (Item is subject to rule 18 and 25) 69493 01NOV2002 31DEC9999 Y Three tests referred to in 69481 and a supplementary test described in 69484 (Item subject to rule 11) 69494 01MAY2007 31DEC9999 Y Detection of a virus or microbial antigen or microbial nucleic acid (not elsewhere specified) 1 test (Item is subject to rule 6 and 26) 69495 01MAY2007 31DEC9999 Y 2 tests described in 69494 (Item is subject to rule 6 and 26) 69496 01MAY2007 31DEC9999 Y 3 or more tests described in 69494 (Item is subject to rule 6 and 26) 69497 01MAY2007 31DEC9999 Y A test described in item 69494, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18 and 26) 69498 01MAY2007 31DEC9999 Y A test described in item 69494, other than that described in 69497, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6, 18 and 26) 69499 01MAY2007 31DEC9999 Y Detection of Hepatitis C viral RNA if at least 1 of the following criteria is satisfied: (a) the patient is Hepatitis C seropositive; (b) the patient's serological status is uncertain after testing; (c) the test is performed for the purpose of: (i) determining the Hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii) the detection of acute Hepatitis C prior to seroconversion where considered necessary for the clinical management of the patient; To a maximum of 1 of this item in a 12 month period (Item is subject to rule 19 and 25) 69500 01MAY2007 31DEC9999 Y A test described in item 69499 if rendered by a receiving APP - 1 test (Item is subject to rule 18,19 and 25) 69501 28JUL2020 02AUG2020 N Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: the person is employed, hired, retained or contracted by an approved provider, or works in an aged care service, in Victoria; and the person is informed of the results of the tests within 24 hours of receipt of the specimen at an accredited pathology laboratory; and the results of the test are reported to all appropriate authorities in accordance with Victorian legislation or regulations within 24 hours of receipt of the specimen at an accredited pathology laboratory; and the person is not a private patient in a recognised hospital; and the person is not an admitted patient of a hospital; and the service is not performed in a prescribed laboratory. Where the service is bulk-billed. 69501 03AUG2020 21SEP2020 N Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the person is employed, hired, retained or contracted; (i) by an approved provider, or works in an aged care service, in Victoria; or (ii) to travel interstate as a driver of a heavy vehicle; and (b) the person is informed of the results of the tests within 24 hours of receipt of the specimen at an accredited pathology laboratory; and (c) the results of the test are reported in adherence with the applicable State or Territory reporting requirements within 24 hours of receipt of the specimen at an accredited pathology laboratory; and (d) the person is not a private patient in a recognised hospital; and (e) the person is not an admitted patient of a hospital; and (f) the service is not performed in a prescribed laboratory as described in 4.1 of the pathology services table Other than a service to which an item in this instrument or an item in the pathology services tables applies. Where the service is bulk billed. 69501 22SEP2020 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the person is employed, hired, retained or contracted; (i) by an approved provider, or works in an aged care service, in Victoria; or (ii) to travel interstate as a driver of a heavy vehicle; or (iii) to travel interstate as a rail crew member; and (b) the person is informed of the results of the tests within 24 hours of receipt of the specimen at an accredited pathology laboratory; and (c) the results of the test are reported in adherence with the applicable State or Territory reporting requirements within 24 hours of receipt of the specimen at an accredited pathology laboratory; and (d) the person is not a private patient in a recognised hospital; and (e) the person is not an admitted patient of a hospital; and (f) the service is not performed in a prescribed laboratory as described in 4.1 of the pathology services table Other than a service to which item 69476, 69477, 69479 or 69480 applies, or an item in the pathology services tables applies. Where the service is bulk billed. 69505 01JUL2023 31DEC9999 Y Sequencing and analysis of the genome of mycobacterium tuberculosis complex from an isolate or nucleic acid extract: (a) to speciate the organism: (i) at the time of a patient's initial diagnosis and commencement of initial empiric therapy; or (ii) following recurrence of a patient's symptoms or a patient's failure to respond to treatment within the expected timeframe; and (b) for the purpose of: (i) genome-wide determination of the antimicrobial resistance markers (resistome) of the isolate; and (ii) individualising the patient's treatment Applicable once at initial diagnosis and once per episode of disease recurrence 69506 01OCT2022 31DEC2022 N Detection of a SARS-CoV-2 nucleic acid if: (a) the person is a private patient in a recognised hospital and the fee charged for the service does not exceed the schedule fee; or (b) the person receives a bulk-billed service from a prescribed laboratory 69506 01JAN2023 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid if: (a) the person is a private patient in a recognised hospital; or (b) the person receives a bulk-billed service from a prescribed laboratory 69507 01OCT2022 31DEC2022 N Detection of a viral, fungal, atypical pneumonia pathogen or Bordetella species nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in 69506, if: (a) the person is a private patient in a recognised hospital and the fee charged for the service does not exceed the schedule fee; or (b) the person receives a bulk-billed service from a prescribed laboratory 2 to 4 tests 69507 01JAN2023 31DEC9999 Y Detection of a viral, fungal, atypical pneumonia pathogen or Bordetella species nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in 69506, if: (a) the person is a private patient in a recognised hospital; or (b) the person receives a bulk-billed service from a prescribed laboratory 2 to 4 tests 69508 01OCT2022 31DEC9999 Y 5 to 8 tests described in 69507 69509 01OCT2022 31DEC9999 Y 9 to 12 tests described in 69507 69510 01OCT2022 31DEC9999 Y 13 or more tests described in item 69507 69511 01OCT2022 31DEC2022 N Detection of a SARS-CoV-2 nucleic acid if: (a) the person is a private patient in a hospital other than a recognised hospital and the fee charged for the service does not exceed the schedule fee; or (b) the person receives a bulk-billed service not covered by item 69506 69511 01JAN2023 31DEC2023 N Detection of a SARS-CoV-2 nucleic acid if: (a) the person is a private patient in a hospital other than a recognised hospital; or (b) the person receives a bulk-billed service not covered by item 69506 69511 01JAN2024 31DEC9999 Y Detection of a SARS-CoV-2 nucleic acid if the person receives a bulk billed service 69512 01OCT2022 31DEC2022 N Detection of a viral, fungal, atypical pneumonia pathogen or Bordetella species nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in 69511, if: (a) the person is a private patient in a hospital other than a recognised hospital and the fee charged for the service does not exceed the schedule fee; or (b) the person receives a bulk-billed service not covered by item 69507 2 to 4 tests 69512 01JAN2023 31DEC2023 N Detection of a viral, fungal, atypical pneumonia pathogen or Bordetella species nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in 69511, if: (a) the person is a private patient in a hospital other than a recognised hospital; or (b) the person receives a bulk-billed service not covered by item 69507 2 to 4 tests 69512 01JAN2024 31DEC9999 Y Detection of a viral, fungal, atypical pneumonia pathogen or Bordetella species nucleic acid from a nasal swab, throat swab, nasopharyngeal aspirate and/or lower respiratory tract sample, including a service described in 69511, if the person receives a bulk billed service 2 to 4 tests 69513 01OCT2022 31DEC9999 Y 5 to 8 tests described in 69512 69514 01OCT2022 31DEC9999 Y 9 to 12 tests described in 69512 69515 01OCT2022 31DEC9999 Y 13 or more tests described in item 69512 71001 01DEC1991 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 66245, 66247 or 71005), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresis or immunofixation 1 or more procedures 71002 01DEC1991 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 66245/66246, 66247/66248 or 71005/71006), on serum, urine or other body fluid, or examination of CSF for oligoclonal proteins by immunoelectrophoresis or immunofixation one or more procedures 71003 01DEC1991 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 66245, 66247 or 71005) on serum and urine concurrently collected 2 or more procedures 71004 01DEC1991 31DEC9999 Y Examination for, and identification of, a paraprotein (not previously identified), the presence of which is suggested by other tests (eg item 66245/66246, 66247/66248 or 71005/71006) on serum and urine concurrently collected two or more procedures 71005 01DEC1991 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation in serum, urine or other body fluid, by any method estimation of 1 immunoglobin 71006 01DEC1991 31DEC9999 Y Immunoglobulins G, A, M or D, quantitative estimation in serum, urine or other body fluid, by any method estimation of one immunoglobin 71007 01DEC1991 31DEC9999 Y 2 estimations specified in item 71005 71008 01DEC1991 31DEC9999 Y Two estimations specified in item 71005/71006 71009 01DEC1991 31DEC9999 Y 3 or more estimations specified in item 71005 71010 01DEC1991 31DEC9999 Y Three or more estimations specified in item 71005/71006 71011 01DEC1991 31DEC9999 Y Subclasses of Immunoglobulin G, 1 to 4, estimation where there is a reduced level of clinical significance of either total IgG or IgA 1 or more estimations 71012 01DEC1991 31DEC9999 Y Subclasses of Immunoglobulin G, 1 to 4, estimation where there is a reduced level of clinical significance of either total IgG or IgA one or more estimation 71013 01DEC1991 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of 2 estimations in any 12 month period 71014 01DEC1991 31DEC9999 Y Immunoglobulin E (total), quantitative estimation by any method or methods, with a maximum of two estimations in any twelve month period 71015 01DEC1991 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens 1 or more tests for single or multiple allergens with a maximum of 4 estimations in any 12 month period 71016 01DEC1991 31DEC9999 Y Specific IgG or IgE antibodies to potential allergens one or more tests for single or multiple allergens with a maximum of four estimations in any twelve month period 71017 01DEC1991 31DEC9999 Y Antinuclear antibodies, detection in serum or other body fluids, including quantitation if required 71018 01DEC1991 31DEC9999 Y Antinuclear antibodies, detection in serum or other body fluids, including quantitation if required 71019 01DEC1991 31DEC9999 Y Measurement of DNA binding (by Farr or equivalent assay, but excluding the Crithidia method), performed only where a positive antinuclear antibody titre of 1 in 40 or greater has been obtained 71020 01DEC1991 31DEC9999 Y Measurement of DNA binding (by Farr or equivalent assay, but excluding the Crithidia method), performed only where a positive antinuclear antibody titre of 1 in 40 or greater has been obtained 71021 01DEC1991 31DEC9999 Y Antibodies to extractable nuclear antigens, detection of in serum or other body fluids 71022 01DEC1991 31DEC9999 Y Antibodies to extractable nuclear antigens, detection of in serum or other body fluids 71023 01DEC1991 31DEC9999 Y Characterisation of antibodies to extractable nuclear antigens, performed only where a positive result is obtained including services specified in item 71021 71024 01DEC1991 31DEC9999 Y Characterization of antibodies to extractable nuclear antigens, performed only where a positive result is obtained including services specified in item 71021/71022 71025 01DEC1991 31DEC9999 Y Antibodies to tissue antigens which are not elsewhere specified in an item in the Schedule estimation of 1 antibody 71026 01DEC1991 31DEC9999 Y Antibodies to tissue antigens which are not elsewhere specified in an item in the Schedule estimation of one antibody 71027 01DEC1991 31DEC9999 Y 2 estimations specified in item 71025 71028 01DEC1991 31DEC9999 Y Two estimations specified in item 71025/71026 71029 01DEC1991 31DEC9999 Y 3 estimations specified in item 71025 71030 01DEC1991 31DEC9999 Y Three estimations specified in item 71025/71026 71031 01DEC1991 31DEC9999 Y 4 or more estimations specified in item 71025 71032 01DEC1991 31DEC9999 Y Four or more estimations specified in item 71025/71026 71033 01DEC1991 31DEC9999 Y Rheumatoid factor, detection of by any technique 71034 01DEC1991 31DEC9999 Y Rheumatoid factor, detection of by any technique. 71035 01DEC1991 31DEC9999 Y Quantitation of Rheumatoid factor where detected, including services specified in item 71033 71036 01DEC1991 31DEC9999 Y Quantitation of Rheumatoid factor where detected, including services specified in item 71033/71034 71037 01DEC1991 31DEC9999 Y Complement total and components 1 quantitative estimation 71038 01DEC1991 31DEC9999 Y Complement total and components one quantitative estimation 71039 01DEC1991 31DEC9999 Y 2 estimations specified in item 71037 71040 01DEC1991 31DEC9999 Y 2 estimations specified in item 71037/71038 71041 01DEC1991 31DEC9999 Y 3 or more estimations specified in item 71037 71042 01DEC1991 31DEC9999 Y Three or more estimations specified in item 71037/71038 71043 01DEC1991 31DEC9999 Y Leucocyte fractionation as a preliminary to leucocyte marker or leucocyte function tests 71044 01DEC1991 31DEC9999 Y Leucocyte fractionation as a preliminary toleucocyte marker or leucocyte function tests 71045 01DEC1991 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar) and any test specified in the HAEMATOLOGY GROUP of the Schedule 71046 01DEC1991 31DEC9999 Y Functional tests for leucocytes, including use of all appropriate techniques (except E. rosette technique or similar) and any test specified in the HAEMATOLOGY DIVISION of the Schedule 71047 01DEC1991 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techniques to assess lymphoid populations using a minimum of 3 monoclonal antibodies, including any services in item 71049 1 or more estimations 71048 01DEC1991 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techniques to assess lymphoid populations using a minimum of three monoclonal antibodies, including any services in item 71049/71050 one or more estimations 71049 01DEC1991 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techiques in the investigation of a probable haematological malignancy using a minimum of 7 monoclonal antibodies, including any services in item 71047 1 or more estimations 71050 01DEC1991 31DEC9999 Y Leucocyte surface marker characterization by immunofluorescence or immunoenzyme techiques in the investigation of a probable haematological malignancy using a minimum of seven monoclonal antibodies, including any services in item 71047/71048 one or more estimations 71051 01DEC1991 31DEC9999 Y HLA typing comprising A, B, C and DR phenotypes 71052 01DEC1991 31DEC9999 Y HLA typing comprising A, B, C and DR phenotypes 71053 01DEC1991 31DEC9999 Y HLA typing, excluding any services specified in item 71051 1 or more antigens 71054 01DEC1991 31DEC9999 Y HLA typing, excluding any services specified in item 71051/71052 one or more antigens 71055 01DEC1991 31DEC9999 Y Mantoux test 71056 01DEC1991 31DEC9999 Y Mantoux test 71057 01NOV1998 31DEC9999 Y Electrophoresis, quantitative and qualitative, of serum, urine or other body fluid all collected within a 28 day period, to demonstrate: (a) protein classes; or (b) presence and amount of paraprotein; including the preliminary quantitation of total protein, albumin and globulin - 1 specimen type 71058 01NOV1998 31DEC9999 Y Examination as described in item 71057 of 2 or more specimen types 71059 01NOV1998 31OCT2000 N Electrophoresis and immunofixation or immuno electrophoresis or isoelectric focussing of: (a) urine for detection of Bence Jones proteins; and (b) serum, plasma or other body fluid; and characterisation, if detected, of a paraprotein or cryoglobulin not previously characterised - examination of 1 specimen type (eg. serum, urine or CSF) 71059 01NOV2000 30JUN2011 N Electrophoresis and immunofixation or immunoelectrophoresis or isoelectric focussing of: (a) urine for detection of Bence Jones proteins; or (b) serum, plasma or other body fluid; and characterisation, if detected, of a paraprotein or cryoglobulin not previously characterised - examination of 1 specimen type (eg. serum, urine or CSF) 71059 01JUL2011 31DEC9999 Y Immunofixation or immunoelectrophoresis or isoelectric focusing of: (a) urine for detection of Bence Jones proteins; or (b) serum, plasma or other body fluid; and characterisation of a paraprotein or cryoglobulin - examination of 1 specimen type (eg. serum, urine or CSF) 71060 01NOV1998 31DEC9999 Y Examination as described in item 71059 of 2 or more specimen types 71061 01SEP1992 30JUN1994 N Examination for, and characterisation of, a paraprotein or cryoglobulin not previously characterised on serum, urine or other body fluid by immunoelectrophoresis or immunofixation - 1 or more procedures 71061 01JUL1994 31DEC9999 Y Immunoelectrophoresis or immunofixation, of serum, urine or other body fluid, and characterisation of, a paraprotein or cryoglobulin not previously characterised, including a service described in 1 or both of items 66213 and 66215 (if performed ) - 1 or more tests 71062 01NOV1998 31DEC9999 Y Electrophoresis and immunofixation or immunoelectrophoresis or isoelectric focussing of CSF for the detection of oligoclonal bands and including if required electrophoresis of the patient's serum for comparison purposes - 1 or more tests 71063 01SEP1992 31DEC9999 Y Examination for, and characterisation of, a paraprotein not previously characterised, by immunoelectrophoresis or immunofixation on serum and urine collected concurrently - 2 or more procedures 71064 01NOV1998 31DEC9999 Y Detection and quantitation of cryoglobulins or cryofibrinogen - 1 or more tests 71065 01SEP1992 30JUN1994 N Examination of CSF and serum concurrently for the presence of oligoclonal proteins - 2 or more procedures 71065 01JUL1994 31DEC9999 Y Examination of CSF and serum concurrently collected for the presence of oligoclonal proteins - 2 or more tests 71066 01NOV2002 31DEC9999 Y Quantitation of total immunoglobulin A by any method in serum, urine or other body fluid - 1 test 71067 01SEP1992 30JUN1994 N Immunoglobulins A, G, M or D, quantitative estimation by any method in serum, urine or other body fluid - 1 estimation 71067 01JUL1994 31DEC9999 Y Quantitation of total immunoglobulins A, G, M or D by any method in serum, urine or other body fluid - 1 test 71068 01NOV2002 31DEC9999 Y Quantitation of total immunoglobulin G by any method in serum, urine or other body fluid - 1 test 71069 01SEP1992 30JUN1994 N 2 estimations specified in item 71067 71069 01JUL1994 31OCT2002 N 2 tests described in item 71067 71069 01NOV2002 31DEC9999 Y 2 tests described in items 71066, 71068, 71072 or 71074 71071 01SEP1992 30JUN1994 N 3 or more estimations specified in item 71067 71071 01JUL1994 31OCT2002 N 3 or more tests described in item 71067 71071 01NOV2002 31DEC9999 Y 3 or more tests described in items 71066, 71068, 71072 or 71074 71072 01NOV2002 31DEC9999 Y Quantitation of total immunoglobulin M by any method in serum, urine or other body fluid - 1 test 71073 01SEP1992 30JUN1994 N Immunoglobulin G subclasses, quantitative estimation of all 4 subclasses with a maximum of 2 patient episodes in any 12 month period - each patient episode 71073 01JUL1994 31OCT1997 N Quantitation of all 4 immunoglobulin G subclasses, with a maximum of 2 patient episodes in a 12-month period - each patient episode 71073 01NOV1997 30APR2005 N Quantitation of all 4 immunoglobulin G subclasses - each patient episode 71073 01MAY2005 31DEC9999 Y Quantitation of all 4 immunoglobulin G subclasses 71074 01NOV2002 31DEC9999 Y Quantitation of total immunoglobulin D by any method in serum, urine or other body fluid - 1 test 71075 01SEP1992 30JUN1994 N Immunoglobulin E (total), quantitative estimation with a maximum of 2 patient episodes in any 12 month period - each patient episode 71075 01JUL1994 30APR2005 N Quantitation of immunoglobulin E (total), with a maximum of 2 patient episodes in any 12 month period - each patient episode 71075 01MAY2005 30APR2007 N Quantitation of immunoglobulin E (total), 1 test. To a maximum of 2 of this item in a 12 month period 71075 01MAY2007 31DEC9999 Y Quantitation of immunoglobulin E (total), 1 test. (Item is subject to rule 25) 71076 01MAY2007 31DEC9999 Y A test described in item 71073 if rendered by a receiving APP - 1 test (Item is subject to rule 18) 71077 01SEP1992 30JUN1994 N Immunoglobulin E (total), quantitative estimation in the follow up of a patient with proven immunoglobulin E secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, with a maximum of 6 patient episodes in any 12 month period - each patient episode 71077 01JUL1994 30APR2005 N Quantitation of immunoglobulin E (total) in the follow up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, with a maximum of 6 patient episodes in a 12 month period - each patient episode 71077 01MAY2005 30APR2007 N Quantitation of immunoglobulin E (total) in the follow up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, 1 test. To a maximum of 6 of this item in a 12 month period 71077 01MAY2007 31DEC9999 Y Quantitation of immunoglobulin E (total) in the follow up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, 1 test. (Item is subject to rule 25) 71079 01SEP1992 30JUN1994 N Estimation of specific immunoglobulin G or E antibodies to single or multiple potential allergens, with a maximum of 4 patient episodes in any 12 month period - each patient episode 71079 01JUL1994 30APR2005 N Detection of specific immunoglobulin G or E antibodies to single or multiple potential allergens, with a maximum of 4 patient episodes in a 12 month period - each patient episode 71079 01MAY2005 30APR2007 N Detection of specific immunoglobulin G or E antibodies to single or multiple potential allergens, 1 of this item to a maximum of 4 in a 12 month period 71079 01MAY2007 31OCT2007 N Detection of specific immunoglobulin G or E antibodies to single or multiple potential allergens, 1 test (Item is subject to rule 25) 71079 01NOV2007 31DEC9999 Y Detection of specific immunoglobulin E antibodies to single or multiple potential allergens, 1 test (Item is subject to rule 25) 71081 01SEP1992 30JUN1994 N Total haemolytic complement, quantitative estimation 71081 01JUL1994 31DEC9999 Y Quantitation of total haemolytic complement 71083 01SEP1992 30JUN1994 N Complement components C3, C4 or properdin factor B, quantitative estimation - 1 estimation 71083 01JUL1994 31DEC9999 Y Quantitation of complement components C3 and C4 or properdin factor B - 1 test 71085 01SEP1992 30JUN1994 N 2 estimations specified in item 71083 71085 01JUL1994 31DEC9999 Y 2 tests described in item 71083 71087 01SEP1992 30JUN1994 N 3 or more estimations specified in item 71083 71087 01JUL1994 31DEC9999 Y 3 or more tests described in item 71083 71089 01SEP1992 30JUN1994 N Complement components or breakdown products of complement proteins not elsewhere specified in an item in this Schedule, quantitative estimation - 1 estimation 71089 01JUL1994 30APR2007 N Quantitation of complement components or breakdown products of complement proteins not elsewhere described in an item in this Schedule - 1 test 71089 01MAY2007 31DEC9999 Y Quantitation of complement components or breakdown products of complement proteins not elsewhere described in an item in this Schedule - 1 test (Item is subject to rule 6) 71090 01MAY2007 31DEC9999 Y A test described in item 71089, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 71091 01SEP1992 30JUN1994 N 2 estimations specified in item 71089 71091 01JUL1994 30APR2007 N 2 tests described in item 71089 71091 01MAY2007 31DEC9999 Y 2 tests described in item 71089 (Item is subject to rule 6) 71092 01MAY2007 31DEC9999 Y Tests described in item 71089, other than that described in 71090, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18) 71093 01SEP1992 30JUN1994 N 3 or more estimations specified in item 71089 71093 01JUL1994 30APR2007 N 3 or more tests described in item 71089 71093 01MAY2007 31DEC9999 Y 3 or more tests described in item 71089 (Item is subject to rule 6) 71095 01NOV1997 31DEC9999 Y Quantitation of serum or plasma eosinophil cationic protein, or both, to a maximum of 3 assays in 1 year, for monitoring the response to therapy in corticosteroid treated asthma, in a child aged less than 12 years 71096 01MAY2007 31DEC9999 Y A test described in item 71095 if rendered by a receiving APP. (Item is subject to rule 18) 71097 01SEP1992 30JUN1994 N Antinuclear antibodies, detection in serum or other body fluids, including quantitation if required 71097 01JUL1994 31DEC9999 Y Antinuclear antibodies - detection in serum or other body fluids, including quantitation if required 71099 01SEP1992 30JUN1994 N Double-stranded DNA antibodies, quantitative estimation by 1 or more methods other than the Crithidia method 71099 01JUL1994 31DEC9999 Y Double-stranded DNA antibodies - quantitation by 1 or more methods other than the Crithidia method 71101 01SEP1992 30JUN1994 N Antibodies to 1 or more extractable nuclear antigens, detection in serum or other body fluids 71101 01JUL1994 31DEC9999 Y Antibodies to 1 or more extractable nuclear antigens - detection in serum or other body fluids 71103 01SEP1992 30JUN1994 N Antibodies to 1 or more extractable nuclear antigens, characterisation after a positive result is obtained by a service specified in item 71101, including that service 71103 01JUL1994 31DEC9999 Y Characterisation of an antibody detected in a service described in item 71101 (including that service) 71105 01SEP1992 31DEC9999 Y Rheumatoid factor, detection by any technique 71106 01JUL1994 31DEC9999 Y Rheumatoid factor - detection by any technique in serum or other body fluids, including quantitation if required 71107 01SEP1992 31DEC9999 Y Quantitation of rheumatoid factor if detected, during a service specified in item 71105, including that service 71109 01SEP1992 30JUN1994 N Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, cardiolipin, glomerular basement membrane, heart, histone, insulin, insulin receptor, intrinsic factor, islet cell, lymphocyte, neuron, neutrophil cytoplasm, ovary, parathyroid, platelet, salivary gland, skeletal muscle, skin basement membrane and intercellular substance, thyroglobulin, thyroid microsome, thyroid stimulating hormone receptor), qualitative or quantitative - estimation of 1 antibody 71109 01JUL1994 30APR2001 N Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, cardiolipin, heart, histone, insulin, insulin receptor, intrinsic factor, islet cell, lymphocyte, neuron, ovary, parathyroid, platelet, salivary gland, skeletal muscle, skin basement membrane and intercellular substance, thyroglobulin, thyroid microsome or thyroid stimulating hormone receptor) - detection, including quantitation if required, of 1 antibody 71109 01MAY2001 31DEC9999 Y Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, cardiolipin, heart, histone, insulin, insulin receptor, intrinsic factor, islet cell, lymphocyte, neuron, ovary, parathyroid, platelet, salivary gland, skeletal muscle, skin basement membrane and intercellular substance, thyroglobulin, thyroid microsome or thyroid stimulating hormone receptor) - detection, including quantitation if required, of 1 antibody 71113 01SEP1992 30JUN1994 N Estimation of 2 antibodies specified in item 71109 71113 01JUL1994 31DEC9999 Y Detection of 2 antibodies described in item 71109 71115 01SEP1992 30JUN1994 N Estimation of 3 antibodies specified in item 71109 71115 01JUL1994 31DEC9999 Y Detection of 3 antibodies described in item 71109 71117 01SEP1992 30JUN1994 N Estimation of 4 antibodies specified in item 71109 71117 01JUL1994 31OCT2001 N Detection of 4 antibodies described in item 71109 71117 01NOV2001 31DEC9999 Y Detection of 4 or more antibodies described in item 71109 71119 01SEP1992 30JUN1994 N Antibodies to tissue antigens not elsewhere specified in an item in this Schedule, qualitative or quantitative - estimation of 1 antibody 71119 01JUL1994 31DEC9999 Y Antibodies to tissue antigens not elsewhere specified in this Table - detection, including quantitation if required, of 1 antibody 71121 01SEP1992 30JUN1994 N Estimation of 2 antibodies specified in item 71119 71121 01JUL1994 31DEC9999 Y Detection of 2 antibodies specified in item 71119 71123 01SEP1992 30JUN1994 N Estimation of 3 antibodies specified in item 71119 71123 01JUL1994 31DEC9999 Y Detection of 3 antibodies specified in item 71119 71125 01SEP1992 30JUN1994 N Estimation of 4 or more antibodies specified in item 71119 71125 01JUL1994 31DEC9999 Y Detection of 4 or more antibodies specified in item 71119 71127 01SEP1992 30JUN1994 N Functional tests for lymphocytes - estimation of proliferation induced by 1 or more mitogens, estimation of proliferation induced by 1 or more antigens or estimation of 1 or more mixed lymphocyte reactions, other than quantitation by microscopy - including a test specified in item 65005, with a maximum of 2 patient episodes in any 12 month period - each patient episode 71127 01JUL1994 30APR2005 N Functional tests for lymphocytes - quantitation other than by microscopy of: (a) proliferation induced by 1 or more mitogens; or (b) proliferation induced by 1 or more antigens; or (c) estimation of 1 or more mixed lymphocyte reactions; including a test described in item 65066 or 65070 (if performed), with a maximum of 2 patient episodes in a 12 month period - each patient episode 71127 01MAY2005 31DEC9999 Y Functional tests for lymphocytes - quantitation other than by microscopy of: (a) proliferation induced by 1 or more mitogens; or (b) proliferation induced by 1 or more antigens; or (c) estimation of 1 or more mixed lymphocyte reactions; including a test described in item 65066 or 65070 (if performed), 1 of this item to a maximum of 2 in a 12 month period 71129 01SEP1992 30JUN1994 N 2 estimations specified in item 71127 71129 01JUL1994 31DEC9999 Y 2 tests described in item 71127 71131 01SEP1992 30JUN1994 N 3 or more estimations specified in item 71127 71131 01JUL1994 31DEC9999 Y 3 or more tests described in item 71127 71133 01NOV2002 31DEC9999 Y Investigation of recurrent infection by qualitative assessment for the presence of defects in oxidative pathways in neutrophils by the nitroblue tetrazolium (NBT) reduction test 71134 01NOV2002 31DEC9999 Y Investigation of recurrent infection by quantitative assessment of oxidative pathways by flow cytometric techniques, including a test described in 71133 (if performed) 71135 01SEP1992 30JUN1994 N Determination of neutrophil function - comprising at least 2 of neutrophil chemotaxis, neutrophil phagocytosis, neutrophil oxidative metabolism, neutrophil bactericidal activity - including any test specified in item 65005 (other than nitroblue tetrazolium reduction slide test), with a maximum of 2 patient episodes in any 12 month period - each patient episode 71135 01JUL1994 31OCT2002 N Quantitation of neutrophil function, comprising at least 2 of the following: (a) chemotaxis; (b) phagocytosis; (c) oxidative metabolism; (d) bactericidal activity; including any test described in item 65066 or 65070 (other than nitroblue tetrazolium reduction slide test), with a maximum of 2 patient episodes in a 12 month period - each patient episode 71135 01NOV2002 30APR2005 N Quantitation of neutrophil function, comprising at least 2 of the following: (a) chemotaxis; (b) phagocytosis; (c) oxidative metabolism; (d) bactericidal activity; including any test described in items 65066, 65070, 71133 or 71134 (if performed), with a maximum of 2 patient episodes in a 12 month period - each patient episode 71135 01MAY2005 31DEC9999 Y Quantitation of neutrophil function, comprising at least 2 of the following: (a) chemotaxis; (b) phagocytosis; (c) oxidative metabolism; (d) bactericidal activity; including any test described in items 65066, 65070, 71133 or 71134 (if performed), 1 of this item to a maximum of 2 in a 12 month period 71137 01SEP1992 30JUN1994 N Determination of cell mediated immunity by multiple antigen delayed type hypersensitivity intradermal skin testing using a minimum of 7 antigens, with a maximum of 2 patient episodes in any 12 month period - each patient episode 71137 01JUL1994 30APR2005 N Quantitation of cell-mediated immunity by multiple antigen delayed type hypersensitivity intradermal skin testing using a minimum of 7 antigens, with a maximum of 2 patient episodes in a 12 month period - each patient episode 71137 01MAY2005 31DEC9999 Y Quantitation of cell-mediated immunity by multiple antigen delayed type hypersensitivity intradermal skin testing using a minimum of 7 antigens, 1 of this item to a maximum of 2 in a 12 month period 71139 01SEP1992 30JUN1994 N Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations on 1 or more specimens of blood, CSF or serous fluid 71139 01JUL1994 30APR2004 N Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations, including a total lymphocyte count by any method, on 1 or more specimens of blood, CSF or serous fluid 71139 01MAY2004 31DEC9999 Y Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations, including a total lymphocyte count or total leucocyte count by any method, on 1 or more specimens of blood, CSF or serous fluid 71141 01SEP1992 31DEC9999 Y Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations on 1 or more disaggregated tissue specimens 71143 01SEP1992 30JUN1994 N Characterisation (not monitoring) of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations in an immunological or haematological malignancy, including any service specified in 1 or more of items 71139 or 71141, on a specimen of blood, CSF, serous fluid or disaggregated tissue 71143 01JUL1994 31OCT1999 N Characterisation of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations for the diagnosis of an immunological or haematological malignancy, including a service described in 1 or both of items 71139 and 71141 (if performed), on a specimen of blood, CSF, serous fluid or disaggregated tissue 71143 01NOV1999 31DEC9999 Y Characterisation of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations for the diagnosis (but not monitoring) of an immunological or haematological malignancy, including a service described in 1 or both of items 71139 and 71141 (if performed), on a specimen of blood, CSF, serous fluid or disaggregated tissue 71145 01SEP1992 30JUN1994 N Characterisation (not monitoring) of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations in an immunological or haematological malignancy, including any service specified in 1 or more of items 71139, 71141 or 71143, on 2 or more specimens of disaggregated tissues or 1 specimen of disaggregated tissue and 1 or more specimens of blood, CSF, serous fluid 71145 01JUL1994 31OCT1999 N Characterisation of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations for the diagnosis of an immunological or haematological malignancy, including a service described in 1 or more of items 71139, 71141 and 71143 (if performed), on 2 or more specimens of disaggregated tissues or 1 specimen of disaggregated tissue and 1 or more specimens of blood, CSF or serous fluid 71145 01NOV1999 31DEC9999 Y Characterisation of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations for the diagnosis (but not monitoring) of an immunological or haematological malignancy, including a service described in 1 or more of items 71139, 71141 and 71143 (if performed), on 2 or more specimens of disaggregated tissues or 1 specimen of disaggregated tissue and 1 or more specimens of blood, CSF or serous fluid 71146 01MAY2004 30APR2006 N Enumeration of CD34+ cells, only for the purposes of autologous or directed allogeneic haemopoietic stem cell transplantation, including a total white cell count 71146 01MAY2006 31DEC9999 Y Enumeration of CD34+ cells, only for the purposes of autologous or directed allogeneic haemopoietic stem cell transplantation, including a total white cell count on the pherisis collection 71147 01SEP1992 30APR2007 N HLA-B27 typing 71147 01MAY2007 31DEC9999 Y HLA-B27 typing (Item is subject to rule 27) 71148 01MAY2007 31DEC9999 Y A test described in item 71147 if rendered by a receiving APP. (Item is subject to rule 18 and 27) 71149 01SEP1992 30JUN1994 N Complete tissue typing for 4 HLA-A and HLA-B Class I antigens (including any separation of leucocytes), including any service specified in item 71147 71149 01JUL1994 31DEC9999 Y Complete tissue typing for 4 HLA-A and HLA-B Class I antigens (including any separation of leucocytes), including (if performed) a service described in item 71147 71151 01SEP1992 31DEC9999 Y Tissue typing for HLA-DR, HLA-DP and HLA-DQ Class II antigens (including any separation of leucocytes) - phenotyping or genotyping of 2 or more antigens 71153 01MAY2001 30APR2007 N Investigations in the assessment or diagnosis of systemic inflammatory disease or vasculitis - antineutrophil cytoplasmic antibody immunofluorescence (ANCA test), antineutrophil proteinase 3 antibody (PR-3 ANCA test), antimyeloperoxidase antibody (MPO ANCA test) or antiglomerular basement membrane antibody (GBM test) - detection of 1 antibody (Item is subject to rule 23) 71153 01MAY2007 31DEC9999 Y Investigations in the assessment or diagnosis of systemic inflammatory disease or vasculitis - antineutrophil cytoplasmic antibody immunofluorescence (ANCA test), antineutrophil proteinase 3 antibody (PR-3 ANCA test), antimyeloperoxidase antibody (MPO ANCA test) or antiglomerular basement membrane antibody (GBM test) - detection of 1 antibody (Item is subject to rule 6 and 23) 71154 01MAY2007 31DEC9999 Y A test described in item 71153, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test. (Item is subject to rule 6, 18 and 23) 71155 01MAY2001 30APR2007 N Detection of 2 antibodies described in item 71153 (Item is subject to rule 23) 71155 01MAY2007 31DEC9999 Y Detection of 2 antibodies described in item 71153 (Item is subject to rule 6 and 23) 71156 01MAY2007 31DEC9999 Y Tests described in item 71153, other than that described in 71154, if rendered by a receiving APP - each test to a maximum of 3 tests (Item is subject to rule 6, 18 and 23) 71157 01MAY2001 30APR2007 N Detection of 3 antibodies described in item 71153 (Item is subject to rule 23) 71157 01MAY2007 31DEC9999 Y Detection of 3 antibodies described in item 71153 (Item is subject to rule 6 and 23) 71159 01MAY2001 30APR2007 N Detection of 4 or more antibodies described in item 71153 (Item is subject to rule 23) 71159 01MAY2007 31DEC9999 Y Detection of 4 or more antibodies described in item 71153 (Item is subject to rule 6 and 23) 71160 01NOV2002 31DEC9999 Y Detection of antibodies for the monitoring of established coeliac disease or other gluten hypersensitivity syndromes, including: a) IgA antibody to gliadin; or b) IgG antibody to gliadin; or c) Antibody to endomysium; or d) Antibody to tissue transglutaminase; or e) IgA antibody to tissue transglutaminase; or f) IgG antibody to tissue transglutaminase One test 71161 01NOV2002 31DEC9999 Y Two or more tests described in 71160 for the monitoring of established coeliac disease or other gluten hypersensitivity syndrome 71162 01NOV2002 31DEC9999 Y Three or more tests described in 71160 for the diagnosis of coeliac disease or other gluten hypersensitivity syndrome. To a maximum of 2 patient episodes in a 12 month period - each patient episode (Item subject to rule 24) 71163 01NOV2003 31DEC9999 Y Detection of one of the following antibodies (of 1 or more class or isotype) in the assessment or diagnosis of coeliac disease or other gluten hypersensitivity syndromes and including a service described in item 71066 (if performed): a) Antibodies to gliadin; or b) Antibodies to endomysium; or c) Antibodies to tissue transglutaminase; - 1 test 71164 01NOV2003 31DEC9999 Y Two or more tests described in 71163 and including a service described in 71066 (if performed) 71165 01MAY2007 31OCT2007 N Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, cardiolipin, heart, histone, insulin, insulin receptor, intrinsic factor, islet cell, lymphocyte, neuron, ovary, parathyroid, platelet, salivary gland, skeletal muscle, skin basement membrane and intercellular substance, thyroglobulin, thyroid microsome or thyroid stimulating hormone receptor) - detection, including quantitation if required, of 1 antibody (Item is subject to rule 6) 71165 01NOV2007 31DEC9999 Y Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, heart, histone, insulin, insulin receptor, intrinsic factor, islet cell, lymphocyte, neuron, ovary, parathyroid, platelet, salivary gland, skeletal muscle, skin basement membrane and intercellular substance, thyroglobulin, thyroid microsome or thyroid stimulating hormone receptor) - detection, including quantitation if required, of 1 antibody (Item is subject to rule 6) 71166 01MAY2007 31DEC9999 Y Detection of 2 antibodies described in item 71165 (Item is subject to rule 6) 71167 01MAY2007 31DEC9999 Y Detection of 3 antibodies described in item 71165 (Item is subject to rule 6) 71168 01MAY2007 31DEC9999 Y Detection of 4 or more antibodies described in item 71165 (Item is subject to rule 6) 71169 01MAY2007 31DEC9999 Y A test described in item 71165, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18) 71170 01MAY2007 31DEC9999 Y Tests described in item 71165, other than that described in 71169, if rendered by a receiving APP - each test to a maximum of 3 tests (Item is subject to rule 6 and 18) 71175 01NOV2021 31DEC9999 Y A test, requested by a specialist or consultant physician, to diagnose neuromyelitis optica spectrum disorder (NMOSD) or myelin oligodendrocyte glycoprotein antibody-related demyelination (MARD), by the detection of one or more antibodies, for a patient: suspected of having NMOSD or MARD; and with any of the following: recurrent, bilateral or severe optic neuritis; recurrent longitudinal extensive transverse myelitis (LETM); area postrema syndrome (unexplained hiccups, nausea or vomiting); acute brainstem syndrome; symptomatic narcolepsy or acute diencephalic clinical syndrome with typical NMOSD magnetic resonance imaging lesions; symptomatic cerebral syndrome with typical NMOSD magnetic resonance imaging lesions; monophasic neuromyelitis optica (no recurrence, and simultaneous or closely related optic neuritis and LETM within 30 days of each other); acute disseminated encephalomyelitis; aseptic meningitis and encephalomyelitis; poor recovery from multiple sclerosis relapses Applicable not more than 4 times in 12 months 71180 01NOV2007 31DEC9999 Y Antibody to cardiolipin or beta-2 glycoprotein I - detection, including quantitation if required; one antibody specificity (IgG or IgM) 71183 01NOV2007 31DEC9999 Y Detection of two antibodies described in item 71180 71186 01NOV2007 31DEC9999 Y Detection of three or more antibodies described in item 71180 71189 01NOV2007 31DEC9999 Y Detection of specific IgG antibodies to 1 or more respiratory disease allergens not elsewhere specified. 71192 01NOV2007 31DEC9999 Y 2 items described in item 71189. 71195 01NOV2007 31DEC9999 Y 3 or more items described in item 71189. 71198 01NOV2007 31DEC9999 Y Estimation of serum tryptase for the evaluation of unexplained acute hypotension or suspected anaphylactic event, assessment of risk in stinging insect anaphylaxis, exclusion of mastocytosis, monitoring of known mastocytosis. 71200 01NOV2007 30APR2009 N Detection and quantitation, if present, of free kappa or lambda light chains in serum for the diagnosis or monitoring of amyloidosis, myeloma or plasma cell dyscrasias. 71200 01MAY2009 31DEC9999 Y Detection and quantitation, if present, of free kappa and lambda light chains in serum for the diagnosis or monitoring of amyloidosis, myeloma or plasma cell dyscrasias. 71202 01NOV2023 31DEC9999 Y Measurable residual disease (MRD) testing by flow cytometry, performed on bone marrow from a patient diagnosed with acute lymphoblastic leukaemia, for the purpose of determining baseline MRD, or facilitating the determination of MRD following combination chemotherapy or after salvage therapy, requested by a specialist or consultant physician practising as a haematologist or oncologist 71203 01NOV2007 31DEC9999 Y Determination of HLAB5701 status by flow cytometry or cytotoxity assay prior to the initiation of Abacavir therapy including item 73323 if performed. 72801 01DEC1991 30JUN1994 N Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions 72801 01JUL1994 31DEC9999 Y Examination of biopsy material (gross and microscopic) including all tissue processing, staining, and except as provided for in 72805 and 72807 - all professional opinions 72802 01DEC1991 31DEC9999 Y Histopathology examination of biopsy material including all tissue processing, staining and professional opinion or opinions 72803 01DEC1991 30JUN1994 N Immediate frozen section diagnosis of biopsy material, including any other histopathology examination 72803 01JUL1994 31DEC9999 Y Intraoperative frozen section diagnosis of biopsy material, including any other tissue pathology service in Group P5 72804 01DEC1991 31DEC9999 Y Immediate frozen section diagnosis of biopsy material, including any other histopathology examination 72805 01DEC1991 30JUN1994 N Immunohistochemical investigation of biopsy material by 1 or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination 72805 01JUL1994 31DEC9999 Y Immunohistochemical staining of biopsy material by 1 or more labelled antibody techniques (including immunofluorescence and immunoperoxidase) and including any other tissue pathology service in Group P5 72806 01DEC1991 31DEC9999 Y Immunohistochemical investigation of biopsy material by one or more of immunofluorescent, immunoperoxidase or other labelled antibody techniques including any other histopathology examination 72807 01DEC1991 30JUN1994 N Electron microscopy of biopsy material including any other histopathology examination 72807 01JUL1994 31DEC9999 Y Electron microscopy of biopsy material including any other tissue pathology service in Group P5 72808 01DEC1991 31DEC9999 Y Electron microscopy of biopsy material including any other histopathology examination 72813 20MAR1997 31DEC9999 Y Examination of complexity level 2 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13) 72814 01NOV2018 31OCT2021 N Immunohistochemical examination by immunoperoxidase or other labelled antibody techniques using the programmed cell death ligand 1 (PD-L1) antibody of tumour material from a patient diagnosed with non-small cell lung cancer, to determine if the requirements relating to PD-L1 status for access to pembrolizumab under the Pharmaceutical Benefits Scheme are fulfilled. 72814 01NOV2021 30SEP2022 N Immunohistochemical examination by immunoperoxidase or other labelled antibody techniques using the programmed cell death ligand 1 (PD-L1) antibody of tumour material from a patient diagnosed with non-small cell lung cancer. 72814 01OCT2022 31AUG2023 N Immunohistochemical examination by immunoperoxidase or other labelled antibody techniques using the programmed cell death ligand 1 (PD-L1) antibody of tumour material from a patient diagnosed with non-small cell lung cancer or recurrent or metastatic squamous cell carcinoma of the oral cavity, pharynx or larynx. 72814 01SEP2023 31DEC9999 Y Immunohistochemical examination by immunoperoxidase or other labelled antibody techniques using the programmed cell death ligand 1 (PD-L1) antibody of tumour material from a patient diagnosed with: (a) non-small cell lung cancer; or (b) recurrent or metastatic squamous cell carcinoma of the oral cavity, pharynx or larynx; or (c) locally recurrent unresectable or metastatic triple-negative breast cancer. 72816 20MAR1997 31DEC9999 Y Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 separately identified specimen (Item is subject to rule 13) 72817 20MAR1997 31OCT2002 N Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 2 or more separately identified specimens (Item is subject to rule 13) 72817 01NOV2002 31DEC9999 Y Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 2 to 4 separately identified specimens (Item is subject to rule 13) 72818 01NOV2002 31DEC9999 Y Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 5 or more separately identified specimens (Item is subject to rule 13) 72823 20MAR1997 31DEC9999 Y Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 separately identified specimen (Item is subject to rule 13) 72824 20MAR1997 31DEC9999 Y Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 2 to 4 separately identified specimens (Item is subject to rule 13) 72825 20MAR1997 31OCT2002 N Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 5 or more separately identified specimens (Item is subject to rule 13) 72825 01NOV2002 31DEC9999 Y Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 5 to 7 separately identified specimens (Item is subject to rule 13) 72826 01NOV2002 31OCT2008 N Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 8 or more separately identified specimens (Item is subject to rule 13) 72826 01NOV2008 31DEC9999 Y Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 8 to 11 separately identified specimens (Item is subject to rule 13) 72827 01NOV2008 31DEC9999 Y Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 12 to 17 separately identified specimens (Item is subject to Rule 13) 72828 01NOV2008 31DEC9999 Y Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions 18 or more separately identified specimens (Item is subject to Rule 13) 72830 20MAR1997 31DEC9999 Y Examination of complexity level 5 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13) 72836 20MAR1997 31DEC9999 Y Examination of complexity level 6 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13) 72838 01NOV2007 31DEC9999 Y Examination of complexicity level 7 biopsy material with multiple tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens. (Item is subject to rule 13) 72844 01NOV1998 31DEC9999 Y Enzyme histochemistry of skeletal muscle for investigation of primary degenerative or metabolic muscle diseases or of muscle abnormalities secondary to disease of the central or peripheral nervous system - 1 or more tests 72846 20MAR1997 31OCT2003 N Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies (Item is subject to rule 13) 72846 01NOV2003 31DEC9999 Y Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 72848 (Item is subject to rule 13) 72847 20MAR1997 31OCT2008 N Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 or more antibodies (Item is subject to rule 13) 72847 01NOV2008 30JUN2009 N Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4-6 or more antibodies (Item is subject to rule 13) 72847 01JUL2009 31DEC9999 Y Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4-6 antibodies (Item is subject to rule 13) 72848 01NOV2003 31DEC9999 Y Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13) 72849 01NOV2008 31DEC9999 Y Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7-10 antibodies (Item is subject to rule 13) 72850 01NOV2008 31DEC9999 Y Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 11 or more antibodies (Item is subject to rule 13) 72851 20MAR1997 31DEC9999 Y Electron microscopic examination of biopsy material - 1 separately identified specimen (Item is subject to rule 13) 72852 20MAR1997 31DEC9999 Y Electron microscopic examination of biopsy material - 2 or more separately identified specimens (Item is subject to rule 13) 72855 20MAR1997 31OCT2001 N Intraoperative frozen section diagnosis of biopsy material - 1 separately identified specimen (Item is subject to rule 14) 72855 01NOV2001 31DEC9999 Y Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 1 separately identified specimen (Item is subject to rule 13) 72856 20MAR1997 31OCT2001 N Intraoperative frozen section diagnosis of biopsy material - 2 or more separately identified specimens (Item is subject to rule 14) 72856 01NOV2001 31OCT2003 N Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 2 or more separately identified specimens (Item is subject to rule 13) 72856 01NOV2003 31DEC9999 Y Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 2 to 4 separately identified specimens (Item is subject to rule 13) 72857 01NOV2003 31DEC9999 Y Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 5 or more separately identified specimens (Item is subject to rule 13) 72858 01NOV2015 31DEC9999 Y A second opinion, provided in a written report, where the opinion and report together require no more than 30 minutes to complete, on a patient specimen, requested by a treating practitioner, where further information is needed for accurate diagnosis and appropriate patient management. 72859 01NOV2015 31DEC9999 Y A second opinion, provided in a written report, where the opinion and report together require more than 30 minutes to complete, on a patient specimen, requested by a treating practitioner, where further information is needed for accurate diagnosis and appropriate patient management. 72860 01MAY2019 30APR2020 N Retrieval and review of archived formalin fixed paraffin embedded block(s) to determine the appropriate sample(s) for the purpose of conducting further genetic testing. For any particular patient, this item is applicable for a maximum of one retrieval per subsequent patient episode. 72860 01MAY2020 28FEB2021 N Retrieval and review of one or more archived formalin fixed paraffin embedded block(s) to determine the appropriate sample(s) for the purpose of conducting genetic testing 72860 01MAR2021 31DEC9999 Y Retrieval and review of one or more archived formalin fixed paraffin embedded blocks to determine the appropriate samples for the purpose of conducting genetic testing, other than: (a) a service associated with a service to which item 72858 or 72859 applies; or (b) a service associated with, and rendered in the same patient episode as, a service to which an item in Group P5, P6, P10 or P11 applies Applicable not more than once in a patient episode 73043 01DEC1991 30JUN1994 N Cytological examination including serial examinations of smears from skin, nipple discharge, lip, mouth, nose or anus for detection of precancerous or cancerous changes 1 or more examinations 73043 01JUL1994 31DEC9999 Y Cytology (including serial examinations) of nipple discharge or smears from skin, lip, mouth, nose or anus for detection of precancerous or cancerous changes 1 or more tests 73044 01DEC1991 31DEC9999 Y Cytological examination including serial examinations of smears from skin, nipple discharge, lip, mouth, nose or anus for detection of precancerous or cancerous changes one or more examinations 73045 01DEC1991 29FEB1992 N Cytological examination including serial examinations for malignant cells of body fluids, sputum (single specimen), urine (single specimen), washings or brushings not specified in item 73043 and any histopathological service performed on that cytology specimen one or more examinations 73045 01MAR1992 30JUN1994 N Cytological examination, other than an examination mentioned in item 73053, for malignancy, including serial examinations and histological services performed on the resulting specimens from washings or brushings from sites not specified in item 73043, or performed on a single specimen of sputum or urine or on 1 or more specimens of other body fluids - 1 or more examinations 73045 01JUL1994 30NOV2017 N Cytology (including serial examinations) for malignancy (other than an examination mentioned in item 73053); and including any Group P5 service, if performed on: (a) specimens resulting from washings or brushings from sites not specified in item 73043; or (b) a single specimen of sputum or urine; or (c) 1 or more specimens of other body fluids; 1 or more tests 73045 01DEC2017 31DEC9999 Y Cytology (including serial examinations) for malignancy (other than an examination mentioned in item 73076); and including any Group P5 service, if performed on: (a) specimens resulting from washings or brushings from sites not specified in item 73043; or (b) a single specimen of sputum or urine; or (c) 1 or more specimens of other body fluids; 1 or more tests 73046 01DEC1991 31DEC9999 Y Cytological examination including serial examinations for malignant cells of body fluids, sputum (single specimen), urine (single specimen), washings or brushings not specified in item 73043/73044 and any histopathological service performed on that cytology specimen one or more examinations 73047 01DEC1991 30JUN1994 N Cytological examination including examination of a series of 3 sputum or urine specimens for malignant cells 73047 01JUL1994 31DEC9999 Y Cytology of a series of 3 sputum or urine specimens for malignant cells 73048 01DEC1991 31DEC9999 Y Cytological examination including examination of a series of three sputum or urine specimens for malignant cells 73049 01DEC1991 30JUN1994 N Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues 73049 01JUL1994 30APR2000 N Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues 73049 01MAY2000 30APR2009 N Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues 73049 01MAY2009 31DEC9999 Y Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues - 1 identified site 73050 01DEC1991 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues 73051 01DEC1991 30JUN1994 N Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist; or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance 73051 01JUL1994 30APR2000 N Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues if: (a) the aspiration is performed by a recognised pathologist; or (b) a recognised pathologist attends the aspiration and performs cytological examination during the attendance 73051 01MAY2000 30JUN2011 N Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues if: (a) the aspiration is performed by a recognised pathologist; or (b) a recognised pathologist attends the aspiration and performs cytological examination during the attendance 73051 01JUL2011 31DEC9999 Y Cytology of material obtained directly from a patient at one identified site by fine needle aspiration of solid tissue or tissues if a recognized pathologist: (a) performs the aspiration; or (b) attends the aspiration and performs cytological examination during the attendance 73052 01DEC1991 31DEC9999 Y Cytological examination of material obtained from a patient by fine needle aspiration of solid tissue or tissues where the aspiration is performed by a recognised pathologist; or where a recognised pathologist attends the aspiration and performs cytological examination during the attendance 73053 01DEC1991 30JUN1994 N Routine cytological examination of smears from cervix for detection of pre-cancerous or cancerous changes in women with no symptoms, signs or recent history suggestive of cervical neoplasia and smears repeated due to an unsatisfactory routine smear - each examination 73053 01JUL1994 19MAR1997 N Cytology of smears from cervix: (a) for detection of pre-cancerous or cancerous changes in women with no symptoms, signs or recent history suggestive of cervical neoplasia; or (b) due to an unsatisfactory smear taken in the circumstances defined in para (a) above; each examination 73053 20MAR1997 31OCT2001 N Cytology of smears from cervix: (a) for detection of precancerous or cancerous changes in women with no symptoms, signs or recent history suggestive of cervical neoplasia; or (b) due to an unsatisfactory smear taken in the circumstances defined in para (a) above; or (c) if there is inadequate information provided to use item 73055; each examination 73053 01NOV2001 31DEC9999 Y Cytology of a smear from cervix where the smear is prepared by direct application of the specimen to a slide, excluding the use of liquid based slide preparation techniques, and the stained smear is microscopically examined by or on behalf of a pathologist - each examination (a) for the detection of precancerous or cancerous changes in women with no symptoms, signs or recent history suggestive of cervical neoplasia, or (b) if a further specimen is taken due to an unsatisfactory smear taken for the purposes of paragraph (a); or (c) if there is inadequate information provided to use item 73055; 73054 01DEC1991 31DEC9999 Y Routine cytological examination of smears from the cervix for detection of pre-cancerous or cancerous changes in women with no symptoms, signs or recent history suggestive of cervical neoplasia and smears repeated due to an unsatisfactory routine smear - each examination 73055 01DEC1991 30JUN1994 N Cytological examination of smears from cervix in association with the management of previously detected abnormalities including precancerous or cancerous conditions, or the investigation of women with symptoms, signs or recent history suggestive of cervical neoplasia, not associated with item 73053 - each examination 73055 01JUL1994 31OCT2001 N Cytology not associated with item 73053, of smears from cervix in association with: (a) the management of previously detected abnormalities including precancerous or cancerous conditions; or (b) the investigation of women with symptoms, signs or recent history suggestive of cervical neoplasia; each test 73055 01NOV2001 30APR2017 N Cytology of a smear from cervix, not associated with item 73053, where the smear is prepared by direct application of the specimen to a slide, excluding the use of liquid based slide preparation techniques, and the stained smear is microscopically examined by or on behalf of a pathologist - each test (a) for the management of previously detected abnormalities including precancerous or cancerous conditions; or (b) for the investigation of women with symptoms, signs or recent history suggestive of cervical neoplasia; 73055 01MAY2017 31DEC9999 Y Cytology of a smear from cervix, not associated with item 73053, where the smear is prepared by direct application of the specimen to a slide, excluding the use of liquid based slide preparation techniques, and the stained smear is microscopically examined by or on behalf of a pathologist - each test: (a) for the management of previously detected abnormalities including precancerous or cancerous conditions; or (b) for the investigation of women with symptoms, signs or recent history suggestive of cervical neoplasia. 73056 01DEC1991 31DEC9999 Y Cytological examination of smears from cervix in association with the management of previously detected abnormalities including pre-cancerous or cancerous conditions, or the investigation of women with symptoms, signs or recent history suggestive of cervical neoplasia, not associated with Item 73054 - each examination 73057 01DEC1991 30JUN1994 N Cytological examination of smears from vagina, not associated with items 73053 or 73055 - each examination 73057 01JUL1994 31OCT2001 N Cytology of smears from vagina, not associated with item 73053 or 73055 nor to monitor hormone replacement therapy - each test 73057 01NOV2001 31DEC9999 Y Cytology of smears from vagina, not associated with item 73053 or 73055 and not to monitor hormone replacement therapy, where the smear is prepared by direct application of the specimen to a slide, excluding the use of liquid based slide preparation techniques, and the stained smear is microscopically examined by or on behalf of a pathologist - each test 73058 01DEC1991 31DEC9999 Y Cytological examination of smears from vagina, not associated with Items 73054 or 73056 - each examination 73059 01NOV1997 31OCT2003 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies 73059 01NOV2003 30APR2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 73061 (Item is subject to rule 13) 73059 01MAY2009 30JUN2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73062 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 73061 (Item is subject to rule 13) 73059 01JUL2009 31DEC2013 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062 and 73063 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 73061 (Item is subject to rule 13) 73059 01JAN2014 31DEC9999 Y Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 73061 (Item is subject to rule 13) 73060 01NOV1997 31OCT2003 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 or more antibodies 73060 01NOV2003 30APR2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 or more antibodies (Item is subject to rule 13) 73060 01MAY2009 30JUN2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73062 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 to 6 antibodies (Item is subject to rule 13) 73060 01JUL2009 31DEC2013 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, and 73063 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 to 6 antibodies (Item is subject to rule 13) 73060 01JAN2014 31DEC9999 Y Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 to 6 antibodies (Item is subject to rule 13) 73061 01NOV2003 30APR2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13) 73061 01MAY2009 30JUN2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73062 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13) 73061 01JUL2009 31DEC2013 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062 and 73063 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13) 73061 01JAN2014 31DEC9999 Y Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13) 73062 01MAY2009 31DEC9999 Y Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues - 2 or more separately identified sites. 73063 01MAY2009 30JUN2011 N Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues, where an employee of the APA also attends the aspiration for confirmation of sample adequacy. 73063 01JUL2011 31DEC9999 Y Cytology of material obtained directly from a patient at one identified site by fine needle aspiration of solid tissue or tissues if an employee of an approved pathology authority attends the aspiration for confirmation of sample adequacy 73064 01MAY2009 30JUN2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73062 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7 to 10 antibodies (Item is subject to rule 13) 73064 01JUL2009 31DEC2013 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062 and 73063 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7 to 10 antibodies (Item is subject to rule 13) 73064 01JAN2014 31DEC9999 Y Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7 to 10 antibodies (Item is subject to rule 13) 73065 01MAY2009 30JUN2009 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73062 and 73051 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 11 or more antibodies (Item is subject to rule 13) 73065 01JUL2009 31DEC2013 N Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062 and 73063 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 11 or more antibodies (Item is subject to rule 13) 73065 01JAN2014 31DEC9999 Y Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 11 or more antibodies (Item is subject to rule 13) 73066 01JUL2011 31DEC9999 Y Cytology of material obtained directly from a patient at 2 or more separately identified sites by fine needle aspiration of solid tissue or tissues if a recognized pathologist: (a) performs the aspiration; or (b) attends the aspiration and performs cytological examination during the attendance 73067 01JUL2011 31DEC9999 Y Cytology of material obtained directly from a patient at 2 or more separately identified sites by fine needle aspiration of solid tissue or tissues if an employee of an approved pathology authority attends the aspiration for confirmation of sample adequacy 73069 01MAY2017 31DEC9999 Y Cytology of a specimen obtained from cervix or vagina, not associated with item 73053, 73055 or 73057, where the slide is prepared by liquid based preparation techniques, and the slide is microscopically examined by or on behalf of a pathologist using manual or semi-automated image analysis methods. 73070 01DEC2017 31DEC9999 Y 73070 A test, including partial genotyping, for oncogenic human papillomavirus that may be associated with cervical pre-cancer or cancer: (a) performed on a liquid based cervical specimen; and (b) for an asymptomatic patient who is at least 24 years and 9 months of age For any particular patient, once only in a 57 month period 73071 01DEC2017 30JUN2022 N 73071 A test, including partial genotyping, for oncogenic human papillomavirus that may be associated with cervical pre-cancer or cancer: (a) performed on a self-collected vaginal specimen; and (b) for an asymptomatic patient who is at least 30 years of age For any particular patient, once only in a 7 year period 73071 01JUL2022 31DEC9999 Y A test, including partial genotyping, for oncogenic human papillomavirus that may be associated with cervical pre-cancer or cancer, if performed: (a) on a self-collected vaginal specimen; and (b) for an asymptomatic patient who is at least 24 years and 9 months of age For any particular patient, applicable once in 57 months 73072 01DEC2017 31OCT2022 N A test, including partial genotyping, for oncogenic human papillomavirus, performed on a liquid based cervical specimen: (a) for the investigation of a patient in a specific population that appears to have a higher risk of cervical pre-cancer or cancer; or (b) for the follow-up management of a patient with a previously detected oncogenic human papillomavirus infection or cervical pre-cancer or cancer; or (c) for the investigation of a patient with symptoms suggestive of cervical cancer; or (d) for the follow-up management of a patient after treatment of high grade squamous intraepithelial lesions or adenocarcinoma in situ of the cervix; or (e) for the follow-up management of a patient with glandular abnormalities; or (f) for the follow-up management of a patient exposed to diethylstilboestrol in utero 73072 01NOV2022 31DEC9999 Y A test, including partial genotyping, for oncogenic human papillomavirus: (a) for the investigation of a patient in a specific population that appears to have a higher risk of cervical pre-cancer or cancer; or (b) for the follow-up management of a patient with a previously detected oncogenic human papillomavirus infection or cervical pre-cancer or cancer; or (c) for the investigation of a patient with symptoms suggestive of cervical cancer; or (d) for the follow-up management of a patient after treatment of high grade squamous intraepithelial lesions or adenocarcinoma in situ of the cervix; or (e) for the follow-up management of a patient with glandular abnormalities; or (f) for the follow-up management of a patient exposed to diethylstilboestrol in utero; or (g) for a patient previously treated for a genital tract malignancy when performed as a co-test for both human papillomavirus (HPV) and liquid-based cytology (LBC). 73073 01DEC2017 30JUN2022 N A test, including partial genotyping, for oncogenic human papillomavirus: (a) performed on a self-collected vaginal specimen; and (b) for the follow-up management of a patient with oncogenic human papillomavirus infection or cervical pre-cancer or cancer that was detected by a test to which item 73071 applies For any particular patient, once only in a 21 month period 73073 01JUL2022 31DEC9999 Y A test, including partial genotyping, for oncogenic human papillomavirus: (a) performed on a self-collected vaginal specimen; and (b) for the follow-up management of a patient with oncogenic human papillomavirus infection or cervical pre-cancer or cancer that was detected by a test to which item 73071 applies 73074 01DEC2017 31OCT2022 N A test, including partial genotyping, for oncogenic human papillomavirus: (a) performed on a liquid based vaginal vault specimen; and (b) for the investigation of a patient following a total hysterectomy 73074 01NOV2022 31DEC9999 Y A test, including partial genotyping, for oncogenic human papillomavirus, for the investigation of a patient following a total hysterectomy. 73075 01DEC2017 31OCT2022 N A test, including partial genotyping, for oncogenic human papillomavirus, if: (a) the test is a repeat of a test to which item 73070, 73071, 73072, 73073, 73074 or this item applies; and (b) the specimen collected for the previous test is unsatisfactory 73075 01NOV2022 31DEC9999 Y A test, including partial genotyping, for oncogenic human papillomavirus, if: (a) the test is a repeat of a test to which item 73070, 73071, 73072, 73074 or this item applies; and (b) the specimen collected for the previous test is unsatisfactory 73076 01DEC2017 31OCT2022 N Cytology of a liquid-based cervical or vaginal vault specimen, where the stained cells are examined microscopically or by automated image analysis by or on behalf of a pathologist, if: (a) the cytology is associated with the detection of oncogenic human papillomavirus infection by: (i) a test to which item 73070, 73071, 73073, 73074 or 73075 applies; or (ii) a test to which item 73072 applies for a patient mentioned in paragraph (a) or (b) of that item; or (b) the cytology is associated with a test to which item 73072 applies for a patient mentioned in paragraph (c), (d), (e) or (f) of that item; or (c) the cytology is associated with a test to which item 73074 applies; or (d) the test is a repeat of a test to which this item applies, if the specimen collected for the previous test is unsatisfactory; or (e) the cytology is for the follow-up management of a patient treated for endometrial adenocarcinoma 73076 01NOV2022 31DEC9999 Y Cytology of a liquid-based cervical or vaginal vault specimen, where the stained cells are examined microscopically or by automated image analysis by or on behalf of a pathologist, if: (a) the cytology is associated with the detection of oncogenic human papillomavirus infection by: (i) a test to which item 73070, 73071, 73074 or 73075 applies; or (ii) a test to which item 73072 applies for a patient mentioned in paragraph (a) or (b) of that item; or (b) the cytology is associated with a test to which item 73072 applies for a patient mentioned in paragraph (c), (d), (e) or (f) of that item; or (c) the cytology is associated with a test to which item 73074 applies; or (d) the test is a repeat of a test to which this item applies, if the specimen collected for the previous test is unsatisfactory; or (e) the cytology is for the follow-up management of a patient treated for endometrial adenocarcinoma 73281 01DEC1991 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of 1 or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood 1 or more estimations 73282 01DEC1991 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of one or more of amniotic fluid, bone marrow, skin and any other tissue or fluid excluding blood one or more estimations 73283 01DEC1991 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood 73284 01DEC1991 31DEC9999 Y Chromosome studies, including preparation, count and karyotyping of blood 73285 01DEC1991 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis); or by fragile Xsite determination 1 or more identifications 73286 01DEC1991 31DEC9999 Y Chromosome identification by banding techniques (using fluorescein, Giemsa, or centromere staining or high resolution analysis); or by fragile Xsite determination one or more identifications 73287 01JUL1993 30JUN1994 N Chromosome studies, including preparation, count, karyotyping and identification by banding techniques or by fragile X-site determination of 1 or more of amniotic fluid, bone marrow, skin and any other tissue or fluid except blood - 1 or more estimations 73287 01JUL1994 30APR2003 N Chromosome studies, including preparation, count, karyotyping and identification by banding techniques or fragile X-site determination of 1 or more of any tissue or fluid except blood - 1 or more tests 73287 01MAY2003 31OCT2008 N Chromosome studies, including preparation, count, karyotyping and identification by banding techniques of 1 or more of any tissue or fluid except blood - 1 or more tests 73287 01NOV2008 30APR2010 N Chromosome studies, (karyotype), by cytogenetic or other comparable techniques, of 1 or more of any tissue or fluid except blood - 1 or more tests 73287 01MAY2010 31DEC9999 Y The study of the whole of every chromosome by cytogenetic or other techniques, performed on 1 or more of any tissue or fluid except blood (including a service mentioned in item 73293, if performed) - 1 or more tests 73288 01NOV2018 31DEC9999 Y Immunohistochemical examination by immunoperoxidase or other labelled antibody techniques using the programmed cell death ligand 1 (PD-L1) antibody of tumour material from a patient diagnosed with non-small cell lung cancer, to determine if the requirements relating to PD-L1 status for access to pembrolizumab under the Pharmaceutical Benefits Scheme are fulfilled. 73289 01JUL1993 30JUN1994 N Chromosome studies, including preparation, count, karyotyping and identification by banding techniques or by fragile X-site determination of blood - 1 or more estimations 73289 01JUL1994 30APR2003 N Chromosome studies, including preparation, count, karyotyping and identification by banding techniques or fragile X-site determination of blood - 1 or more tests 73289 01MAY2003 31OCT2008 N Chromosome studies, including preparation, count, karyotyping and identification by banding techniques of blood - 1 or more tests 73289 01NOV2008 30APR2010 N Chromosome studies, (karyotype), by cytogenetic or other comparable techniques of blood - 1 or more tests 73289 01MAY2010 31DEC9999 Y The study of the whole of every chromosome by cytogenetic or other techniques, performed on blood (including a service mentioned in item 73293, if performed) - 1 or more tests 73290 01MAY2010 31DEC9999 Y The study of the whole of each chromosome by cytogenetic or other techniques, performed on blood or bone marrow, in the diagnosis and monitoringof haematological malignancy (including a service in items 73287 or 73289, if performed). - 1 or more tests. 73291 01MAY2010 31DEC9999 Y Analysis of one or more chromosome regions for specific constitutional genetic abnormalities of blood or fresh tissue in a) diagnostic studies of a person with developmental delay, intellectual disability, autism, or at least two congenital abnormalities, in whom cytogenetic studies (item 73287 or 73289) are either normal or have not been performed; or b) studies of a relative for an abnormality previously identified in such an affected person. - 1 or more tests. 73292 01MAY2010 31DEC9999 Y Analysis of chromosomes by genome-wide micro-array including targeted assessment of specific regions for constitutional genetic abnormalities in diagnostic studies of a person with developmental delay, intellectual disability, autism, or at least two congenital abnormalities (including a service in items 73287, 73289 or 73291, if performed) - 1 or more tests. 73293 01MAY2010 31DEC9999 Y Analysis of one or more regions on all chromosomes for specific constitutional genetic abnormalities of fresh tissue in diagnostic studies of the products of conception, including exclusion of maternal cell contamination. - 1 or more tests. 73294 01MAY2010 31DEC9999 Y Analysis of the PMP22 gene for constitutional genetic abnormalities causing peripheral neuropathy, either as: a) diagnostic studies of an affected person; or b) studies of a relative for an abnormality previously identified in an affected person - 1 or more tests. 73295 01FEB2017 31JUL2020 N Detection of germline BRCA1 or BRCA2 gene mutations, in a patient with platinum-sensitive relapsed ovarian, fallopian tube or primary peritoneal cancer with high grade serous features or a high grade serous component, and who has responded to subsequent platinum-based chemotherapy, requested by a specialist or consultant physician, to determine whether the eligibility criteria for olaparib under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. Maximum one test per lifetime 73295 01AUG2020 31AUG2022 N Detection of germline BRCA1 or BRCA2 pathogenic or likely pathogenic gene variants, in a patient with advanced (FIGO III-IV) high-grade serous or high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer for whom testing of tumour tissue is not feasible, requested by a specialist or consultant physician, to determine eligibility for olaparib under the Pharmaceutical Benefits Scheme (PBS) Maximum of one test per patient's lifetime 73295 01SEP2022 31DEC9999 Y Detection of germline BRCA1 or BRCA2 pathogenic or likely pathogenic gene variants, in a patient with advanced (FIGO III-IV) high-grade serous or high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer for whom testing of tumour tissue is not feasible, requested by a specialist or consultant physician, to determine eligibility for treatment with a poly (adenosine diphosphate [ADP]-ribose) polymerase (PARP) inhibitor under the Pharmaceutical Benefits Scheme (PBS) Maximum of one test per patient's lifetime 73296 01NOV2017 28FEB2021 N Characterisation of germline gene mutations, requested by a specialist or consultant physician, including copy number variation in BRCA1 and BRCA2 genes and one or more of the following genes STK11, PTEN, CDH1, PALB2, or TP53 in a patient with breast or ovarian cancer for whom clinical and family history criteria, as assessed by the specialist or consultant physician who requests the service using a quantitative algorithm, place the patient at >10% risk of having a pathogenic mutation identified in one or more of the genes specified above. 73296 01MAR2021 31OCT2023 N Characterisation of germline gene variants: (a) including copy number variation in: (i) BRCA1 genes; and (ii) BRCA2 genes; and (iii) one or more of the genes STK11, PTEN, CDH1, PALB2 and TP53; and (b) in a patient: (i) with breast, ovarian, fallopian tube or primary peritoneal cancer; and (ii) for whom clinical and family history criteria (as assessed, by the specialist or consultant physician who requests the service, using a quantitative algorithm) place the patient at greater than 10% risk of having a pathogenic or likely pathogenic gene variation identified in one or more of the genes specified in subparagraphs (a)(i), (ii) and (iii); requested by a specialist or consultant physician 73296 01NOV2023 31DEC9999 Y Characterisation of germline gene variants, including copy number variation where appropriate, requested by a specialist or consultant physician: (a) in genes associated with breast, ovarian, fallopian tube or primary peritoneal cancer, which must include at least: (i) BRCA1 and BRCA 2 genes; and (ii) one or more STK11, PTEN, CDH1, PALB2 and TP53 genes; and (b) in a patient: (i) with breast, ovarian, fallopian tube or primary peritoneal cancer; and (ii) for whom clinical and family history criteria place the patient at greater than 10% risk of having a pathogenic or likely pathogenic gene associated with breast, ovarian, fallopian tube or primary peritoneal cancer Once per cancer diagnosis 73297 01NOV2017 28FEB2021 N Characterisation of germline gene mutations, requested by a specialist or consultant physician, including copy number variation in BRCA1 and BRCA2 genes and one or more of the following genes STK11, PTEN, CDH1, PALB2, or TP53 in a patient who is a biological relative of a patient who has had a pathogenic mutation identified in one or more of the genes specified above, and has not previously received a service under item 73296. 73297 01MAR2021 31OCT2021 N Characterisation of germline gene variations: (a) including copy number variation in: (i) BRCA1 genes; and (ii) BRCA2 genes; and (iii) one or more of the genes STK11, PTEN, CDH1, PALB2 and TP53; and (b) in a patient who: (i) is a biological relative of a patient who has had a pathogenic or likely pathogenic gene variation identified in one or more of the genes mentioned in subparagraphs (a)(i), (ii) and (iii); and (ii) has not previously received a service to which item 73295, 73296 or 73297 applies; requested by a specialist or consultant physician 73297 01NOV2021 31OCT2023 N Characterisation of germline gene variants, including copy number variation: in one or more of the following genes: BRCA1; BRCA2; STK11; PTEN; CDH1; PALB2; TP53; and in a patient who: is a biological relative of a patient who has had a pathogenic or likely pathogenic gene variant identified in one or more of the genes mentioned in paragraph (a); and has not previously received a service to which item 73295, 73296 or 73302 applies; requested by a specialist or consultant physician 73297 01NOV2023 31DEC9999 Y Characterisation of germline gene variants, including copy number variation where appropriate, requested by a specialist or consultant physician: (a) in genes associated with breast, ovarian, fallopian tube or primary peritoneal cancer, which may include the following genes: (i) BRCA1 or BRCA2; (ii) STK11, PTEN, CDH1, PALB2 and TP53; and (b) in a patient: (i) who has a biological relative who has had a pathogenic or likely pathogenic gene variant identified in one or more of the genes mentioned in paragraph (a); or (ii) who has not previously received a service to which item 73295, 73296 or 73302 applies Once per variant 73298 01MAY2019 31DEC9999 Y Characterisation of germline gene variants in the following genes: (a) COL4A3; and (b) COL4A4; and (c) COL4A5; in a patient for whom clinical and relevant family history criteria have been assessed by a specialist or consultant physician, who requests the service to be strongly suggestive of Alport syndrome. 73299 01MAY2019 31DEC9999 Y Characterisation of germline gene variants: (a) in the following genes: (i) COL4A3; and (ii) COL4A4; and (iii) COL4A5; (b) in a patient who: (i) is a first degree biological relative of a patient who has had a pathogenic mutation identified in one or more of the genes mentioned in subparagraphs (a)(i), (ii) and (iii); and (ii) has not previously received a service which item 73298 applies; requested by a specialist or consultant physician. 73300 01MAY2003 31OCT2003 N Detection of genetic mutation of the FMR1 gene by nucleic acid amplification (NAA) where: (a) the patient exhibits the specific clinical features of fragile X (A) syndrome, including intellectual disabilities; or (b) the patient has a first or second degree relative with a fragile X (A) mutation 1 or more tests 73300 01NOV2003 31OCT2008 N Detection of genetic mutation of the FMR1 gene by nucleic acid amplification (NAA) where: (a) the patient exhibits one or more of the clinical features of fragile X (A) syndrome, including intellectual disabilities; or (b) the patient has a relative with a fragile X (A) mutation 1 or more tests 73300 01NOV2008 30APR2009 N Detection of mutation of the FMR1 gene where: (a) the patient exhibits one or more of the clinical features of fragile X (A) syndrome, including intellectual disabilities; or (b) the patient has a relative with a fragile X (A) mutation 1 or more tests 73300 01MAY2009 31DEC9999 Y Detection of mutation of the FMR1 gene where: (a) the patient exhibits intellectual disability, ataxia, neurodegeneration, or premature ovarian failure consistent with an FMRI mutation; or (b) the patient has a relative with a FMR1 mutation 1 or more tests 73301 01AUG2020 31AUG2022 N A test of tumour tissue from a patient with advanced (FIGO III-IV), high-grade serous or high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer, requested by a specialist or consultant physician, to determine eligibility relating to BRCA status for access to olaparib under the Pharmaceutical Benefits Scheme (PBS). Applicable once per primary tumour diagnosis 73301 01SEP2022 31DEC9999 Y A test of tumour tissue from a patient with advanced (FIGO III-IV), high grade serous or high grade epithelial ovarian, fallopian tube or primary peritoneal cancer, requested by a specialist or consultant physician, to determine eligibility relating to BRCA status for access to treatment with a poly (adenosine diphosphate [ADP]-ribose) polymerase (PARP) inhibitor under the Pharmaceutical Benefits Scheme (PBS) Applicable once per primary tumour diagnosis 73302 01AUG2020 31DEC9999 Y Characterisation of germline gene variants including copy number variants, in BRCA1 or BRCA2 genes, in a patient who has had a pathogenic or likely pathogenic variant identified in either gene by tumour testing and who has not previously received a service to which items 73295, 73296 or 73297 applies, requested by a specialist or consultant physician. Applicable once per primary tumour diagnosis 73303 01APR2022 31DEC9999 Y A test of tumour tissue from a patient with metastatic castration-resistant prostate cancer, including subsequent characterisation of germline gene variants should tumour tissue testing undertaken during the same service be inconclusive, requested by a specialist or consultant physician, to determine eligibility relating to BRCA status for access to olaparib under the Pharmaceutical Benefits Scheme. Applicable once per primary tumour diagnosis 73304 01APR2022 31DEC9999 Y Detection of germline BRCA1 or BRCA2 pathogenic or likely pathogenic gene variants, in a patient with metastatic castration-resistant prostate cancer, for whom testing of tumour tissue is not clinically feasible, requested by a specialist or consultant physician, to determine eligibility for olaparib under the Pharmaceutical Benefits Scheme. Applicable once per lifetime 73305 01MAY2003 31OCT2008 N Detection of genetic mutation of the FMR1 gene by Southern Blot where the results in item 73300 are inconclusive 73305 01NOV2008 31DEC9999 Y Detection of mutation of the FMR1 gene by Southern Blot analysis where the results in item 73300 are inconclusive 73306 01NOV2023 31DEC9999 Y Gene expression profiling testing using EndoPredict, for the purpose of profiling gene expression in formalin-fixed, paraffin-embedded primary breast cancer tissue from core needle biopsy or surgical tumour sample to estimate the risk of distant recurrence of breast cancer within 10 years, if: (a) the sample is from a new primary breast cancer, which is suitable for adjuvant chemotherapy; and (b) the sample has been determined to be oestrogen receptor positive and HER2 negative by IHC and ISH respectively on surgically removed tumour; and (c) the sample is axillary node negative or positive (up to 3 nodes) with a tumour size of at least 1 cm and no more than 5 cm determined by histopathology on surgically removed tumour; and (d) the sample has no evidence of distal metastasis; and (e) pre-testing of intermediate risk of distant metastases has shown that the tumour is defined by at least one of the following characteristics: (i) histopathological grade 2 or 3; (ii) one to 3 lymph nodes involved in metastatic disease (including micrometastases but not isolated tumour cells); and (f) the service is not administered for the purpose of altering treatment decisions Applicable once per new primary breast cancer diagnosis for any particular patient 73307 01JAN2024 31DEC9999 Y A test of tumour tissue from a patient with advanced (FIGO III-IV), high-grade serous or other high-grade ovarian, fallopian tube or primary peritoneal carcinoma, requested by a specialist or consultant physician, if the test is: (a) to determine eligibility with respect to homologous recombination deficiency (HRD) status, including BRCA1 or BRCA2 status, to provide access to poly (adenosine diphosphate [ADP]-ribose) polymerase (PARP) inhibitor therapy under the Pharmaceutical Benefits Scheme; and (b) including a service described in item 73301 Applicable once per primary tumour diagnosis 73308 01MAY2006 31DEC9999 Y Characterisation of the genotype of a patient for Factor V Leiden gene mutation, or detection of the other relevant mutations in the investigation of proven venous thrombosis or pulmonary embolism - 1 or more tests 73309 01MAY2007 31DEC9999 Y A test described in item 73308, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 73310 01NOV2023 31DEC9999 Y Measurable residual disease (MRD) testing by next-generation sequencing, performed on bone marrow (or a peripheral blood sample if bone marrow cannot be collected) from a patient diagnosed with acute lymphoblastic leukaemia, for the purpose of determining baseline MRD, or facilitating the determination of MRD following combination chemotherapy or after salvage therapy, requested by a specialist or consultant physician practising as a haematologist or oncologist 73311 01MAY2006 31DEC9999 Y Characterisation of the genotype of a person who is a first degree relative of a person who has proven to have 1 or more abnormal genotypes under item 73308 - 1 or more tests 73312 01MAY2007 31DEC9999 Y A test described in item 73311, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 73314 01MAY2006 31OCT2008 N Characterisation of gene rearrangement by nucleic acid amplification in the diagnosis and monitoring of patients with laboratory evidence of: (a) acute myeloid leukaemia; or (b) acute promyelocytic leukaemia; or (c) acute lymphoid leukaemia; or (d) chronic myeloid leukaemia; each test to a maximum of 4 tests in a 12 month period 73314 01NOV2008 30APR2009 N Characterisation of gene rearrangement or the identification of mutations within a known gene rearrangement, in the diagnosis and monitoring of patients with laboratory evidence of: (a) acute myeloid leukaemia; or (b) acute promyelocytic leukaemia; or (c) acute lymphoid leukaemia; or (d) chronic myeloid leukaemia; (Item is subject to Rule 25) 73314 01MAY2009 31DEC9999 Y Characterisation of gene rearrangement or the identification of mutations within a known gene rearrangement, in the diagnosis and monitoring of patients with laboratory evidence of: (a) acute myeloid leukaemia; or (b) acute promyelocytic leukaemia; or (c) acute lymphoid leukaemia; or (d) chronic myeloid leukaemia; 73315 01MAY2007 30APR2009 N A test described in item 73314, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 25) 73315 01MAY2009 31DEC9999 Y A test described in item 73314, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18) 73317 01MAY2006 31DEC9999 Y Detection of the C282Y genetic mutation of the HFE gene and, if performed, detection of other mutations for haemochromatosis where: (a) the patient has an elevated transferrin saturation or elevated serum ferritin on testing of repeated specimens; or (b) the patient has a first degree relative with haemochromatosis; or (c) the patient has a first degree relative with homozygosity for the C282Y genetic mutation, or with compound heterozygosity for recognised genetic mutations for haemochromatosis (Item is subject to rule 20) 73318 01MAY2007 31DEC9999 Y A test described in item 73317, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 20) 73320 01MAY2006 31OCT2006 N Detection of HLA-B27 by nucleic acid amplification 73320 01NOV2006 31DEC9999 Y Detection of HLA-B27 by nucleic acid amplification includes a service described in 71147 unless the service in item 73320 is rendered as a pathologist determinable service. (Item is subject to rule 27) 73321 01MAY2007 31DEC9999 Y A test described in item 73320, if rendered by a receiving APP - 1 or more tests. (Item is subject to rule 18 and 27) 73323 01NOV2007 31OCT2008 N Determination of HLAB5701 status by molecular techniques or cytotoxity assay prior to the initiation of Abacavir therapy including item 71203 if performed. 73323 01NOV2008 31DEC9999 Y Determination of HLAB5701 status by molecular techniques prior to the initiation of Abacavir therapy including item 71203 if performed. 73324 01NOV2008 31DEC9999 Y A test described in item 73323 if rendered by a receiving APP 1 or more tests (Item is subject to Rule 18) 73325 01JUL2011 30JUN2022 N Characterisation of mutations in: (a) the JAK2 gene; or (b) the MPL gene; or (c) both genes; in the diagnostic work-up, by, or on behalf of, the specialist or consultant physician, of a patient with clinical and laboratory evidence of: a) polycythaemia vera; or b) essential thrombocythaemia; 1 or more tests 73325 01JUL2022 31DEC9999 Y Determination of JAK2 V617F variant allele frequency in the diagnostic work-up by, or on behalf of, a specialist or consultant physician, for a patient with clinical and laboratory evidence of a myeloproliferative neoplasm 73326 01JUL2011 31DEC9999 Y Characterisation of the gene rearrangement FIP1L1-PDGFRA in the diagnostic work-up and management of a patient with laboratory evidence of: a) mast cell disease; or b) idiopathic hypereosinophilic syndrome; or c) chronic eosinophilic leukaemia;. 1 or more tests 73327 01JUL2011 31DEC9999 Y Detection of genetic polymorphisms in the Thiopurine S-methyltransferase gene for the prevention of dose-related toxicity during treatment with thiopurine drugs; including (if performed) any service described in item 65075. 1 or more tests 73328 01MAY2012 31DEC9999 Y A test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer requested by, or on behalf of, a specialist or consultant physician to determine if the requirements relating to epidermal growth factor receptor (EGFR) gene status for access to gefitinib under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73330 01MAY2012 31DEC9999 Y A test of tumour tissue from a patient with metastatic colorectal cancer requested by, or on behalf of, a specialist or consultant physician to determine if the requirements relating to Kirsten ras (KRAS) gene mutation status for access to cetuximab under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73332 01MAY2012 30NOV2012 N An in situ hybridization (ISH) test of tumour tissue from a patient with breast cancer (other than in the neoadjuvant setting) requested by, or on behalf of, a specialist or consultant physician to determine if the requirements relating to human epidermal growth factor receptor 2 (HER2) gene mutation status for access to trastuzumab under the Pharmaceutical Benefits Scheme (PBS) or the Herceptin Program are fulfilled. 73332 01DEC2012 31DEC9999 Y An in situ hybridization (ISH) test of tumour tissue from a patient with breast cancer requested by, or on the advice of, a specialist or consultant physician who manages the treatment of the patient to determine if the requirements relating to human epidermal growth factor receptor 2 (HER2) gene amplification for access to trastuzumab under the Pharmaceutical Benefits Scheme (PBS) or the Herceptin Program are fulfilled. 73333 01NOV2012 30JAN2023 N Detection of germline mutations of the von Hippel-Lindau (VHL) gene: (a) in a patient who has a clinical diagnosis of VHL syndrome and: (i) a family history of VHL syndrome and one of the following: (A) haemangioblastoma (retinal or central nervous system); (B) phaeochromocytoma; (C) renal cell carcinoma; or (i) 2 or more haemangioblastomas; or (ii) one haemangioblastoma and a tumour or a cyst of: (A) the adrenal gland; or (B) the kidney; or (C) the pancreas; or (D) the epididymis; or (E) a broad ligament (other than epididymal and single renal cysts, which are common in the general population); or (a) in a patient presenting with one or more of the following clinical features suggestive of VHL syndrome: (i) haemangioblastomas of the brain, spinal cord, or retina; (ii) phaeochromocytoma; (iii) functional extra-adrenal paraganglioma 73333 31JAN2023 31DEC9999 Y Detection of germline mutations of the von Hippel-Lindau (VHL) gene: (a) in a patient who has a clinical diagnosis of VHL syndrome and: (i) a family history of VHL syndrome and one of the following: (A) haemangioblastoma (retinal or central nervous system); (B) phaeochromocytoma; (C) renal cell carcinoma; or (ii) 2 or more haemangioblastomas; or (iii) one haemangioblastoma and a tumour or a cyst of: (A) the adrenal gland; or (B) the kidney; or (C) the pancreas; or (D) the epididymis; or (E) a broad ligament (other than epididymal and single renal cysts, which are common in the general population); or (b) in a patient presenting with one or more of the following clinical features suggestive of VHL syndrome: (i) haemangiblastomas of the brain, spinal cord, or retina; (ii) phaeochromocytoma; (iii) functional extra-adrenal paraganglioma 73334 01NOV2012 31DEC9999 Y Detection of germline mutations of the von Hippel-Lindau (VHL) gene in biological relatives of a patient with a known mutation in the VHL gene 73335 01NOV2012 31DEC9999 Y Detection of somatic mutations of the von Hippel-Lindau (VHL) gene in a patient with: (a) 2 or more tumours comprising: (i) 2 or more haemangioblastomas, or (ii) one haemangioblastoma and a tumour of: (A) the adrenal gland; or (B) the kidney; or (C) the pancreas; or (D) the epididymis; and (b) no germline mutations of the VHL gene identified by genetic testing 73336 01DEC2013 30APR2017 N A test of tumour tissue from a patient with unresectable stage III or stage IV metastatic cutaneous melanoma, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to BRAF V600 mutation status for access to dabrafenib under Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73336 01MAY2017 31OCT2019 N A test of tumour tissue from a patient with unresectable stage III or stage IV metastatic cutaneous melanoma, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to BRAF V600 mutation status for access to dabrafenib or vemurafenib under the Pharmaceutical Benefits Scheme are fulfilled. 73336 01NOV2019 31MAR2020 N A test of tumour tissue from a patient with stage III or stage IV metastatic cutaneous melanoma, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to BRAF V600 mutation status for access to dabrafenib or vemurafenib under the Pharmaceutical Benefits Scheme are fulfilled. 73336 01APR2020 31DEC9999 Y A test of tumour tissue from a patient with stage III or stage IV metastatic cutaneous melanoma, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to BRAF V600 mutation status for access to dabrafenib, vemurafenib or encorafenib under the Pharmaceutical Benefits Scheme are fulfilled. 73337 01JAN2014 30JUN2018 N A test of tumour tissue from a patient diagnosed with non-small cell lung cancer, shown to have non-squamous histology or histology not otherwise specified, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to epidermal growth factor receptor (EGFR) gene status for access to erlotinib or gefitinib under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73337 01JUL2018 31DEC2020 N A test of tumour tissue from a patient diagnosed with non-small cell lung cancer, shown to have non-squamous histology or histology not otherwise specified, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to epidermal growth factor receptor (EGFR) gene status for access to erlotinib, gefitinib or afatinib under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73337 01JAN2021 31OCT2021 N A test of tumour tissue from a patient diagnosed with non-small cell lung cancer, shown to have non-squamous histology or histology not otherwise specified, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to epidermal growth factor receptor (EGFR) gene status for access to an EGFR tyrosine kinase inhibitor listed under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73337 01NOV2021 31OCT2022 N A test of tumour tissue from a patient diagnosed with non-small cell lung cancer, shown to have non-squamous histology or histology not otherwise specified, requested by, or on behalf of, a specialist or consultant physician, to determine: if the requirements relating to epidermal growth factor receptor (EGFR) gene status for access to an EGFR tyrosine kinase inhibitor under the Pharmaceutical Benefits Scheme are fulfilled; or if the requirements relating to EGFR status for access to pembrolizumab under the Pharmaceutical Benefits Scheme are fulfilled. 73337 01NOV2022 31OCT2023 N A test of tumour tissue from a patient diagnosed with non-small cell lung cancer, shown to have non-squamous histology or histology not otherwise specified, requested by, or on behalf of, a specialist or consultant physician, to determine: if the requirements relating to epidermal growth factor receptor (EGFR) gene status for access to an EGFR tyrosine kinase inhibitor under the Pharmaceutical Benefits Scheme are fulfilled; or if the requirements relating to EGFR status for access to an immunotherapy listed under the Pharmaceutical Benefits Scheme are fulfilled. 73337 01NOV2023 31DEC9999 Y A test of tumour tissue from a patient with a new diagnosis of non-small cell lung cancer, shown to have non-squamous histology or histology not otherwise specified, requested by, or on behalf of, a specialist or consultant physician, if the test is: (a) to determine if requirements relating to epidermal growth factor receptor (EGFR) gene status for access to an immunotherapy listed under the Pharmaceutical Benefits Scheme (PBS) are fulfilled; and (b) not associated with a service to which item 73437 or 73438 applies 73338 01APR2014 31DEC2014 N A test of tumour tissue from a patient with metastatic colorectal cancer requested by, or on behalf of, a specialist or consultant physician to determine if the requirements relating to Kirsten ras (KRAS) gene mutation status for access to cetuximab or panitumumab under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73338 01JAN2015 31DEC2021 N A test of tumour tissue from a patient with metastatic colorectal cancer (stage IV), requested by a specialist or consultant physician, to determine if the requirements relating to rat sarcoma oncogene (RAS) gene mutation status for access to cetuximab or panitumumab under the Pharmaceutical Benefits Scheme (PBS) are fulfilled, if: (a) the test is conducted for all clinically relevant mutations on KRAS exons 2, 3 and 4 and NRAS exons 2, 3, and 4; or (b) a RAS mutation is found. 73338 01JAN2022 31DEC9999 Y A test of tumour tissue from a patient with metastatic colorectal cancer (stage IV), requested by a specialist or consultant physician, to determine if: (a) requirements relating to rat sarcoma oncogene (RAS) gene variant status for access to cetuximab or panitumumab under the Pharmaceutical Benefits Scheme are fulfilled, if: the test is conducted for all clinically relevant mutations on KRAS exons 2, 3 and 4 and NRAS exons 2, 3, and 4; or a clinically-relevant RAS variant is detected; and, in cases where no RAS variant is detected (b) the requirements relating to BRAF V600 gene variant status for access to encorafenib under the Pharmaceutical Benefits Scheme are fulfilled. 73339 01NOV2014 31DEC9999 Y Detection of germline mutations in the RET gene in patients with a suspected clinical diagnosis of multiple endocrine neoplasia type 2 (MEN2) requested by a specialist or consultant physician who manages the treatment of the patient. One test. (Item is subject to rule 25) 73340 01NOV2014 31DEC9999 Y Detection of a known mutation in the RET gene in an asymptomatic relative of a patient with a documented pathogenic germline RET mutation requested by a specialist or consultant physician who manages the treatment of the patient. One test. (Item is subject to rule 25) 73341 01JUL2015 31JAN2017 N Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician to determine if requirements relating to ALK gene rearrangement status for access to crizotinib under the Pharmaceutical Benefits Scheme (PBS) are fulfilled. 73341 01FEB2017 05FEB2018 N Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician to determine if requirements relating to ALK gene rearrangement status for access to crizotinib or ceritinib under the Pharmaceutical Benefits Scheme (PBS) are fulfilled 73341 06FEB2018 30APR2020 N Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician to determine if requirements relating to ALK gene rearrangement status for access to crizotinib, ceritinib or alectinib under the Pharmaceutical Benefits Scheme (PBS) are fulfilled 73341 01MAY2020 31OCT2021 N Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician to determine if requirements relating to ALK gene rearrangement status for access to an anaplastic lymphoma kinase inhibitor under the Pharmaceutical Benefits Scheme (PBS) are fulfilled 73341 01NOV2021 31OCT2022 N Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician, to determine: if requirements relating to ALK gene rearrangement status for access to an anaplastic lymphoma kinase inhibitor under the Pharmaceutical Benefits Scheme are fulfilled; or if requirements relating to ALK status for access to pembrolizumab under the Pharmaceutical Benefits Scheme are fulfilled. 73341 01NOV2022 31OCT2023 N Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician, to determine: if requirements relating to ALK gene rearrangement status for access to an anaplastic lymphoma kinase inhibitor under the Pharmaceutical Benefits Scheme are fulfilled; or if requirements relating to ALK status for access to an immunotherapy listed under the Pharmaceutical Benefits Scheme are fulfilled. 73341 01NOV2023 31DEC9999 Y Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with a new diagnosis of locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician, if the test is: (a) to determine if requirements relating to ALK gene rearrangement status for access to an immunotherapy listed under the Pharmaceutical Benefits Scheme (PBS) are fulfilled; and (b) not associated with a service to which item 73437 or 73439 applies 73342 01JAN2016 31DEC9999 Y An in situ hybridisation (ISH) test of tumour tissue from a patient with metastatic adenocarcinoma of the stomach or gastro-oesophageal junction, with documented evidence of human epidermal growth factor receptor 2 (HER2) overexpression by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+ on the same tumour tissue sample, requested by, or on the advice of, a specialist or consultant physician who manages the treatment of the patient to determine if the requirements relating to HER2 gene amplification for access to trastuzumab under the Pharmaceutical Benefits Scheme are fulfilled. 73343 01SEP2017 30NOV2017 N Detection of 17p chromosomal deletions by fluorescence in situ hybridisation, in a patient with relapsed or refractory chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood or bone marrow sample, requested by a specialist or consultant physician, to determine if the requirements for access to idelalisib on the Pharmaceutical Benefits Scheme are fulfilled. 73343 01DEC2017 28FEB2019 N Detection of 17p chromosomal deletions by fluorescence in situ hybridisation, in a patient with relapsed or refractory chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood or bone marrow sample, requested by a specialist or consultant physician, to determine if the requirements for access to idelalisib or ibrutinib on the Pharmaceutical Benefits Scheme are fulfilled. 73343 01MAR2019 31AUG2020 N Detection of 17p chromosomal deletions by fluorescence in situ hybridisation, in a patient with relapsed or refractory chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood or bone marrow sample, requested by a specialist or consultant physician, to determine if the requirements for access to idelalisib, ibrutinib or venetoclax on the Pharmaceutical Benefits Scheme are fulfilled. 73343 01SEP2020 31OCT2021 N Detection of 17p chromosomal deletions by fluorescence in situ hybridisation, in a patient with relapsed or refractory chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood or bone marrow sample, requested by a specialist or consultant physician, to determine if the requirements for access to idelalisib, ibrutinib, venetoclax or acalabrutinib on the Pharmaceutical Benefits Scheme are fulfilled. 73343 01NOV2021 30JUN2023 N Detection of 17p chromosomal deletions by fluorescence in situ hybridisation or genome wide micro-array, in a patient with relapsed or refractory chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood or bone marrow sample, requested by a specialist or consultant physician, to determine if the requirements for access to idelalisib, ibrutinib, venetoclax or acalabrutinib on the Pharmaceutical Benefits Scheme are fulfilled. For any particular patient, applicable not more than once in 12 months. 73343 01JUL2023 31OCT2023 N Detection of 17p chromosomal deletions by fluorescence in situ hybridisation or genome wide micro-array, in a patient with chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood, bone marrow or lymph node sample, requested by a specialist or consultant physician. For any particular patient at initial diagnosis, at disease relapse, or on disease progression only where initiation of, or change in therapy is anticipated. 73343 01NOV2023 31DEC9999 Y Detection of 17p chromosomal deletions by fluorescence in situ hybridisation or genome wide micro-array, in a patient with chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood, bone marrow or lymph node sample, requested by a specialist or consultant physician For any particular patient: (a) at initial diagnosis; or (b) at disease relapse; or (c) on disease progression; but only where initiation of, or change in, therapy is anticipated 73344 01JAN2019 31JUL2020 N Fluorescence in situ hybridization (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small-cell lung cancer (NSCLC), which is of non-squamous histology or histology not otherwise specified, with documented evidence of ROS proto-oncogene 1 (ROS1) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+; and with documented absence of both activating mutations of the epidermal growth factor receptor (EGFR) gene and anaplastic lymphoma kinase (ALK) immunoreactivity by IHC, requested by a specialist or consultant physician to determine if requirements relating to ROS1 gene rearrangement status for access to crizotinib under the Pharmaceutical Benefits Scheme are fulfilled. 73344 01AUG2020 31OCT2021 N Fluorescence in situ hybridization (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small-cell lung cancer (NSCLC), which is of non-squamous histology or histology not otherwise specified, with documented evidence of ROS proto-oncogene 1 (ROS1) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+; and with documented absence of both activating mutations of the epidermal growth factor receptor (EGFR) gene and anaplastic lymphoma kinase (ALK) immunoreactivity by IHC, requested by a specialist or consultant physician to determine if requirements relating to ROS1 gene rearrangement status for access to crizotinib or entrectinib under the Pharmaceutical Benefits Scheme are fulfilled. 73344 01NOV2021 31OCT2022 N Fluorescence in situ hybridization (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small-cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of ROS proto-oncogene 1 (ROS1) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+; and with documented absence of both activating mutations of the epidermal growth factor receptor (EGFR) gene and anaplastic lymphoma kinase (ALK) immunoreactivity by IHC, requested by a specialist or consultant physician, to determine: if requirements relating to ROS1 gene arrangement status for access to crizotinib or entrectinib under the Pharmaceutical Benefits Scheme are fulfilled; or if requirements relating to ROS1 status for access to pembrolizumab under the Pharmaceutical Benefits Scheme are fulfilled. 73344 01NOV2022 31OCT2023 N Fluorescence in situ hybridization (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small-cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of ROS proto-oncogene 1 (ROS1) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+; and with documented absence of both activating mutations of the epidermal growth factor receptor (EGFR) gene and anaplastic lymphoma kinase (ALK) immunoreactivity by IHC, requested by a specialist or consultant physician, to determine: if requirements relating to ROS1 gene arrangement status for access to crizotinib or entrectinib under the Pharmaceutical Benefits Scheme are fulfilled; or if requirements relating to ROS1 status for access to an immunotherapy listed under the Pharmaceutical Benefits Scheme are fulfilled. 73344 01NOV2023 31DEC9999 Y Fluorescence in situ hybridization (FISH) test of tumour tissue from a patient with a new diagnosis of locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of ROS proto-oncogene 1 (ROS1) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+; and with documented absence of both activating mutations of the epidermal growth factor receptor (EGFR) gene and anaplastic lymphoma kinase (ALK) immunoreactivity by IHC, requested by a specialist or consultant physician, if the test is: (a) to determine if requirements relating to ROS1 gene arrangement status for access to an immunotherapy listed under the Pharmaceutical Benefits Scheme (PBS) are fulfilled: and (b) not associated with a service to which item 73437 or 73439 applies 73345 01JUL2018 31DEC9999 Y Testing of a patient for pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of investigating, making or excluding a diagnosis of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73347, 73348, or 73349 applies. The patient must have clinical or laboratory findings suggesting there is a high probability suggestive of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder. 73346 01JUL2018 31DEC9999 Y Testing of a pregnant patient whose carrier status for pathogenic cystic fibrosis transmembrane conductance regulator variants, as well as their reproductive partner carrier status is unknown, for the purpose of determining whether pathogenic cystic fibrosis transmembrane conductance regulator variants are present in the fetus, in order to make or exclude a diagnosis of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder in the fetus when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73350 applies. The fetus must have ultrasonic findings of echogenic gut, with unknown familial cystic fibrosis transmembrane conductance regulator variants. 73347 01JUL2018 31DEC9999 Y Testing of a prospective parent for pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of determining the risk of their fetus having pathogenic cystic fibrosis transmembrane conductance regulator variants. This is indicated when the fetus has ultrasonic evidence of echogenic gut when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73345, 73348, or 73349 applies. 73348 01JUL2018 31DEC2019 N Testing of a patient with a laboratory-established family history of pathogenic cystic fibrosis transmembrane conductance regulator variants, for the purpose of determining whether the patient is an asymptomatic genetic carrier of the pathogenic cystic fibrosis transmembrane conductance regulator variants that have been laboratory established in the family history when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73345, 73347, or 73349 applies. The patient must have a positive family history, confirmed by laboratory findings of pathogenic cystic fibrosis transmembrane conductance regulator variants, with a personal risk of being a heterozygous genetic carrier of at least 6%. (This includes family relatedness of: parents, children, full-siblings, half-siblings, grand-parents, grandchildren, aunts, uncles, first cousins, and first cousins once-removed, but excludes relatedness of second cousins or more distant relationships). 73348 01JAN2020 31DEC9999 Y Testing of a patient with a laboratory-established family history of pathogenic cystic fibrosis transmembrane conductance regulator variants, for the purpose of determining whether the patient is an asymptomatic genetic carrier of the pathogenic cystic fibrosis transmembrane conductance regulator variants that have been laboratory established in the family history, not being a service associated with a service to which item 73345, 73347, or 73349 applies. The patient must have a positive family history, confirmed by laboratory findings of pathogenic cystic fibrosis transmembrane conductance regulator variants, with a personal risk of being a heterozygous genetic carrier of at least 6%. (This includes family relatedness of: parents, children, full-siblings, half-siblings, grand-parents, grandchildren, aunts, uncles, first cousins, and first cousins once-removed, but excludes relatedness of second cousins or more distant relationships). 73349 01JUL2018 31DEC9999 Y Testing of a patient for pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of determining the reproductive risk of the patient with their reproductive partner because their reproductive partner is already known to have pathogenic cystic fibrosis transmembrane conductance regulator variants requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73345, 73347, or 73348 applies. 73350 01JUL2018 31DEC9999 Y Testing of a pregnant patient, where one or both prospective parents are known to be a genetic carrier of pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of determining whether pathogenic cystic fibrosis transmembrane conductance regulator variants are present in the fetus in order to make or exclude a diagnosis of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder in the fetus, when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73346 applies. The fetus must be at 25% or more risk of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder because of known familial cystic fibrosis transmembrane conductance regulator variants. 73351 01FEB2019 31DEC9999 Y A test of tumour tissue that is derived from a new sample from a patient with locally advanced (Stage IIIb) or metastatic (Stage IV) non-small cell lung cancer (NSCLC), who has progressed on or after treatment with an epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI). The test is to be requested by a specialist or consultant physician, to determine if the requirements relating to EGFR T790M gene status for access to osimertinib under the Pharmaceutical Benefits Scheme are fulfilled. 73352 01MAY2020 31DEC9999 Y Characterisation of germline variants causing familial hypercholesterolaemia (which must include the LDLR, PCSK9 and APOB genes), requested by a specialist or consultant physician, for a patient: (a) for whom no familial mutation has been identified; and (b) who has any of the following: (i) a Dutch Lipid Clinic Network score of at least 6; (ii) an LDL-cholesterol level of at least 6.5 mmol/L in the absence of secondary causes; (iii) an LDL-cholesterol level of between 5.0 and 6.5 mmol/L with signs of premature or accelerated atherogenesis Applicable only once per lifetime 73353 01MAY2020 31DEC9999 Y Detection of a familial mutation for a patient who has a first- or second-degree relative with a documented pathogenic germline gene variant for familial hypercholesterolaemia Applicable only once per lifetime 73354 01MAY2020 31DEC9999 Y Characterisation of germline gene variants, including copy number variation, in the MLH1, MSH2, MSH6, PMS2 and EPCAM genes, requested by a specialist or consultant physician, for:(a) a patient with suspected Lynch syndrome following immunohistochemical examination of neoplastic tissue that has demonstrated loss of expression of one or more mismatch repair proteins; or (b) a patient: (i) who has endometrial cancer; and (ii) who is assessed by the specialist or consultant physician as being at a risk of more than 10% of having Lynch syndrome, on the basis of clinical and family history criteria 73355 01MAY2020 31DEC9999 Y Characterisation of germline gene variants, including copy number variation, in the APC and MUTYH genes, requested by a specialist or consultant physician, for a patient: (a) who has adenomatous polyposis; and (b) who is assessed by the specialist or consultant physician as being at a risk of more than 10% of having either of the following, on the basis of clinical and family history criteria: (i) familial adenomatous polyposis; (ii) MUTYH-associated polyposis 73356 01MAY2020 31DEC9999 Y Characterisation of germline gene variants, including copy number variation, in the SMAD4, BMPR1A, STK11 and GREM1 genes, requested by a specialist or consultant physician, for a patient: (a) who has non-adenomatous polyposis; and (b) who is assessed by the specialist or consultant physician as being at a risk of more than 10% of having any of the following, on the basis of clinical and family history criteria: (i) juvenile polyposis syndrome; (ii) Peutz-Jeghers syndrome; (iii) hereditary mixed polyposis syndrome 73357 01MAY2020 28FEB2021 N Characterisation of germline gene variants, including copy number variation, in the genes mentioned in item 73354, 73355 or 73356, requested by a specialist or consultant physician, for a patient: (a) who has a first-degree relative with a pathogenic mutation identified in one or more of those genes; and (b) who has not previously received a service to which any of items 73354, 73355 and 73356 apply 73357 01MAR2021 31DEC9999 Y Characterisation of germline gene variants, including copy number variation, in the genes mentioned in item 73354, 73355 or 73356, requested by a specialist or consultant physician, for a patient: (a) who has a biological relative with a pathogenic mutation identified in one or more of those genes; and (b) who has not previously received a service to which any of items 73354, 73355 and 73356 apply 73358 01MAY2020 31DEC9999 Y Characterisation, via whole exome or genome sequencing and analysis, of germline variants known to cause monogenic disorders, if: (a) the characterisation is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient is aged 10 years or younger and is strongly suspected of having a monogenic condition, based on the presence of: (i) dysmorphic facial appearance and one or more major structural congenital anomalies; or (ii) intellectual disability or global developmental delay of at least moderate severity, as determined by a specialist paediatrician; and (c) the characterisation is performed following the performance for the patient of a service to which item 73292 applies for which the results were non-informative; and (d) the characterisation is not performed in conjunction with a service to which item 73359 applies Applicable only once per lifetime 73359 01MAY2020 31DEC9999 Y Characterisation, via whole exome or genome sequencing and analysis, of germline variants known to cause monogenic disorders, if: (a) the characterisation is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the request for the characterisation states that singleton testing is inappropriate; and (c) the patient is aged 10 years or younger and is strongly suspected of having a monogenic condition, based on the presence of: (i) dysmorphic facial appearance and one or more major structural congenital anomalies; or (ii) intellectual disability or global developmental delay of at least moderate severity, as determined by a specialist paediatrician; and (d) the characterisation is performed following the performance for the patient of a service to which item 73292 applies for which the results were non-informative; and (e) the characterisation is performed using a sample from the patient and a sample from each of the patient's biological parents; and (f) the characterisation is not performed in conjunction with a service to which item 73358 applies Applicable only once per lifetime 73360 01MAY2020 31DEC9999 Y Re-analysis of whole exome or genome data obtained in performing a service to which item 73358 or 73359 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if: (a) the re-analysis is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient is aged 15 years or younger and is strongly suspected of having a monogenic condition; and (c) the re-analysis is performed at least 18 months after: (i) a service to which item 73358 or 73359 applies; or (ii) a service to which this item applies Applicable only twice per lifetime 73361 01MAY2020 31OCT2021 N Detection of a single gene variant for diagnostic purposes, if: (a) the detection is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient has a biological sibling with a known monogenic condition; and (c) a service to which item 73358, 73359 or 73360 applies has identified the causative variant for the sibling's condition; and (d) the results of the testing performed for the sibling are made available for the purpose of providing the detection for the patient; and (e) the detection is not performed in conjunction with a service to which item 73362 or 73363 applies Applicable only once per variant per lifetime 73361 01NOV2021 31DEC9999 Y Testing of a person (the person tested) for the detection of a single gene variant for diagnostic purposes, if: the person tested has a biological sibling (the sibling) with a known monogenic condition; and a service described in item 73358, 73359 or 73360 has identified the causative variant for the sibling's condition; and the results of the testing performed for the sibling are made available for the purpose of providing the detection for the person tested; and the detection is: requested by a consultant physician practising as a clinical geneticist; or requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and the detection is not performed in conjunction with a service to which item 73362 or 73363 applies Applicable only once per variant per lifetime 73362 01MAY2020 31OCT2021 N Detection of a single gene variant for the purpose of reproductive decision making, if: (a) the detection is requested by a consultant physician or specialist; and (b) the patient has a first-degree relative with a known monogenic condition; and (c) a service to which item 73358, 73359 or 73360 applies has identified the causative variant for the relative; and (d) the results of the testing performed for the relative are made available for the purpose of providing the detection for the patient; and (e) the detection is not performed in conjunction with item 73361 or 73363 Applicable only once per variant per lifetime 73362 01NOV2021 31DEC9999 Y Testing of a person (the person tested) for the detection of a single gene variant for the purpose of reproductive decision making, if: the person tested has a first-degree relative (the relative) with a known monogenic condition; and a service described in item 73358, 73359 or 73360 has identified the causative variant for the relative's condition; and the results of the testing performed for the relative are made available for the purpose of providing the detection for the person tested; and the detection is requested by a consultant physician or specialist; and the detection is not performed in conjunction with item 73359, 73361 or 73363 Applicable only once per variant per lifetime 73363 01MAY2020 31OCT2021 N Detection of a single gene variant for segregation purposes in relation to a person, if: (a) the detection is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient: (i) is a biological parent or other biological relative of the person and has a known phenotype of the person; or (ii) is a biological parent of the person and has a suspected monogenic condition; and (c) a sample has not previously been tested for the patient for a service to which item 73359 applies; and (d) a service to which item 73358, 73359 or 73360 applies has identified a potentially causative variant for the person; and (e) the results of the testing performed for the patient are made available for the purpose of providing the detection for the person; and (f) the detection is not performed in conjunction with item 73361 or 73362 Applicable only once per variant per lifetime 73363 01NOV2021 31DEC9999 Y Testing of a person (the person tested) for the detection of a single gene variant for segregation analysis in relation to another person (the patient), if: the patient has a known phenotype of a suspected monogenic condition; and a service described in item 73358 or 73360 has identified a potentially causative variant for the patient; and the person tested is a biological parent or other biological relative of the patient; and a sample from the person tested has not previously been tested in relation to the patient for a service to which item 73359 applies; and the results of the testing of the person tested for this service are made available for the purpose of providing the detection for the patient; and the detection is: requested by a consultant physician practising as a clinical geneticist; or requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and the detection is not performed in conjunction with item 73361 or 73362 Applicable only once per variant per lifetime 73364 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for: (i) the characterisation of MYC gene rearrangement; and (ii) if the results of the characterisation mentioned in subparagraph (i) are positive-the characterisation of either or both of BCL2 gene rearrangement and BCL6 gene rearrangement; and (b) is for a patient: (i) for whom MYC immunohistochemistry is non-negative; and (ii) with clinical or laboratory evidence, including morphological features, of diffuse large B-cell lymphoma or high grade B-cell lymphoma; and (c) is not performed in conjunction with item 73365 Applicable only once per lifetime 73365 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of MYC gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of Burkitt lymphoma; and (c) is not performed in conjunction with item 73364 Applicable only once per lifetime 73366 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) CCND1 gene rearrangement; (ii) CCND2 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of mantle cell lymphoma Applicable only once per lifetime 73367 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the presence of isochromosome 7q; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of hepatosplenic T-cell lymphoma Applicable only once per lifetime 73368 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) DUSP22 gene rearrangement; (ii) TP63 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of ALK negative anaplastic large cell lymphoma Applicable only once per lifetime 73369 01MAY2020 31DEC9999 Y Analysis of blood or bone marrow, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) TCL1A gene rearrangement; (ii) MTCP1 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of T-cell prolymphocytic leukaemia Applicable only once per lifetime 73370 01MAY2020 31DEC9999 Y Analysis of blood or bone marrow, requested by a specialist or consultant physician, that: (a) is for the characterisation of the following: (i) chromosome translocations t(4;14), t(14;16), t(14;20); (ii) 1q gain; (iii) 17p deletion; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of plasma cell myeloma Applicable only once per lifetime 73371 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the detection of chromosome 1p/19q co-deletion; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of glial neoplasm with probable oligodendroglial component Applicable only once per lifetime 73372 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the identification of IDH1/2 pathological variant status; and (b) is for a patient with: (i) negative IDH1 (R132H) immunohistochemistry; and (ii) clinical or laboratory evidence, including morphological features, of glial neoplasm Applicable only once per lifetime 73373 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of MGMT promoter methylation status; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of glioblastoma Applicable only once per lifetime 73374 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of copy number changes, gene rearrangements, or other molecular changes in one of the following genes: (i) MDM2 CNV; (ii) FUS; (iii) DDIT3; (iv) EWSR1; (v) ETV6; (vi) NTRK1; (vii) NTRK3; (viii) COL1A1; (ix) PDGFB; (x) STAT6; (xi) PAX3; (xii) PAX7; (xiii) SS18; (xiv) BCOR; (xv) CIC; (xvi) HEY1; (xvii) ALK; (xviii) USP6; (xix) NR4A3; (xx) NCOA2; (xxi) FOXO1; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of sarcoma Applicable only once per lifetime 73375 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of copy number changes, gene rearrangements, or other molecular changes, in 2 or 3 of the genes mentioned in item 73374; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of sarcoma Applicable only once per lifetime 73376 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of copy number changes, gene rearrangements, or other molecular changes, in 4 or more of the genes mentioned in item 73374; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of sarcoma Applicable only once per lifetime 73377 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the detection of FOXL2.402C>G status; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of granulosa cell ovarian tumour Applicable only once per lifetime 73378 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of NUTM1 gene status at 15q14; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of midline NUT carcinoma Applicable only once per lifetime 73379 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of ETV6-NTRK3 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of secretory carcinoma of the breast Applicable only once per lifetime 73380 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of MAML2 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of mucoepidermoid carcinoma Applicable only once per lifetime 73381 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of ETV6-NTRK3 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of mammary analogue secretory carcinoma of the salivary gland Applicable only once per lifetime 73382 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of EWSR1 gene rearrangement, with or without PLAG1 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of hyalinising clear cell carcinoma of the salivary gland Applicable only once per lifetime 73383 01MAY2020 31DEC9999 Y Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) TFE3 gene rearrangement; (ii) TFEB gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of renal cell carcinoma Applicable only once per lifetime 73384 01NOV2021 31DEC9999 Y Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the pathology services table (see PR.7.1), of samples from the patient and (if relevant) the patient's reproductive partner, for the purpose of providing an assay for pre-implantation genetic testing, requested by a specialist or consultant physician Applicable not more than once per patient episode per disorder (of a kind described in clause 2.7.3A (PR.7.1)) per reproductive relationship 73385 01NOV2021 30JUN2022 N Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the pathology services table (see PR.7.1), of embryonic tissue from a sample from one embryo, if the analysis is: (a) for the purpose of providing a pre-implantation genetic test; and (b) requested by a specialist or consultant physician; and (c) performed in the assisted reproductive treatment cycle in which the embryo was produced Applicable not more than once per embryo 73385 01JUL2022 31DEC9999 Y Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the Pathology Services Table (see PR.7.1), of embryonic tissue from a sample from one embryo, if: (a) the analysis is: (i) requested by a specialist or consultant physician; and (ii) for the purpose of providing a pre-implantation genetic test; and (iii) performed on an embryo that was produced in a single assisted reproductive treatment cycle; and (b) the service is not a service to which item 73386 or 73387 applies for the same assisted reproductive treatment cycle Applicable not more than once per embryo 73386 01NOV2021 30JUN2022 N Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the pathology services table (see PR.7.1), of embryonic tissue from samples from 2 embryos, if the analysis is: (a) for the purpose of providing a pre-implantation genetic test; and (b) requested by a specialist or consultant physician; and (c) performed in the assisted reproductive treatment cycle in which the embryos were produced Applicable not more than once per assisted reproductive treatment cycle, and not more than once for the 2 embryos tested 73386 01JUL2022 31DEC9999 Y Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the Pathology Services Table (see PR.7.1), of embryonic tissue from samples from 2 embryos, if: (a) the analysis is: (i) requested by a specialist or consultant physician; and (ii) for the purpose of providing a pre-implantation genetic test; and (iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and (b) the service is not a service to which item 73385 or 73387 applies for the same assisted reproductive treatment cycle Applicable not more than once per assisted reproductive treatment cycle for the 2 embryos tested 73387 01NOV2021 30JUN2022 N Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the pathology services table (see PR.7.1), of embryonic tissue from samples from 3 or more embryos, if the analysis is: (a) for the purpose of providing a pre-implantation genetic test; and (b) requested by a specialist or consultant physician; and (c) performed in the assisted reproductive treatment cycle in which the embryos were produced Applicable not more than once per assisted reproductive treatment cycle for the 3 or more embryos tested 73387 01JUL2022 31DEC9999 Y Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the Pathology Services Table (see PR.7.1), of embryonic tissue from samples from 3 or more embryos, if: (a) the analysis is: (i) requested by a specialist or consultant physician; and (ii) for the purpose of providing a pre-implantation genetic test; and (iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and (b) the service is not a service to which item 73385 or 73386 applies for the same assisted reproductive treatment cycle Applicable not more than once per assisted reproductive treatment cycle for the 3 or more embryos tested 73388 01NOV2021 31DEC9999 Y Analysis of chromosomes by genome-wide microarray, of a sample from amniocentesis or chorionic villus sampling, including targeted assessment of specific regions for constitutional genetic abnormalities in diagnostic studies of a fetus, if one or more major fetal structural abnormalities have been detected on ultrasound; or nuchal translucency was greater than 3.5 mm Applicable only once per fetus 73389 01NOV2021 31DEC9999 Y Analysis of products of conception from a patient with suspected hydatidiform mole for the characterisation of ploidy status Applicable once per pregnancy 73391 01NOV2021 31DEC9999 Y Analysis of chromosomes by genome-wide microarray in diagnostic studies of a patient with multiple myeloma Applicable once per lifetime 73392 01JUL2022 31DEC9999 Y Characterisation of pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician: (a) in at least the following genes: (i) MYBPC3; (ii) MYH7; (iii) TNNI3; (iv) TNNT2; (v) TPM1; (vi) ACTC1; (vii) MYL2; (viii) MYL3; (ix) PRKAG2; (x) LAMP2; (xi) GLA; (xii) LMNA; (xiii) SCN5A; (xiv) TTN; (xv) RBM20; (xvi) PLN; (xvii) DSP; (xviii) DSC2; (xix) DSG2; (xx) JUP; (xxi) PKP2; (xxii) TMEM43; and (b) for a patient for whom clinical history, family history or laboratory findings suggest there is a high probability of one or more of the following heritable cardiomyopathies in the patient: (i) hypertrophic cardiomyopathy; (ii) dilated cardiomyopathy; (iii) arrhythmogenic cardiomyopathy Applicable once per lifetime 73393 01JUL2022 31DEC9999 Y Characterisation of one or more pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician, if: (a) a service described in item 73392 has not previously been performed for the patient; and (b) the patient is a first-degree biological relative (or a second-degree biological relative if a first-degree biological relative is unavailable) of a person who has a pathogenic or likely pathogenic germline gene variant that is confirmed by laboratory findings; and (c) the service is performed for the purpose of assessing present or future risk of any of the following heritable cardiomyopathies in the patient: (i) hypertrophic cardiomyopathy; (ii) dilated cardiomyopathy; (iii) arrhythmogenic cardiomyopathy Applicable once per variant per lifetime 73394 01JUL2022 31DEC9999 Y Characterisation of one or more recessive pathogenic or likely pathogenic germline genes, requested by a specialist or consultant physician, for the purpose of determining the reproductive risk of heritable cardiomyopathy in a patient: (a) who is a reproductive partner of a known carrier of a pathogenic or likely pathogenic germline gene that is confirmed by laboratory findings ; and (b) for whom carrier status of a pathogenic or likely pathogenic germline gene is unknown; and (c) who has a clinical history, family history or laboratory findings suggesting there is a low probability of heritable cardiomyopathy Applicable once per gene per lifetime 73395 01JUL2022 31DEC9999 Y Re-analysis of whole exome or genome data that is obtained in performing a service to which item 73392 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if: (a) the re-analysis is requested by a consultant physician practising as a clinical geneticist or a cardiologist; and (b) the patient is strongly suspected of having a heritable cardiomyopathy; and (c) the re-analysis is performed at least 18 months after a service to which item 73392 or this item applies is performed for the patient Applicable twice per lifetime 73396 01JUL2022 31DEC9999 Y Characterisation of variants in the JAK2 exon 12 in the diagnostic work-up of a patient with clinical and laboratory evidence of polycythaemia vera, requested by a specialist or consultant physician 73397 01JUL2022 31DEC9999 Y Characterisation of variants in both the CALR and MPL genes in the diagnostic work-up of a patient with clinical and laboratory evidence of essential thrombocythaemia or primary myelofibrosis, requested by a specialist or consultant physician 73398 01JUL2022 31DEC9999 Y Characterisation of variants in at least 8 genes, which must include all of the following genes: (a) JAK2 (including exons 12 and 14); (b) CALR; (c) MPL; in the diagnostic work-up of a patient with clinical and laboratory evidence of polycythaemia vera or essential thrombocythaemia, requested by a specialist or consultant physician Applicable to one test per diagnostic episode 73399 01JUL2022 31DEC9999 Y Characterisation of variants in at least 20 genes, which must include all of the following genes: (a) JAK2 (including exons 12 and 14); (b) CALR; (c) MPL; in the diagnostic work-up of a patient, with clinical and laboratory evidence of primary myelofibrosis, who is eligible for a stem cell transplant, requested by a specialist or consultant physician Applicable to one test per diagnostic episode 73401 01JUL2022 31DEC9999 Y Characterisation, by whole exome or genome sequencing and analysis, of germline gene variants in one or more of the genes implicated in heritable cystic kidney disease, if: (a) the service is requested by a consultant physician practising as: (i) a clinical geneticist; or (ii) a specialist nephrologist; and (b) the patient has a renal abnormality and is strongly suspected of having a monogenic condition Applicable once per lifetime 73402 01JUL2022 31DEC9999 Y Characterisation, by whole exome or genome sequencing and analysis, of germline gene variants in one or more of the genes implicated in heritable kidney disease, if: (a) the service is requested by a consultant physician practising as: (i) a clinical geneticist; or (ii) a specialist nephrologist; and (b) the patient has chronic kidney disease (other than cystic disease or Alport syndrome) and is strongly suspected of having a monogenic condition Applicable once per lifetime 73403 01JUL2022 31DEC9999 Y Re-analysis of genetic data obtained in performing a service to which item 73401 or 73402 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if: (a) the re-analysis is requested by a consultant physician practising as a clinical geneticist or a specialist paediatrician; and (b) the patient has a strong clinical suspicion of a monogenic condition; and (c) a service to which item 73401, 73402 or this item applies has not been performed for the patient in the previous 18 months Applicable twice per lifetime 73404 01JUL2022 31DEC9999 Y Detection of a single gene variant in a patient, if: (a) the service is requested by: (i) a clinical geneticist; or (ii) a specialist or consultant physician providing professional genetic counselling services; and (b) the patient has a first-degree relative with a known monogenic cause of kidney disease; and (c) a service described in item 73401, 73402, or 73403 has identified the causative variant for the disease for the relative Applicable once per variant per lifetime 73405 01JUL2022 31DEC9999 Y Detection of one or more variants of a single gene known to cause heritable kidney disease, for the purpose of reproductive decision making, if: (a) the detection is requested by a consultant physician practising as: (i) a clinical geneticist; or (ii) a specialist nephrologist; and (b) the patient is the reproductive partner of an individual known to be a carrier of a pathogenic variant that causes heritable kidney disease that has a recessive mode of inheritance; and (c) a service described in item 73401, 73402, 73403 or 73404 has identified the causative gene for the patient's partner; and (d) the detection test methodology has sufficient diagnostic range and sensitivity to detect at least 95% of pathogenic variants likely to be present in the patient 73406 01JUL2022 31DEC9999 Y Testing of a pregnant patient, for the purpose of determining whether monogenic variants are present in the fetus, if: (a) the service is requested by a consultant physician practising as: (i) a clinical geneticist; or (ii) a specialist nephrologist; and (b) the patient or the patient's reproductive partner (or both) are known to be affected by, or are carriers of, a known pathogenic variant that causes heritable kidney disease; and (c) the fetus is at risk, of at least 25%, of inheriting a monogenic variant known to cause kidney disease 73410 01JUL2022 31OCT2022 N Deletion testing of HBA1 and HBA2 for: (a) the diagnosis of alpha thalassaemia in a patient of reproductive age: (i) who has abnormal red cell indices; and (ii) for whom thalassaemia screening for beta-thalassaemia was not conclusive; and (iii) who does not have a concurrent iron deficiency (or who, irrespective of iron status, is pregnant); and (iv) who has no historic normal cell indices; or (b) the determination of carrier status in a person: (i) who is a reproductive partner of a person of child-bearing potential with diagnosed alpha thalassaemia; and (ii) who has abnormal red cell indices; and (iii) who does not have a concurrent iron deficiency (See para PN.7.5 of explanatory notes to this Category) 73410 01NOV2022 31DEC9999 Y Deletion testing of HBA1 and HBA2 for: (a) the diagnosis of alpha thalassaemia in a patient of reproductive age: (i) who has abnormal red cell indices; and (ii) for whom thalassaemia screening was suggestive of thalassaemia; and (iii) who does not have a concurrent iron deficiency (or who, irrespective of iron status, is pregnant); and (iv) who has no historic normal cell indices; or (b) the determination of carrier status in a person: (i) who is a reproductive partner of a person of child-bearing potential with diagnosed alpha thalassaemia; and (ii) who has abnormal red cell indices; and (iii) who does not have a concurrent iron deficiency (See para PN.7.5 of explanatory notes to this Category) 73411 01JUL2022 31DEC9999 Y Sequencing of HBA1 or HBA2, if the results of deletion testing described in item 73410 were inconclusive and a less common or rare variant is suspected, either: (a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or (b) for the determination of carrier status in a reproductive partner of a person of child-bearing potential with diagnosed alpha thalassaemia Applicable once per gene per lifetime 73412 01JUL2022 31DEC9999 Y Deletion testing of HBA1 and HBA2, if the results of deletion testing described in item 73410 were inconclusive and a large deletion variant is suspected, either: (a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or (b) for the determination of carrier status in a reproductive partner of a person of child-bearing potential with diagnosed alpha thalassaemia 73413 01JUL2022 31DEC9999 Y Non-deletion testing of HBA1 and HBA2 using techniques other than sequencing, if the results of deletion testing described in item 73410 were inconclusive, either: (a) for the diagnosis of alpha thalassaemia in a patient of reproductive age ; or (b) for the determination of carrier status in a reproductive partner of a person of child-bearing potential with diagnosed alpha thalassaemia 73416 01JUL2022 31DEC9999 Y Detection of germline gene variants, including copy number variation, requested by a specialist or consultant physician: (a) in at least the following genes: (i) KCNQ1; (ii) KCNH2; (iii) SCN5A; (iv) KCNE1; (v) KCNE2; (vi) KCNJ2; (vii) CACNA1C; (viii) RYR2; (ix) CASQ2; (x) CAV3; (xi) SCN4B; (xii) AKAP9; (xiii) SNTA1; (xiv) KCNJ5; (xv) ALG10; (xvi) CALM1; (xvii) CALM2; (xviii) ANK2; (xix) TECRL; (xx) TRDN; and (b) for a patient for whom clinical or family history criteria is suggestive of inherited cardiac arrhythmias or channelopathies that place the patient at greater than 10% risk of having a pathogenic variant Applicable once per lifetime 73417 01JUL2022 31DEC9999 Y Characterisation of one or more pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician, if: (a) the patient is a first-degree or second-degree biological relative of a person with a pathogenic or likely pathogenic germline gene variant that is confirmed by laboratory findings; and (b) the service is performed for the purpose of assessing present or future risk of a cardiac arrhythmia or channelopathy; and (c) a service to which item 73416 applies has not previously been performed for the patient Applicable once per variant per lifetime 73418 01JUL2022 31OCT2023 N Characterisation of one or more recessive pathogenic or likely pathogenic germline genes, requested by a specialist or consultant physician, for the purpose of determining the reproductive risk of cardiac arrhythmia or channelopathy in a patient: (a) who is a reproductive partner of a person who is a known carrier of a pathogenic or likely pathogenic germline gene variant of a gene confirmed by laboratory findings; and (b) for whom a service to which item 73416 applies has not previously been performed; and (c) for whom carrier status of a pathogenic or likely pathogenic germline gene variant is unknown; and (d) who has a clinical history, family history or laboratory findings suggesting there is a low probability of cardiac arrhythmia or channelopathy Applicable once per variant per lifetime 73418 01NOV2023 31DEC9999 Y Characterisation of one or more recessive pathogenic or likely pathogenic germline genes, requested by a specialist or consultant physician, for the purpose of determining the reproductive risk of cardiac arrhythmia or channelopathy in a patient: (a) who is a reproductive partner of a person who is a known carrier of a pathogenic or likely pathogenic germline gene variant of a gene confirmed by laboratory findings; and (b) for whom a service to which item 73416 applies has not previously been performed; and (c) for whom carrier status of a pathogenic or likely pathogenic germline gene variant is unknown; and (d) who has a clinical history, family history or laboratory findings suggesting there is a low probability of cardiac arrhythmia or channelopathy Applicable once per gene per lifetime 73419 01JUL2022 31DEC9999 Y Re-analysis of whole exome or genome data that was obtained in performing a service to which item 73416 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if: (a) the re-analysis is requested by a consultant physician practising as a clinical geneticist or a cardiologist; and (b) the patient is strongly suspected of having inheritable cardiac arrhythmia or channelopathies; and (c) the service is performed at least 18 months after a service to which item 73416 or this item applies was performed for the patient Applicable twice per lifetime 73420 01JUL2022 31DEC9999 Y Non-invasive prenatal testing of blood from an RhD negative pregnant patient for the detection of the RHD gene from fetal DNA circulating in maternal blood 73421 01JUL2022 31DEC9999 Y Non-invasive prenatal testing of blood from an RhD negative pregnant patient (in a singleton pregnancy) for the detection of the RHD gene from fetal DNA circulating in maternal blood, if the patient is alloimmunised with immune Anti-D 73422 01NOV2022 31DEC9999 Y Characterisation of a gene variant or gene variants using a gene panel, in a patient presenting with clinical signs and symptoms suggestive of a genetic neuromuscular disorder (other than signs and symptoms associated with variants that are not detected by massively parallel sequencing), if the service is requested: (a) by a specialist or consultant physician; and (b) after exclusion of non-genetic causes Applicable once per lifetime 73423 01NOV2022 31DEC9999 Y Detection of a single identified gene variant, in a biological relative of a person with a germline gene variant for a neuromuscular disorder identified by a service described in item 73422, 73425 or 73426, if the service is requested by a specialist or consultant physician Applicable once per variant 73424 01NOV2022 31DEC9999 Y Prenatal detection of an actionable pathogenic familial gene variant or gene variants (including maternal cell contamination assessment), requested by a specialist or consultant physician, for a genetic neuromuscular disorder previously identified in an index person in the patient's family as a result of a service described in item 73422 Applicable once per pregnancy 73425 01NOV2022 31DEC9999 Y Prenatal detection of unknown gene variants (including maternal cell contamination assessment) using a gene panel, if: (a) the service is requested: (i) by a specialist or consultant physician, for a suspected genetic neuromuscular disorder; and (ii) after exclusion of non-genetic causes; and (b) the service is performed using a sample from the fetus; and (c) the service is not performed in conjunction with a service to which item 73426 applies Applicable once per pregnancy 73426 01NOV2022 31DEC9999 Y Prenatal detection of unknown gene variants (including maternal cell contamination assessment) using a gene panel, if: (a) the service is requested: (i) by a specialist or consultant physician; and (ii) for a suspected genetic neuromuscular disorder; and (iii) after exclusion of non-genetic causes; and (b) the request states that singleton testing is inappropriate; and (c) the service is performed using a sample from the fetus and a sample from each of the fetus's biological parents; and (d) the service is not performed in conjunction with a service to which item 73425 applies Applicable once per pregnancy 73427 01NOV2022 30JUN2023 N Single gene testing for the characterisation of a germline gene variant or germline gene variants, if requested by a specialist or consultant physician, within the same gene in which the patient's reproductive partner has a documented pathogenic germline recessive gene variant for a neuromuscular disorder identified by a service described in item 73422, 73425 or 73426 Applicable once per gene 73427 01JUL2023 31DEC9999 Y Single gene testing for the characterisation of a germline gene variant or germline gene variants: (a) if requested by a specialist or consultant physician; and (b) within the same gene in which the patient's reproductive partner has a documented pathogenic germline recessive gene variant for a neuromuscular disorder identified by a service described in: (i) item 73422, 73425 or 73426; or (ii) item 73434, if the patient has been provided a service described in item 73434 and that service has not identified a relevant variant Applicable once per gene 73428 01NOV2022 31DEC9999 Y Re-analysis of whole genome or exome data obtained in performing a service described in item 73422, 73425 or 73426, for characterisation of previously unreported gene variants related to the clinical phenotype, if the re-analysis is requested by: (a) a consultant physician practicing as a clinical geneticist; or (b) a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist Applicable twice per lifetime 73429 01JUL2023 31DEC9999 Y Genetic testing (including characterisation of single nucleotide variants, structural variants, fusions and copy number alterations) in a single gene panel, requested by a specialist or consultant physician, for a patient with clinical or laboratory evidence of a glioma, glioneuronal tumour or glioblastoma, to aid diagnosis and classification of the relevant tumour, including assessments of at least the following kinds: (a) IDH1, IDH2-variant testing; (b) 1p/19q-co-deletion assessment; (c) H3F3A-variant status; (d) TERT-promoter variant status; (e) EGFR-amplification; (f) CDKN2A/B-deletion; (g) BRAF-variants Applicable to one test per diagnostic episode 73430 01JUL2022 31DEC9999 Y Fluorescence in-situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic solid tumour, if: (a) the tumour is at risk of being caused by a neurotrophic receptor tyrosine kinase (NTRK) gene fusion as determined by either: (i) occurring in a child less than 18 years of age; or (ii) being mammary analogue secretory carcinoma of the salivary gland; or (iii) being secretory breast carcinoma; and (b) the test is requested by a specialist or consultant physician to determine if requirements relating to NTRK gene fusion status for access to a tropomyosin receptor kinase (Trk) inhibitor under the Pharmaceutical Benefits Scheme are fulfilled This item cannot be claimed if item 73433 has been claimed for the same patient during the same cancer diagnosis Applicable only once per cancer diagnosis 73431 01JUL2022 31DEC9999 Y Two tests described in item 73430 73432 01JUL2022 31DEC9999 Y Three or more tests described in item 73430 73433 01JUL2022 31DEC9999 Y Next generation sequencing (NGS) test for neurotrophic receptor tyrosine kinase (NTRK1, NTRK2, NTRK3) fusions by RNA or DNA in tumour tissue from a patient with locally advanced or metastatic solid tumour, if: (a) the tumour is at risk of being caused by an NTRK gene fusion as determined by either: (i) occurring in a child less than 18 years of age; or (ii) being mammary analogue secretory carcinoma of the salivary gland; or (iii) being secretory breast carcinoma; (b) the test is requested by a specialist or consultant physician to determine if requirements relating to NTRK gene fusion status for access to a tropomyosin receptor kinase (Trk) inhibitor under the Pharmaceutical Benefits Scheme are fulfilled This item cannot be claimed if item 73430 has been claimed for the same patient during the same cancer diagnosis Applicable only once per cancer diagnosis 73434 01JUL2023 31DEC9999 Y Detection of pathogenic or likely pathogenic gene variants, requested by a specialist or consultant physician, for any of the following: (a) a patient with a suspected neuromuscular disorder; (b) a relative of a patient with a pathogenic or likely pathogenic germline gene variant associated with a neuromuscular disorder (confirmed by laboratory findings); (c) the reproductive partner of a patient with a recessive pathogenic or likely pathogenic germline gene variant associated with a neuromuscular disorder (confirmed by laboratory findings) Applicable once per gene per lifetime 73435 01JUL2023 31DEC9999 Y Detection of pathogenic or likely pathogenic DUX4 gene variants, requested by a specialist or consultant physician, for: (a) a patient with a suspected neuromuscular disorder; or (b) a relative of a patient with a pathogenic or likely pathogenic germline gene variant associated with a neuromuscular disorder (confirmed by laboratory findings) Applicable once per gene per lifetime 73436 01NOV2022 31OCT2023 N A test of tumour tissue from a patient diagnosed with locally advanced or metastatic non-small cell lung cancer requested by, or on behalf of, a specialist or consultant physician to determine if the requirements relating to MET proto-oncogene, receptor tyrosine kinase (MET) exon 14 skipping alterations (METex14sk) status for access to tepotinib are fulfilled under the Pharmaceutical Benefits Scheme 73436 01NOV2023 31DEC9999 Y A test of tumour tissue from a patient with a new diagnosis of locally advanced or metastatic non-small cell lung cancer requested by, or on behalf of, a specialist or consultant physician, if the test is: (a) to determine if the requirements relating to MET proto-oncogene, receptor tyrosine kinase (MET) exon 14 skipping alterations (METex14sk) status for access to an immunotherapy listed under the Pharmaceutical Benefits Scheme (PBS) are fulfilled: and (b) not associated with a service to which item 73437 or 73438 applies 73437 01NOV2023 31DEC9999 Y A nucleic acid-based multi-gene panel test of tumour tissue from a patient with a new diagnosis of non-small cell lung cancer requested by, or on behalf of, a specialist or consultant physician, if the test is: (a) to detect variants in at least EGFR, BRAF, KRAS and MET exon 14 to determine access to specific therapies relevant to these variants listed on the Pharmaceutical Benefits Scheme (PBS); and (b) to detect the fusion status of at least ALK, ROS1, RET, NTRK1, NTRK2 and NTRK3; and (i) to determine access to specific therapies relevant to these variants listed on the PBS; or (ii) determine if the requirements relating to EGFR, ALK and ROS1 status for access immunotherapies listed on the PBS are fulfilled; and (c) not associated with a service to which item 73438, 73439, 73337, 73341, 73344, 73436 or 73351 applies 73438 01NOV2023 31DEC9999 Y A DNA-based multi-gene panel test of tumour tissue from a patient with a new diagnosis of non-small cell lung cancer requested by, or on behalf of, a specialist or consultant physician, if the test is: (a) to detect variants in at least EGFR, BRAF, KRAS and MET exon 14; and (b) to determine access to specific therapies relevant to these variants listed on the Pharmaceutical Benefits Scheme (PBS); or (c) to determine if the requirements relating to EGFR status for access to immunotherapies listed on the PBS are fulfilled; and (d) not associated with a service to which item 73437, 73337, 73436 or 73351 applies 73439 01NOV2023 31DEC9999 Y A nucleic acid-based multi-gene panel test of tumour tissue from a patient with a new diagnosis of non-small cell lung cancer and with documented absence of activating variants of the EGFR gene, KRAS, BRAF and MET exon14, requested by, or on behalf of, a specialist or consultant physician, if the test is: (a) to determine the fusion status of at least ALK, ROS1, RET, NTRK1, NTRK2, and NTRK3 to determine access to specific therapies relevant to these variants listed on the Pharmaceutical Benefits Scheme (PBS) are fulfilled; or (b) to determine if the requirements relating to ALK and ROS1 status for access to immunotherapies listed on the PBS are fulfilled; and (c) not associated with a service to which item 73437, 73341, 73344 or 73351 applies 73440 01NOV2023 31DEC9999 Y Genomic testing and copy number variant analysis of genes known to be causative or likely causative of childhood hearing loss in a patient, if:(a) the testing and analysis is requested by a specialist or consultant physician; and(b) the patient has congenital or childhood onset hearing loss that presented before the patient was 18 years of age and is permanent moderate, severe, or profound (>40 dB in the worst ear over 3 frequencies) and classified as sensorineural, auditory neuropathy or mixed; and(c) the patient is not eligible for a service to which item 73358 or 73359 applies; and(d) the testing and analysis is not associated with a service to which item 73441 applies Applicable once per lifetime 73441 01NOV2023 31DEC9999 Y Genomic testing and copy number variant analysis of relevant genes known to be causative or likely causative of childhood hearing loss in a patient, if:(a) the testing and analysis is requested by a specialist or consultant physician; and(b) the patient has congenital or childhood onset hearing loss that presented before the patient was 18 years of age and is permanent bilateral moderate, severe, or profound (>40 dB in the worst ear over 3 frequencies) and classified as sensorineural, auditory neuropathy or mixed; and(c) the testing and analysis is performed using a sample from the patient and a sample from each of the patient's biological parents; and(d) the patient is not eligible for a service to which item 73358 or 73359 applies; and(e) the testing and analysis is not associated with a service to which item 73440 applies Applicable once per lifetime 73442 01NOV2023 31DEC9999 Y Re-analysis of whole exome or genome data obtained under a service to which item 73440 or 73441 applies, for characterisation of previously unreported germline gene variants for childhood hearing loss in a patient, if:(a) the re-analysis is requested by a specialist or consultant physician; and(b) the re-analysis is performed at least 24 months after:(i) the service to which items 73440 or 73441 applies has been provided to the patient; or(ii) a service to which this item applies is performed for the patient Applicable twice per lifetime 73443 01NOV2023 31DEC9999 Y Characterisation of one or more familial germline gene variants known to be causative or likely causative of childhood hearing loss in a person, if:(a) the person tested is a biological relative of a patient with a germline gene variant known to be causative or likely causative of hearing loss confirmed by laboratory findings; and(b) the result of a previous proband testing is made available to the laboratory undertaking the characterisation 73444 01NOV2023 31DEC9999 Y Characterisation of all germline variants in one or more genes known to cause hearing loss in a person, if:(a) the characterisation is requested by a specialist or consultant physician; and(b) the characterisation is for the reproductive partner of a patient with a pathogenic or likely pathogenic recessive germline gene variant known to cause hearing loss confirmed by laboratory findings; and(c) the result of the patient's previous testing is made available to the laboratory undertaking the characterisation 73445 01NOV2023 31DEC9999 Y Characterisation of a variant or variants in a panel of at least 25 genes using DNA and RNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of myeloid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse 73446 01NOV2023 31DEC9999 Y Characterisation of a variant or variants in a panel of at least 25 genes using DNA and RNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse 73447 01NOV2023 31DEC9999 Y Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of myeloid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse 73448 01NOV2023 31DEC9999 Y Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse 73451 01NOV2023 31DEC9999 Y Testing of a patient who is pregnant, or planning pregnancy, to identify carrier status for pathogenic or likely pathogenic variants in the following genes, for the purpose of determining reproductive risk of cystic fibrosis, spinal muscular atrophy or fragile X syndrome: CFTR; SMN1; FMR1 One test per lifetime. 73452 01NOV2023 31DEC9999 Y Testing of the reproductive partner of a patient who has been found to be a carrier of a pathogenic or likely pathogenic variant in the CFTR or SMN1 gene identified by testing under item 73451, for the purpose of determining the couple's reproductive risk of cystic fibrosis or spinal muscular atrophy One test per condition per lifetime 73453 01NOV2023 31DEC9999 Y Characterisation of germline pathogenic or likely pathogenic gene variants: (a) in at least the following genes: (i) ASPA; (ii) BLM; (iii) CFTR; (iv) ELP1; (v) FANCA; (vi) FANCC; (vii) FANCG; (viii) FMR1; (ix) G6PC1; (x) GBA1; (xi) HEXA; (xii) MCOLN1; (xiii) SLC37A4; (xiv) SMN1; (xv) SMPD1; and (b) in a patient of reproductive age who is of Ashkenazi Jewish descent for the purpose of ascertaining the patient's carrier status for the following: (i) Bloom syndrome (ii) Canavan disease (iii) Cystic fibrosis (iv) Familial dysautonomia (v) Fanconi anaemia type C (vi) Fragile-X syndrome (vii) Gaucher disease (viii) Glycogen storage disease type I (ix) Mucolipidosis type IV (x) Niemann-Pick disease type A 7 (xi) Spinal muscular atrophy (xii) Tay-Sachs disease Applicable once per lifetime 73454 01NOV2023 31DEC9999 Y Whole gene sequencing of a gene or genes described in item 73453, in a patient who is the reproductive partner of an individual who is affected by, or is a known genetic carrier of, one or more conditions described in item 73453 (other than cystic fibrosis, fragile-X syndrome or spinal muscular atrophy), for the purpose of determining the couple's combined reproductive risk of the conditions, if: (a) the patient is not eligible for a service to which item 73453 applies; and (b) the patient has not received a service to which item 73453 applies; and (c) the patient has not received a service to which this item applies for the purpose of determining the patient's reproductive risk with the patient's current reproductive partner Applicable once per couple per lifetime 73455 01NOV2023 31DEC9999 Y Testing of a pregnant patient, if at least one prospective parent is known to be affected by, or is a genetic carrier of, one or more conditions described in item 73453, for the purpose of determining whether a familial variant or variants are present in the fetus, if: (a) the testing is requested by a specialist or consultant physician; and (b) there is at least a 25% risk of the fetus inheriting a condition described in paragraph (b) of item 73453 73456 01NOV2023 31DEC9999 Y "Characterisation by whole genome sequencing, or by either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is requested by a specialist or consultant physician; and (b) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or ""failure to thrive""in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease, or any of the above; and (c) the service is not a service associated with a service to which item 73358, 73359 or 73457 applies Applicable only once per lifetime" 73457 01NOV2023 31DEC9999 Y "Characterisation by whole genome sequencing, or either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA, of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is performed using a sample from the patient and a sample from each of the patient's biological parents; and (b) the request for the characterisation states that singleton testing is inappropriate; and (c) the characterisation is requested by a specialist or consultant physician; and (d) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or ""failure to thrive""in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (e) the service is not a service associated with a service to which item 73358, 73359 or 73456 applies Applicable only once per lifetime" 73458 01NOV2023 31DEC9999 Y Re-analysis of whole genome or whole exome or mitochondrial DNA data obtained in performing a service to which item 73456 or 73457 applies, for characterisation of previously unreported germline variants related to the clinical phenotype, if: (a) the re-analysis is requested by a specialist or consultant physician; and (b) the patient is strongly suspected of having a monogenic mitochondrial disease; and (c) the re-analysis is performed at least 24 months after: (i) the service to which item 73456 or 73457 applies; or (ii) a service to which this item applies Applicable twice per lifetime 73459 01NOV2023 31DEC9999 Y Testing for diagnostic purposes of a pregnant patient, for detection in the fetus of a gene variant or variants present in the parents, if: (a) the gene variant or variants are: (i) a variant or variants in the mitochondrial genome identified in the oocyte donating parent; or (ii) autosomal recessive variants identified in both biological parents within the same gene; or (iii) an autosomal dominant or X-linked variant identified in either biological parent; or (iv) identified in a biological sibling of the fetus; and (b) the causative variant or variants for the condition of the fetus' first-degree relative have been confirmed by laboratory findings; and (c) the detection is requested by a specialist or consultant physician; and (d) the service is not a service associated with a service to which item 73361, 73362, 73363 or 73462 applies 73460 01NOV2023 31DEC9999 Y Characterisation of mitochondrial DNA deletion or variant for diagnostic purposes in a patient suspected to have mitochondrial disease, if: (a) the characterisation is requested by the specialist or consultant physician managing the patient's treatment; and (b) the patient displays onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or 'failure to thrive' in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (c) the service is performed following a service to which items 73292, 73358, 73359, 73456 or 73457 applies for the same patient if the results were non-informativeApplicable 3 times per lifetime 73461 01NOV2023 31DEC9999 Y Whole gene testing of a person for the characterisation of all germline gene variants within the same gene in which the person's reproductive partner has a pathogenic or likely pathogenic germline recessive gene variant for mitochondrial disease, if: (a) the partner's germline recessive gene variant is confirmed by laboratory findings; and (b) the characterisation is requested by a specialist or consultant physician 73462 01NOV2023 31DEC9999 Y Testing of a person for the detection of a single gene variant, if: (a) the person tested has a biological relative with a known pathogenic or likely pathogenic mitochondrial disease variant confirmed by laboratory findings; and (b) the testing is requested by a specialist or consultant physician; and (c) the service is not a service associated with a service to which item 73361, 73362 or 73363 applies 73521 01DEC1991 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test) 73522 01DEC1991 31DEC9999 Y Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test) 73523 01DEC1991 30JUN1994 N Semen examination (excluding post vasectomy semen examination), involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and 1 or more chemical tests, with a maximum of 4 examinations in any 12 month period 73523 01JUL1994 30APR2005 N Semen examination (other than post-vasectomy semen examination), including: (a) measurement of volume, sperm count and motility; and (b) examination of stained preparations; and (c) morphology; and (if performed) (d) differential count and 1 or more chemical tests; with a maximum of 4 episodes in a 12 month period - each episode 73523 01MAY2005 30APR2007 N Semen examination (other than post-vasectomy semen examination), including: (a) measurement of volume, sperm count and motility; and (b) examination of stained preparations; and (c) morphology; and (if performed) (d) differential count and 1 or more chemical tests; 1 of this item to a maximum of 4 in a 12 month period 73523 01MAY2007 31DEC9999 Y Semen examination (other than post-vasectomy semen examination), including: (a) measurement of volume, sperm count and motility; and (b) examination of stained preparations; and (c) morphology; and (if performed) (d) differential count and 1 or more chemical tests; (Item is subject to rule 25) 73524 01DEC1991 31DEC9999 Y Semen examination, involving measurement of volume, sperm count, motility, examination of stained preparations, morphology, and, if performed, differential count and one or more chemical tests, with a maximum of four examinations in any twelve month period 73525 01DEC1991 30JUN1994 N Sperm antibodies, sperm penetrating ability 1 or more tests 73525 01JUL1994 31DEC9999 Y Sperm antibodies - sperm-penetrating ability - 1 or more tests 73526 01DEC1991 31DEC9999 Y Sperm antibodies, sperm penetrating ability one or more tests 73527 01DEC1991 30JUN1994 N Chorionic gonadotrophin (betaHCG), qualitative estimation in serum or urine by 1 or more methods, including serial dilution if performed, for diagnosis of pregnancy 1 or more estimations 73527 01JUL1994 30APR2002 N Human chorionic gonadotrophin (HCG) - detection in serum or urine by 1 or more methods, including serial dilution (if performed) for diagnosis of pregnancy 1 or more tests 73527 01MAY2002 31DEC9999 Y Human chorionic gonadotrophin (HCG) - detection in serum or urine by 1 or more methods for diagnosis of pregnancy - 1 or more tests 73528 01DEC1991 31DEC9999 Y Chorionic gonadotrophin (beta HCG), qualitative estimation in serum or urine by one or more methods, including serial dilution if performed, for diagnosis of pregnancy one or more estimations 73529 01DEC1991 30JUN1994 N Chorionic gonadotrophin (betaHCG), qualitative (if performed) and quantitative estimation in serum by 1 or more methods for diagnosis of hydatidiform mole, HCG secreting neoplasm, threatened abortion or followup of abortion 73529 01JUL1994 31OCT1995 N Chorionic gonadotrophin (betaHCG), quantitation in serum by 1 or more methods for diagnosis of hydatidiform mole, HCG secreting neoplasm, or threatened abortion, or followup of abortion or diagnosis of ectopic pregnancy, including any services performed in 73527 - 1 test 73529 01NOV1995 31OCT1999 N Human chorionic gonadotrophin (HCG), quantitation in serum by 1 or more methods (except by latex, membrane, strip or other pregnancy test kit) for diagnosis of threatened abortion, or followup of abortion or diagnosis of ectopic pregnancy, including any services performed in 73527 - 1 test 73529 01NOV1999 31DEC9999 Y Human chorionic gonadotrophin (HCG), quantitation in serum by 1 or more methods (except by latex, membrane, strip or other pregnancy test kit) for diagnosis of threatened abortion, or follow up of abortion or diagnosis of ectopic pregnancy, including any services performed in item 73527 - 1 test 73530 01DEC1991 31DEC9999 Y Chorionic gonadotrophin (betaHCG), qualitative (if performed) and quantitative estimation in serum by one or more methods for diagnosis of hydatidiform mole, HCG secreting neoplasm, threatened abortion or follow up of abortion 73801 01DEC1991 30JUN1994 N Seminal examination for presence of spermatozoa 73801 01JUL1994 31DEC9999 Y Semen examination for presence of spermatozoa 73802 01DEC1991 30JUN1993 N Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count) or any or all of haemoglobin estimation, haematocrit estimation or erythrocyte count 1 procedure 73802 01JUL1993 30JUN1994 N Blood count consisting of leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin estimation, haematocrit estimation or erythrocyte count 1 procedure 73802 01JUL1994 31DEC9999 Y Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count - 1 test 73803 01DEC1991 30JUN1994 N 2 procedures specified in item 73802 73803 01JUL1994 31DEC9999 Y 2 tests described in item 73802 73804 01DEC1991 30JUN1994 N 3 or more procedures specified in item 73802 73804 01JUL1994 31DEC9999 Y 3 or more tests described in item 73802 73805 01DEC1991 30JUN1993 N Microscopical examination of urine 73805 01JUL1993 30JUN1994 N Urine - microscopical examination of, or catalase test for, bacteria and cells, whether stained or not 73805 01JUL1994 31OCT2018 N Microscopy of urine, whether stained or not, or catalase test 73805 01NOV2018 31DEC9999 Y Microscopy of urine, excluding dipstick testing. 73806 01DEC1991 30JUN1994 N Pregnancy test by 1 or more immunochemical methods 73806 01JUL1994 31DEC9999 Y Pregnancy test by 1 or more immunochemical methods 73807 01DEC1991 30JUN1993 N Microscopical examination of wet film other than urine 73807 01JUL1993 30JUN1994 N Microscopical examination of wet film other than urine, including any relevant stain 73807 01JUL1994 31DEC9999 Y Microscopy for wet film other than urine, including any relevant stain 73808 01DEC1991 30JUN1993 N Microscopical examination of gram stained film 73808 01JUL1993 30JUN1994 N Microscopical examination of Gram stained film, including any examination specified in items 73805 and 73807 73808 01JUL1994 31DEC9999 Y Microscopy of Gram-stained film, including (if performed) a service described in item 73805 or 73807 73809 01DEC1991 31DEC9999 Y Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method 73810 01DEC1991 30JUN1994 N Microscopical examination screening for fungi in skin, hair or nails 1 or more sites 73810 01JUL1994 31DEC9999 Y Microscopy for fungi in skin, hair or nails - 1 or more sites 73811 01DEC1991 31JAN1992 N Mantoux test 73811 01FEB1992 31DEC9999 Y Mantoux test 73812 01NOV2021 30JUN2023 N Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes when performed: (a) as a point-of-care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited against the point of care testing accreditation module under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%). Applicable not more than 3 times per 12 months per patient. 73812 01JUL2023 31DEC9999 Y Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes, if performed: (a) as a point-of-care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point-of-care testing under the National General Practice Accreditation Scheme; and (c) using a method certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrumentation used has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient 73815 01MAY2003 31DEC9999 Y Quantitation of glycosylated haemoglobin performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period - where: (a) the health service is provided in a designated general practice participating in PoCT trials; and (b) the service is rendered as part of a consultation; and (c) the general practitioner participating in the PoCT trial will make available any information as requested by the HIC for audit purposes. 73818 01MAY2003 31DEC9999 Y Quantitation of fasting HDL cholesterol, total cholesterol and triglyceride levels in patients undergoing lipid lowering therapy - each episode to a maximum of 4 episodes in a 12 month period - where: (a) the health service is provided in a designated general practice participating in PoCT trials; and (b) the service is rendered as part of a consultation; and (c) the general practitioner participating in the PoCT trial will make available any information as requested by the HIC for audit purposes. 73821 01MAY2003 31DEC9999 Y Quantitation of urinary microalbumin as determined by urine albumin excretion on a timed overnight urine sample or urine albumin/creatinine ratio as determined on a first morning urine sample in insulin dependent diabetic patients over 12 years of age and non-insulin dependent diabetic patients under 70 years of age - each test to a maximum of one test in a 12 month period - where: (a) the health service is provided in a designated general practice participating in PoCT trials; and (b) the service is rendered as part of a consultation; and (c) the general practitioner participating in the PoCT trial will make available any information as requested by the HIC for audit purposes. 73824 01MAY2003 31DEC9999 Y Quantitation of urinary microalbumin as determined by urine albumin excretion on a timed overnight urine sample or urine albumin/creatinine ratio as determined on a first morning urine sample in diabetic patients with established microalbuminuria - each test to a maximum of 4 tests in a 12 month period - where: (a) the health service is provided in a designated general practice participating in PoCT trials; and (b) the service is rendered as part of a consultation; and (c) the general practitioner participating in the PoCT trial will make available any information as requested by the HIC for audit purposes. 73826 01NOV2021 31OCT2023 N Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point-of-care test; and (b) by a nurse practitioner who works in a general practice that is accredited against the point of care testing accreditation module under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%). Applicable not more than 3 times per 12 months per patient. 73826 01NOV2023 31DEC9999 Y Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point-of-care test; (b) by a nurse practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point-of-care testing under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient 73827 01MAY2003 31DEC9999 Y Determination of INR in patients undergoing anticoagulant therapy - where: (a) the health service is provided in a designated general practice participating in PoCT trials; and (b) the service is rendered as part of a consultation; and (c) the general practitioner participating in the PoCT trial will make available any information as requested by the HIC for audit purposes. 73828 01NOV2011 31DEC9999 Y Semen examination for presence of spermatozoa by a participating nurse practitioner 73829 01NOV2011 31DEC9999 Y Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner - 1 test 73830 01NOV2011 31DEC9999 Y 2 tests described in item 73829 by a participating nurse practitioner 73831 01NOV2011 31DEC9999 Y 3 or more tests described in item 73829 by a participating nurse practitioner 73832 01NOV2011 31OCT2019 N Microscopy of urine, whether stained or not, or catalase test by a participating nurse practitioner 73832 01NOV2019 31DEC9999 Y Microscopy of urine, excluding dipstick testing by a participating nurse practitioner. 73833 01NOV2011 31DEC9999 Y Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner 73834 01NOV2011 31DEC9999 Y Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner 73835 01NOV2011 31DEC9999 Y Microscopy of Gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner 73836 01NOV2011 31DEC9999 Y Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner 73837 01NOV2011 31DEC9999 Y Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites 73839 01DEC2015 15MAR2018 N Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period. 73839 16MAR2018 31DEC9999 Y Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period. (Item is subject to restrictions in rule PR.9.1 of explanatory notes to this category) 73840 01DEC2000 31DEC2005 N Quantitation of glycosylated haemoglobin performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period - where: (a) the health service is provided in a Commonwealth funded aboriginal and Torres strait Islander health and medical service; and (b) the Aboriginal and Torres Strait Islander health and medical service participates in a recognised quality assurance program. 73840 01JAN2006 15MAR2018 N Quantitation of glycosylated haemoglobin performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period. 73840 16MAR2018 31DEC9999 Y Quantitation of glycosylated haemoglobin performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period. (Item is subject to restrictions in rule PR.9.1 of explanatory notes to this category) 73844 01JAN2006 15MAR2018 N Quantitation of urinary microalbumin as determined by urine albumin extretion on a timed overnight urine sample or urine albumin/creatinine ratio as determined on a first morning urine sample in the management of established diabetes. 73844 16MAR2018 31OCT2021 N Quantitation of urinary microalbumin as determined by urine albumin excretion on a timed overnight urine sample or urine albumin/creatinine ratio as determined on a first morning urine sample in the management of established diabetes. (Item is subject to restrictions in rule PR.9.1 of explanatory notes to this category) 73844 01NOV2021 31DEC9999 Y Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria. 73899 01NOV2015 31DEC9999 Y Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900 73900 01NOV2015 31DEC9999 Y Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory. 73901 01FEB1992 30JUN1994 N Initiation of a patient episode which consists only of a service specified in item 73053, 73055 or 73057 from a person who is not in a recognised hospital or a prescribed laboratory 73901 01JUL1994 31DEC9999 Y Initiation of a patient episode that consists only of a service described in item 73053, 73055 or 73057 from a person who is not in a recognised hospital or a prescribed laboratory 73902 01NOV2007 31DEC9999 Y Initiation of a patient episode that consists of 1 or more services described in item 72838 (in circumstances other than those described in item 73904) from a person who is an in-patient of a hospital 73903 01FEB1992 30JUN1994 N Initiation of a patient episode which consists only of a service specified in item 72801 from a person who is an in-patient of a hospital other than a recognised hospital 73903 01JUL1994 19MAR1997 N Initiation of a patient episode that consists only of a service described in item 72801 from a person who is an in-patient of a hospital other than a recognised hospital 73903 20MAR1997 31OCT2003 N Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72823, 72824, 72825, 72830 and 72836 from a person who is an in-patient of a hospital other than a recognised hospital 73903 01NOV2003 31DEC9999 Y Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830 and 72836 from a person who is an in-patient of a hospital other than a recognised hospital 73904 01NOV2007 31DEC9999 Y Initiation of a patient episode that consists of 1 or more services described in item 72838 if the person is: (a) a private patient of a recognised hospital; or (b) a private patient of a hospital who receives the service or services from a prescribed laboratory 73905 01FEB1992 30JUN1994 N Initiation of a patient episode which consists only of a service specified in item 72801 from a person who is not an in-patient of a private hospital and not a patient of a recognised hospital 73905 01JUL1994 19MAR1997 N Initiation of a patient episode that consists only of a service described in item 72801 from a person who is not an in-patient of a private hospital and not a patient of a recognised hospital 73905 20MAR1997 31OCT2003 N Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72823, 72824, 72825, 72830 and 72836 from a person who is not an in-patient of a private hospital and not a patient of a recognised hospital 73905 01NOV2003 31DEC9999 Y Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830 and 72836 from a person who is not an in-patient of a private hospital and not a patient of a recognised hospital 73906 01NOV2007 31DEC9999 Y Initiation of a patient episode that consists only of 1 or more services described in item 72838 (in circumstances other than those described in item 73908) from a person who is not a patient of a hospital 73907 01FEB1992 30JUN1994 N Initiation of a patient episode by collection of specimen for a service other than a service specified in Items 73901, 73903, 73905 and 73801 to 73811 (inclusive) where the specimen is collected in a licensed collection centre other than a temporary licensed collection centre 73907 01JUL1994 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or in Group P9) if the specimen is collected in an approved collection centre 73908 01NOV2007 31DEC9999 Y Initiation of a patient episode by a prescribed laboratory that consists of 1 or more services described in item 72838 from a person who is not a patient of a hospital 73909 01FEB1992 30JUN1994 N Initiation of a patient episode by collection of specimen for a service other than a service specified in items 73901, 73903, 73905 and 73801 to 73811 (inclusive) where the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital 73909 01JUL1994 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital 73910 20MAR1997 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903 or 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in the place where the person was residing 73911 01FEB1992 30JUN1994 N Initiation of a patient episode by collection of specimen for a service other than a service specified in items 73901, 73903, 73905 and 73801 to 73811 (inclusive) where the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority, from a person in the place where the person was residing or in a nursing home or institution 73911 01JUL1994 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in the place where the person was residing or in a nursing home or institution 73912 20MAR1997 31OCT2000 N Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903 or 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in a nursing home or institution 73912 01NOV2000 31OCT2001 N Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903 or 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in a residential aged care facility or institution 73912 01NOV2001 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903 or 73905 or in Group P9) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in a residential aged care home or institution 73913 01FEB1992 30JUN1994 N Initiation of a patient episode by collection of specimen for a service other than a service specified in items 73901, 73903, 73905, 73907, 73917 and 73801 to 73811 (inclusive) where the specimen is collected from the person by the person 73913 01JUL1994 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service (other than a service described in item 73901, 73903, 73905 or 73907 or items in Group P9) if the specimen is collected from the person by the person 73914 01NOV2007 31OCT2008 N Initiation of a patient episode that consists of 1 or more services described in items 72827, 72828 and 72838 (in circumstances other than those described in item 73916) from a person who is an in-patient of a hospital 73914 01NOV2008 31DEC9999 Y Initiation of a patient episode that consists of 1 or more services described in items 72827, 72828 and 72838 (in circumstances other than those described in item 73916) from a person who is an in-patient of a hospital 73915 01FEB1992 30JUN1994 N Initiation of a patient episode by collection of specimen for a service other than a service specified in items 73901, 73903, 73905 and 73801 to 73811 (inclusive) where the specimen is collected by or on behalf of the treating practitioner 73915 01JUL1994 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service (other than a service described in items 73901, 73903 or 73905 or items in Group P9) if the specimen is collected by or on behalf of the treating practitioner 73916 01NOV2008 31DEC9999 Y Initiation of a patient episode that consists of 1 or more services described in items 72827, 72828 and 72838 if the person is: (a) a private patient of a recognised hospital; or (b) a private patient of a hospital who receives the service or services from a prescribed laboratory 73917 01FEB1992 31DEC9999 Y Initiation of a patient episode by collection of specimen for a service other than a service specified in items 73901, 73903, 73905 and 73801 to 73811 (inclusive) where the specimen is collected in a temporary licensed collection centre 73918 01NOV2008 31DEC9999 Y Initiation of a patient episode that consists only of 1 or more services described in items 72827, 72828 and 72838 (in circumstances other than those described in item 73919) from a person who is not a patient of a hospital 73919 01NOV2008 31DEC9999 Y Initiation of a patient episode by a prescribed laboratory that consists of 1 or more services described in items 72827, 72828 and 72838 from a person who is not a patient of a hospital 73920 01JUL2008 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre that the APA operates in the same premises as it operates a category GX or GY pathology laboratory 73921 01FEB1992 30JUN1994 N Referral of specimen by an approved pathology practitioner of an approved pathology authority to another approved pathology practitioner of another approved pathology authority or to another approved pathology authority 73921 01JUL1994 30JUN1995 N Referral of a specimen by an approved pathology practitioner of an approved pathology authority to another approved pathology practitioner of another approved pathology authority or to another approved pathology authority (Item is subject to subrule 11(9)) 73921 01JUL1995 31OCT1999 N Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of a different approved pathology authority or another approved pathology authority (Item is subject to subrule 15(9)) 73921 01NOV1999 30APR2004 N Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of a different approved pathology authority or another approved pathology authority (Item is subject to subrule 14(9) and 16(3)) 73921 01MAY2004 31DEC9999 Y Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of a different approved pathology authority or another approved pathology authority (Item is subject to rules 14, 15 and 16) 73922 01MAY2007 30APR2012 N Initiation of a patient episode that consists only of a service described in item 73053, 73055 or 73057. Unless item 73923 applies 73922 01MAY2012 30APR2017 N Initiation of a patient episode that consists of a service described in item 73053, 73055 or 73057 (in circumstances other than those described in item 73923). 73922 01MAY2017 30NOV2017 N Initiation of a patient episode that consists of a service described in item 73053, 73055, 73057 or 73069 (in circumstances other than those described in item 73923). 73922 01DEC2017 31OCT2022 N Initiation of a patient episode that consists of a service described in item 73070, 73071, 73072, 73073, 73074, 73075 or 73076 (in circumstances other than those described in item 73923). 73922 01NOV2022 31DEC9999 Y Initiation of a patient episode that consists of a service described in item 73070, 73071, 73072, 73074, 73075 or 73076 (in circumstances other than those described in item 73923) 73923 01MAY2007 30APR2012 N Initiation of a patient episode that consists only of a service described in items 73053, 73055 or 73057 from a person who is a private patient in a recognised hospital or the service is rendered by a prescribed laboratory 73923 01MAY2012 30APR2017 N Initiation of a patient episode that consists of a service described in items 73053, 73055 or 73057 if: (a) the person who is a private patient in a recognised hospital: or (b) the person receives the service from a prescribed laboratory 73923 01MAY2017 30NOV2017 N Initiation of a patient episode that consists of a service described in items 73053, 73055, 73057 or 73069 if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory 73923 01DEC2017 31OCT2022 N Initiation of a patient episode that consists of a service described in items 73070, 73071, 73072, 73073, 73074, 73075 or 73076 if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory 73923 01NOV2022 31DEC9999 Y Initiation of a patient episode that consists of a service described in items 73070, 73071, 73072, 73074, 73075 or 73076 if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory 73924 01MAY2007 30APR2012 N Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830 and 72836 from a person who is an in-patient of a hospital. Unless item 73925 applies 73924 01MAY2012 31DEC9999 Y Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73925) from a person who is an in-patient of a hospital. 73925 01MAY2007 30APR2012 N Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830 and 72836 from a person who is a private patient in a recognised hospital or the service is rendered to a private patient in a hospital by a prescribed laboratory 73925 01MAY2012 31DEC9999 Y Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 if the person is: (a) a private patient of a recognised hospital; or (b) a private patient of a hospital who receives the service or services from a prescribed laboratory. 73926 01MAY2007 30APR2012 N Initiation of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830 and 72836 from a person who is not an in-patient of a private hospital. Unless item 73927 applies. 73926 01MAY2012 31DEC9999 Y Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73927) from a person who is not a patient of a hospital. 73927 01MAY2007 30APR2012 N Initiation by a prescribed laboratory of a patient episode that consists only of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830 and 72836 from a person who is not a private patient in a recognised hospital nor a patient in a private hospital 73927 01MAY2012 31DEC9999 Y Initiation of a patient episode by a prescribed laboratory that consists of 1 or more services described in items, 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 from a person who is not a patient of a hospital. 73928 01MAY2007 30JUN2008 N Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre. Unless item 73929 applies 73928 01JUL2008 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre. Unless item 73920 or 73929 applies 73929 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, if the specimen is collected in an approved pathology collection centre 73930 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for a service for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital. Unless item 73931 applies 73931 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if: () the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person who is a private patient in a hospital or () the person is a private patient in a recognised hospital and the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority 73932 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in the place where the person was residing. Unless item 73933 applies 73933 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person in the place where the person is residing 73934 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 and 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in a residential aged care home or institution. Unless 73935 applies 73935 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person in a residential aged care home or institution 73936 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected from the person by the person. 73937 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected from the person by the person and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital 73938 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by or on behalf of the treating practitioner. Unless item 73939 applies 73939 01MAY2007 31DEC9999 Y Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected by or on behalf of the treating practitioner and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital 73940 01MAY2007 30JUN2023 N Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of a different approved pathology authority or another approved pathology authority (Item is subject to rules 14, 15 and 16) 73940 01JUL2023 31DEC9999 Y Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of another approved pathology authority 74990 01FEB2004 31DEC2021 N A pathology service to which an item in this table (other than this item or item 74991) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service 74990 01JAN2022 31DEC9999 Y A pathology service to which an item in this table (other than this item or item 74991, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service 74991 01MAY2004 31AUG2004 N A pathology service to which an item in this table (other than this item or item 74990) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder: and (c) the person is not an admitted patient of a hospital or day-hospital facility: and (d) the service is bulk-billed in respect of the fees for: (i) this item: and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a regional, rural or remote area; or (ii) Tasmania (iii) A geographical area included in any of the following SSD spatial units: Beaudesert Shire Part A Belconnen Darwin City Eastern Outer Melbourne East Metropolitan Frankston City Gosford-Wyong Greater Geelong City Part A Gungahlin-Hall Ipswich City (Part in BSD) Litchfield Shire Melton-Wyndham Mornington Peninsula Shire Newcastle North Canberra Palmerston-East Arm Pine Rivers Shire Queanbeyan South Canberra South Eastern Outer Melbourne Southern Adelaide South West Metropolitan Thuringowa City Part A Townsville City Part A Tuggeranong Weston Creek-Stromlo (ZA) Woden Valley (ZB) Yarra Ranges Shire Part A; or l the geographical area included in the SLA spatial unit of Palm Island (AC) 74991 01SEP2004 31DEC2019 N A pathology service to which an item in this table (other than this item or item 74990) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a regional, rural or remote area; or (ii) Tasmania; or (iii) A geographical area included in any of the following SSD spatial units: (A) Beaudesert Shire Part A (B) Belconnen (C) Darwin City (D) Eastern Outer Melbourne (E) East Metropolitan, Perth (F) Frankston City (G) Gosford-Wyong (H) Greater Geelong City Part A (I) Gungahlin-Hall (J) Ipswich City (part in BSD) (K) Litchfield Shire (L) Melton-Wyndham (M) Mornington Peninsula Shire (N) Newcastle (O) North Canberra (P) Palmerston-East Arm (Q) Pine Rivers Shire (R) Queanbeyan (S) South Canberra (T) South Eastern Outer Melbourne (U) Southern Adelaide (V) South West Metropolitan, Perth (W) Thuringowa City Part A (X) Townsville City Part A (Y) Tuggeranong (Z) Weston Creek-Stromlo (ZA) Woden Valley (ZB) Yarra Ranges Shire Part A; or (iv) the geographical area included in the SLA spatial unit of Palm Island (AC) 74991 01JAN2020 31DEC2021 N A pathology service to which an item in this table (other than this item or item 74990) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location within Modified Monash areas 2 to 7. 74991 01JAN2022 31DEC9999 Y A pathology service to which an item in this table (other than this item or items 74990, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area. 74992 01NOV2009 31DEC9999 Y A payment when the episode is bulk billed and includes item 73920. 74993 01NOV2009 30APR2012 N A payment when the episode is bulk billed and includes item 73918, 73922 or 73926. 74993 01MAY2012 31DEC9999 Y A payment when the episode is bulk billed and includes item 73922 or 73926. 74994 01NOV2009 30APR2012 N A payment when the episode is bulk billed and includes item 73914 or 73924. 74994 01MAY2012 31DEC9999 Y A payment when the episode is bulk billed and includes item 73924. 74995 01NOV2009 31OCT2015 N A payment when the episode is bulk billed and includes item 73928, 73930 or 73936. 74995 01NOV2015 31DEC9999 Y A payment when the episode is bulk billed and includes item 73899, 73900, 73928, 73930 or 73936. 74996 01NOV2009 31DEC9999 Y A payment when the episode is bulk billed and includes item 73932 or 73940. 74997 01NOV2009 31DEC9999 Y A payment when the episode is bulk billed and includes item 73934. 74998 01NOV2009 31DEC9999 Y A payment when the episode is bulk billed and includes item 73938. 74999 01NOV2009 30APR2012 N A payment when the episode is bulk billed and includes item 73916, 73919, 73923, 73925,73927, 73929, 73931, 73933, 73935, 73937 or 73939. 74999 01MAY2012 31DEC9999 Y A payment when the episode is bulk billed and includes item 73923, 73925, 73927, 73929, 73931, 73933, 73935, 73937 or 73939. 75000 01DEC1991 31DEC9999 Y CONSULTATION BY AN ACCREDITED ORTHODONTIST not being a service to which item 75003 applies 75001 01JUL1995 31OCT2012 N Note: In this Group, benefit is only payable where the service has been rendered to a patient by a dental practitioner who has been accredited by the Minister to provide orthodontic services, except for the services covered by Items 75009-75023 which may also be rendered by a dental practitioner approved by the Minister to provide oral surgical services. CONSULTATIONS INITIAL PROFESSIONAL ATTENDANCE in a single course of treatment by an accredited orthodontist 75001 01NOV2012 31DEC9999 Y Note: In this Group, benefit is only payable where the service has been rendered to a patient by a dental practitioner who is registered in the specialty of orthodontics, except for the services covered by Items 75009-75023 which may also be rendered by a medical practitioner who is a specialist in the practice of his or her specialty of oral and maxillofacial surgery. CONSULTATIONS INITIAL PROFESSIONAL ATTENDANCE in a single course of treatment by an eligible orthodontist (AO) 75002 01MAR2024 31DEC9999 Y Initial professional attendance, in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies) 75003 01DEC1991 31DEC9999 Y CONSULTATION BY AN ACCREDITED ORTHODONTIST and treatment planning where treatment is deferred 75004 01JUL1995 31OCT2012 N PROFESSIONAL ATTENDANCE by an accredited orthodontist subsequent to the first professional attendance by the orthodontist in a single course of treatment 75004 01NOV2012 31DEC9999 Y PROFESSIONAL ATTENDANCE by an eligible orthodontist subsequent to the first professional attendance by the orthodontist in a single course of treatment (AO) 75005 01MAR2024 31DEC9999 Y Subsequent professional attendance in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies) 75006 01DEC1991 30JUN1995 N PRODUCTION OF DENTAL STUDY MODELS not being a service associated with a service to which item 75003 applies or not being a service to which item 75024, 75027, 75030, 75033, 75036, 75039, 75042, 75045, 75048 or 75051 applies 75006 01JUL1995 31DEC9999 Y PRODUCTION OF DENTAL STUDY MODELS (not being a service associated with a service to which item 75004 applies) prior to provision of a service to which: (a) item 75030, 75033, 75034, 75036, 75037, 75039, 75045 or 75051 applies; or (b) an item in Group T8 or Groups 03 to 09 applies; in a single course of treatment 75007 01MAR2024 31DEC9999 Y Production of dental study models (other than a service associated with a service to which item 75002 or 75005 applies) prior to provision of a service to which: (a) item 75030, 75032, 75039, 75045 or 75051 apply; or (b) an item in Group T8 or Groups O3 to O9 apply; or (c) item 52321, 53212 or 75618 apply; or (d) any of items 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 apply; in a single treatment 75009 01DEC1991 30JUN1995 N ORTHODONTIC RADIOGRAPHY orthopantomography (panoramic radiography) 75009 01JUL1995 29FEB2024 N RADIOGRAPHY ORTHODONTIC RADIOGRAPHY orthopantomography (panoramic radiography), including any consultation on the same occasion 75009 01MAR2024 31DEC9999 Y Orthodontic radiography-orthopantomography (panoramic radiography), including any consultation on the same occasion 75012 01DEC1991 30JUN1995 N ORTHODONTIC RADIOGRAPHY ANTEROPOSTERIOR CEPHALOMETRIC RADIOGRAPHY with cephalometric tracings OR LATERAL CEPHALOMETRIC RADIOGRAPHY with cephalometric tracings 75012 01JUL1995 29FEB2024 N ORTHODONTIC RADIOGRAPHY ANTEROPOSTERIOR CEPHALOMETRIC RADIOGRAPHY with cephalometric tracings OR LATERAL CEPHALOMETRIC RADIOGRAPHY with cephalometric tracings including any consultation on the same occasion 75012 01MAR2024 31DEC9999 Y Orthodontic anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion 75015 01DEC1991 30JUN1995 N ORTHODONTIC RADIOGRAPHY ANTEROPOSTERIOR AND LATERAL CEPHALOMETRIC RADIOGRAPHY, with cephalometric tracings 75015 01JUL1995 29FEB2024 N ORTHODONTIC RADIOGRAPHY ANTEROPOSTERIOR AND LATERAL CEPHALOMETRIC RADIOGRAPHY, with cephalometric tracings including any consultation on the same occasion 75015 01MAR2024 31DEC9999 Y Radiography anteroposterior and lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion 75018 01DEC1991 30JUN1995 N ORTHODONTIC RADIOGRAPHY ANTEROPOSTERIOR AND LATERAL CEPHALOMETRIC RADIOGRAPHY, with cephalometric tracings and orthopantomography 75018 01JUL1995 31DEC9999 Y ORTHODONTIC RADIOGRAPHY ANTEROPOSTERIOR AND LATERAL CEPHALOMETRIC RADIOGRAPHY, with cephalometric tracings and orthopantomography including any consultation on the same occasion 75021 01DEC1991 30JUN1995 N ORTHODONTIC RADIOGRAPHY ANTEROPOSTERIOR AND LATERAL CEPHALOMETIC RADIOGRAPHY, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) 75021 01JUL1995 31DEC9999 Y ORTHODONTIC RADIOGRAPHY hand-wrist studies (including growth prediction) including any consultation on the same occasion 75023 01JUL1995 29FEB2024 N INTRAORAL RADIOGRAPHY - single area, periapical or bitewing film 75023 01MAR2024 31DEC9999 Y Intraoral radiography-single area, periapical or bitewing film 75024 01DEC1991 30JUN1995 N PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING including supply of appliances and all associated consultations WHERE 1 APPLIANCE IS USED 75024 01JUL1995 29FEB2024 N PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING including supply of appliances and all adjustments of appliances and supervision - WHERE 1 APPLIANCE IS USED 75024 01MAR2024 31DEC9999 Y Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service-if 1 appliance is used 75027 01DEC1991 30JUN1995 N PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING including supply of appliances and all associated consultations WHERE 2 APPLIANCES ARE USED 75027 01JUL1995 29FEB2024 N PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING including supply of appliances and all adjustments of appliances and supervision WHERE 2 APPLIANCES ARE USED 75027 01MAR2024 31DEC9999 Y Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service-if 2 appliances are used 75030 01DEC1991 30JUN1995 N DECIDUOUS DENTITION TREATMENT MAXILLARY ARCH EXPANSION including supply of appliances and all associated consultations, treatment planning and retention services beyond the period of active treatment 75030 01JUL1995 29FEB2024 N DENTITION TREATMENT MAXILLARY ARCH EXPANSION not being a service associated with a service to which item 75039, 75042, 75045 or 75048 applies, including supply of appliances, all adjustments of the appliances, removal of the appliances and retention 75030 01MAR2024 31DEC9999 Y Maxillary arch expansion (other than a service associated with a service to which item 75039, 75042, 75045 or 75048 applies), including supply of appliances and all adjustments of appliances, removal of appliances and retention 75032 01MAR2024 31DEC9999 Y Mixed dentition treatment including incisor alignment (mandibular and/or maxillary) lateral arch expansion, including supply of appliances and all adjustments of appliances, removal of appliances and retention 75033 01DEC1991 30JUN1995 N DECIDUOUS AND PERMANENT DENTITION TREATMENT INCISOR ALIGNMENT using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment planning and retention services beyond the period of active treatment 75033 01JUL1995 31DEC9999 Y MIXED DENTITION TREATMENT - incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of the appliances and retention 75034 01JUL1995 29FEB2024 N MIXED DENTITION TREATMENT - incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of appliances, associated adjustments and retention 75034 01MAR2024 31DEC9999 Y Mixed dentition treatment-incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of all appliances, and associated adjustments and retention 75036 01DEC1991 30JUN1995 N DECIDUOUS AND PERMANENT DENTITION TREATMENT LATERAL ARCH EXPANSION AND INCISOR ALIGNMENT using fixed appliances in maxillary arch, including supply of appliances and associated consultations, treatment planning and retention services beyond the period of active treatment; not being a service associated with a service to which item 75033 applies 75036 01JUL1995 31DEC9999 Y MIXED DENTITION TREATMENT - lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of appliances and retention 75037 01JUL1995 31DEC9999 Y MIXED DENTITION TREATMENT - lateral arch expansion and incisor correction - 2 arch (maxillary and mandibular) using fixed appliances in both maxillary and mandibular arches, including supply of appliances, all adjustments of appliances, removal of appliances and retention 75039 01DEC1991 30JUN1995 N PERMANENT DENTITION TREATMENT SINGLE ARCH (mandibular or maxillary) TREATMENT (correction and/or alignment) using fixed appliances, including supply of appliances, and associated consultations, treatment planning and retention services beyond the period of active treatment; not being a service associated with a service to which item 75045 or 75048 applies INITIAL 3 MONTHS of active treatment 75039 01JUL1995 29FEB2024 N PERMANENT DENTITION TREATMENT SINGLE ARCH (mandibular or maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - initial 3 months of active treatment 75039 01MAR2024 31DEC9999 Y Permanent dentition treatment-single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners-initial 3 months of active treatment 75042 01DEC1991 30JUN1995 N EACH SUBSEQUENT 3 MONTHS of active treatment for a maximum of a further 33 months 75042 01JUL1995 29FEB2024 N PERMANENT DENTITION TREATMENT - SINGLE ARCH (mandibular or maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - each 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the first for a maximum of a further 33 months 75042 01MAR2024 31DEC9999 Y Permanent dentition treatment-single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners-each subsequent 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months 75045 01DEC1991 30JUN1995 N PERMANENT DENTITION TREATMENT 2 ARCH (mandibular and maxillary) TREATMENT (correction and/or alignment) using fixed appliances, including supply of appliances and associated consultations, treatment planning and retention services beyond the period of active treatment; not being a service associated with a service to which item 75039 or 75042 applies INITIAL 3 MONTHS OF ACTIVE TREATMENT 75045 01JUL1995 29FEB2024 N PERMANENT DENTITION TREATMENT 2 ARCH (mandibular and maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - initial 3 months of active treatment 75045 01MAR2024 31DEC9999 Y Permanent dentition treatment-2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners-initial 3 months of active treatment 75048 01DEC1991 30JUN1995 N EACH SUBSEQUENT 3 MONTHS of active treatment for a maximum of a further 33 months 75048 01JUL1995 29FEB2024 N PERMANENT DENTITION TREATMENT - 2 ARCH (mandibular and maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the first for a maximum of a further 33 months 75048 01MAR2024 31DEC9999 Y Permanent dentition treatment-2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners-each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months 75049 01JUL1995 29FEB2024 N RETENTION, FIXED OR REMOVABLE, single arch (mandibular or maxillary) - supply of retainer and supervision of retention 75049 01MAR2024 31DEC9999 Y Retention, fixed or removable, single arch (mandibular or maxillary)-supply of retainer and supervision of retention 75050 01JUL1995 29FEB2024 N RETENTION, FIXED OR REMOVABLE, 2-arch (mandibular and maxillary) - supply of retainers and supervision of retention 75050 01MAR2024 31DEC9999 Y Retention, fixed or removable, 2-arch (mandibular and maxillary)-supply of retainers and supervision of retention 75051 01DEC1991 30JUN1995 N PRESURGICAL OR POSTSURGICAL JAW GROWTH GUIDANCE using removable appliances, including supply of appliances, all associated consultations and treatment planning 75051 01JUL1995 29FEB2024 N JAW GROWTH GUIDANCE JAW GROWTH guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances 75051 01MAR2024 31DEC9999 Y Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances 75150 01JUL1995 31OCT2012 N Note: (i) In this Group, benefit is only payable where the service has been rendered to a patient who has been referred by an accredited orthodontist. (ii)While benefit is payable for simple extractions performed by a registered dental practitioner, benefit is only payable for surgical extractions and other surgical procedures where the service is rendered by a dental practitioner who has been approved by the Minister to provide oral surgical services. (see para CB1.5) CONSULTATIONS INITIAL PROFESSIONAL attendance in a single course of treatment by an accredited oral and maxillofacial surgeon where the patient is referred to the surgeon by an accredited orthodontist 75150 01NOV2012 31DEC9999 Y Note: (i) In this Group, benefit is only payable where the service has been rendered to a patient who has been referred by an eligible orthodontist. (ii)While benefit is payable for simple extractions performed by a registered dental practitioner, benefit is only payable for surgical extractions and other surgical procedures where the service is rendered by a medical practitioner who is a specialist in the practice of his or her speciality of oral and maxillofacial surgery. CONSULTATIONS INITIAL PROFESSIONAL attendance in a single course of treatment by an eligible oral and maxillofacial surgeon where the patient is referred to the surgeon by an eligible orthodontist (AOS) 75153 01JUL1995 31OCT2012 N PROFESSIONAL ATTENDANCE by an accredited oral and maxillofacial surgeon subsequent to the first professional attendance by the surgeon in a single course of treatment where the patient is referred to the surgeon by an accredited orthodontist 75153 01NOV2012 31DEC9999 Y PROFESSIONAL ATTENDANCE by an eligible oral and maxillofacial surgeon subsequent to the first professional attendance by the surgeon in a single course of treatment where the patient is referred to the surgeon by an eligible orthodontist 75156 01JUL1995 31OCT2012 N PRODUCTION OF DENTAL STUDY MODELS (not being a service associated with a service to which item 75153 applies) prior to provision of a service: (a) to which item 52321, 53212 or 75618 applies; or (b) to which an item in the series 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 applies; in a single course of treatment 75156 01NOV2012 31DEC9999 Y PRODUCTION OF DENTAL STUDY MODELS (not being a service associated with a service to which item 75153 applies) prior to provision of a service: (a) to which item 52321, 53212 or 75618 applies; or (b) to which an item in the series 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 applies; in a single course of treatment if the patient is referred by an eligible orthodontist (AOS) 75200 01DEC1991 31OCT2012 N SIMPLE EXTRACTIONS REMOVAL OF TOOTH OR TOOTH FRAGMENT not being treatment to which item 75400, 75403, 75406, 75409, 75412 or 75415 applies 75200 01NOV2012 29FEB2024 N SIMPLE EXTRACTIONS Removal of tooth or tooth fragment (other than treatment to which item 75400, 75403, 75406, 75409, 75412 or 75415 applies), if the patient is referred by an eligible orthodontist (AD) 75200 01MAR2024 31DEC9999 Y Removal of tooth or tooth fragment (other than treatment to which item 75402 or 75405 applies) 75203 01DEC1991 31OCT2012 N REMOVAL OF TOOTH OR TOOTH FRAGMENT under general anaesthesia 75203 01NOV2012 29FEB2024 N REMOVAL OF TOOTH OR TOOTH FRAGMENT under general anaesthesia, if the patient is referred by an eligible orthodontist (AD) 75203 01MAR2024 31DEC9999 Y Removal of tooth or tooth fragment under general anaesthesia 75206 01DEC1991 31OCT2012 N REMOVAL OF EACH ADDITIONAL TOOTH OR TOOTH FRAGMENT at the same attendance at which a service to which item 75200 or 75203 applies is rendered 75206 01NOV2012 29FEB2024 N Removal of each additional tooth or tooth fragment at the same attendance at which a service to which item 75200 or 75203 applies is rendered, if the patient is referred by an eligible orthodontist (AD) 75206 01MAR2024 31DEC9999 Y Removal of each additional tooth or tooth fragment if provided in association with a service to which item 75200 or 75203 applies 75400 01DEC1991 31OCT2012 N SURGICAL EXTRACTIONS Surgical removal of erupted tooth, if the patient is referred by an eligible orthodontist (AOS) 75400 01NOV2012 29FEB2024 N SURGICAL EXTRACTIONS Surgical removal of erupted tooth, if the patient is referred by an eligible orthodontist (AOS) 75400 01MAR2024 31DEC9999 Y Surgical removal of erupted tooth 75402 01MAR2024 31DEC9999 Y Surgical removal of tooth, or tooth fragment requiring incision of soft tissue only 75403 01DEC1991 31OCT2012 N SURGICAL REMOVAL OF TOOTH with soft tissue impaction 75403 01NOV2012 31DEC9999 Y Surgical removal of tooth with soft tissue impaction, if the patient is referred by an eligible orthodontist (AOS) 75405 01MAR2024 31DEC9999 Y Surgical removal of tooth, or tooth fragment requiring removal of bone, where the patient is referred by a referring dentist or medical practitioner 75406 01DEC1991 31OCT2012 N SURGICAL REMOVAL OF TOOTH with partial bone impaction 75406 01NOV2012 31DEC9999 Y Surgical removal of tooth with partial bone impaction, if the patient is referred by an eligible orthodontist (AOS) 75409 01DEC1991 31OCT2012 N SURGICAL REMOVAL OF TOOTH with complete bone impaction 75409 01NOV2012 31DEC9999 Y Surgical removal of tooth with complete bone impaction, if the patient is referred by an eligible orthodontist (AOS) 75412 01DEC1991 31OCT2012 N SURGICAL REMOVAL OF TOOTH FRAGMENT involving soft tissue only 75412 01NOV2012 31DEC9999 Y Surgical removal of tooth fragment requiring incision of soft tissue only, if the patient is referred by an eligible orthodontist (AOS) 75415 01DEC1991 31OCT2012 N SURGICAL REMOVAL OF TOOTH FRAGMENT involving bone 75415 01NOV2012 31DEC9999 Y Surgical removal of tooth fragment requiring removal of bone, if the patient is referred by an eligible orthodontist (AOS) 75600 01DEC1991 31OCT2012 N OTHER SURGICAL PROCEDURES Surgical exposure, stimulation and packing of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS) 75600 01NOV2012 29FEB2024 N OTHER SURGICAL PROCEDURES Surgical exposure, stimulation and packing of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS) 75600 01MAR2024 31DEC9999 Y Surgical exposure and packing of unerupted tooth 75603 01DEC1991 31OCT2012 N SURGICAL EXPOSURE OF UNERUPTED TOOTH for the purpose of fitting a traction device 75603 01NOV2012 29FEB2024 N Surgical exposure of unerupted tooth for the purpose of fitting a traction device, if the patient is referred by an eligible orthodontist (AOS) 75603 01MAR2024 31DEC9999 Y Surgical exposure of unerupted tooth for the purpose of fitting a traction device or placement of a temporary anchorage device 75606 01DEC1991 31OCT2012 N SURGICAL REPOSITIONING OF UNERUPTED TOOTH 75606 01NOV2012 29FEB2024 N Surgical repositioning of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS) 75606 01MAR2024 31DEC9999 Y Surgical repositioning of unerupted tooth where the patient is referred by a referring dentist or medical practitioner 75609 01DEC1991 31OCT2012 N TRANSPLANTATION OF TOOTH BUD 75609 01NOV2012 29FEB2024 N Transplantation of tooth bud, if the patient is referred by an eligible orthodontist (AOS) 75609 01MAR2024 31DEC9999 Y Transplantation of tooth bud where the patient is referred by a referring dentist or medical practitioner 75610 01MAR2024 31DEC9999 Y Surgical procedure for intraoral implantation of an osseointegrated fixture and placement of transmucosal abutments where the patient is referred by a referring dentist or medical practitioner 75612 01JUL1995 31OCT2012 N SURGICAL PROCEDURE for intra oral implantation of osseointegrated fixture (first stage) 75612 01NOV2012 31DEC9999 Y Surgical procedure for intra oral implantation of osseointegrated fixture (first stage), if the patient is referred by an eligible orthodontist (AOS) 75615 01JUL1995 31OCT2012 N SURGICAL PROCEDURE FOR FIXATION of trans-mucosal abutment (second stage of osseointegrated implant) 75615 01NOV2012 31DEC9999 Y Surgical procedure for fixation of trans mucosal abutment (second stage of osseointegrated implant), if the patient is referred by an eligible orthodontist (AOS) 75618 01JUL1995 31OCT2012 N PROVISION AND FITTING OF A BITE RISING APPLIANCE or DENTAL SPLINT for the management of temporomandibular joint dysfunction syndrome 75618 01NOV2012 29FEB2024 N Provision and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome, if the patient is referred by an eligible orthodontist (AOS) 75618 01MAR2024 31DEC9999 Y Fabrication and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome 75621 01JUL1995 31OCT2008 N THE PROVISION AND FITTING OF SURGICAL TEMPLATE in conjuction with orthognathic surgical procedures in association with: (a) an item in the series 52342 to 52375; or (b) item 52380 or 52382 75621 01NOV2008 31OCT2012 N THE PROVISION AND FITTING OF SURGICAL TEMPLATE in conjuction with orthognathic surgical procedures in association with an item in the range: (a) 45720 to 45754; or (b) 52342 to 52375; or (c) 52380 or 52382 75621 01NOV2012 30JUN2023 N The provision and fitting of surgical template in conjunction with orthognathic surgical procedures in association with: (a) an item in the series: (i) 45720 to 45754; or (ii) 52342 to 52375; or (b) item 52380 or 52382; if the patient is referred by an eligible orthodontist (AOS) 75621 01JUL2023 29FEB2024 N The provision and fitting of surgical template in conjunction with orthognathic surgical procedures in association with: (a) an item in the series: (i) 46150 to 46161; or (ii) 52342 to 52375; or (b) item 52380 or 52382; if the patient is referred by an eligible orthodontist (AOS) 75621 01MAR2024 31DEC9999 Y The fabrication and fitting of surgical splint or guide in conjunction with orthognathic surgical procedures and implant treatment, if provided in association with a service to which: (a) any item in the following series applies: (i) any of items 46150 to 46161 apply; or (ii) any of items 52342 to 52375 apply; or (b) item 52380 or 52382 applies; (c) item 75610 applies 75800 01DEC1991 31OCT2012 N Note: Benefit is payable for services listed in this Group where they are rendered by a State registered dental practitioner CONSULTATIONS ATTENDANCE BY AN ELIGIBLE DENTAL PRACTITIONER involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes' duration each attendance to a maximum of 3 attendances in any period of 12 months 75800 01NOV2012 29FEB2024 N Note: Benefit is payable for services listed in this Group where they are rendered by a registered dental practitioner CONSULTATIONS ATTENDANCE BY AN ELIGIBLE DENTAL PRACTITIONER involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes' duration each attendance to a maximum of 3 attendances in any period of 12 months 75800 01MAR2024 31DEC9999 Y Attendance involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes in duration for each attendance to a maximum of 3 attendances in any 12 month period (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies) 75802 01MAR2024 31DEC9999 Y Fabrication and fitting of acrylic base partial denture, including retainers-1 to 4 teeth 75803 01DEC1991 31DEC9999 Y PROSTHODONTIC PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 1 TOOTH 75806 01DEC1991 31OCT2010 N 2 TEETH 75806 01NOV2010 31DEC9999 Y PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 2 TEETH 75809 01DEC1991 31OCT2010 N 3 TEETH 75809 01NOV2010 31DEC9999 Y PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE. including retainers 3 TEETH 75812 01DEC1991 31OCT2010 N 4 TEETH 75812 01NOV2010 31DEC9999 Y PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 4 TEETH 75815 01DEC1991 31OCT2010 N 5 TO 9 TEETH 75815 01NOV2010 29FEB2024 N PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 5 TO 9 TEETH 75815 01MAR2024 31DEC9999 Y Fabrication and fitting of acrylic base partial denture, including retainers-5 to 9 teeth 75818 01DEC1991 31OCT2010 N 10 TO 12 TEETH 75818 01NOV2010 29FEB2024 N PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 10 TO 12 TEETH 75818 01MAR2024 31DEC9999 Y Fabrication and fitting of acrylic base partial denture or complete denture or overdenture, including retainers-10 to 12 teeth 75820 01MAR2024 31DEC9999 Y Fabrication and fitting of metal framework partial denture, including all components-1 to 4 teeth 75821 01DEC1991 31DEC9999 Y PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 1 TOOTH 75824 01DEC1991 31OCT2010 N 2 TEETH 75824 01NOV2010 31DEC9999 Y PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 2 TEETH 75827 01DEC1991 31OCT2010 N 3 TEETH 75827 01NOV2010 31DEC9999 Y PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 3 TEETH 75830 01DEC1991 31OCT2010 N 4 TEETH 75830 01NOV2010 31DEC9999 Y PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 4 TEETH 75833 01DEC1991 31OCT2010 N 5 TO 9 TEETH 75833 01NOV2010 29FEB2024 N PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 5 TO 9 TEETH 75833 01MAR2024 31DEC9999 Y Fabrication and fitting of metal framework partial denture including all components-5 to 9 teeth 75836 01DEC1991 31OCT2010 N 10 TO 12 TEETH 75836 01NOV2010 29FEB2024 N PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 10 TO 12 TEETH 75836 01MAR2024 31DEC9999 Y Fabrication and fitting of metal framework partial denture or complete denture or overdenture including all components-10 to 12 teeth 75839 01DEC1991 31DEC9999 Y PROVISION AND FITTING OF RETAINERS not being a service associated with a service to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies each retainer 75842 01DEC1991 29FEB2024 N ADJUSTMENT OF PARTIAL DENTURE not being a service associated with a service to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies 75842 01MAR2024 31DEC9999 Y Adjustment of denture (other than a service associated with a service to which item 75802, 75815, 75818, 75820, 75833 or 75836 applies) 75845 01DEC1991 29FEB2024 N RELINING OF PARTIAL DENTURE by laboratory process and associated fitting 75845 01MAR2024 31DEC9999 Y Relining of denture by laboratory process and associated fitting 75848 01DEC1991 29FEB2024 N REMODELLING AND FITTING OF PARTIAL DENTURE of more than 4 teeth 75848 01MAR2024 31DEC9999 Y Remodelling and fitting of denture of more than 4 teeth 75851 01DEC1991 29FEB2024 N REPAIR TO CAST METAL BASE OF PARTIAL DENTURE 1 or more points 75851 01MAR2024 31DEC9999 Y Repair to metal framework of denture-1 or more points 75854 01DEC1991 29FEB2024 N ADDITION OF A TOOTH OR TEETH to a partial denture to replace extracted tooth or teeth including taking of necessary impression 75854 01MAR2024 31DEC9999 Y Addition of a tooth or teeth to a denture to replace extracted tooth or teeth, including taking of necessary impression 75855 01JAN2022 31OCT2023 N A medical service to which an item in this table (other than this item or item 10990, 10991, 10992, 75856, 75857 or 75858) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital: and (d) the service is bulk-billed in respect of the fees for: (i) this item and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area 75855 01NOV2023 31DEC9999 Y A medical service to which an item in this Schedule (other than this item) applies, if:(a) the service is an unreferred service; and(b) the service is provided to a person who is:(i) under the age of 16; or(ii) a concessional beneficiary; and(c) the person is not an admitted patient of a hospital; and(d) the service is bulk-billed in relation to the fees for:(i) this item; and(ii) any other item in this Schedule applying to the service; and(e) the service is provided at, or from, a practice location in:(i) a Modified Monash 3 area; or(ii) a Modified Monash 4 area;other than a service associated with a service:(f) to which another item in this Group applies; or(g) that is a general practice support service; or(h) that is a MyMedicare service 75856 01JAN2022 31OCT2023 N A medical service to which an item in this table (other than this item or item 10990, 10991, 10992, 75855, 75857 or 75858) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital: and (d) the service is bulk-billed in respect of the fees for: (i) this item and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 5 area 75856 01NOV2023 31DEC9999 Y A medical service to which an item in this Schedule (other than this item) applies, if:(a) the service is an unreferred service; and(b) the service is provided to a person who is:(i) under the age of 16; or(ii) a concessional beneficiary; and(c) the person is not an admitted patient of a hospital; and(d) the service is bulk-billed in relation to the fees for:(i) this item; and(ii) any other item in this Schedule applying to the service; and(e) the service is provided at, or from, a practice location in a Modified Monash 5 area;other than a service associated with a service:(f) to which another item in this Group applies; or(g) that is a general practice support service; or(h) that is a MyMedicare service 75857 01JAN2022 31OCT2023 N A medical service to which an item in this table (other than this item or item 10990, 10991, 10992, 75855, 75856 or 75858) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital: and (d) the service is bulk-billed in respect of the fees for: (i) this item and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 6 area 75857 01NOV2023 31DEC9999 Y A medical service to which an item in this Schedule (other than this item) applies, if:(a) the service is an unreferred service; and(b) the service is provided to a person who is:(i) under the age of 16; or(ii) a concessional beneficiary; and(c) the person is not an admitted patient of a hospital; and(d) the service is bulk-billed in relation to the fees for:(i) this item; and(ii) any other item in this Schedule applying to the service; and(e) the service is provided at, or from, a practice location in a Modified Monash 6 area;other than a service associated with a service:(f) to which another item in this Group applies; or(g) that is a general practice support service; or(h) that is a MyMedicare service 75858 01JAN2022 31OCT2023 N A medical service to which an item in this table (other than this item or item 10990, 10991, 10992, 75855, 75856 or 75857) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital: and (d) the service is bulk-billed in respect of the fees for: (i) this item and (ii)the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 7 area 75858 01NOV2023 31DEC9999 Y A medical service to which an item in this Schedule (other than this item) applies, if:(a) the service is an unreferred service; and(b) the service is provided to a person who is:(i) under the age of 16; or(ii) a concessional beneficiary; and(c) the person is not an admitted patient of a hospital; and(d) the service is bulk-billed in relation to the fees for:(i) this item; and(ii) any other item in this Schedule applying to the service; and(e) the service is provided at, or from, a practice location in a Modified Monash 7 area;other than a service associated with a service:(f) to which another item in this Group applies; or(g) that is a general practice support service; or(h) that is a MyMedicare service 75861 01JAN2022 31DEC9999 Y A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area 75862 01JAN2022 31OCT2022 N A pathology service to which an item in this table (other than this item or item 74990, 74991, 75861, 75862, or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 5 area 75862 01NOV2022 31DEC9999 Y A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75863, or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 5 area 75863 01JAN2022 31OCT2022 N A pathology service to which an item in this table (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 6 area 75863 01NOV2022 31DEC9999 Y A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 6 area 75864 01JAN2022 31OCT2022 N A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862 or 75863 ) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area 75864 01NOV2022 31DEC9999 Y A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area 75870 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the general practice support service item applying to the attendance service;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items. 75871 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the general practice support service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items. 75872 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) if:(a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and(b) the attendance service is an unreferred service; and(c) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and(d) the patient is not an admitted patient of a hospital; and(e) the attendance service is not provided in consulting rooms; and(f) the attendance service is provided in any of the following areas:(i) a Modified Monash 2 area;(ii) a Modified Monash 3 area;(iii) a Modified Monash 4 area;(iv) a Modified Monash 5 area;(v) a Modified Monash 6 area;(vi) a Modified Monash 7 area; and(g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and(h) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) an item mentioned in paragraph (a) that applies to the service 75873 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the general practice support service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in:(i) a Modified Monash 3 area; or(ii) a Modified Monash 4 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items. 75874 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the general practice support service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items. 75875 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the general practice support service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items. 75876 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the general practice support service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items. 75880 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:(a) the attendance service is provided to a patient:(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and(ii) who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the MyMedicare service item applying to the attendance service;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare. 75881 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:(a) the attendance service is provided to a patient:(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and(ii) who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the MyMedicare service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare. 75882 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:(a) the attendance service is provided to a patient:(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and(ii) who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the MyMedicare service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in:(i) a Modified Monash 3 area; or(ii) a Modified Monash 4 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare. 75883 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:(a) the attendance service is provided to a patient:(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and(ii) who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the MyMedicare service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare. 75884 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:(a) the attendance service is provided to a patient:(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and(ii) who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the MyMedicare service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare. 75885 01NOV2023 31DEC9999 Y Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:(a) the attendance service is provided to a patient:(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and(ii) who is under the age of 16 or who is a concessional beneficiary; and(b) the patient is not an admitted patient of a hospital; and(c) the attendance service is bulk-billed in relation to the fees for:(i) this item; and(ii) the MyMedicare service item applying to the attendance service; and(d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75884 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare. 80000 01NOV2006 30APR2007 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry or a consultant physician specialising in the practice of his or her field of paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80000 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80000 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80000 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80000 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80000 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional attendance at consulting rooms) 80000 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80000 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80000 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80000 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient in consulting rooms by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration 80001 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist. Psychological therapy services delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80001 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist. Psychological therapy services delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80002 01MAR2023 31DEC9999 Y Psychological therapy health service provided in consulting rooms by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 30 minutes but less than 50 minutes 80005 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms. As per the service requirements outlined for item 80000. 80005 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration 80006 01MAR2023 31DEC9999 Y Psychological therapy health service provided at a place other than consulting rooms by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 30 minutes but less than 50 minutes 80010 01NOV2006 30APR2007 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry or a consultant physician specialising in the practice of his or her field of paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80010 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80010 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80010 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80010 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80010 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional attendance at consulting rooms) 80010 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80010 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80010 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80010 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient in consulting rooms by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80011 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance , at least 15 kilometres by road from the clinical psychologist. Psychological therapy services delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80011 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance , at least 15 kilometres by road from the clinical psychologist. Psychological therapy services delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80012 01MAR2023 31DEC9999 Y Psychological therapy health service provided in consulting rooms by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 80015 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms As per the service requirements outlined for item 80010. 80015 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80016 01MAR2023 31DEC9999 Y Psychological therapy health service provided at a place other than consulting rooms by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 80020 01NOV2006 30APR2007 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry or a consultant physician specialising in the practice of his or her field of paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80120, 80145 and 80170 apply). - GROUP PSYCHOTHERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80120, 80145 and 80170 apply). - GROUP PSYCHOTHERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80120, 80145 and 80170 apply). - GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80120, 80145 and 80170 apply). - GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01NOV2011 30SEP2017 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80120, 80145 and 80170 apply). - GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80120, 80145 and 80170 apply). - GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80020 01NOV2022 29FEB2024 N Psychological therapy health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80020 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration 80021 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist. Group psychological therapy services delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply), with at least one face-to-face consultation (to which items 80020, 80120, 80145 and 80170 apply) to be conducted within the first four sessions. Group psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. - GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80021 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist. Group psychological therapy services delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. - GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80021 01NOV2022 29FEB2024 N Psychological therapy health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80021 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes duration 80022 01NOV2022 29FEB2024 N Psychological therapy health service provided to a person as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the person is referred for a course of treatment by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80022 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the patient is referred for a course of treatment by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 90 minutes duration 80023 01NOV2022 29FEB2024 N Psychological therapy health service provided to a person as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80023 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 90 minutes duration 80024 01NOV2022 29FEB2024 N Psychological therapy health service provided to a person as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the person is referred for a course of treatment by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80024 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the patient is referred for a course of treatment by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 120 minutes duration 80025 01NOV2022 29FEB2024 N Psychological therapy health service provided to a person as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80025 01MAR2024 31DEC9999 Y Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 120 minutes duration 80100 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80100 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80100 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80100 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80100 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80100 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional attendance at consulting rooms) 80100 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80100 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80100 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80100 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 80101 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80101 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80102 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided in consulting rooms by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 80105 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms. As per the psychologist service requirements outlined for item 80100. 80105 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 80106 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 80110 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80110 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80110 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80110 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80110 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80110 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional attendance at consulting rooms) 80110 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80110 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80110 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80110 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80111 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80111 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80112 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided in consulting rooms by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 80115 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms. As per the psychologist service requirements outlined for item 80110. 80115 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80116 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 80120 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80145 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80145 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80145 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80145 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01NOV2011 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80145 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80145 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80120 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80120 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration 80121 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply), with at least one face-to-face consultation (to which items 80020, 80120, 80145 and 80170 apply) to be conducted within the first four sessions. Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80121 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80121 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80121 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (e) the service is at least 60 minutes duration 80122 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80122 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 90 minutes duration 80123 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80123 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (e) the service is at least 90 minutes duration 80125 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80125 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80125 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional services at consulting rooms) 80125 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional services at consulting rooms) 80125 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional services at consulting rooms) 80125 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional services at consulting rooms) 80125 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional services at consulting rooms) 80125 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional services at consulting rooms) 80125 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional services at consulting rooms) 80125 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 80126 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80126 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80127 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80127 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 120 minutes duration 80128 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80128 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (e) the service is at least 120 minutes duration 80129 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided in consulting rooms by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 80130 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms. As per the occupational therapist service requirements outlined for item 80125. 80130 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 80131 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 80135 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80135 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80135 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80135 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80135 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80135 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional attendance at consulting rooms) 80135 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80135 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80135 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80135 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80136 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80136 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80137 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided in consulting rooms by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 50 minutes 80140 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms. As per the occupational therapist service requirements outlined for item 80135. 80140 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80141 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 50 minutes 80145 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01NOV2011 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80120 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80120 and 80170 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80145 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80145 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration 80146 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply), with at least one face-to-face consultation (to which items 80020, 80120, 80145 and 80170 apply) to be conducted within the first four sessions. Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80146 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80146 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and (f) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80146 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and (e) the service is at least 60 minutes duration 80147 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80147 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 90 minutes duration 80148 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and (f) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80148 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and (e) the service is at least 90 minutes duration 80150 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80150 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80150 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80150 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80150 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80150 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional attendance at consulting rooms) 80150 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80150 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80150 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80150 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 80151 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80151 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80152 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80152 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 120 minutes duration 80153 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and (f) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80153 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and (e) the service is at least 120 minutes duration 80154 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided in consulting rooms by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 80155 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms. As per the social worker service requirements outlined for item 80150. 80155 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 80156 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 80160 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80160 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. 80160 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80160 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 and the Better Outcomes in Mental Health Care Program Access To Allied Psychological Services apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply. (Professional attendance at consulting rooms) 80160 01NOV2011 29FEB2012 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80160 01MAR2012 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). Claims for this service may exceed this maximum session limit, however, where exceptional circumstances apply (to a maximum total of 16 individual services per patient from 1 March 2012 to 31 December 2012). (Professional attendance at consulting rooms) 80160 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These services are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80160 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80160 01SEP2018 29FEB2024 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms) 80160 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80161 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply), with at least one face-to-face consultation (to which items 2721, 2723, 2725, 2727, 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 apply) to be conducted within the first four sessions. Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80161 01SEP2018 31DEC9999 Y Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply. 80162 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided in consulting rooms by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner; and (c) the service lasts at least 50 minutes 80165 01NOV2006 29FEB2024 N Professional attendance at a place other than consulting rooms. As per the social worker service requirements outlined for item 80160. 80165 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually and in person; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient's condition; and (e) the service is at least 50 minutes duration 80166 01MAR2023 31DEC9999 Y Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner; and (c) the service lasts at least 50 minutes 80170 01NOV2006 30APR2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a consultant physician specialising in the practice of his or her field of psychiatry; or a consultant physician specialising in the practice of his or her field of paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80145 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01MAY2007 31OCT2007 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; and/or a psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80145 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01NOV2007 31JUL2009 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Care Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80145 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01AUG2009 31OCT2011 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable, in general, in up to 12 planned sessions in a calendar year (including services to which items 80020, 80120 and 80145 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01NOV2011 30SEP2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80120 and 80145 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01OCT2017 31OCT2017 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80120 and 80145 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year, up to seven of which may be provided via video conference, (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80170 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80170 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if: (a) the patient is referred by referring practitioner; and (b) the service is provided in person; and (c) the service is at least 60 minutes duration 80171 01NOV2017 31AUG2018 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up to seven planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply), with at least one face-to-face consultation (to which items 80020, 80120, 80145 and 80170 apply) to be conducted within the first four sessions. Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80171 01SEP2018 31OCT2022 N Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT 80171 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the eligible social worker; and (f) the service is at least 60 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80171 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and (e) the service is at least 60 minutes duration 80172 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80172 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 90 minutes duration 80173 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and (f) the service is at least 90 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80173 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and (e) the service is at least 90 minutes duration 80174 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided in person; and (c) the patient is not an admitted patient; and (d) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80174 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided in person; and (c) the service is at least 120 minutes duration 80175 01NOV2022 29FEB2024 N Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and (f) the service is at least 120 minutes duration Further information on the requirements for this item are available in the explanatory notes to this Category. 80175 01MAR2024 31DEC9999 Y Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and (e) the service is at least 120 minutes duration 80176 01JUL2023 31DEC9999 Y Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes 80177 01JUL2023 31DEC9999 Y Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes 80178 01JUL2023 31DEC9999 Y Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 40 minutes 81000 01NOV2006 31DEC2013 N Provision of a non-directive pregnancy support counselling service to a woman who is concerned about a current pregnancy or a pregnancy that occurred in the preceding 12 months, by an eligible psychologist, where the patient is referred to the psychologist by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a psychologist who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service. It may not be provided by a psychologist who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items -81000, 81005, 81010 and 4001 81000 01JAN2014 29FEB2024 N Provision of a non-directive pregnancy support counselling service to a person who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible psychologist, where the patient is referred to the psychologist by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a psychologist who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service. It may not be provided by a psychologist who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items -81000, 81005, 81010 and 4001 81000 01MAR2024 31DEC9999 Y Non-directive pregnancy support counselling health service provided to a patient who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible psychologist if: (a) the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the patient is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the eligible psychologist does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (d) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy 81005 01NOV2006 31DEC2013 N Provision of a non-directive pregnancy support counselling service to a woman who is concerned about a current pregnancy or a pregnancy that occurred in the preceding 12 months, by an eligible social worker, where the patient is referred to the social worker by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a social worker who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service. It may not be provided by a social worker who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items -81000, 81005, 81010 and 4001 81005 01JAN2014 29FEB2024 N Provision of a non-directive pregnancy support counselling service to a person who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible social worker, where the patient is referred to the social worker by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a social worker who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service. It may not be provided by a social worker who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items -81000, 81005, 81010 and 4001 81005 01MAR2024 31DEC9999 Y Non-directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible social worker if: (a) the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the patient is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the eligible social worker does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (d) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy 81010 01NOV2006 31DEC2013 N Provision of a non-directive pregnancy support counselling service to a woman who is concerned about a current pregnancy or a pregnancy that occurred in the preceding 12 months, by an eligible mental health nurse, where the patient is referred to the mental health nurse by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a mental health nurse who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service. It may not be provided by a mental health nurse who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items - 81000, 81005, 81010 and 4001 81010 01JAN2014 29FEB2024 N Provision of a non-directive pregnancy support counselling service to a person who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible mental health nurse, where the patient is referred to the mental health nurse by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a mental health nurse who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service. It may not be provided by a mental health nurse who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items - 81000, 81005, 81010 and 4001 81010 01MAR2024 31DEC9999 Y Non-directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible mental health nurse if: (a) the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the patient is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (d) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy 81100 01MAY2007 31OCT2009 N DIABETES EDUCATION SERVICE - ASSESSMENT FOR GROUP SERVICES Diabetes education health service provided to a person by an eligible diabetes educator for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 725], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department of Health and Ageing, or a referral form that substantially complies with the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81100 01NOV2009 30APR2010 N DIABETES EDUCATION SERVICE - ASSESSMENT FOR GROUP SERVICES Diabetes education health service provided to a person by an eligible diabetes educator for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 725], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department of Health and Ageing, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81100 01MAY2010 30SEP2017 N DIABETES EDUCATION SERVICE - ASSESSMENT FOR GROUP SERVICES Diabetes education health service provided to a person by an eligible diabetes educator for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 732], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81100 01OCT2017 09DEC2020 N DIABETES EDUCATION SERVICE - ASSESSMENT FOR GROUP SERVICES Diabetes education health service provided to a person by an eligible diabetes educator for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan [ie item 721 or 732], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81100 10DEC2020 29FEB2024 N DIABETES EDUCATION SERVICE - ASSESSMENT FOR GROUP SERVICES Diabetes education health service provided to a person by an eligible diabetes educator for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan or, if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110, 81120, 93284, 93286, 93606, 93607 and 93608 apply). 81100 01MAR2024 31DEC9999 Y Diabetes education health service provided to a patient by an eligible diabetes educator for assessing the patient's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the patient for the group services if: (a) the patient has type 2 diabetes; and (b) the patient is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (c) the patient is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the patient individually and in person; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination) 81105 01MAY2007 31OCT2010 N DIABETES EDUCATION SERVICE - GROUP SERVICE Diabetes education health service provided to a person by an eligible diabetes educator, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible diabetes educator; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115 or 81125, the eligible diabetes educator prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible diabetes educator; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115 and 81125 apply) in a calendar year. 81105 01NOV2010 09DEC2020 N DIABETES EDUCATION SERVICE - GROUP SERVICE Diabetes education health service provided to a person by an eligible diabetes educator, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible diabetes educator; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115 or 81125, the eligible diabetes educator prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible diabetes educator; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115 and 81125 apply) in a calendar year. 81105 10DEC2020 29FEB2024 N DIABETES EDUCATION SERVICE - GROUP SERVICE Diabetes education health service provided to a person by an eligible diabetes educator, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110, 81120, 93284, 93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible diabetes educator; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115, 81125, 93285, 93613, 93614 or 93615 the eligible diabetes educator prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible diabetes educator; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115, 81125, 93285, 93613, 93614 and 93615 apply) in a calendar year. 81105 01MAR2024 31DEC9999 Y Diabetes education health service provided to a patient by an eligible diabetes educator, as a group service for the management of type 2 diabetes if: (a) the patient has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination; and (b) the service is provided to a patient who is part of a group of between 2 and 12 patients; and (c) the service is provided in person; and (d) the service is of at least 60 minutes duration; and (e) after the last service in the group services program provided to the patient under item 81105, 81115 or 81125 or item 93285 of the Telehealth and Telephone Determination, the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner; and (f) an attendance record for the group is maintained by the eligible diabetes educator; to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125 or item 93285 of the Telehealth and Telephone Determination) 81110 01MAY2007 31OCT2009 N EXERCISE PHYSIOLOGY SERVICE - ASSESSMENT FOR GROUP SERVICES Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 725], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department of Health and Ageing, or a referral form that substantially complies with the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81110 01NOV2009 30APR2010 N EXERCISE PHYSIOLOGY SERVICE - ASSESSMENT FOR GROUP SERVICES Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 725], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department of Health and Ageing, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81110 01MAY2010 30SEP2017 N EXERCISE PHYSIOLOGY SERVICE - ASSESSMENT FOR GROUP SERVICES Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 732, or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81110 01OCT2017 09DEC2020 N EXERCISE PHYSIOLOGY SERVICE - ASSESSMENT FOR GROUP SERVICES Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan [ie item 721 or 732, or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply). 81110 10DEC2020 29FEB2024 N EXERCISE PHYSIOLOGY SERVICE - ASSESSMENT FOR GROUP SERVICES Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan or, if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110, 81120, 93284, 93286, 93606, 93607 and 93608 apply). 81110 01MAR2024 31DEC9999 Y Exercise physiology health service provided to a person by an eligible exercise physiologist for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination) 81115 01MAY2007 31OCT2010 N EXERCISE PHYSIOLOGY SERVICE - GROUP SERVICE Exercise physiology health service provided to a person by an eligible exercise physiologist, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 8100, 81110 or 81120; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible exercise physiologist; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115 or 81125, the eligible exercise physiologist prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible exercise physiologist; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115 and 81125 apply) in a calendar year. 81115 01NOV2010 09DEC2020 N EXERCISE PHYSIOLOGY SERVICE - GROUP SERVICE Exercise physiology health service provided to a person by an eligible exercise physiologist, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible exercise physiologist; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115 or 81125, the eligible exercise physiologist prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible exercise physiologist; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115 and 81125 apply) in a calendar year. 81115 10DEC2020 29FEB2024 N EXERCISE PHYSIOLOGY SERVICE - GROUP SERVICE Exercise physiology health service provided to a person by an eligible exercise physiologist, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110, 81120, 93284, 93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible exercise physiologist; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115, 81125, 93285, 93613, 93614 or 93615, the eligible exercise physiologist prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible exercise physiologist; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115, 81125, 93285, 93613, 93614 and 93615 apply) in a calendar year. 81115 01MAR2024 31DEC9999 Y Exercise physiology health service provided to a person by an eligible exercise physiologist, as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the service is provided in person; and (d) the service is of at least 60 minutes duration; and (e) after the last service in the group services program provided to the person under item 81105, 81115 or 81125 or item 93285 of the Telehealth and Telephone Determination, the eligible exercise physiologist prepares, or contributes to, a written report to be provided to the referring medical practitioner; and (f) an attendance record for the group is maintained by the eligible exercise physiologist; to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125 or item 93285 of the Telehealth and Telephone Determination) 81120 01MAY2007 31OCT2009 N DIETETICS SERVICE - ASSESSMENT FOR GROUP SERVICES Dietetics health service provided to a person by an eligible dietitian for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 725], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department of Health and Ageing, or a referral form that substantially complies with the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and item 81120 apply). 81120 01NOV2009 30APR2010 N DIETETICS SERVICE - ASSESSMENT FOR GROUP SERVICES Dietetics health service provided to a person by an eligible dietitian for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 725], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department of Health and Ageing, or a referral form that contains all components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and item 81120 apply). 81120 01MAY2010 30SEP2017 N DIETETICS SERVICE - ASSESSMENT FOR GROUP SERVICES Dietetics health service provided to a person by an eligible dietitian for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan [ie item 721 or 732], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and item 81120 apply). 81120 01OCT2017 09DEC2020 N DIETETICS SERVICE - ASSESSMENT FOR GROUP SERVICES Dietetics health service provided to a person by an eligible dietitian for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan [ie item 721 or 732], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and item 81120 apply). 81120 10DEC2020 29FEB2024 N DIETETICS SERVICE - ASSESSMENT FOR GROUP SERVICES Dietetics health service provided to a person by an eligible dietitian for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a) the service is provided to a person who has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan or, if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all components of the form issued by the Department; and (d) the person is not an admitted patient of a hospital; and (e) the service is provided to the person individually and in person; and (f) the service is of at least 45 minutes duration; and (g) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110, 81120, 93284, 93286, 93606, 93607 and 93608 apply). 81120 01MAR2024 31DEC9999 Y Dietetics health service provided to a person by an eligible dietitian for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination) 81125 01MAY2007 31OCT2010 N DIETETICS SERVICE - GROUP SERVICE Dietetics health service provided to a person by an eligible dietitian, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible dietitian; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115 or 81125, the eligible dietitian prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible dietitian; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115 and 81125 apply) in a calendar year. 81125 01NOV2010 09DEC2020 N DIETETICS SERVICE - GROUP SERVICE Dietetics health service provided to a person by an eligible dietitian, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible dietitian; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115 or 81125, the eligible dietitian prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible dietitian; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115 and 81125 apply) in a calendar year. 81125 10DEC2020 29FEB2024 N DIETETICS SERVICE - GROUP SERVICE Dietetics health service provided to a person by an eligible dietitian, as a GROUP SERVICE for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110, 81120, 93284, 93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible dietitian; and (e) the service is of at least 60 minutes duration; and (f) after the last service in the group services program provided to the person under items 81105, 81115, 81125, 93285, 93613, 93614 or 93615, the eligible dietitian prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible dietitian; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115, 81125, 93285, 93613, 93614 and 93615 apply) in a calendar year. 81125 01MAR2024 31DEC9999 Y Dietetics health service provided to a person by an eligible dietitian, as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the service is provided in person; and (d) the service is of at least 60 minutes duration; and (e) after the last service in the group services program provided to the person under item 81105, 81115 or 81125 or item 93285 of the Telehealth and Telephone Determination, the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner; and (f) an attendance record for the group is maintained by the eligible dietitian; to a maximum of 8 group services in a calendar year (including services to which items 81105, 81115 and 81125 or item 93285 of the Telehealth and Telephone Determination apply) 81300 01NOV2008 30APR2010 N ABORIGINAL OR TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal health worker if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible Aboriginal health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible Aboriginal health worker gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of 5 services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81300 01MAY2010 30JUN2012 N ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal and Torres Strait Islander descent by an eligible Aboriginal health worker if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible Aboriginal health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible Aboriginal health worker gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81300 01JUL2012 30SEP2017 N ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal and Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81300 01OCT2017 09DEC2020 N ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal and Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81300 10DEC2020 29FEB2024 N ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal and Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81300 01MAR2024 31DEC9999 Y Aboriginal and Torres Strait Islander health service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81305 01NOV2008 30SEP2017 N DIABETES EDUCATION HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if: (a) a medical practitioner has identified a need for follow-up allied health services; and (b) the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81305 01OCT2017 09DEC2020 N DIABETES EDUCATION HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if: (a) either: a medical practitioner has identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81305 10DEC2020 29FEB2024 N DIABETES EDUCATION HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if: (a) either: a medical practitioner has identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81305 01MAR2024 31DEC9999 Y Diabetes education health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81310 01NOV2008 30SEP2017 N AUDIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81310 01OCT2017 09DEC2020 N AUDIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81310 10DEC2020 29FEB2024 N AUDIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81310 01MAR2024 31DEC9999 Y Audiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81315 01NOV2008 30SEP2017 N EXERCISE PHYSIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81315 01OCT2017 09DEC2020 N EXERCISE PHYSIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81315 10DEC2020 29FEB2024 N EXERCISE PHYSIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81315 01MAR2024 31DEC9999 Y Exercise physiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81320 01NOV2008 30SEP2017 N DIETETICS HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81320 01OCT2017 09DEC2020 N DIETETICS HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81320 10DEC2020 29FEB2024 N DIETETICS HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81320 01MAR2024 31DEC9999 Y Dietetics health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81325 01NOV2008 30SEP2017 N MENTAL HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81325 01OCT2017 09DEC2020 N MENTAL HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81325 10DEC2020 29FEB2024 N MENTAL HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81325 01MAR2024 31DEC9999 Y Mental health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81330 01NOV2008 30SEP2017 N OCCUPATIONAL THERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81330 01OCT2017 09DEC2020 N OCCUPATIONAL THERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81330 10DEC2020 29FEB2024 N OCCUPATIONAL THERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81330 01MAR2024 31DEC9999 Y Occupational therapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81335 01NOV2008 30SEP2017 N PHYSIOTHERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81335 01OCT2017 09DEC2020 N PHYSIOTHERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81335 10DEC2020 29FEB2024 N PHYSIOTHERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81335 01MAR2024 31DEC9999 Y Physiotherapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81340 01NOV2008 30SEP2017 N PODIATRY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible podiatrist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81340 01OCT2017 09DEC2020 N PODIATRY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible podiatrist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81340 10DEC2020 29FEB2024 N PODIATRY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible podiatrist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81340 01MAR2024 31DEC9999 Y Podiatry health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81345 01NOV2008 30SEP2017 N CHIROPRACTIC HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible chiropractor by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible chiropractor gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81345 01OCT2017 09DEC2020 N CHIROPRACTIC HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible chiropractor by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible chiropractor gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81345 10DEC2020 29FEB2024 N CHIROPRACTIC HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible chiropractor by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible chiropractor gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81345 01MAR2024 31DEC9999 Y Chiropractic health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81350 01NOV2008 30SEP2017 N OSTEOPATHY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible osteopath by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible osteopath gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81350 01OCT2017 09DEC2020 N OSTEOPATHY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible osteopath by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible osteopath gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81350 10DEC2020 29FEB2024 N OSTEOPATHY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible osteopath by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible osteopath gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81350 01MAR2024 31DEC9999 Y Osteopathy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81355 01NOV2008 30SEP2017 N PSYCHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible psychologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible psychologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81355 01OCT2017 09DEC2020 N PSYCHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible psychologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible psychologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81355 10DEC2020 29FEB2024 N PSYCHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible psychologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible psychologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81355 01MAR2024 31DEC9999 Y Psychology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 81360 01NOV2008 30SEP2017 N SPEECH PATHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible speech pathologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81360 01OCT2017 09DEC2020 N SPEECH PATHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible speech pathologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360 inclusive apply) in a calendar year 81360 10DEC2020 29FEB2024 N SPEECH PATHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if: (a) either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible speech pathologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c) the person is not an admitted patient of a hospital; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum of five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year 81360 01MAR2024 31DEC9999 Y Speech pathology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year 82000 01JUL2008 30JUN2011 N PSYCHOLOGY Psychology health service provided to a child, aged under 13 years, by an eligible psychologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) treatment plan, developed by the practitioner; and (c) the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; and (d) the psychologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005 and 82010 82000 01JUL2011 31DEC2012 N PSYCHOLOGY Psychology health service provided to a child, aged under 13 years, by an eligible psychologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the psychologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005, 82010 and 82030 82000 01JAN2013 28FEB2023 N PSYCHOLOGY Psychology health service provided to a child, aged under 13 years, by an eligible psychologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005, 82010 and 82030 82000 01MAR2023 29FEB2024 N Psychology health service provided to a patient aged under 25 years by an eligible psychologist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82005, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 82000 01MAR2024 31DEC9999 Y Psychology health service provided to a patient aged under 25 years by an eligible psychologist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82005, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day 82001 01NOV2021 31DEC9999 Y Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies) 82002 01NOV2021 31DEC9999 Y Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies) 82003 01NOV2021 31DEC9999 Y Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies) 82005 01JUL2008 30JUN2011 N SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 13 years, by an eligible speech pathologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) treatment plan, developed by the practitioner; and (c) the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; and (d) the speech pathologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005 and 82010 82005 01JUL2011 31DEC2012 N SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 13 years, by an eligible speech pathologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner: and (d) the speech pathologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005, 82010 and 82030 82005 01JAN2013 28FEB2023 N SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 13 years, by an eligible speech pathologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner: and (d) the speech pathologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005, 82010 and 82030 82005 01MAR2023 29FEB2024 N Speech pathology health service provided to a patient aged under 25 years by an eligible speech pathologist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 82005 01MAR2024 31DEC9999 Y Speech pathology health service provided to a patient aged under 25 years by an eligible speech pathologist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day 82010 01JUL2008 30JUN2011 N OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 13 years, by an eligible occupational therapist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) treatment plan, developed by the practitioner; and (c) the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; and (d) the occupational therapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005 and 82010 82010 01JUL2011 31DEC2012 N OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 13 years, by an eligible occupational therapist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the occupational therapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005, 82010 and 82030 82010 01JAN2013 28FEB2023 N OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 13 years, by an eligible occupational therapist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the occupational therapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items 82000, 82005, 82010 and 82030 82010 01MAR2023 29FEB2024 N Occupational therapy health service provided to a patient aged under 25 years by an eligible occupational therapist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 82010 01MAR2024 31DEC9999 Y Occupational therapy health service provided to a patient aged under 25 years by an eligible occupational therapist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day 82015 01JUL2008 30JUN2011 N PSYCHOLOGY Psychology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) by an eligible psychologist where: (a) the child has been diagnosed with PDD; and (b) the child has received a PDD treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD treatment plan; and (d) the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; and (e) the psychologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020 and 82025 82015 01JUL2011 31DEC2012 N PSYCHOLOGY Psychology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible psychologist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the psychologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020, 82025 and 82035 82015 01JAN2013 28FEB2023 N PSYCHOLOGY Psychology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible psychologist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020, 82025 and 82035 82015 01MAR2023 29FEB2024 N Psychology health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible psychologist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 30 minutes duration; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82020, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 82015 01MAR2024 31DEC9999 Y Psychology health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible psychologist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82020, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day 82020 01JUL2008 30JUN2011 N SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) by an eligible speech pathologist where: (a) the child has been diagnosed with PDD; and (b) the child has received a PDD treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD treatment plan; and (d) the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; and (e) the speech pathologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020 and 82025 82020 01JUL2011 31DEC2012 N SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible speech pathologist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the speech pathologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020, 82025 and 82035 82020 01JAN2013 28FEB2023 N SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible speech pathologist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the speech pathologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020, 82025 and 82035 82020 01MAR2023 29FEB2024 N Speech pathology health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible speech pathologist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 30 minutes duration; and (e) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category. 82020 01MAR2024 31DEC9999 Y Speech pathology health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible speech pathologist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day 82025 01JUL2008 30JUN2011 N OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) by an eligible occupational therapist where: (a) the child has been diagnosed with PDD; and (b) the child has received a PDD treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD treatment plan; and (d) the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; and (e) the occupational therapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020 and 82025 82025 01JUL2011 31DEC2012 N OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible occupational therapist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the occupational therapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020, 82025 and 82035 82025 01JAN2013 28FEB2023 N OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible occupational therapist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the occupational therapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items 82015, 82020, 82025 and 82035 82025 01MAR2023 29FEB2024 N Occupational therapy health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible occupational therapist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 30 minutes duration; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 82025 01MAR2024 31DEC9999 Y Occupational therapy health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible occupational therapist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day 82030 01JUL2011 31DEC2012 N AUDIOLOGY, OPTOMETRY, ORTHOPTIC OR PHYSIOTHERAPY Audiology, optometry, orthoptic or physiotherapy health service provided to a child, aged under 13 years, by an eligible audiologist, optometrist, orthoptist or physiotherapist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items - 82000, 82005, 82010 and 82030 82030 01JAN2013 28FEB2023 N AUDIOLOGY, OPTOMETRY, ORTHOPTIC OR PHYSIOTHERAPY Audiology, optometry, orthoptic or physiotherapy health service provided to a child, aged under 13 years, by an eligible audiologist, optometrist, orthoptist or physiotherapist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items - 82000, 82005, 82010 and 82030 82030 01MAR2023 29FEB2024 N Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years by an eligible audiologist, optometrist, orthoptist or physiotherapist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82010, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 82030 01MAR2024 31DEC9999 Y Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years by an eligible audiologist, optometrist, orthoptist or physiotherapist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82010, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day 82035 01JUL2011 31DEC2012 N AUDIOLOGY, OPTOMETRY, ORTHOPTIC OR PHYSIOTHERAPY Audiology, optometry, orthoptic or physiotherapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible audiologist, optometrist, orthoptist or physiotherapist where: (a) the child has been diagnosed with PDD or eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items - 82015, 82020, 82025 and 82035 82035 01JAN2013 28FEB2023 N AUDIOLOGY, OPTOMETRY, ORTHOPTIC OR PHYSIOTHERAPY Audiology, optometry, orthoptic or physiotherapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible audiologist, optometrist, orthoptist or physiotherapist where: (a) the child has been diagnosed with PDD or eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items - 82015, 82020, 82025 and 82035 82035 01MAR2023 29FEB2024 N Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible audiologist, optometrist, orthoptist or physiotherapist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the patient is not an admitted patient; and (c) the service is provided to the patient individually and in person; and (d) the service is at least 30 minutes duration; and (e) on the completion of the course of treatment, the eligible audiologist, optometrist, orthoptist or physiotherapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82025, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 82035 01MAR2024 31DEC9999 Y Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible audiologist, optometrist, orthoptist or physiotherapist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible audiologist, optometrist, orthoptist or physiotherapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82025, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day 82100 01NOV2010 31OCT2018 N Initial antenatal professional attendance by a participating midwife, lasting at least 40 minutes, including all of the following: (a) taking a detailed patient history; (b) performing a comprehensive examination; (c) performing a risk assessment; (d) based on the risk assessment - arranging referral or transfer of the patient's care to an obstetrician; (e) requesting pathology and diagnostic imaging services, when necessary; (f) discussing with the patient the collaborative arrangements for her maternity care and recording the arrangements in the midwife's written records in accordance with section 2E of the Health Insurance Regulations 1975. Payable once only for any pregnancy. 82100 01NOV2018 31DEC2023 N Initial antenatal professional attendance by a participating midwife, lasting at least 40 minutes, including all of the following: (a) taking a detailed patient history; (b) performing a comprehensive examination; (c) performing a risk assessment; (d) based on the risk assessment - arranging referral or transfer of the patient's care to an obstetrician; (e) requesting pathology and diagnostic imaging services, when necessary; (f) discussing with the patient the collaborative arrangements for her maternity care and recording the arrangements in the midwife's written records in accordance with section 6 of the Health Insurance Regulations 2018. Payable once only for any pregnancy. 82100 01JAN2024 31DEC9999 Y Initial antenatal professional attendance by a participating midwife, lasting at least 40 minutes, including all of the following: (a) taking a detailed patient history; (b) performing a comprehensive examination; (c) performing a risk assessment; (d) based on the risk assessment - arranging referral or transfer of the patient's care to an obstetrician; (e) requesting pathology and diagnostic imaging services, when necessary; (f) discussing with the patient the collaborative arrangements for her maternity care and recording the arrangements in the midwife's written records in accordance with section 6 of the Health Insurance Regulations 2018 Payable only once for any pregnancy 82105 01NOV2010 31DEC2023 N Short antenatal professional attendance by a participating midwife, lasting up to 40 minutes. 82105 01JAN2024 31DEC9999 Y Short antenatal professional attendance by a participating midwife, lasting up to 40 minutes 82110 01NOV2010 31DEC2023 N Long antenatal professional attendance by a participating midwife, lasting at least 40 minutes. 82110 01JAN2024 31DEC9999 Y Long antenatal professional attendance by a participating midwife, lasting at least 40 minutes 82115 01NOV2010 28FEB2022 N Professional attendance by a participating midwife, lasting at least 90 minutes, for assessment and preparation of a maternity care plan for a patient whose pregnancy has progressed beyond 20 weeks, if: (a) the patient is not an admitted patient of a hospital; and (b) the participating midwife undertakes a comprehensive assessment of the patient; and (c) the participating midwife develops a written maternity care plan that contains: outcomes of the assessment; and details of agreed expectations for care during pregnancy, labour and delivery; and details of any health problems or care needs; and details of collaborative arrangements that apply for the patient; and details of any medication taken by the patient during the pregnancy, and any additional medication that may be required by the patient; and details of any referrals or requests for pathology services or diagnostic imaging services for the patient during the pregnancy, and any additional referrals or requests that may be required for the patient; and (d) the maternity care plan is explained and agreed with the patient; and (e) the fee does not include any amount for the management of the labour and delivery. (Includes any antenatal attendance provided on the same occasion). Payable once only for any pregnancy. 82115 01MAR2022 31DEC9999 Y Professional attendance by a participating midwife, lasting at least 90 minutes, for assessment and preparation of a maternity care plan for a patient whose pregnancy has progressed beyond 28 weeks, where the participating midwife has had at least 2 antenatal attendances with the patient in the preceding 6 months, if: (a) the patient is not an admitted patient of a hospital; and (b) the participating midwife undertakes a comprehensive assessment of the patient; and (c) the participating midwife develops a written maternity care plan that contains: (i) outcomes of the assessment; and (ii) details of agreed expectations for care during pregnancy, labour and birth; and (iii) details of any health problems or care needs; and (iv) details of collaborative arrangements that apply to the patient; and (v) details of any medication taken by the patient during the pregnancy, and any additional medication that may be required by the patient; and (vi) details of any referrals or requests for pathology services or diagnostic imaging services for the patient during the pregnancy, and any additional referrals or requests that may be required for the patient; and (d) the maternity care plan is explained and agreed with the patient; and (e) the fee does not include any amount for the management of labour and birth; (Includes any antenatal attendance provided on the same occasion) Payable only once for any pregnancy; This item cannot be claimed if items 16590 or 16591 have previously been claimed during a single pregnancy, except in exceptional circumstances 82116 01MAR2022 31DEC9999 Y Management of labour for up to 6 hours, not including birth, at a place other than a hospital if: (a) the attendance is by the participating midwife who: (i) provided the patient's antenatal care or (ii) is a member of a practice that has provided the patient's antenatal care; and (b) the total attendance time is documented in the patient notes; This item does not apply if birth is performed during the attendance; Only claimable once per pregnancy 82118 01MAR2022 31DEC9999 Y Management of labour for up to 6 hours total attendance, including birth where performed or attendance and immediate post-birth care at an elective caesarean section if: (a) the patient is an admitted patient of a hospital; and (b) the attendance is by the first participating midwife who: (i) assisted or provided the patient's antenatal care; or (ii) is a member of a practice that has provided the patient's antenatal care; and (c) the total attendance time is documented in the patient notes. (Includes all hospital attendances related to the labour by the first participating midwife) Only claimable once per pregnancy; Not being a service associated with a service to which item 82120 applies (H) 82120 01NOV2010 28FEB2022 N Management of confinement for up to 12 hours, including delivery (if undertaken), if: (a) the patient is an admitted patient of a hospital; and (b) the attendance is by a participating midwife who: (i) provided the patient's antenatal care; or (ii) is a member of a practice that provided the patient's antenatal care. (Includes all attendances related to the confinement by the participating midwife) Payable once only for any pregnancy 82120 01MAR2022 31DEC9999 Y Management of labour between 6 and 12 hours total attendance, including birth where performed, if: (a) the patient is an admitted patient of a hospital; and (b) the attendance is by the first participating midwife who: (i) assisted or provided the patient's antenatal care; or (ii) is a member of a practice that provided the patient's antenatal care; and (c) the total attendance time is documented in the patient notes; (Includes all hospital attendances related to the labour by the first participating midwife) Only claimable once per pregnancy; Not being a service associated with a service to which item 82118 applies (H) 82123 01MAR2022 31DEC9999 Y Management of labour for up to 6 hours total attendance, including birth where performed if: (a) the patient is an admitted patient of a hospital; and (b) the attendance is by the second participating midwife who either: (i) assisted or provided the patient's antenatal care; or (ii) is a member of a practice that has provided the patient's antenatal care; and (c) the total attendance time is documented in the patient notes; (Includes all hospital attendances related to the labour by the second participating midwife) Only claimable once per pregnancy; Not being a service associated with a service to which item 82125 applies (H) 82125 01NOV2010 28FEB2022 N Management of confinement, including delivery (if undertaken) when care is transferred from 1 participating midwife to another participating midwife (the second participating midwife), if:(a) the patient is an admitted patient of a hospital; and (b) the patient's confinement is for longer than 12 hours; (c) the second participating midwife: (i) has provided the patient's antenatal care; or (ii) is a member of a practice that has provided the patient's antenatal care. (Includes all attendances related to the confinement by the second participating midwife) Payable one only for any pregnancy. 82125 01MAR2022 31DEC9999 Y Management of labour between 6 and 12 hours total attendance, including birth where performed, if: (a) the patient is an admitted patient of a hospital; and (b) the attendance is by the second participating midwife who either: (i) assisted or provided the patient's antenatal care; or (ii) is a member of a practice that provided the patient's antenatal care; and (c) the total attendance time is documented in the patient notes; (Includes all hospital attendances related to the labour by the second participating midwife) Only claimable once per pregnancy; Not being a service associated with a service to which item 82123 or 82127 applies (H) 82127 01MAR2022 31DEC9999 Y Management of labour for up to 6 hours total attendance, including birth where performed if: (a) the patient is an admitted patient of a hospital; and (b) the attendance is by a third participating midwife who either: (i) assisted or provided the patient's antenatal care; or (ii) is a member of a practice that has provided the patient's antenatal care; and (c) an attendance to which item 82123 applies has been provided by a second participating midwife who is a member of a practice that has provided the patient's antenatal care; and (d) the total attendance time is documented in the patient notes; (Includes all hospital attendances related to the labour by the third participating midwife) Only claimable once per pregnancy; Not being a service associated with a service to which item 82125 applies (H) 82130 01NOV2010 28FEB2022 N Short Postnatal Attendance Short postnatal professional attendance by a participating midwife, lasting up to 40 minutes, within 6 weeks after delivery. 82130 01MAR2022 31DEC2023 N Short Postnatal Attendance Short postnatal professional attendance by a participating midwife, lasting up to 40 minutes, within 6 weeks after birth. 82130 01JAN2024 31DEC9999 Y Short postnatal professional attendance by a participating midwife, lasting up to 40 minutes, within 6 weeks after birth 82135 01NOV2010 28FEB2022 N Long Postnatal Attendance Long postnatal professional attendance by a participating midwife, lasting at least 40 minutes, within 6 weeks after delivery. 82135 01MAR2022 31DEC2023 N Long Postnatal Attendance Long postnatal professional attendance by a participating midwife, lasting at least 40 minutes, within 6 weeks after birth. 82135 01JAN2024 31DEC9999 Y Long postnatal professional attendance by a participating midwife, lasting at least 40 minutes, within 6 weeks after birth 82140 01NOV2010 28FEB2022 N Six Week Postnatal Attendance Postnatal professional attendance by a participating midwife on a patient not less than 6 weeks but not more than 7 weeks after delivery of a baby, including: (a) a comprehensive examination of patient and baby to ensure normal postnatal recovery; and (b) referral of the patient to a general practitioner for the ongoing care of the patient and baby Payable once only for any pregnancy. 82140 01MAR2022 31DEC2023 N Six Week Postnatal Attendance Postnatal professional attendance by a participating midwife on a patient not less than 6 weeks but not more than 7 weeks after birth of a baby, including: (a) a comprehensive examination of patient and baby to ensure normal postnatal recovery; and (b) referral of the patient to a general practitioner for the ongoing care of the patient and baby Payable once only for any pregnancy. 82140 01JAN2024 31DEC9999 Y Postnatal professional attendance by a participating midwife on a patient, not less than 6 weeks but not more than 7 weeks after birth of a baby, including: (a) a comprehensive examination of the patient and baby to ensure normal postnatal recovery; and (b) referral of the patient to a general practitioner for the ongoing care of the patient and baby Payable only once for any pregnancy 82150 01JUL2011 31OCT2012 N A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, not being an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist practising in their specialty of obstetrics or paediatrics. 82150 01NOV2012 31DEC2012 N A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) outside an Inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82150 01JAN2013 31DEC9999 Y A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82151 01JUL2011 31OCT2012 N A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, not being an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist practising in their specialty of obstetrics or paediatrics. 82151 01NOV2012 31DEC2012 N A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) outside an Inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82151 01JAN2013 31DEC9999 Y A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82152 01JUL2011 31OCT2012 N A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, not being an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist practising in their specialty of obstetrics or paediatrics. 82152 01NOV2012 31DEC2012 N A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) outside an Inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82152 01JAN2013 31DEC9999 Y A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82200 01NOV2010 31DEC9999 Y Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management. 82205 01NOV2010 31DEC9999 Y Professional attendance by a participating nurse practitioner lasting less than 20 minutes and including any of the following: a) taking a history; b) undertaking clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care, for 1 or more health related issues, with appropriate documentation. 82210 01NOV2010 31DEC9999 Y Professional attendance by a participating nurse practitioner lasting at least 20 minutes and including any of the following: a) taking a detailed history; b) undertaking clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care, for 1 or more health related issues, with appropriate documentation. 82215 01NOV2010 31DEC9999 Y Professional attendance by a participating nurse practitioner lasting at least 40 minutes and including any of the following: a) taking an extensive history; b) undertaking clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care, for 1 or more health related issues, with appropriate documentation. 82220 01JUL2011 31OCT2012 N A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, not being an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist or consultant physician. 82220 01NOV2012 31DEC2012 N A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located:(i) both: (A) outside an Inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82220 01JAN2013 31DEC9999 Y A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82221 01JUL2011 31OCT2012 N A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, not being an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist or consultant physician. 82221 01NOV2012 31DEC2012 N A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) outside an Inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82221 01JAN2013 31DEC9999 Y A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82222 01JUL2011 31OCT2012 N A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who is: a) located outside an inner metropolitan area, not being an admitted patient; or b) at an Aboriginal Medical Service or Aboriginal Community Controlled Health Service in relation to which a direction made under subsection 19(2) of the Act applies; and who is participating in a video consultation with a specialist or consultant physician. 82222 01NOV2012 31DEC2012 N A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) outside an Inner metropolitan area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82222 01JAN2013 31DEC9999 Y A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies. 82223 01JUL2011 31OCT2012 N A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who is: a) a care recipient receiving care in a residential aged care service (other than a professional attendance at a self-contained unit); or b) at consulting rooms situated within such a complex if the patient is an approved care recipient receiving care in a residential aged care service (excluding accommodation in a self-contained unit); and who is participating in a video consultation with a specialist or consultant physician. 82223 01NOV2012 31DEC9999 Y A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) either: (i) is a care recipient receiving care in a residential care service; or (ii) is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and c) the professional attendance is not provided at a self-contained unit. 82224 01JUL2011 31OCT2012 N A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who is: a) a care recipient receiving care in a residential aged care service (other than a professional attendance at a self-contained unit); or b) at consulting rooms situated within such a complex if the patient is an approved care recipient receiving care in a residential aged care service (excluding accommodation in a self-contained unit); and who is participating in a video consultation with a specialist or consultant physician. 82224 01NOV2012 31DEC9999 Y A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) either: (i) is a care recipient receiving care in a residential care service; or (ii) is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and c) the professional attendance is not provided at a self-contained unit 82225 01JUL2011 31OCT2012 N A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who is: a) a care recipient receiving care in a residential aged care service (other than a professional attendance at a self-contained unit); or b) at consulting rooms situated within such a complex if the patient is an approved care recipient receiving care in a residential aged care service (excluding accommodation in a self-contained unit); and who is participating in a video consultation with a specialist or consultant physician 82225 01NOV2012 31DEC9999 Y A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) either: (i) is a care recipient receiving care in a residential care service; or (ii) is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and c) the professional attendance is not provided at a self-contained unit 82226 01MAR2024 31DEC9999 Y Burns, involving 1% or more but less than 3% of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, by a participating nurse practitioner-each attendance at which the procedure is performed Not applicable for skin reactions secondary to radiotherapy 82227 01MAR2024 31DEC9999 Y Burns, involving 3% or more but less than 10% of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, by a participating nurse practitioner-each attendance at which the procedure is performed Not applicable for skin reactions secondary to radiotherapy 82228 01MAR2024 31DEC9999 Y Nipple or areola or both, intradermal colouration of, by a participating nurse practitioner, following breast reconstruction after mastectomy or for congenital absence of nipple 82300 01NOV2012 28FEB2023 N Audiology health service, consisting of BRAIN STEM EVOKED RESPONSE AUDIOMETRY, performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is a specialist in the specialty of otolaryngology head and neck surgery; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11300 applies has not been performed on the person on the same day. 82300 01MAR2023 29FEB2024 N Audiology health service, consisting of brain stem evoked response audiometry, performed on a patient by an eligible audiologist if: (a) the service is not for the purposes of programming either an auditory implant or the sound processors of an auditory implant; and (b) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (c) the service is not performed for the purpose of a hearing screening; and (d) the patient is not an admitted patient; and (e) the service is performed on the patient individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (g) a service to which item 11300 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82300 01MAR2024 31DEC9999 Y Audiology health service, consisting of brain stem evoked response audiometry, performed on a patient by an eligible audiologist if: (a) the service is not for the purposes of programming either an auditory implant or the sound processors of an auditory implant; and (b) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (c) the service is not performed for the purpose of a hearing screening; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11300 applies has not been performed on the patient on the same day 82301 01MAR2023 29FEB2024 N Audiology health service, consisting of programming an auditory implant or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if: (a) the patient is not an admitted patient; and (b) the service is performed on the patient individually and in person; and (c) a service to which item 11302, 11342 or 11345 applies has not been performed on the patient on the same day Applicable up to a total of 4 services to which this item, item 82302 or item 82304 applies on the same day This item is subject to section 9 82301 01MAR2024 31DEC9999 Y Audiology health service, consisting of programming an auditory implant or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if: (a) the service is performed on the patient individually and in person; and (b) a service to which item 11302, 11342 or 11345 applies has not been performed on the patient on the same day Applicable up to a total of 4 services to which this item, item 82302 or item 82304 applies on the same day 82302 01MAR2022 28FEB2023 N Audiology health service by telehealth for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if: (a) the service is not performed for the purpose of a hearing screening; and (b) a service to which item 11300, 11342 or 11345 applies has not been performed on the person on the same day. Applicable up to a total of 4 services to which this item or item 82300 or 82304 apply on the same day 82302 01MAR2023 31DEC9999 Y Audiology health service by telehealth for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if: (a) the service is not performed for the purpose of a hearing screening; and (b) a service to which item 11302, 11342 or 11345 applies not been performed on the patient on the same day Applicable up to a total of 4 services to which this item, item 82301 or item 82304 applies on the same day 82304 01MAR2022 28FEB2023 N Audiology health service by phone for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if: (a) the service is not performed for the purpose of a hearing screening; and (b) a service to which item 11300, 11342 or 11345 applies has not been performed on the person on the same day. Applicable up to a total of 4 services to which this item or item 82300 or 82302 apply on the same day 82304 01MAR2023 31DEC9999 Y Audiology health service by phone for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if: (a) the service is not performed for the purpose of a hearing screening; and (b) a service to which item 11302, 11342 or 11345 applies not been performed on the patient on the same day Applicable up to a total of 4 services to which this item, item 82301 or item 82302 applies on the same day 82306 01NOV2012 28FEB2023 N Audiology health service, consisting of NON-DETERMINATE AUDIOMETRY performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is a specialist in the specialty of otolaryngology head and neck surgery; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11306 applies has not been performed on the person on the same day. 82306 01MAR2023 29FEB2024 N Audiology health service, consisting of non-determinate audiometry performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the patient is not an admitted patient; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11306 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82306 01MAR2024 31DEC9999 Y Audiology health service, consisting of non-determinate audiometry performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the service is performed on the patient individually and in person; and (d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (e) a service to which item 11306 applies has not been performed on the patient on the same day 82309 01NOV2012 28FEB2023 N Audiology health service, consisting of an AIR CONDUCTION AUDIOGRAM performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11309 applies has not been performed on the person on the same day. 82309 01MAR2023 29FEB2024 N Audiology health service, consisting of an air conduction audiogram performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the patient is not an admitted patient; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11309 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82309 01MAR2024 31DEC9999 Y Audiology health service, consisting of an air conduction audiogram performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the service is performed on the patient individually and in person; and (d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (e) a service to which item 11309 applies has not been performed on the patient on the same day 82312 01NOV2012 28FEB2023 N Audiology health service, consisting of an AIR AND BONE CONDUCTION AUDIOGRAM OR AIR CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11312 applies has not been performed on the person on the same day. 82312 01MAR2023 29FEB2024 N Audiology health service, consisting of an air and bone conduction audiogram or air conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the patient is not an admitted patient; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11312 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82312 01MAR2024 31DEC9999 Y Audiology health service, consisting of an air and bone conduction audiogram or air conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the service is performed on the patient individually and in person; and (d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (e) a service to which item 11312 applies has not been performed on the patient on the same day 82315 01NOV2012 28FEB2023 N Audiology health service, consisting of an AIR AND BONE CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11315 applies has not been performed on the person on the same day. 82315 01MAR2023 29FEB2024 N Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the patient is not an admitted patient; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11315 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82315 01MAR2024 31DEC9999 Y Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the service is performed on the patient individually and in person; and (d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (e) a service to which item 11315 applies has not been performed on the patient on the same day 82318 01NOV2012 28FEB2023 N Audiology health service, consisting of an AIR AND BONE CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM WITH OTHER COCHLEAR TESTS performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11318 applies has not been performed on the person on the same day. 82318 01MAR2023 29FEB2024 N Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram with other cochlear tests performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the patient is not an admitted patient; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11318 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82318 01MAR2024 31DEC9999 Y Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram with other cochlear tests performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the service is performed on the patient individually and in person; and (d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (e) a service to which item 11318 applies has not been performed on the patient on the same day 82324 01NOV2012 28FEB2023 N Audiology health service, consisting of an IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (not being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11324 applies has not been performed on the person on the same day. 82324 01MAR2023 29FEB2024 N Audiology health service, consisting of an impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the patient is not an admitted patient; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11324 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82324 01MAR2024 31DEC9999 Y Audiology health service, consisting of an impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed on a patient by an eligible audiologist if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is not performed for the purpose of a hearing screening; and (c) the service is performed on the patient individually and in person; and (d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (e) a service to which item 11324 applies has not been performed on the patient on the same day 82327 01NOV2012 31DEC9999 Y Audiology health service, consisting of an IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11327 applies has not been performed on the person on the same day. 82332 01NOV2012 28FEB2023 N Audiology health service, consisting of an OTO-ACOUSTIC EMISSION AUDIOMETRY for the detection of permanent congenital hearing impairment, performed by an eligible audiologist on an infant or child in circumstances in which: (a) the service is performed pursuant to a written request made by an eligible practitioner who is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (b) the infant or child is at risk due to 1 or more of the following factors: (i) admission to a neonatal intensive care unit; (ii) family history of hearing impairment; (iii) intra-uterine or perinatal infection (either suspected or confirmed); (iv) birthweight less than 1.5kg; (v) craniofacial deformity; (vi) birth asphyxia; (vii) chromosomal abnormality, including Down Syndrome; (viii) exchange transfusion; and (c) middle ear pathology has been excluded by specialist opinion; and (d) the infant or child is not an admitted patient of a hospital; and (e) the service is performed on the infant or child individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11332 applies has not been performed on the infant or child on the same day. 82332 01MAR2023 29FEB2024 N Audiology health service, consisting of an oto-acoustic emission audiometry for the detection of outer hair cell functioning in the cochlear, performed by an eligible audiologist, when middle ear pathology has been excluded, if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is performed: (i) on an infant or child who is at risk of permanent hearing impairment; or (ii) on a patient who is at risk of oto-toxicity due to medications or medical intervention; or (iii) on a patient at risk of noise induced hearing loss; or (iv) to assist in the diagnosis of auditory neuropathy; and (c) the patient is not an admitted patient; and (d) the service is performed on the patient individually and in person; and (e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (f) a service to which item 11332 applies has not been performed on the patient on the same day This item is subject to sections 9 and 12 82332 01MAR2024 31DEC9999 Y Audiology health service, consisting of an oto-acoustic emission audiometry for the detection of outer hair cell functioning in the cochlea, performed by an eligible audiologist, when middle ear pathology has been excluded, if: (a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and (b) the service is performed: (i) on an infant or child who is at risk of permanent hearing impairment; or (ii) on a patient who is at risk of oto-toxicity due to medications or medical intervention; or (iii) on a patient at risk of noise induced hearing loss; or (iv) to assist in the diagnosis of auditory neuropathy; and (c) the service is performed on the patient individually and in person; and (d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and (e) a service to which item 11332 applies has not been performed on the patient on the same day 82350 01NOV2019 29FEB2024 N Dietetics health service provided to an eligible patient by an eligible dietitian if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is of at least 20 minutes in duration 82350 01MAR2024 31DEC9999 Y Dietetics health service provided to an eligible patient by an eligible dietitian if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is of at least 20 minutes in duration 82351 01NOV2019 31DEC9999 Y Dietetics health service provided to an eligible patient by an eligible dietitian if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the dietitian; and (f) the service is of at least 20 minutes duration 82352 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 30 minutes but less than 50 minutes in duration. 82352 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes but less than 50 minutes in duration 82353 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 30 minutes but less than 50 minutes in duration. 82354 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and the service is at least 30 minutes but less than 50 minutes in duration. 82354 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes but less than 50 minutes in duration 82355 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration. 82355 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82356 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 50 minutes in duration. 82357 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration. 82357 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82358 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration. 82358 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided in person; and (c) the service is at least 60 minutes in duration 82359 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration. 82359 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes in duration 82360 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration. 82360 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration 82361 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 20 minutes but less than 50 minutes in duration. 82362 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration. 82362 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration 82363 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration. 82363 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82364 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 50 minutes in duration. 82365 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration. 82365 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82366 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration. 82366 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided in person; and (c) the service is at least 60 minutes in duration 82367 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration. 82367 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes in duration 82368 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration. 82368 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration 82369 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 20 minutes but less than 50 minutes in duration. 82370 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration. 82370 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration 82371 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration. 82371 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82372 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 50 minutes in duration. 82373 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration. 82373 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82374 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration 82374 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided in person; and (c) the service is at least 60 minutes in duration 82375 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration. 82375 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes in duration 82376 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration 82376 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration 82377 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 20 minutes but less than 50 minutes in duration 82378 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration. 82378 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes in duration 82379 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration. 82379 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82380 01NOV2019 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 50 minutes in duration. 82381 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration 82381 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes in duration 82382 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration. 82382 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided in person; and (c) the service is at least 60 minutes in duration 82383 01NOV2019 29FEB2024 N Eating disorder psychological treatment service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration. 82383 01MAR2024 31DEC9999 Y Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the attendance is by video conference; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (e) the service is at least 60 minutes in duration 85011 01NOV2007 31DEC9999 Y Comprehensive oral examination Evaluation of all teeth, their supporting tissues and the oral tissues in order to record the condition of these structures. This evaluation includes recording an appropriate medical history and any other relevant information. Limit of one (1) per provider every 2 years. 85012 01NOV2007 31DEC9999 Y Periodic oral examination An evaluation performed on a patient of record to determine any changes in the patient's dental and medical health status since a previous comprehensive or periodic examination. Limit of one (1) per provider every 6 months. 85013 01NOV2007 31DEC9999 Y Oral examination - limited A limited problem-focused oral evaluation carried out immediately prior to required treatment. This evaluation includes recording an appropriate medical history and any other relevant information. Limit of three (3) per 3 month period. 85022 01NOV2007 31DEC9999 Y Intraoral periapical or bitewing radiograph - per exposure Limit of six (6) per day. 85025 01NOV2007 31DEC9999 Y Intraoral radiograph - occlusal, maxillary or mandibular per exposure 85031 01NOV2007 31DEC9999 Y Extraoral radiograph - maxillary, mandibular - per exposure 85037 01NOV2007 31DEC9999 Y Panoramic radiograph - per exposure 85039 01NOV2007 31DEC9999 Y Tomography of the skull or parts thereof Limit of one (1) per 12 month period. 85047 01NOV2007 31DEC9999 Y Caries activity screening test Limit one (1) per 12 month period. 85051 01NOV2007 31DEC9999 Y Biopsy of tissue 85071 01NOV2007 31DEC9999 Y Diagnostic model - per model 85111 01NOV2007 31DEC9999 Y Removal of plaque and/or stain. Limit of one (1) per 6 month period. 85113 01NOV2007 31DEC9999 Y Recontouring pre-existing restoration(s) 85114 01NOV2007 31DEC9999 Y Removal of calculus - first visit Limit of one (1) per 6 month period. 85115 01NOV2007 31DEC9999 Y Removal of calculus - subsequent visit Limit of two (2) per 12 month period. 85117 01NOV2007 31DEC9999 Y Bleaching, internal - per tooth For non-vital discoloured tooth. 85121 01NOV2007 31DEC9999 Y Topical application of remineralising agent - one treatment Limit of one (1) per 6 month period. 85123 01NOV2007 31DEC9999 Y Concentrated remineralising agent, application - single tooth Limit of one (1) per day. 85131 01NOV2007 31DEC9999 Y Dietary advice Where a full appointment of at least 15 minutes is used. Limit of one (1) per 12 month period. 85141 01NOV2007 31DEC9999 Y Oral hygiene instruction Where a full appointment of at least 15 minutes is used. Limit of one (1) per 12 month period. 85161 01NOV2007 31DEC9999 Y Fissure sealing - per tooth 85165 01NOV2007 31DEC9999 Y Desensitizing procedure - per visit 85171 01NOV2007 31DEC9999 Y Odontoplasty - per tooth 85213 01NOV2007 31DEC9999 Y Treatment of acute periodontal infection - per visit Limit of two (2) per 12 month period. 85221 01NOV2007 31DEC9999 Y Clinical periodontal analysis and recording Limit of one (1) per 12 month period. 85222 01NOV2007 31DEC9999 Y Root planing and subgingival curettage - per eight teeth or less Limit of two (2) per day. 85225 01NOV2007 31DEC9999 Y Non-surgical periodontal treatment where not otherwise specified - per visit Limit of one (1) per 12 month period. 85231 01NOV2007 31DEC9999 Y Gingivectomy - per eight teeth or less Limit of four (4) per 12 month period. 85232 01NOV2007 31DEC9999 Y Periodontal flap surgery - per eight teeth or less Limit of four (4) per 12 month period. 85233 01NOV2007 31DEC9999 Y Osseous surgery - per eight teeth or less Limit of four (4) per 12 month period. 85234 01NOV2007 31DEC9999 Y Osseous graft - per tooth or implant Limit of two (2) per 12 month period. 85238 01NOV2007 31DEC9999 Y Periodontal flap surgery for crown lengthening - per tooth 85241 01NOV2007 31DEC9999 Y Root resection - per root 85245 01NOV2007 31DEC9999 Y Periodontal surgery involving one tooth or an implant Limit of one (1) per 12 month period. 85311 01NOV2007 31DEC9999 Y Removal of a tooth or part(s) thereof 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional extractions on the same day, use item 85316. Limit of one (1) per day. 85314 01NOV2007 31DEC9999 Y Sectional removal of a tooth 1st sectional removal. Inclusive of local anaesthesia and routine post-operative care. For additional extractions on the same day, use item 85316. Limit of one (1) per day. 85316 01NOV2007 31DEC9999 Y Additional extraction requiring removal of a tooth or part(s) thereof, or sectional removal of a tooth To be used for additional extractions on the same day in conjunction with items 85311 or 85314. 85322 01NOV2007 31DEC9999 Y Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional surgical extractions on the same day, use item 85326. Limit of one (1) per day. 85323 01NOV2007 31DEC9999 Y Surgical removal of a tooth or tooth fragment requiring removal of bone 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional surgical extractions on the same day, use item 85326. Limit of one (1) per day. 85324 01NOV2007 31DEC9999 Y Surgical removal of a tooth or tooth fragment requiring both removal of bone and tooth division 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional surgical extractions on the same day, use item 85326. Limit of one (1) per day. 85326 01NOV2007 31DEC9999 Y Additional extraction requiring surgical removal of a tooth or tooth fragment. To be used for additional surgical extractions on the same day in conjunction with items 85322, 85323 or 85324. 85331 01NOV2007 31DEC9999 Y Alveolectomy - per segment Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 85337 01NOV2007 31DEC9999 Y Reduction of fibrous tuberosity Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately 85338 01NOV2007 31DEC9999 Y Reduction of flabby ridge - per segment Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately 85341 01NOV2007 31DEC9999 Y Removal of hyperplastic tissue Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 85377 01NOV2007 31DEC9999 Y Removal or repair of soft tissue (not elsewhere defined) Includes insertion of sutures, normal post-operative care and suture removal. 85378 01NOV2007 31DEC9999 Y Surgical removal of foreign body Includes insertion of sutures, normal post-operative care and suture removal. 85381 01NOV2007 31DEC9999 Y Surgical exposure of unerupted tooth Includes insertion of sutures, normal post-operative care and suture removal. 85384 01NOV2007 31DEC9999 Y Repositioning of displaced tooth/teeth - per tooth Includes insertion of sutures, normal post-operative care and suture removal. 85386 01NOV2007 31DEC9999 Y Splinting of displaced tooth/teeth - per tooth Includes insertion of sutures, normal post-operative care and suture removal. 85387 01NOV2007 31DEC9999 Y Replantation and splinting of a tooth Includes insertion of sutures, normal post-operative care and suture removal. 85391 01NOV2007 31DEC9999 Y Frenectomy Includes insertion of sutures, normal post-operative care and suture removal 85392 01NOV2007 31DEC9999 Y Incision and drainage of abscess or cyst Includes insertion of sutures, normal post-operative care and suture removal. 85411 01NOV2007 31DEC9999 Y Direct pulp capping 85412 01NOV2007 31DEC9999 Y Incomplete endodontic therapy (inoperable or fractured) 85414 01NOV2007 31DEC9999 Y Pulpotomy 85415 01NOV2007 31DEC9999 Y Complete chemo-mechanical preparation of root canal - one canal 85416 01NOV2007 31DEC9999 Y Complete chemo-mechanical preparation of root canal - each additional canal on the same tooth. To be claimed in conjunction with item 85415. 85417 01NOV2007 31DEC9999 Y Root canal obturation - one canal 85418 01NOV2007 31DEC9999 Y Root canal obturation - each additional canal on the same tooth To be claimed in conjunction with item 85417. 85419 01NOV2007 31DEC9999 Y Extirpation of pulp or debridement of root canal(s) - emergency or palliative 85431 01NOV2007 31DEC9999 Y Periapical curettage - per root 85432 01NOV2007 31DEC9999 Y Apicectomy - per root Includes curettage. 85433 01NOV2007 31DEC9999 Y Exploratory periradicular surgery Limit of one (1) per 12 month period. Not claimable if services for the following items 85431, 85432, 85434, 85436, 85437 and 85438 are provided on the same day 85434 01NOV2007 31DEC9999 Y Apical seal - per canal Includes apicectomy and periapical curettage. 85436 01NOV2007 31DEC9999 Y Sealing of perforation 85437 01NOV2007 31DEC9999 Y Surgical treatment and repair of an external root resorption - per tooth 85438 01NOV2007 31DEC9999 Y Hemisection 85445 01NOV2007 31DEC9999 Y Exploration for a calcified root canal - per canal 85451 01NOV2007 31DEC9999 Y Removal of root filling - per canal 85452 01NOV2007 31DEC9999 Y Removal of cemented root canal post or post crown 85453 01NOV2007 31DEC9999 Y Removal or bypassing fractured endodontic instrument 85455 01NOV2007 31DEC9999 Y Additional visit for irrigation and/or dressing of the root canal system - per tooth Cannot be paid with items 85415, 85416, 85417 or 85418 on the same day. 85457 01NOV2007 31DEC9999 Y Obturation of resorption defect or perforation (non-surgical) 85458 01NOV2007 31DEC9999 Y Interim therapeutic root filling - per tooth Limit of three (3) in a 12 month period. 85511 01NOV2007 31DEC9999 Y Metallic restoration - one surface - direct 85512 01NOV2007 31DEC9999 Y Metallic restoration - two surfaces - direct 85513 01NOV2007 31DEC9999 Y Metallic restoration - three surfaces - direct 85514 01NOV2007 31DEC9999 Y Metallic restoration - four surfaces - direct 85515 01NOV2007 31DEC9999 Y Metallic restoration - five surfaces - direct 85521 01NOV2007 31DEC9999 Y Adhesive restoration - one surface - anterior tooth - direct Limit of five (5) single-surface adhesive restorations (85521 or 85531) per day. 85522 01NOV2007 31DEC9999 Y Adhesive restoration - two surfaces - anterior tooth - direct 85523 01NOV2007 31DEC9999 Y Adhesive restoration - three surfaces - anterior tooth - direct 85524 01NOV2007 31DEC9999 Y Adhesive restoration - four surfaces - anterior tooth - direct 85525 01NOV2007 31DEC9999 Y Adhesive restoration - five surfaces - anterior tooth - direct 85531 01NOV2007 31DEC9999 Y Adhesive restoration - one surface - posterior tooth - direct Limit of five (5) single-surface adhesive restorations (85521 or 85531) per day. 85532 01NOV2007 31DEC9999 Y Adhesive restoration - two surfaces - posterior tooth - direct 85533 01NOV2007 31DEC9999 Y Adhesive restoration - three surfaces - posterior tooth - direct 85534 01NOV2007 31DEC9999 Y Adhesive restoration - four surfaces - posterior tooth - direct 85535 01NOV2007 31DEC9999 Y Adhesive restoration - five surfaces - posterior tooth - direct 85541 01NOV2007 31DEC9999 Y Metallic restoration - one surface - indirect 85542 01NOV2007 31DEC9999 Y Metallic restoration - two surfaces - indirect 85543 01NOV2007 31DEC9999 Y Metallic restoration - three surfaces - indirect 85544 01NOV2007 31DEC9999 Y Metallic restoration - four surfaces - indirect 85545 01NOV2007 31DEC9999 Y Metallic restoration - five surfaces - indirect 85551 01NOV2007 31DEC9999 Y Tooth-coloured restoration - one surface - indirect 85552 01NOV2007 31DEC9999 Y Tooth-coloured restoration - two surfaces - indirect 85553 01NOV2007 31DEC9999 Y Tooth-coloured restoration - three surfaces - indirect 85554 01NOV2007 31DEC9999 Y Tooth-coloured restoration - four surfaces - indirect 85555 01NOV2007 31DEC9999 Y Tooth-coloured restoration - five surfaces - indirect 85572 01NOV2007 31DEC9999 Y Provisional (intermediate/ temporary) restoration Not claimable if services for endodontic items (85411 to 85458 inclusive) except 85419 are provided on the same day. Limit of three (3) per 3 month period. 85574 01NOV2007 31DEC9999 Y Metal band The cementation of a metal band for diagnostic, protective purposes or for the placement of a provisional (intermediate) restoration. 85575 01NOV2007 31DEC9999 Y Pin retention - per pin 85576 01NOV2007 31DEC9999 Y Stainless steel crown 85577 01NOV2007 31DEC9999 Y Cusp capping - per cusp 85578 01NOV2007 31DEC9999 Y Restoration of an incisal corner - per corner 85595 01NOV2007 31DEC9999 Y Removal of inlay/onlay 85596 01NOV2007 31DEC9999 Y Recementing of inlay/onlay 85597 01NOV2007 31DEC9999 Y Post - direct Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration. 85613 01NOV2007 31DEC9999 Y Full crown - non metallic - indirect 85615 01NOV2007 31DEC9999 Y Full crown - veneered - indirect 85618 01NOV2007 31DEC9999 Y Full crown - metallic - indirect 85625 01NOV2007 31DEC9999 Y Core for crown including post - indirect 85627 01NOV2007 31DEC9999 Y Preliminary restoration for crown - direct 85629 01NOV2007 31DEC9999 Y Post and root cap - indirect 85631 01NOV2007 31DEC9999 Y Provisional crown 85632 01NOV2007 31DEC9999 Y Provisional bridge - per pontic 85642 01NOV2007 31DEC9999 Y Bridge pontic - direct - per pontic 85643 01NOV2007 31DEC9999 Y Bridge pontic - indirect - per pontic 85644 01NOV2007 31DEC9999 Y Semi-fixed attachment 85645 01NOV2007 31DEC9999 Y Precision or magnetic attachment 85649 01NOV2007 31DEC9999 Y Retainer for bonded fixture - indirect - per tooth 85651 01NOV2007 31DEC9999 Y Recementing crown or veneer 85652 01NOV2007 31DEC9999 Y Recementing bridge or splint - per abutment 85653 01NOV2007 31DEC9999 Y Rebonding of bridge or splint where retreatment of bridge surface is required 85655 01NOV2007 31DEC9999 Y Removal of crown 85656 01NOV2007 31DEC9999 Y Removal of bridge or splint 85658 01NOV2007 31DEC9999 Y Repair of crown, bridge or splint - indirect. Inclusive of labour and laboratory costs. 85659 01NOV2007 31DEC9999 Y Repair of crown, bridge or splint - direct. 85661 01NOV2007 31DEC9999 Y Fitting of implant abutment - per abutment 85669 01NOV2007 31DEC9999 Y Removal and reattachment of prosthesis fixed to implant(s) - per implant 85671 01NOV2007 31DEC9999 Y Full crown attached to osseointegrated implant - non metallic - indirect 85672 01NOV2007 31DEC9999 Y Full crown attached to osseointegrated implant - veneered - indirect 85673 01NOV2007 31DEC9999 Y Full crown attached to osseointegrated implant - metallic - indirect 85711 01NOV2007 31DEC9999 Y Complete maxillary denture Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 85712 01NOV2007 31DEC9999 Y Complete mandibular denture Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 85716 01NOV2007 31DEC9999 Y Metal palate or plate Additional to items 85711, 85712 or 85719. 85719 01NOV2007 31DEC9999 Y Complete maxillary and mandibular dentures Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 85721 01NOV2007 31DEC9999 Y Partial maxillary denture - resin base Base amount only. To be claimed in conjunction with item 85733 for each additional tooth. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period 85722 01NOV2007 31DEC9999 Y Partial mandibular denture - resin base Base amount only. To be claimed in conjunction with item 85733 for each additional tooth. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 85727 01NOV2007 31DEC9999 Y Partial maxillary denture - cast metal framework (includes provision of casting) Inclusive of clasps, retainers and occlusal rests. Base amount only. To be claimed in conjunction with item 85733 for each additional tooth and item 85739 for each metal backing. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 85728 01NOV2007 31DEC9999 Y Partial mandibular denture - cast metal framework (includes provision of casting) Inclusive of clasps, retainers and occlusal rests. Base amount only. To be claimed in conjunction with item 85733 for each additional tooth and item 85739 for each metal backing. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 85731 01NOV2007 31DEC9999 Y Retainer - per tooth Additional to items 85721 and 85722. 85732 01NOV2007 31DEC9999 Y Occlusal rest - per rest Additional to items 85721 and 85722. 85733 01NOV2007 31DEC9999 Y Tooth/Teeth (Partial denture) An item to describe each tooth added to the base of new partial denture. The number of teeth should be indicated. To be claimed with items 85721, 85722, 85727 or 85728. Limit of twelve (12) per base. 85735 01NOV2007 31DEC9999 Y Precision or magnetic attachment 85736 01NOV2007 31DEC9999 Y Immediate tooth replacement - per tooth 85737 01NOV2007 31DEC9999 Y Resilient lining 85738 01NOV2007 31DEC9999 Y Wrought bar A wrought bar joining sections of a partial prosthesis. 85739 01NOV2007 31DEC9999 Y Metal Backing - per backing An extension of the casting of a cast metal partial denture to provide a backing for the denture tooth. The number of backings should be indicated. To be claimed with items 85727 or 85728. 85741 01NOV2007 31DEC9999 Y Adjustment of a denture Adjustment of a denture to improve comfort and function. This item cannot be claimed for routine adjustments following the insertion of a new denture or maintenance or repair of an existing denture. 85743 01NOV2007 31DEC9999 Y Relining - complete denture - processed For soft relines, use items 85743 and 85737. 85744 01NOV2007 31DEC9999 Y Relining - partial denture - processed For soft relines, use items 85744 and 85737. 85745 01NOV2007 31DEC9999 Y Remodelling - complete denture 85746 01NOV2007 31DEC9999 Y Remodelling - partial denture 85751 01NOV2007 31DEC9999 Y Relining - complete denture - direct Chair-side only. Either hard or soft material. 85752 01NOV2007 31DEC9999 Y Relining - partial denture - direct 85753 01NOV2007 31DEC9999 Y Cleaning and polishing of pre-existing denture Limit of one (1) per 2 year period. 85761 01NOV2007 31DEC9999 Y Reattaching pre-existing tooth or clasp to denture. Inclusive of labour and laboratory costs 85762 01NOV2007 31DEC9999 Y Replacing clasp on denture 85763 01NOV2007 31DEC9999 Y Repairing broken base of a complete denture. Inclusive of labour and laboratory costs. 85764 01NOV2007 31DEC9999 Y Repairing broken base of a partial denture. Inclusive of labour and laboratory costs. 85765 01NOV2007 31DEC9999 Y Replacing first tooth on denture 85767 01NOV2007 31DEC9999 Y Any repair or tooth replacement in addition to other repairs, alterations or other modifications for same denture on same day. Inclusive of labour and laboratory costs. 85768 01NOV2007 31DEC9999 Y Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 85769 01NOV2007 31DEC9999 Y Repair or addition to metal casting 85771 01NOV2007 31DEC9999 Y Tissue conditioning treatment prior to impressions Limit of five (5) per 3 month period. 85772 01NOV2007 31DEC9999 Y Splint - resin - indirect 85773 01NOV2007 31DEC9999 Y Splint - metal - indirect 85776 01NOV2007 31DEC9999 Y Impression where required for denture repair/modification 85777 01NOV2007 31DEC9999 Y Identification Marking a dental appliance with a patient's name or other form of enduring patient identification. 85811 01NOV2007 31DEC9999 Y Passive removable appliance - per arch 85821 01NOV2007 31DEC9999 Y Active removable appliance - per arch 85823 01NOV2007 31DEC9999 Y Functional orthopaedic appliance 85829 01NOV2007 31DEC9999 Y Partial banding - per arch 85831 01NOV2007 31DEC9999 Y Full arch banding - per arch 85911 01NOV2007 31DEC9999 Y Palliative care Interim care to relieve pain, infection, bleeding or other problems not associated with other treatment. 85926 01NOV2007 31DEC9999 Y Individually made tray - medicaments A tray made for the application of medicaments to the teeth or supporting tissues. Not to be claimed for bleaching. 85927 01NOV2007 31DEC9999 Y Provision of medication/ medicament The supply, prescription or administration of appropriate medications and medicaments required for dental treatment. Limit of one (1) per three month period. 85949 01NOV2007 31DEC9999 Y Treatment under general anaesthesia A specialist anaesthetist must administer the anaesthetic. 85963 01NOV2007 31DEC9999 Y Clinical occlusal analysis including muscle and joint palpation Limit of one (1) per three year period. 85964 01NOV2007 31DEC9999 Y Registration and mounting of casts for occlusal analysis Limit of one (1) per three year period. 85965 01NOV2007 31DEC9999 Y Occlusal splint 85966 01NOV2007 31DEC9999 Y Adjustment of pre-existing occlusal splint - per visit 85968 01NOV2007 31DEC9999 Y Occlusal adjustment following occlusal analysis - per visit 85971 01NOV2007 31DEC9999 Y Adjunctive physical therapy for temporomandibular joint and associated structures Limit of four (4) per 12 month period 85972 01NOV2007 31DEC9999 Y Repair/addition - occlusal splint 85981 01NOV2007 31DEC9999 Y Splinting and stabilisation - direct - per tooth 85986 01NOV2007 31DEC9999 Y Post-operative care where not otherwise included In normal circumstances, dentists provide post-operative care following dental treatment. However, where a patient requires unforeseen post-operative care or is seen by a dentist who did not provide the initial treatment, this item can be used. Limit of two (2) per 12 month period. 86012 01NOV2007 31DEC9999 Y Periodic oral examination An evaluation performed on a patient of record to determine any changes in the patient's dental and medical health status since a previous periodic examination. Limit of one (1) per provider every 6 months. 86013 01NOV2007 31DEC9999 Y Oral examination - limited A limited problem-focused oral evaluation carried out immediately prior to required treatment. This evaluation includes recording an appropriate medical history and any other relevant information. Limit of three (3) per 3 month period. 86014 01NOV2007 31DEC9999 Y Consultation A consultation to seek advice or discuss treatment options regarding a specific dental or oral condition. This consultation includes recording an appropriate medical history and any other relevant information. 86015 01NOV2007 31DEC9999 Y Consultation - extended (30 mins) An extended consultation to seek advice or discuss treatment options regarding a specific dental or oral complaint. This consultation includes recording an appropriate medical history and any other relevant information. Limit of one (1) per provider per 12 month period. 86022 01NOV2007 31DEC9999 Y Intraoral periapical or bitewing radiograph - per exposure Limit of six (6) per day. 86025 01NOV2007 31DEC9999 Y Intraoral radiograph - occlusal, maxillary or mandibular - per exposure 86031 01NOV2007 31DEC9999 Y Extraoral radiograph - maxillary, mandibular - per exposure 86035 01NOV2007 31DEC9999 Y Radiograph of temporomandibular joint - per exposure 86036 01NOV2007 31DEC9999 Y Cephalometric radiograph - lateral, antero-posterior, postero-anterior or submento-vertex - per exposure Limit of one (1) per 12 month period. 86037 01NOV2007 31DEC9999 Y Panoramic radiograph - per exposure 86038 01NOV2007 31DEC9999 Y Hand-wrist radiograph for skeletal age assessment Limit of one (1) per provider per 12 month period. 86039 01NOV2007 31DEC9999 Y Tomography of the skull or parts thereof Limit of one (1) per 12 month period. 86047 01NOV2007 31DEC9999 Y Caries activity screening test Limit one (1) per 12 month period. 86051 01NOV2007 31DEC9999 Y Biopsy of tissue 86071 01NOV2007 31DEC9999 Y Diagnostic model - per model 86082 01NOV2007 31DEC9999 Y Tooth-jaw size prediction analysis Limit of one (1) per provider per 12 month period. 86111 01NOV2007 31DEC9999 Y Removal of plaque and/or stain Limit of one (1) per 6 month period. 86113 01NOV2007 31DEC9999 Y Recontouring pre-existing restoration(s) 86114 01NOV2007 31DEC9999 Y Removal of calculus - first visit Limit of one (1) per 6 month period. 86115 01NOV2007 31DEC9999 Y Removal of calculus - subsequent visit Limit of two (2) per 12 month period. 86117 01NOV2007 31DEC9999 Y Bleaching, internal - per tooth For non-vital discoloured tooth. 86121 01NOV2007 31DEC9999 Y Topical application of remineralising agent - one treatment Limit of one (1) per 6 month period. 86123 01NOV2007 31DEC9999 Y Concentrated remineralising agent, application - single tooth Limit of one (1) per day. 86131 01NOV2007 31DEC9999 Y Dietary advice Where a full appointment of at least 15 minutes is used. Limit of one (1) per 12 month period. 86141 01NOV2007 31DEC9999 Y Oral hygiene instruction Where a full appointment of at least 15 minutes is used. Limit of one (1) per 12 month period. 86161 01NOV2007 31DEC9999 Y Fissure sealing - per tooth 86165 01NOV2007 31DEC9999 Y Desensitizing procedure - per visit 86171 01NOV2007 31DEC9999 Y Odontoplasty - per tooth 86213 01NOV2007 31DEC9999 Y Treatment of acute periodontal infection - per visit Limit of two (2) per 12 month period. 86221 01NOV2007 31DEC9999 Y Clinical periodontal analysis and recording Limit of one (1) per 12 month period. 86222 01NOV2007 31DEC9999 Y Root planning and subgingival curettage - per eight teeth or less Limit of two (2) per day. 86225 01NOV2007 31DEC9999 Y Non-surgical periodontal treatment where not otherwise specified - per visit Limit of one (1) per 12 month period. 86231 01NOV2007 31DEC9999 Y Gingivectomy - per eight teeth or less Limit of four (4) per 12 month period. 86232 01NOV2007 31DEC9999 Y Periodontal flap surgery - per eight teeth or less Limit of four (4) per 12 month period. 86233 01NOV2007 31DEC9999 Y Osseous surgery - per eight teeth or less Limit of four (4) per 12 month period. 86234 01NOV2007 31DEC9999 Y Osseous graft - per tooth or implant Limit of two (2) per 12 month period. 86235 01NOV2007 31DEC9999 Y Gingival graft - per tooth or implant Limit of two (2) per 12 month period. 86236 01NOV2007 31DEC9999 Y Guided tissue regeneration - per tooth or implant 86237 01NOV2007 31DEC9999 Y Guided tissue regeneration - membrane removal 86238 01NOV2007 31DEC9999 Y Periodontal flap surgery for crown lengthening - per tooth 86241 01NOV2007 31DEC9999 Y Root resection - per root 86245 01NOV2007 31DEC9999 Y Periodontal surgery involving one tooth or an implant Limit of one (1) per 12 month period. 86311 01NOV2007 31DEC9999 Y Removal of a tooth or part(s) thereof 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional extractions on the same day, use item 86316. Limit of one (1) per day. 86314 01NOV2007 31DEC9999 Y Sectional removal of a tooth 1st sectional removal. Inclusive of local anaesthesia and routine post-operative care. For additional extractions on the same day, use item 86316. Limit of one (1) per day. 86316 01NOV2007 31DEC9999 Y Additional extraction requiring removal of a tooth or part(s) thereof, or sectional removal of a tooth To be used for additional extractions on the same day in conjunction with items 86311 or 86314. 86322 01NOV2007 31DEC9999 Y Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional surgical extractions on the same day, use item 86326. Limit of one (1) per day. 86323 01NOV2007 31DEC9999 Y Surgical removal of a tooth or tooth fragment requiring removal of bone 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional surgical extractions on the same day, use item 86326. Limit of one (1) per day. 86324 01NOV2007 31DEC9999 Y Surgical removal of a tooth or tooth fragment requiring both removal of bone and tooth division. 1st tooth extracted. Inclusive of local anaesthesia and routine post-operative care. For additional surgical extractions on the same day, use item 86326. Limit of one (1) per day. 86326 01NOV2007 31DEC9999 Y Additional extraction requiring surgical removal of a tooth or tooth fragment. To be used for additional surgical extractions on the same day in conjunction with items 86322, 86323 or 86324. 86331 01NOV2007 31DEC9999 Y Alveolectomy - per segment Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86332 01NOV2007 31DEC9999 Y Ostectomy - per jaw Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86337 01NOV2007 31DEC9999 Y Reduction of fibrous tuberosity Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86338 01NOV2007 31DEC9999 Y Reduction of flabby ridge - per segment Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86341 01NOV2007 31DEC9999 Y Removal of hyperplastic tissue Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86343 01NOV2007 31DEC9999 Y Repositioning of muscle attachment Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86344 01NOV2007 31DEC9999 Y Vestibuloplasty Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86345 01NOV2007 31DEC9999 Y Vestibuloplasty with skin or mucosal graft Includes insertion of sutures, normal post-operative care and suture removal. Extraction items to be claimed separately. 86371 01NOV2007 31DEC9999 Y Removal of tumour, cyst or scar - cutaneous, subcutaneous or in mucous membrane. Includes insertion of sutures, normal post-operative care and suture removal. 86373 01NOV2007 31DEC9999 Y Removal of tumour, cyst or scar involving muscle, bone or other deep tissue. Includes insertion of sutures, normal post-operative care and suture removal. 86375 01NOV2007 31DEC9999 Y Surgery to salivary duct Includes insertion of sutures, normal post-operative care and suture removal. 86376 01NOV2007 31DEC9999 Y Surgery to salivary gland Includes insertion of sutures, normal post-operative care and suture removal. 86377 01NOV2007 31DEC9999 Y Removal or repair of soft tissue (not elsewhere defined) Includes insertion of sutures, normal post-operative care and suture removal. 86378 01NOV2007 31DEC9999 Y Surgical removal of foreign body Includes insertion of sutures, normal post-operative care and suture removal. 86379 01NOV2007 31DEC9999 Y Marsupialisation of cyst Includes insertion of sutures, normal post-operative care and suture removal. 86381 01NOV2007 31DEC9999 Y Surgical exposure of unerupted tooth Includes insertion of sutures, normal post-operative care and suture removal. 86382 01NOV2007 31DEC9999 Y Surgical exposure and attachment of device for orthodontic traction Includes insertion of sutures, normal post-operative care and suture removal. 86384 01NOV2007 31DEC9999 Y Repositioning of displaced tooth/teeth - per tooth Includes insertion of sutures, normal post-operative care and suture removal. 86385 01NOV2007 31DEC9999 Y Surgical repositioning of unerupted tooth Includes insertion of sutures, normal post-operative care and suture removal. 86386 01NOV2007 31DEC9999 Y Splinting of displaced tooth/teeth - per tooth Includes insertion of sutures, normal post-operative care and suture removal. 86387 01NOV2007 31DEC9999 Y Replantation and splinting of a tooth Includes insertion of sutures, normal post-operative care and suture removal. 86388 01NOV2007 31DEC9999 Y Transplantation of tooth or tooth bud Includes insertion of sutures, normal post-operative care and suture removal. 86389 01NOV2007 31DEC9999 Y Surgery to isolate and preserve neurovascular tissue Includes insertion of sutures, normal post-operative care and suture removal. 86391 01NOV2007 31DEC9999 Y Frenectomy Includes insertion of sutures, normal post-operative care and suture removal. 86392 01NOV2007 31DEC9999 Y Incision and drainage of abscess or cyst Includes insertion of sutures, normal post-operative care and suture removal. 86393 01NOV2007 31DEC9999 Y Surgery involving the maxillary antrum Includes insertion of sutures, normal post-operative care and suture removal. 86394 01NOV2007 31DEC9999 Y Surgery for osteomylitis Includes insertion of sutures, normal post-operative care and suture removal. 86395 01NOV2007 31DEC9999 Y Repair of nerve trunk Includes insertion of sutures, normal post-operative care and suture removal. 86411 01NOV2007 31DEC9999 Y Direct pulp capping 86412 01NOV2007 31DEC9999 Y Incomplete endodontic therapy (inoperable or fractured) 86414 01NOV2007 31DEC9999 Y Pulpotomy 86415 01NOV2007 31DEC9999 Y Complete chemo-mechanical preparation of root canal - one canal 86416 01NOV2007 31DEC9999 Y Complete chemo-mechanical preparation of root canal - each additional canal on the same tooth. To be claimed in conjunction with item 86415. 86417 01NOV2007 31DEC9999 Y Root canal obturation - one canal 86418 01NOV2007 31DEC9999 Y Root canal obturation - each additional canal on the same tooth To be claimed in conjunction with item 86417. 86419 01NOV2007 31DEC9999 Y Extirpation of pulp or debridement of root canal(s) - emergency or palliative 86431 01NOV2007 31DEC9999 Y Periapical curettage - per root 86432 01NOV2007 31DEC9999 Y Apicectomy - per root Includes curettage. 86433 01NOV2007 31DEC9999 Y Exploratory periradicular surgery Limit of one (1) per 12 month period. Not claimable if services for the following items 86431, 86432, 86434, 86436, 86437 and 86438 are provided on the same day. 86434 01NOV2007 31DEC9999 Y Apical seal - per canal Included apicectomy and periapical curettage. 86436 01NOV2007 31DEC9999 Y Sealing of perforation 86437 01NOV2007 31DEC9999 Y Surgical treatment and repair of an external root resorption - per tooth 86438 01NOV2007 31DEC9999 Y Hemisection 86445 01NOV2007 31DEC9999 Y Exploration for a calcified root canal - per canal 86451 01NOV2007 31DEC9999 Y Removal of root filling - per canal 86452 01NOV2007 31DEC9999 Y Removal of cemented root canal post or post crown 86453 01NOV2007 31DEC9999 Y Removal or bypassing fractured endodontic instrument 86455 01NOV2007 31DEC9999 Y Additional visit for irrigation and/or dressing of the root canal system - per tooth Cannot be paid with items 86415, 86416, 86417 or 86418 on the same day. 86457 01NOV2007 31DEC9999 Y Obturation of resorption defect or perforation (non-surgical) 86458 01NOV2007 31DEC9999 Y Interim therapeutic root filling - per tooth Limit of three (3) in a 12 month period. 86511 01NOV2007 31DEC9999 Y Metallic restoration - one surface - direct 86512 01NOV2007 31DEC9999 Y Metallic restoration - two surfaces - direct 86513 01NOV2007 31DEC9999 Y Metallic restoration - three surfaces - direct 86514 01NOV2007 31DEC9999 Y Metallic restoration - four surfaces - direct 86515 01NOV2007 31DEC9999 Y Metallic restoration - five surfaces - direct 86521 01NOV2007 31DEC9999 Y Adhesive restoration - one surface - anterior tooth - direct Limit of five (5) single-surface adhesive restorations (86521 or 86531) per day. 86522 01NOV2007 31DEC9999 Y Adhesive restoration - two surfaces - anterior tooth - direct 86523 01NOV2007 31DEC9999 Y Adhesive restoration - three surfaces - anterior tooth - direct 86524 01NOV2007 31DEC9999 Y Adhesive restoration - four surfaces - anterior tooth - direct 86525 01NOV2007 31DEC9999 Y Adhesive restoration - five surfaces - anterior tooth - direct 86531 01NOV2007 31DEC9999 Y Adhesive restoration - one surface - posterior tooth - direct Limit of five (5) single-surface adhesive restorations (86521 or 86531) per day. 86532 01NOV2007 31DEC9999 Y Adhesive restoration - two surfaces - posterior tooth - direct 86533 01NOV2007 31DEC9999 Y Adhesive restoration - three surfaces - posterior tooth - direct 86534 01NOV2007 31DEC9999 Y Adhesive restoration - four surfaces - posterior tooth - direct 86535 01NOV2007 31DEC9999 Y Adhesive restoration - five surfaces - posterior tooth - direct 86541 01NOV2007 31DEC9999 Y Metallic restoration - one surface - indirect 86542 01NOV2007 31DEC9999 Y Metallic restoration - two surfaces - indirect 86543 01NOV2007 31DEC9999 Y Metallic restoration - three surfaces - indirect 86544 01NOV2007 31DEC9999 Y Metallic restoration - four surfaces - indirect 86545 01NOV2007 31DEC9999 Y Metallic restoration - five surfaces - indirect 86551 01NOV2007 31DEC9999 Y Tooth-coloured restoration - one surface - indirect 86552 01NOV2007 31DEC9999 Y Tooth-coloured restoration - two surfaces - indirect 86553 01NOV2007 31DEC9999 Y Tooth-coloured restoration - three surfaces - indirect 86554 01NOV2007 31DEC9999 Y Tooth-coloured restoration - four surfaces - indirect 86555 01NOV2007 31DEC9999 Y Tooth-coloured restoration - five surfaces - indirect 86572 01NOV2007 31DEC9999 Y Provisional (intermediate/ temporary) restoration Not claimable if services for endodontic items (86411 to 86458 inclusive) except 86419 are provided on the same day. Limit of three (3) per three month period. 86574 01NOV2007 31DEC9999 Y Metal band The cementation of a metal band for diagnostic, protective purposes or for the placement of a provisional (intermediate) restoration. 86575 01NOV2007 31DEC9999 Y Pin retention - per pin 86576 01NOV2007 31DEC9999 Y Stainless steel crown 86577 01NOV2007 31DEC9999 Y Cusp capping - per cusp 86578 01NOV2007 31DEC9999 Y Restoration of an incisal corner - per corner 86595 01NOV2007 31DEC9999 Y Removal of inlay/onlay 86596 01NOV2007 31DEC9999 Y Recementing of inlay/onlay 86597 01NOV2007 31DEC9999 Y Post - direct Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration. 86613 01NOV2007 31DEC9999 Y Full crown - non metallic - indirect 86615 01NOV2007 31DEC9999 Y Full crown - veneered - indirect 86618 01NOV2007 31DEC9999 Y Full crown - metallic - indirect 86625 01NOV2007 31DEC9999 Y Core for crown including post - indirect 86627 01NOV2007 31DEC9999 Y Preliminary restoration for crown - direct 86629 01NOV2007 31DEC9999 Y Post and root cap - indirect 86631 01NOV2007 31DEC9999 Y Provisional crown 86632 01NOV2007 31DEC9999 Y Provisional bridge - per pontic 86642 01NOV2007 31DEC9999 Y Bridge pontic - direct - per pontic 86643 01NOV2007 31DEC9999 Y Bridge pontic - indirect - per pontic 86644 01NOV2007 31DEC9999 Y Semi-fixed attachment 86645 01NOV2007 31DEC9999 Y Precision or magnetic attachment 86649 01NOV2007 31DEC9999 Y Retainer for bonded fixture - indirect - per tooth 86651 01NOV2007 31DEC9999 Y Recementing crown or veneer 86652 01NOV2007 31DEC9999 Y Recementing bridge or splint - per abutment 86653 01NOV2007 31DEC9999 Y Rebonding of bridge or splint where retreatment of bridge surface is required 86655 01NOV2007 31DEC9999 Y Removal of crown 86656 01NOV2007 31DEC9999 Y Removal of bridge or splint 86658 01NOV2007 31DEC9999 Y Repair of crown, bridge or splint - indirect Inclusive of labour and laboratory costs. 86659 01NOV2007 31DEC9999 Y Repair of crown, bridge or splint - direct 86661 01NOV2007 31DEC9999 Y Fitting of implant abutment - per abutment 86663 01NOV2007 31DEC9999 Y Removal of implant 86664 01NOV2007 31DEC9999 Y Fitting of bar for denture - per abutment 86666 01NOV2007 31DEC9999 Y Prosthesis with metal frame attached to implants - per tooth 86669 01NOV2007 31DEC9999 Y Removal and reattachment of prosthesis fixed to implant(s) - per implant 86671 01NOV2007 31DEC9999 Y Full crown attached to osseointegrated implant - non metallic - indirect 86672 01NOV2007 31DEC9999 Y Full crown attached to osseointegrated implant - veneered - indirect 86673 01NOV2007 31DEC9999 Y Full crown attached to osseointegrated implant - metallic - indirect 86679 01NOV2007 31DEC9999 Y Surgical implant guide 86684 01NOV2007 31DEC9999 Y Insertion of first stage of two-stage endosseous implant - per implant Includes cost of hardware. 86688 01NOV2007 31DEC9999 Y Insertion of one-stage endosseous implant - per implant Includes cost of hardware. 86691 01NOV2007 31DEC9999 Y Second stage surgery of two stage endosseous implant - per implant Includes the cost of hardware. 86711 01NOV2007 31DEC9999 Y Complete maxillary denture Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 86712 01NOV2007 31DEC9999 Y Complete mandibular denture Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 86716 01NOV2007 31DEC9999 Y Metal palate or plate Additional to items 86711, 86712 or 86719 86719 01NOV2007 31DEC9999 Y Complete maxillary and mandibular dentures Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 86721 01NOV2007 31DEC9999 Y Partial maxillary denture - resin base Base amount only. To be claimed in conjunction with items 86733 for each additional tooth. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 86722 01NOV2007 31DEC9999 Y Partial mandibular denture - resin base Base amount only. To be claimed in conjunction with item 86733 for each additional tooth. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 86727 01NOV2007 31DEC9999 Y Partial maxillary denture - cast metal framework (includes provision of casting) Inclusive of clasps, retainers and occlusal rests. Base amount only. To be claimed in conjunction with item 86733 for each additional tooth and item 86739 for each metal backing Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 86728 01NOV2007 31DEC9999 Y Partial mandibular denture - cast metal framework (includes provision of casting) Inclusive of clasps, retainers and occlusal rests. Base amount only. To be claimed in conjunction with item 86733 for each additional tooth and item 86739 for each metal backing Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 86731 01NOV2007 31DEC9999 Y Retainer - per tooth Additional to items 86721 and 86722. 86732 01NOV2007 31DEC9999 Y Occlusal rest - per rest Additional to items 86721 and 86722. 86733 01NOV2007 31DEC9999 Y Tooth/Teeth (Partial denture) An item to describe each tooth added to the base of new partial denture. The number of teeth should be indicated. To be claimed with items 86721, 86722, 86727 or 86728. Limit of twelve (12) per base. 86735 01NOV2007 31DEC9999 Y Precision or magnetic attachment 86736 01NOV2007 31DEC9999 Y Immediate tooth replacement - per tooth 86737 01NOV2007 31DEC9999 Y Resilient lining 86738 01NOV2007 31DEC9999 Y Wrought bar A wrought bar joining sections of a partial prosthesis. 86739 01NOV2007 31DEC9999 Y Metal Backing - per backing An extension of the casting of a cast metal partial denture to provide a backing for the denture tooth. The number of backings should be indicated. To be claimed with items 86727 or 86728. 86741 01NOV2007 31DEC9999 Y Adjustment of a denture Adjustment of a denture to improve comfort and function. This item cannot be claimed for routine adjustments following the insertion of a new denture or maintenance or repair of an existing denture. 86743 01NOV2007 31DEC9999 Y Relining - complete denture - processed For soft relines, use items 86743 and 86737. 86744 01NOV2007 31DEC9999 Y Relining - partial denture - processed For soft relines, use items 86744 and 86737. 86745 01NOV2007 31DEC9999 Y Remodelling- complete denture 86746 01NOV2007 31DEC9999 Y Remodelling - partial denture 86751 01NOV2007 31DEC9999 Y Relining - complete denture - direct Chair-side only. Either hard or soft material. 86752 01NOV2007 31DEC9999 Y Relining - partial denture - direct 86753 01NOV2007 31DEC9999 Y Cleaning and polishing of pre-existing denture Limit of one (1) per two year period. 86761 01NOV2007 31DEC9999 Y Reattaching pre-existing tooth or clasp to denture Includes labour and laboratory costs. 86762 01NOV2007 31DEC9999 Y Replacing clasp on denture 86763 01NOV2007 31DEC9999 Y Repairing broken base of a complete denture Includes labour and laboratory costs. 86764 01NOV2007 31DEC9999 Y Repairing broken base of a partial denture Includes labour and laboratory costs. 86765 01NOV2007 31DEC9999 Y Replacing first tooth on denture 86767 01NOV2007 31DEC9999 Y Any repair or tooth replacement in addition to other repairs, alterations or other modifications for same denture on same day Includes labour and laboratory costs. 86768 01NOV2007 31DEC9999 Y Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 86769 01NOV2007 31DEC9999 Y Repair or addition to metal casting 86771 01NOV2007 31DEC9999 Y Tissue conditioning treatment prior to impressions Limit of five (5) per 3 month period 86772 01NOV2007 31DEC9999 Y Splint - resin - indirect 86773 01NOV2007 31DEC9999 Y Splint - metal - indirect 86776 01NOV2007 31DEC9999 Y Impression where required for denture repair/modification 86777 01NOV2007 31DEC9999 Y Identification Marking a dental appliance with a patient's name or other form of enduring patient identification. 86811 01NOV2007 31DEC9999 Y Passive removable appliance - per arch 86821 01NOV2007 31DEC9999 Y Active removable appliance - per arch 86823 01NOV2007 31DEC9999 Y Functional orthopaedic appliance 86829 01NOV2007 31DEC9999 Y Partial banding - per arch 86831 01NOV2007 31DEC9999 Y Full arch banding - per arch 86862 01NOV2007 31DEC9999 Y Bonding of attachment for application of orthodontic force 86911 01NOV2007 31DEC9999 Y Palliative care Interim care to relieve pain, infection, bleeding or other problems not associated with other treatment. 86926 01NOV2007 31DEC9999 Y Individually made tray - medicaments A tray made for the application of medicaments to the teeth or supporting tissues. Not to be claimed for bleaching. 86927 01NOV2007 31DEC9999 Y Provision of medication/ medicament The supply, prescription or administration of appropriate medications and medicaments required for dental treatment. Limit of one (1) per three month period. 86949 01NOV2007 31DEC9999 Y Treatment under general anaesthesia A specialist anaesthetist must administer the anaesthetic. 86963 01NOV2007 31DEC9999 Y Clinical occlusal analysis including muscle and joint palpation Limit of one (1) per three year period. 86964 01NOV2007 31DEC9999 Y Registration and mounting of casts for occlusal analysis Limit of one (1) per three year period. 86965 01NOV2007 31DEC9999 Y Occlusal splint 86966 01NOV2007 31DEC9999 Y Adjustment of pre-existing occlusal splint - per visit 86968 01NOV2007 31DEC9999 Y Occlusal adjustment following occlusal analysis - per visit 86971 01NOV2007 31DEC9999 Y Adjunctive physical therapy for temporomandibular joint and associated structures Limit of four (4) per 12 month period. 86972 01NOV2007 31DEC9999 Y Repair/addition - occlusal splint 86981 01NOV2007 31DEC9999 Y Splinting and stabilisation - direct - per tooth 86986 01NOV2007 31DEC9999 Y Post-operative care where not otherwise included In normal circumstances, dental specialists provide post-operative care following dental treatment. However, where a patient requires unforeseen post-operative care or is seen by a dental specialist who did not provide the initial treatment, this item can be used. Limit of two (2) per 12 month period 87011 01NOV2007 31DEC9999 Y Initial denture examination Assessment of any existing dentures and any teeth, supporting tissues and oral tissues in order to construct a removable dental prosthesis or refer to an appropriate clinician. This assessment includes the recording an appropriate medical history and any other relevant information. Limit of one (1) per provider every 2 years. 87014 01NOV2007 31DEC9999 Y Consultation A consultation to seek advice or discuss treatment options regarding removable dental prosthesis. This consultation includes the recording an appropriate medical history and any other relevant information. 87071 01NOV2007 31DEC9999 Y Diagnostic model - per model 87711 01NOV2007 31DEC9999 Y Complete maxillary denture Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 87712 01NOV2007 31DEC9999 Y Complete mandibular denture Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 87716 01NOV2007 31DEC9999 Y Metal palate or plate Additional to items 87711, 87712 or 87719. 87719 01NOV2007 31DEC9999 Y Complete maxillary and mandibular dentures Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 87721 01NOV2007 31DEC9999 Y Partial maxillary denture - resin base Base amount only. To be claimed in conjunction with item 87733 for each additional tooth. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 87722 01NOV2007 31DEC9999 Y Partial mandibular denture - resin base Base amount only. To be claimed in conjunction with item 87733 for each additional tooth. Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 87727 01NOV2007 31DEC9999 Y Partial maxillary denture - cast metal framework (includes provision of casting) Inclusive of clasps, retainers and occlusal rests. Base amount only. To be claimed in conjunction with item 87733 for each additional tooth and item 87739 for each metal backing Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 87728 01NOV2007 31DEC9999 Y Partial mandibular denture - cast metal framework (includes provision of casting) Inclusive of clasps, retainers and occlusal rests. Base amount only. To be claimed in conjunction with item 87733 for each additional tooth and item 87739 for each metal backing Limit of one new set of dentures per patient every eight (8) years. In exceptional circumstances, a patient may receive a second set of new dentures during the eight year period. 87731 01NOV2007 31DEC9999 Y Retainer - per tooth Additional to items 87721 and 87722 87732 01NOV2007 31DEC9999 Y Occlusal rest Additional to items 87721 and 87722 87733 01NOV2007 31DEC9999 Y Tooth/Teeth (Partial denture) An item to describe each tooth added to the base of new partial denture. The number of teeth should be indicated. To be claimed with items 87721, 87722, 87727 or 87728. Limit of twelve (12) per base 87736 01NOV2007 31DEC9999 Y Immediate tooth replacement - per tooth 87737 01NOV2007 31DEC9999 Y Resilient lining 87738 01NOV2007 31DEC9999 Y Wrought bar A wrought bar joining sections of a partial prosthesis. 87739 01NOV2007 31DEC9999 Y Metal Backing - per backing An extension of the casting of a cast metal partial denture to provide a backing for the denture tooth. The number of backings should be indicated. To be claimed with items 87727 or 87728. 87741 01NOV2007 31DEC9999 Y Adjustment of pre-existing denture Adjustment of a denture to improve comfort and function. This item cannot be claimed for routine adjustments following the insertion of a new denture or maintenance or repair of an existing denture. 87743 01NOV2007 31DEC9999 Y Relining - complete denture - processed For soft relines, use items 87743 and 87737. 87744 01NOV2007 31DEC9999 Y Relining - partial denture - processed For soft relines, use items 87744 and 87737. 87745 01NOV2007 31DEC9999 Y Remodelling - complete denture 87746 01NOV2007 31DEC9999 Y Remodelling - partial denture 87751 01NOV2007 31DEC9999 Y Relining - complete denture - direct Chair-side only. Either hard or soft material. 87752 01NOV2007 31DEC9999 Y Relining - partial denture - direct 87753 01NOV2007 31DEC9999 Y Cleaning and polishing of pre-existing denture Limit of one (1) per 2 year period. 87761 01NOV2007 31DEC9999 Y Reattaching pre-existing tooth or clasp to denture Includes labour and laboratory costs. 87762 01NOV2007 31DEC9999 Y Replacing clasp on denture 87763 01NOV2007 31DEC9999 Y Repairing broken base of a complete denture Includes labour and laboratory costs. 87764 01NOV2007 31DEC9999 Y Repairing broken base of a partial denture Includes labour and laboratory costs. 87765 01NOV2007 31DEC9999 Y Replacing first tooth on denture 87767 01NOV2007 31DEC9999 Y Any repair or tooth replacement in addition to other repairs, alterations or other modifications for same denture on same day Includes labour and laboratory costs. 87768 01NOV2007 31DEC9999 Y Adding tooth to partial denture to replace an extracted or decoronated tooth - per tooth 87769 01NOV2007 31DEC9999 Y Repair or addition to metal casting 87771 01NOV2007 31DEC9999 Y Tissue conditioning treatment prior to impressions Limit of five (5) per 3 month period. 87776 01NOV2007 31DEC9999 Y Impression where required for denture repair 87777 01NOV2007 31DEC9999 Y Identification Marking a dental appliance with a patient's name or other form of enduring patient identification. 90001 01MAR2019 09DEC2020 N A flag fall service to which item 90020, 90035, 90043 or 90051 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on. 90001 10DEC2020 31OCT2023 N A flag fall service to which item 2733, 2735, 90020, 90035, 90043, 90051, 93287, 93288, 93400, 93401, 93402, 93403, 93421, 93469 or 93470 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on. 90001 01NOV2023 31DEC9999 Y For the first patient attended during one attendance by a general practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90020, 90035, 90043, 90051 or 90054 applies is the amount listed in the item plus $60.55. 90002 01MAR2019 09DEC2020 N A flag fall service to which item 90092, 90093, 90095, 90096, 90183, 90188, 90202 or 90212 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on. 90002 10DEC2020 31OCT2023 N A flag fall service to which item 941, 942, 90092, 90093, 90095, 90096, 90183, 90188, 90202, 90212, 93291, 93292, 93431, 93432, 93433, 93434, 93451, 93475 and 93479 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on. 90002 01NOV2023 31DEC9999 Y For the first patient attended during one attendance by a medical practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212 or 90215 applies is the amount listed in the item plus $43.95. 90003 10DEC2020 31DEC9999 Y A flag fall service to which item 93312, 93313, 93316, 93319, 93322, 93323, 93326, 93327, 93375, 93376, 93381, 93382, 93383, 93384, 93385 and 93386 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on. 90004 10DEC2020 31DEC9999 Y A flag fall service to which any item in the following groups apply: Group M29 (other than 93537 and 93538) Group M30 (other than 93592 and 93593) Group M31 For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on. 90005 14JUN2021 31DEC2021 N A flag fall service to which item 93624, 93625, 93626, 93627, 93634, 93635, 93636, 93637, 93644, 93645, 93646, 93647, 93653, 93654, 93655 or 93656 applies. For the first patient attended during one attendance by a general practitioner or by a medical practitioner (other than a general practitioner) at: a. one residential aged care facility, or at consulting rooms situated within such a complex, on one occasion; orb. one residential disability setting facility, or at consulting rooms situated within such a complex, on one occasion; or c. a person's place of residence (other than a residential aged care facility) on one occasion. 90005 01JAN2022 31JAN2023 N A flag fall service to which item 93624, 93625, 93626, 93627, 93634, 93635, 93636, 93637, 93644, 93645, 93646, 93647, 93653, 93654, 93655, 93656, 93660 or 93661 applies. For the first patient attended during one attendance by a general practitioner or by a medical practitioner (other than a general practitioner) at: a. one residential aged care facility, or at consulting rooms situated within such a complex, on one occasion; orb. one residential disability setting facility, or at consulting rooms situated within such a complex, on one occasion; or c. a person's place of residence (other than a residential aged care facility) on one occasion. 90005 01FEB2023 31DEC9999 Y A flag fall service to which item 93644, 93645, 93646, 93647, 93653, 93654, 93655, 93656, 93660 or 93661 applies. For the first patient attended during one attendance by a general practitioner or by a medical practitioner (other than a general practitioner) at: (a) one residential aged care facility, or at consulting rooms situated within such a complex, on one occasion; or (b) one residential disability setting facility, or at consulting rooms situated within such a complex, on one occasion; or (c) a person's place of residence (other than a residential aged care facility) on one occasion. 90020 01MAR2019 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self-contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-an attendance on one or more patients at one residential aged care facility on one occasion - each patient. 90035 01MAR2019 31OCT2023 N Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 90035 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient (subject to clause 2.30.1) 90043 01MAR2019 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 90051 01MAR2019 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient 90054 01NOV2023 31DEC9999 Y Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient (subject to clause 2.30.1) 90092 01MAR2019 31OCT2019 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of not more than 5 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies. 90092 01NOV2019 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of not more than 5 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner who is not a general practitioner. 90093 01MAR2019 31OCT2019 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies. 90093 01NOV2019 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner who is not a general practitioner. 90095 01MAR2019 31OCT2019 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies. 90095 01NOV2019 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner who is not a general practitioner. 90096 01MAR2019 31OCT2019 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 45 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies. 90096 01NOV2019 31OCT2023 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 45 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner who is not a general practitioner. 90096 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes, but less than 60 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient (subject to clause 2.30.1), by a medical practitioner who is not a general practitioner 90098 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes-an attendance on one or more patients at one residential aged care facility on one occasion by a medical practitioner who is not a general practitioner-each patient (subject to subclause 2.30.1(2)) 90183 01MAR2019 31OCT2023 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of not more than 5 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by medical practitioner in an eligible area. 90183 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting not more than 5 minutes-an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area-each patient (subject to subclause 2.30.1(2)) 90188 01MAR2019 31OCT2023 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner in an eligible area. 90188 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 5 minutes but not more than 25 minutes-an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area-each patient (subject to subclause 2.30.1(2)) 90202 01MAR2019 31OCT2023 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner in an eligible area. 90202 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 25 minutes but not more than 45 minutes-an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area-each patient (subject to subclause 2.30.1(2)) 90212 01MAR2019 31OCT2023 N Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 45 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by a medical practitioner in an eligible area. 90212 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes but not more than 60 minutes-an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area-each patient (subject to subclause 2.30.1(2)) 90215 01NOV2023 31DEC9999 Y Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes-an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area-each patient (subject to subclause 2.30.1(2)) 90250 01NOV2019 28FEB2021 N Professional attendance by a general practitioner who has not undertaken mental health skills training (not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90250 01MAR2021 31DEC9999 Y Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes. 90251 01NOV2019 28FEB2021 N Professional attendance by a general practitioner who has not undertaken mental health skills training (not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90251 01MAR2021 31DEC9999 Y Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes 90252 01NOV2019 28FEB2021 N Professional attendance by a general practitioner who has undertaken mental health skills training (not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90252 01MAR2021 31DEC9999 Y Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training. 90253 01NOV2019 28FEB2021 N Professional attendance by a general practitioner who has undertaken mental health skills training (not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90253 01MAR2021 31DEC9999 Y Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training. 90254 01NOV2019 28FEB2021 N Professional attendance by a medical practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:(a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90254 01MAR2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plant, lasting at least 20 minutes but less than 40 minutes. 90255 01NOV2019 28FEB2021 N Professional attendance by a medical practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90255 01MAR2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes. 90256 01NOV2019 28FEB2021 N Professional attendance by a medical practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90256 01MAR2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training. 90257 01NOV2019 28FEB2021 N Professional attendance by a medical practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90257 01MAR2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training. 90260 01NOV2019 28FEB2021 N Professional attendance of at least 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 90260 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a consultant physician in the practice of the physician's specialty of psychiatry to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes 90261 01NOV2019 28FEB2021 N Professional attendance of at least 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees 90261 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a consultant physician in the practice of the physician's specialty of paediatrics to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes 90262 01NOV2019 28FEB2021 N Professional attendance of at least 45 minutes in duration by video conference by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees 90262 01MAR2021 31DEC9999 Y Professional attendance by a consultant physician in the practice of the physician's specialty of psychiatry to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 45 minutes 90263 01NOV2019 28FEB2021 N Professional attendance of at least 45 minutes in duration by video conference by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees 90263 01MAR2021 31DEC9999 Y Professional attendance by a consultant physician in the practice of the physician's specialty of paediatrics to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 45 minutes 90264 01NOV2019 28FEB2021 N Professional attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 90264 01MAR2021 31DEC9999 Y Professional attendance by a general practitioner to review an eating disorder treatment and management plan. 90265 01NOV2019 28FEB2021 N Professional attendance by a medical practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 90265 01MAR2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to review an eating disorder treatment and management plan. 90266 01NOV2019 28FEB2021 N Professional attendance of at least 30 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:: (A) the patient; and (B) is the patient's carer (if any), if the patient agrees. 90266 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a consultant physician in the practice of the physician's specialty of psychiatry to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 30 minutes 90267 01NOV2019 28FEB2021 N Professional attendance of at least 20 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (d) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) is the patient's carer (if any), if the patient agrees. 90267 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a consultant physician in the practice of the physician's specialty of paediatrics to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 20 minutes 90268 01NOV2019 28FEB2021 N Professional attendance of at least 30 minutes in duration by video conference by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) is the patient's carer (if any), if the patient agrees. 90268 01MAR2021 31DEC9999 Y Professional attendance by a consultant physician in the practice of the physician's specialty of psychiatry to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 30 minutes 90269 01NOV2019 28FEB2021 N Professional attendance of at least 20 minutes in duration by video conference by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (d) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) is the patient's carer (if any), if the patient agrees. 90269 01MAR2021 31DEC9999 Y Professional attendance by a consultant physician in the practice of the physician's specialty of paediatrics to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 20 minutes 90271 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90271 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes. 90272 01NOV2019 28FEB2021 N Professional attendance at a place other than consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan 90272 01MAR2021 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes. 90273 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90273 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes. 90274 01NOV2019 28FEB2021 N Professional attendance at a place other than consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90274 01MAR2021 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes. 90275 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a medical practitioner, for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90275 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes. 90276 01NOV2019 28FEB2021 N Professional attendance at a place other than consulting rooms by a medical practitioner, for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90276 01MAR2021 31DEC9999 Y Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes. 90277 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a medical practitioner, for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90277 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes. 90278 01NOV2019 28FEB2021 N Professional attendance at a place other than consulting rooms by a medical practitioner, for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90278 01MAR2021 31DEC9999 Y Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes. 90279 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner. 90279 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes, if the attendance is by video conference . 90280 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner 90280 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes, if the attendance is by video conference. 90281 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a medical practitioner, for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan, if:(a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner. 90281 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes, if the attendance is by video conference. 90282 01NOV2019 28FEB2021 N Professional attendance at consulting rooms by a medical practitioner, for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan, if:(a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth eligible area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner. 90282 01MAR2021 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes, if the attendance is by video conference. 90300 01JUL2021 31DEC2021 N Professional attendance by a cardiothoracic surgeon in the practice of the surgeon's speciality, if: (a) the service is performed in conjunction with a service (the lead extraction service) to which item 38358 applies; and (b) the surgeon is: (i) either performing, or providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing, the lead extraction service; and (i) present for the duration of the lead extraction service, other than during the low risk pre and post extraction phases; and (iii) able to immediately scrub in and perform a thoracotomy if major complications occur (H) 90300 01JAN2022 31OCT2023 N Professional attendance by a cardiothoracic surgeon in the practice of the surgeon's speciality, if: (a) the service is performed in conjunction with a service (the lead extraction service) to which item 38358 applies; and (b) the surgeon is: (i) providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing, the lead extraction service; and (ii) present for the duration of the lead extraction service, other than during the low risk pre and post extraction phases; and (iii) able to immediately scrub in and perform a thoracotomy if major complications occur (H) 90300 01NOV2023 31DEC9999 Y Professional attendance by a cardiothoracic surgeon in the practice of the surgeon's speciality, if: (a) the service is: (i) performed in conjunction with a service (the lead extraction service) to which item 38358 applies; or (ii) performed in conjunction with a service (the leadless pacemaker extraction service) to which item 38373 or 38374 applies; and (b) the surgeon: (i) is providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing the lead extraction service or the leadless pacemaker extraction service; and (ii) is present for the duration of the lead extraction service or the leadless pacemaker extraction service, other than during the low risk pre and post extraction phases; and (iii) is able to immediately scrub in and perform a thoracotomy if major complications occur (H) 91000 17JAN2020 31DEC9999 Y Psychological therapy health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes but less than 50 minutes duration 91001 17JAN2020 31DEC9999 Y Psychological therapy health service provided to a patient (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 30 minutes but less than 50 minutes duration 91005 17JAN2020 31DEC9999 Y Psychological therapy health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 91000 91010 17JAN2020 31DEC9999 Y Psychological therapy health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration 91011 17JAN2020 31DEC9999 Y Psychological therapy health service provided to a patient (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 50 minutes duration 91015 17JAN2020 31DEC9999 Y Psychological therapy health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 91010 91100 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes duration 91101 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 20 minutes but less than 50 minutes duration 91105 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 91100 91110 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration 91111 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 50 minutes duration 91115 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 91110 91125 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes duration 91126 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 20 minutes but less than 50 minutes duration 91130 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 91125 91135 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration 91136 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 50 minutes duration 91140 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 91135 91150 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes duration 91151 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 20 minutes but less than 50 minutes duration 91155 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 91150 91160 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration 91161 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c) the attendance is by video conference; and (d) the patient is not an admitted patient; and (e) the service is at least 50 minutes duration 91165 17JAN2020 31DEC9999 Y Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 91160 91166 13MAR2020 29MAR2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible clinical psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration; where the service is bulk-billed 91166 30MAR2020 05APR2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration; where the service is bulk-billed 91166 06APR2020 19APR2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91166 20APR2020 31DEC2021 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration. 91166 01JAN2022 31DEC9999 Y Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration 91167 13MAR2020 29MAR2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible clinical psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration; where the service is bulk-billed 91167 30MAR2020 05APR2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration; where the service is bulk-billed 91167 06APR2020 19APR2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91167 20APR2020 31DEC2021 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration. 91167 01JAN2022 31DEC9999 Y Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration 91168 01MAR2023 31DEC9999 Y Telehealth attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 30 minutes but less than 50 minutes 91169 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (g) the service is at least 20 minutes but less than 50 minutes duration; where the service is bulk-billed 91169 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration; where the service is bulk-billed 91169 06APR2020 19APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91169 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration. 91169 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 91170 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration; where the service is bulk-billed 91170 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration; where the service is bulk-billed 91170 06APR2020 19APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91170 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration. 91170 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration 91171 01MAR2023 31DEC9999 Y Telehealth attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 91172 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible occupational therapist is a health professional at risk of COVID-19 virus; and (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91172 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91172 06APR2020 19APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91172 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration. 91172 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 91173 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible occupational therapist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes in duration where the service is bulk-billed 91173 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration where the service is bulk-billed 91173 06APR2020 19APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91173 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration. 91173 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration 91174 01MAR2023 31DEC9999 Y Telehealth attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 91175 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible social worker is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91175 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91175 06APR2020 19APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91175 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration. 91175 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 91176 13MAR2020 29MAR2020 N 91176Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible social worker is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration where the service is bulk-billed 91176 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration where the service is bulk-billed 91176 06APR2020 19APR2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91176 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration. 91176 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration 91177 01MAR2023 31DEC9999 Y Telehealth attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 91178 13MAR2020 29MAR2020 N Telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating nurse practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a short history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventive health care; where the service is bulk-billed. 91178 30MAR2020 05APR2020 N Telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; where the service is bulk-billed 91178 06APR2020 19APR2020 N Telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91178 20APR2020 31DEC9999 Y Telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care. 91179 13MAR2020 29MAR2020 N Telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating nurse practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventive health care; where the service is bulk-billed. 91179 30MAR2020 05APR2020 N Telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; where the service is bulk-billed 91179 06APR2020 19APR2020 N Telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91179 20APR2020 31DEC9999 Y Telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care. 91180 13MAR2020 29MAR2020 N Telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating nurse practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking an extensive history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventive health care; where the service is bulk-billed. 91180 30MAR2020 05APR2020 N Telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; where the service is bulk-billed 91180 06APR2020 19APR2020 N Telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91180 20APR2020 31DEC9999 Y Telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care. 91181 13MAR2020 29MAR2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible clinical psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration; where the service is bulk-billed 91181 30MAR2020 05APR2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration; where the service is bulk-billed 91181 06APR2020 19APR2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91181 20APR2020 31DEC2021 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration. 91181 01JAN2022 31DEC9999 Y Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 30 minutes but less than 50 minutes duration 91182 13MAR2020 29MAR2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible clinical psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration; where the service is bulk-billed 91182 30MAR2020 05APR2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration; where the service is bulk-billed 91182 06APR2020 19APR2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91182 20APR2020 31DEC2021 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration. 91182 01JAN2022 31DEC9999 Y Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration 91183 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (g) the service is at least 20 minutes but less than 50 minutes duration; where the service is bulk-billed 91183 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration; where the service is bulk-billed 91183 06APR2020 19APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91183 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration. 91183 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 91184 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible psychologist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration; where the service is bulk-billed 91184 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration; where the service is bulk-billed 91184 06APR2020 19APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91184 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration. 91184 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration 91185 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible occupational therapist is a health professional at risk of COVID-19 virus; and (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91185 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91185 06APR2020 19APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91185 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration. 91185 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 91186 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible occupational therapist is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes in duration where the service is bulk-billed 91186 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration where the service is bulk-billed 91186 06APR2020 19APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91186 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration. 91186 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes in duration 91187 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible social worker is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91187 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration where the service is bulk-billed 91187 06APR2020 19APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91187 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration. 91187 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 20 minutes but less than 50 minutes duration 91188 13MAR2020 29MAR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the eligible social worker is a health professional at risk of COVID-19 virus; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration where the service is bulk-billed 91188 30MAR2020 05APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration where the service is bulk-billed 91188 06APR2020 19APR2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91188 20APR2020 31DEC2021 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration. 91188 01JAN2022 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (e) the service is at least 50 minutes duration 91189 13MAR2020 29MAR2020 N Phone attendance by a participating nurse practitioner lasting less than 20 minutes if: (a) The attendance is where: (i) The person is at risk of COVID-19 virus; or (ii) The participating nurse practitioner is a health professional at risk of COVID-19 virus; and (b) The attendance includes any of the following that are clinically relevant: (i) taking a history; (ii) undertaking clinical examination; (iii) arranging any necessary investigation; (iv) implementing a management plan; (v) providing appropriate preventive health care; where the service is bulk-billed. 91189 30MAR2020 05APR2020 N Phone attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; where the service is bulk-billed 91189 06APR2020 19APR2020 N Phone attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91189 20APR2020 31DEC9999 Y Phone attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care. 91190 13MAR2020 29MAR2020 N Phone attendance by a participating nurse practitioner lasting at least 20 minutes if: (a) The attendance is where: (i) The person is at risk of COVID-19 virus; or (ii) The participating nurse practitioner is a health professional at risk of COVID-19 virus; and (b) The attendance includes any of the following that are clinically relevant: (i) taking a history; (ii) undertaking clinical examination; (iii) arranging any necessary investigation; (iv) implementing a management plan; (v) providing appropriate preventive health care; where the service is bulk-billed. 91190 30MAR2020 05APR2020 N Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; where the service is bulk-billed 91190 06APR2020 19APR2020 N Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91190 20APR2020 31DEC9999 Y Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care. 91191 13MAR2020 29MAR2020 N Phone attendance by a participating nurse practitioner lasting at least 40 minutes if: (a) The attendance is where: (i) The person is at risk of COVID-19 virus; or (ii) The participating nurse practitioner is a health professional at risk of COVID-19 virus; and (b) The attendance includes any of the following that are clinically relevant: (i) taking a history; (ii) undertaking clinical examination; (iii) arranging any necessary investigation; (iv) implementing a management plan; (v) providing appropriate preventive health care; where the service is bulk-billed. 91191 30MAR2020 05APR2020 N Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; where the service is bulk-billed 91191 06APR2020 19APR2020 N Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91191 20APR2020 31DEC9999 Y Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care. 91192 13MAR2020 29MAR2020 N Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management, if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the participating nurse practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91192 30MAR2020 05APR2020 N Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management; where the service is bulk-billed 91192 06APR2020 19APR2020 N Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91192 20APR2020 31DEC9999 Y Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 91193 13MAR2020 29MAR2020 N Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management, if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the participating nurse practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91193 30MAR2020 05APR2020 N Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management, where the service is bulk-billed 91193 06APR2020 19APR2020 N Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91193 20APR2020 31DEC9999 Y Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 91194 01MAR2023 31DEC9999 Y Telehealth attendance for a focussed psychological strategies health service provided by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 91195 01MAR2023 31DEC9999 Y Telehealth attendance for a focussed psychological strategies health service provided by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 50 minutes 91196 01MAR2023 31DEC9999 Y Telehealth attendance for a focussed psychological strategies health service provided by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner and (c) the service lasts at least 20 minutes but less than 50 minutes 91197 01MAR2023 31DEC9999 Y Telehealth attendance for a focussed psychological strategies health service provided by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner; and (c) the service lasts at least 50 minutes 91198 01MAR2023 31DEC9999 Y Phone attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 30 minutes but less than 50 minutes 91199 01MAR2023 31DEC9999 Y Phone attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 91200 01MAR2023 31DEC9999 Y Phone attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 91201 01MAR2023 31DEC9999 Y Phone attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes 91202 01MAR2023 31DEC9999 Y Phone attendance for a focussed psychological strategies health service provided by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 91203 01MAR2023 31DEC9999 Y Phone attendance for a focussed psychological strategies health service provided by an eligible occupational therapist to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and (c) the service lasts at least 50 minutes 91204 01MAR2023 31DEC9999 Y Phone attendance for a focussed psychological strategies health service provided by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes 91205 01MAR2023 31DEC9999 Y Phone attendance for a focussed psychological strategies health service provided by an eligible social worker to a person other than the patient, if: (a) the service is part of the patient's treatment; (b) the patient has been referred to the eligible social worker by a referring practitioner; and (c) the service lasts at least 50 minutes 91211 13MAR2020 29MAR2020 N Short antenatal telehealth attendance by a participating midwife, lasting up to 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91211 30MAR2020 05APR2020 N Short antenatal telehealth attendance by a participating midwife, lasting up to 40 minutes, where the service is bulk-billed 91211 06APR2020 19APR2020 N Short antenatal telehealth attendance by a participating midwife, lasting up to 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91211 20APR2020 31DEC9999 Y Short antenatal telehealth attendance by a participating midwife, lasting up to 40 minutes. 91212 13MAR2020 29MAR2020 N Long antenatal telehealth attendance by a participating midwife, lasting at least 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91212 30MAR2020 05APR2020 N Long antenatal telehealth attendance by a participating midwife, lasting at least 40 minutes, where the service is bulk-billed 91212 06APR2020 19APR2020 N Long antenatal telehealth attendance by a participating midwife, lasting at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91212 20APR2020 31DEC9999 Y Long antenatal telehealth attendance by a participating midwife, lasting at least 40 minutes. 91214 13MAR2020 29MAR2020 N Short postnatal telehealth attendance by a participating midwife, lasting up to 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91214 30MAR2020 05APR2020 N Short postnatal telehealth attendance by a participating midwife, lasting up to 40 minutes, where the service is bulk-billed 91214 06APR2020 19APR2020 N Short postnatal telehealth attendance by a participating midwife, lasting up to 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91214 20APR2020 31DEC9999 Y Short postnatal telehealth attendance by a participating midwife, lasting up to 40 minutes. 91215 13MAR2020 29MAR2020 N Long postnatal telehealth attendance by a participating midwife, lasting at least 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91215 30MAR2020 05APR2020 N Long postnatal telehealth attendance by a participating midwife, lasting at least 40 minutes, where the service is bulk-billed 91215 06APR2020 19APR2020 N Long postnatal telehealth attendance by a participating midwife, lasting at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91215 20APR2020 31DEC9999 Y Long postnatal telehealth attendance by a participating midwife, lasting at least 40 minutes. 91218 13MAR2020 29MAR2020 N Short antenatal phone attendance by a participating midwife, lasting up to 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91218 30MAR2020 05APR2020 N Short antenatal phone attendance by a participating midwife, lasting up to 40 minutes, where the service is bulk-billed 91218 06APR2020 19APR2020 N Short antenatal phone attendance by a participating midwife, lasting up to 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91218 20APR2020 31DEC9999 Y Short antenatal phone attendance by a participating midwife, lasting up to 40 minutes. 91219 13MAR2020 29MAR2020 N Long antenatal phone attendance by a participating midwife, lasting at least 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91219 30MAR2020 05APR2020 N Long antenatal phone attendance by a participating midwife, lasting at least 40 minutes, where the service is bulk-billed 91219 06APR2020 19APR2020 N Long antenatal phone attendance by a participating midwife, lasting at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91219 20APR2020 31DEC9999 Y Long antenatal phone attendance by a participating midwife, lasting at least 40 minutes. 91221 13MAR2020 29MAR2020 N Short postnatal phone attendance by a participating midwife, lasting up to 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91221 30MAR2020 05APR2020 N Short postnatal phone attendance by a participating midwife, lasting up to 40 minutes, where the service is bulk-billed 91221 06APR2020 19APR2020 N Short postnatal phone attendance by a participating midwife, lasting up to 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91221 20APR2020 31DEC9999 Y Short postnatal phone attendance by a participating midwife, lasting up to 40 minutes. 91222 13MAR2020 29MAR2020 N Long postnatal phone attendance by a participating midwife, lasting at least 40 minutes, if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the participating midwife is a health professional at risk of COVID-19 virus; and (b) the attendance is bulk-billed 91222 30MAR2020 05APR2020 N Long postnatal phone attendance by a participating midwife, lasting at least 40 minutes, where the service is bulk-billed 91222 06APR2020 19APR2020 N Long postnatal phone attendance by a participating midwife, lasting at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91222 20APR2020 31DEC9999 Y Long postnatal phone attendance by a participating midwife, lasting at least 40 minutes. 91283 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration 91285 17JAN2020 31DEC9999 Y Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration 91286 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration 91287 17JAN2020 31DEC9999 Y Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration 91371 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the service is at least 30 minutes but less than 40 minutes duration 91372 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the service is at least 40 minutes duration 91721 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration 91723 17JAN2020 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration 91725 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration 91727 17JAN2020 31DEC9999 Y Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration 91729 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the service is at least 30 minutes but less than 40 minutes duration 91731 17JAN2020 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the services is at least 40 minutes duration 91790 13MAR2020 29MAR2020 N Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91790 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management; where the service is bulk-billed 91790 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91790 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and(b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91790 01OCT2020 31DEC9999 Y Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91792 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner of not more than 5 minutes if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91792 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner of not more than 5 minutes; where the service is bulk-billed 91792 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner of not more than 5 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91792 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner of not more than 5 minutes. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91792 01OCT2020 31DEC9999 Y Telehealth attendance by a medical practitioner of not more than 5 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91794 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner, in an eligible area, of not more than 5 minutes if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91794 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes; where the service is bulk-billed 91794 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91794 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91794 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91794 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91795 13MAR2020 29MAR2020 N Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91795 30MAR2020 05APR2020 N Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management; where the service is bulk-billed 91795 06APR2020 19JUL2020 N Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91795 20JUL2020 30SEP2020 N Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management; NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91795 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management; NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91797 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner of not more than 5 minutes if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91797 30MAR2020 05APR2020 N Phone attendance by a medical practitioner of not more than 5 minutes; where the service is bulk-billed 91797 06APR2020 19JUL2020 N Phone attendance by a medical practitioner of not more than 5 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91797 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner of not more than 5 minutes. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91797 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner of not more than 5 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91799 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner, in an eligible area, of not more than 5 minutes if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; where the service is bulk-billed 91799 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes; where the service is bulk-billed 91799 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91799 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91799 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91800 13MAR2020 29MAR2020 N Telehealth attendance by a general practitioner lasting less than 20 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a short patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91800 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91800 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91800 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91800 01OCT2020 31OCT2023 N Telehealth attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91800 01NOV2023 31DEC9999 Y Telehealth attendance by a general practitioner lasting at least 6 minutes but less than 20 minutes if the attendance includes any of the following that are clinically relevant:(a) taking a short patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventative health care 91801 13MAR2020 29MAR2020 N Telehealth attendance by a general practitioner lasting at least 20 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91801 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91801 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91801 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91801 01OCT2020 31DEC9999 Y Telehealth attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91802 13MAR2020 29MAR2020 N Telehealth attendance by a general practitioner lasting at least 40 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking an extensive patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91802 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91802 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91802 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91802 01OCT2020 31DEC9999 Y Telehealth attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91803 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a short patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91803 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91803 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91803 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91803 01OCT2020 31DEC9999 Y Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91804 13MAR2020 29MAR2020 N TTelehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91804 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91804 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91804 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91804 01OCT2020 31DEC9999 Y Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91805 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner of at least 45 minutes in duration if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking an extensive patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91805 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91805 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91805 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91805 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91805 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner) of more than 45 minutes in duration but not more than 60 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91806 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner, in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a short patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91806 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91806 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91806 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91806 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91806 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91807 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner, in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91807 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91807 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91807 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91807 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91807 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91808 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner, in an eligible area, of at least 45 minutes in duration if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking an extensive patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91808 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91808 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91808 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91808 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91808 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 45 minutes in duration but not more than 60 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91809 13MAR2020 29MAR2020 N Phone attendance by a general practitioner lasting less than 20 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a short patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91809 30MAR2020 05APR2020 N Phone attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91809 06APR2020 19JUL2020 N Phone attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91809 20JUL2020 30SEP2020 N Phone attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; and (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91809 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; and (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91810 13MAR2020 29MAR2020 N Phone attendance by a general practitioner lasting at least 20 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91810 30MAR2020 05APR2020 N Phone attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91810 06APR2020 19JUL2020 N Phone attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91810 20JUL2020 30SEP2020 N Phone attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91810 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91811 13MAR2020 29MAR2020 N Phone attendance by a general practitioner lasting at least 40 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking an extensive patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91811 30MAR2020 05APR2020 N Phone attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91811 06APR2020 19JUL2020 N Phone attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91811 20JUL2020 30SEP2020 N Phone attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91811 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91812 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a short patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91812 30MAR2020 05APR2020 N Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91812 06APR2020 19JUL2020 N Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91812 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91812 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91813 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91813 30MAR2020 05APR2020 N Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91813 06APR2020 19JUL2020 N Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91813 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91813 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91814 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner of at least 45 minutes in duration if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking an extensive patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91814 30MAR2020 05APR2020 N Phone attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91814 06APR2020 19JUL2020 N Phone attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91814 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91814 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91815 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner, in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a short patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91815 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91815 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91815 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91815 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91816 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner, in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91816 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91816 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91816 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91816 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91817 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner, in an eligible area, of more than 45 minutes in duration if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the attendance includes any of the following that are clinically relevant: (i) taking an extensive patient history; (ii) arranging any necessary investigation (iii) implementing a management plan; (iv) providing appropriate preventative health care; where the service is bulk-billed 91817 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care; where the service is bulk-billed 91817 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91817 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that: (a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91817 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91818 13MAR2020 29MAR2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91818 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91818 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91818 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91818 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91818 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. 91819 13MAR2020 29MAR2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes; where the service is bulk-billed 91819 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes; where the service is bulk-billed 91819 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91819 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91819 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91819 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. 91820 13MAR2020 29MAR2020 N Telehealth attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91820 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91820 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91820 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91820 01OCT2020 30JUN2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91820 01JUL2021 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 91820 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. 91820 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes 91821 13MAR2020 29MAR2020 N 91821Telehealth attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes; where the service is bulk-billed 91821 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes; where the service is bulk-billed 91821 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91821 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91821 01OCT2020 30JUN2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91821 01JUL2021 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 91821 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. 91821 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes 91822 13MAR2020 29MAR2020 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the specialist is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91822 30MAR2020 05APR2020 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91822 06APR2020 19APR2020 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91822 20APR2020 31DEC9999 Y Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91823 13MAR2020 29MAR2020 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the specialist is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance is after the first attendance as part of a single course of treatment. 91823 30MAR2020 05APR2020 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance is after the first attendance as part of a single course of treatment. 91823 06APR2020 19APR2020 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is after the first attendance as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91823 20APR2020 31DEC9999 Y Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is after the first attendance as part of a single course of treatment. 91824 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant physician is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91824 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91824 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91824 20APR2020 31DEC9999 Y Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91825 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant physician is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance is not a minor attendance after the first as part of a single course of treatment. 91825 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance is not a minor attendance after the first as part of a single course of treatment. 91825 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is not a minor attendance after the first as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91825 20APR2020 31DEC9999 Y Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is not a minor attendance after the first as part of a single course of treatment. 91826 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the specialist is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance is a minor attendance after the first as part of a single course of treatment. 91826 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance is a minor attendance after the first as part of a single course of treatment. 91826 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is a minor attendance after the first as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91826 20APR2020 31DEC9999 Y Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is a minor attendance after the first as part of a single course of treatment. 91827 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was not more than 15 minutes duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91827 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; and (c) the service is bulk-billed. 91827 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91827 20APR2020 29FEB2024 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration. 91827 01MAR2024 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes in duration; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91828 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year 91828 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91828 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (c) the service is bulk-billed. 91828 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91828 20APR2020 29FEB2024 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration. 91828 01MAR2024 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; if that attendance and another attendance to which item 296, 297, 299, or any of items 300, 302, 304, 306 to 308, 91827, 91829 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year 91829 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91829 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (c) the service is bulk-billed. 91829 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91829 20APR2020 29FEB2024 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration. 91829 01MAR2024 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827, 91828, 91830, 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year 91830 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91830 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (c) the service is bulk-billed. 91830 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91830 20APR2020 29FEB2024 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration. 91830 01MAR2024 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91829, 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year 91831 13MAR2020 29MAR2020 N Telehealth attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was at least 75 minutes in duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91831 30MAR2020 05APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration; and (c) the service is bulk-billed. 91831 06APR2020 19APR2020 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91831 20APR2020 29FEB2024 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration. 91831 01MAR2024 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91830, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year. 91832 13MAR2020 29MAR2020 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the specialist is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91832 30MAR2020 05APR2020 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91832 06APR2020 19APR2020 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91832 20APR2020 31DEC9999 Y Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91833 13MAR2020 29MAR2020 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the specialist is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance is after the first attendance as part of a single course of treatment. 91833 30MAR2020 05APR2020 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance is after the first attendance as part of a single course of treatment. 91833 06APR2020 19APR2020 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is after the first attendance as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91833 20APR2020 31DEC9999 Y Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is after the first attendance as part of a single course of treatment. 91834 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant physician is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91834 30MAR2020 05APR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91834 06APR2020 19APR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91834 20APR2020 31DEC9999 Y Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment. 91835 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant physician is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance is not a minor attendance after the first as part of a single course of treatment. 91835 30MAR2020 05APR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance is not a minor attendance after the first as part of a single course of treatment. 91835 06APR2020 19APR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is not a minor attendance after the first as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91835 20APR2020 31DEC9999 Y Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is not a minor attendance after the first as part of a single course of treatment. 91836 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the specialist is a health professional at risk of COVID-19 virus; and(b) the attendance follows referral of the patient to the specialist; and(c) the attendance was of more than 5 minutes in duration; and(d) the patient is not an admitted patient; and(e) the service is bulk-billed. Where the attendance is a minor attendance after the first as part of a single course of treatment. 91836 30MAR2020 05APR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the service is bulk-billed. Where the attendance is a minor attendance after the first as part of a single course of treatment. 91836 06APR2020 19APR2020 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is a minor attendance after the first as part of a single course of treatment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91836 20APR2020 31DEC9999 Y Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is a minor attendance after the first as part of a single course of treatment. 91837 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was not more than 15 minutes duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91837 30MAR2020 05APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; and (c) the service is bulk-billed. 91837 06APR2020 19APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91837 20APR2020 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration. 91837 01JAN2022 29FEB2024 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; Where the attendance is after the first attendance as part of a single course of treatment 91837 01MAR2024 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91838, 91839 and 92437 applies have not exceeded 50 attendances in a calendar year 91838 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91838 30MAR2020 05APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (c) the service is bulk-billed 91838 06APR2020 19APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91838 20APR2020 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration. 91838 01JAN2022 29FEB2024 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; Where the attendance is after the first attendance as part of a single course of treatment 91838 01MAR2024 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91837, 91839 and 92437 applies have not exceeded 50 attendances in a calendar year 91839 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant psychiatrist; if:(f) the attendance is where: (j) the person is a patient at risk of COVID-19 virus; or (jj) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (g) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (h) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (i) the patient is not an admitted patient; and (j) the service is bulk-billed. 91839 30MAR2020 05APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (c) the service is bulk-billed. 91839 06APR2020 19APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91839 20APR2020 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration. 91839 01JAN2022 29FEB2024 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration Where the attendance is after the first attendance as part of a single course of treatment 91839 01MAR2024 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91837, 91838 and 92437 applies have not exceeded 50 attendances in a calendar year 91840 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and (b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (c) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91840 30MAR2020 05APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (c) the service is bulk-billed. 91840 06APR2020 19APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91840 20APR2020 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration. 91841 13MAR2020 29MAR2020 N Phone attendance for a person by a consultant psychiatrist; if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the consultant psychiatrist is a health professional at risk of COVID-19 virus; and(b) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and(c) the attendance was at least 75 minutes in duration; and(d) the patient is not an admitted patient; and (e) the service is bulk-billed. 91841 30MAR2020 05APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration; and (c) the service is bulk-billed. 91841 06APR2020 19APR2020 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91841 20APR2020 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration. 91842 13MAR2020 29MAR2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91842 30MAR2020 05APR2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91842 06APR2020 19JUL2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91842 20JUL2020 30SEP2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91842 01OCT2020 20JUL2021 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91842 21JUL2021 31DEC9999 Y Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. 91843 13MAR2020 29MAR2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the general practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes; where the service is bulk-billed 91843 30MAR2020 05APR2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes; where the service is bulk-billed 91843 06APR2020 19JUL2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91843 20JUL2020 30SEP2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91843 01OCT2020 20JUL2021 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91843 21JUL2021 31DEC9999 Y Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. 91844 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91844 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes; where the service is bulk-billed 91844 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91844 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91844 01OCT2020 20JUL2021 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91844 21JUL2021 31OCT2023 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. 91844 01NOV2023 31DEC9999 Y Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes 91845 13MAR2020 29MAR2020 N Phone attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:(a) the attendance is where: (i) the person is a patient at risk of COVID-19 virus; or (ii) the medical practitioner is a health professional at risk of COVID-19 virus; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes; where the service is bulk-billed 91845 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes; where the service is bulk-billed 91845 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91845 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 91845 01OCT2020 30JUN2021 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91845 01JUL2021 20JUL2021 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 91845 21JUL2021 31OCT2023 N Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. 91845 01NOV2023 31DEC9999 Y Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes 91846 15SEP2021 31DEC2021 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 91846 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 91847 15SEP2021 31DEC2021 N Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance is after the first attendance as part of a single course of treatment 91847 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is after the first attendance as part of a single course of treatment 91848 15SEP2021 31DEC2021 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 91848 01JAN2022 31DEC9999 Y Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 91849 15SEP2021 31DEC2021 N Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance is after the first attendance as part of a single course of treatment 91849 01JAN2022 31DEC9999 Y Phone attendance for a person by a specialist in the practice of the specialist's specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is after the first attendance as part of a single course of treatment 91850 13MAR2020 29MAR2020 N Antenatal telehealth service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and(b) the service is provided on behalf of, and under the supervision of, a medical practitioner; and(c) the service is provided at, or from, a practice location in a regional, rural or remote area; and(d) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and(e) the service is not provided for an admitted patient of a hospital or approved day facility; and (f) The service is bulk billed. 91850 30MAR2020 05APR2020 N Antenatal telehealth service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and (d) the service is bulk billed. 91850 06APR2020 19APR2020 N Antenatal telehealth service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91850 20APR2020 30APR2023 N Antenatal telehealth service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner. 91850 01MAY2023 31DEC9999 Y Antenatal telehealth service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner. 91851 13MAR2020 29MAR2020 N Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and(b) is between 4 and 8 weeks after the birth; and(c) lasts at least 20 minutes in duration; and(d) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and(e) is for a pregnancy in relation to which a service to which item 82140 applies is not provided; and (f) the service is bulk billed. Applicable once for a pregnancy 91851 30MAR2020 05APR2020 N Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided; and (e) the service is bulk billed. Applicable once for a pregnancy 91851 06APR2020 19APR2020 N Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided. Applicable once for a pregnancy NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91851 20APR2020 31DEC9999 Y Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided. Applicable once for a pregnancy 91852 13MAR2020 29MAR2020 N Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and(b) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and(c) is between 1 week and 4 weeks after the birth; and(d) lasts at least 20 minutes; and(e) is for a patient who was privately admitted for the birth; and(f) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided; and (g) the service is bulk billed. Applicable once for a pregnancy 91852 30MAR2020 05APR2020 N Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided; and (f) the service is bulk billed. Applicable once for a pregnancy 91852 06APR2020 19APR2020 N Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided. Applicable once for a pregnancy NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91852 20APR2020 31DEC2022 N Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided. Applicable once for a pregnancy 91852 01JAN2023 31DEC2023 N Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135, 82140, 91214, 91215, 91221 or 91222 is not provided. Applicable once for a pregnancy 91852 01JAN2024 31DEC9999 Y Postnatal telehealth attendance (other than a service to which any other item applies) if: (a) the attendance is rendered by: (i) a practice midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 of the Health Insurance (Midwife and Nurse Practitioner) Determination 2015 or item 91214, 91215, 91221 or 91222 is not provided. Applicable once for a pregnancy 91853 13MAR2020 29MAR2020 N Antenatal telehealth attendance if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and (b) the service is bulk billed. 91853 30MAR2020 05APR2020 N Antenatal telehealth attendance if the service is bulk billed. 91853 06APR2020 19APR2020 N Antenatal telehealth attendance. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91853 20APR2020 31DEC9999 Y Antenatal telehealth attendance. 91855 13MAR2020 29MAR2020 N Antenatal phone service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and(b) the service is provided on behalf of, and under the supervision of, a medical practitioner; and(c) the service is provided at, or from, a practice location in a regional, rural or remote area; and(d) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and(e) the service is not provided for an admitted patient of a hospital or approved day facility; and (f) the service is bulk billed. 91855 30MAR2020 05APR2020 N Antenatal phone service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and (d) the services is bulk billed. 91855 06APR2020 19APR2020 N Antenatal phone service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91855 20APR2020 30APR2023 N Antenatal phone service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner. 91855 01MAY2023 31DEC9999 Y Antenatal phone service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner. 91856 13MAR2020 29MAR2020 N Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and(b) is between 4 and 8 weeks after the birth; and(c) lasts at least 20 minutes in duration; and(d) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and(e) is for a pregnancy in relation to which a service to which item 82140 applies is not provided; and (f) the service is bulk billed. Applicable once for a pregnancy 91856 30MAR2020 05APR2020 N Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided; and (e) the service is bulk billed. Applicable once for a pregnancy 91856 06APR2020 19APR2020 N Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided. Applicable once for a pregnancy NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91856 20APR2020 31DEC9999 Y Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided. Applicable once for a pregnancy 91857 13MAR2020 29MAR2020 N Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and(b) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and(c) is between 1 week and 4 weeks after the birth; and(d) lasts at least 20 minutes; and(e) is for a patient who was privately admitted for the birth; and(f) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided; and (g) the service is bulk billed.Applicable once for a pregnancy 91857 30MAR2020 05APR2020 N Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided; and (f) the service is bulk billed. Applicable once for a pregnancy 91857 06APR2020 19APR2020 N Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided. Applicable once for a pregnancy NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91857 20APR2020 31DEC2022 N Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided. Applicable once for a pregnancy 91857 01JAN2023 31DEC2023 N Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135, 82140, 91214, 91215, 91221 or 91222 is not provided. Applicable once for a pregnancy 91857 01JAN2024 31DEC9999 Y Postnatal phone attendance (other than a service to which any other item applies) if: (a) the attendance is rendered by: (i) a practice midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 of the Health Insurance (Midwife and Nurse Practitioner) Determination 2015 or item 91214, 91215, 91221 or 91222 is not provided. Applicable once for a pregnancy 91858 13MAR2020 29MAR2020 N Antenatal phone attendance if: (a) the attendance is where: (i) the person is at risk of COVID-19 virus; or (ii) the practitioner rendering the service is a health professional at risk of COVID-19 virus; and (b) the service is bulk billed. 91858 30MAR2020 05APR2020 N Antenatal phone attendance if the service is bulk billed. 91858 06APR2020 19APR2020 N Antenatal phone attendance. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 91858 20APR2020 31DEC9999 Y Antenatal phone attendance. 91859 01MAR2023 31DEC9999 Y Telehealth attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes but less than 40 minutes 91861 01MAR2023 31DEC9999 Y Telehealth attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 91862 01MAR2023 31DEC9999 Y Telehealth attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes but less than 40 minutes 91863 01MAR2023 31DEC9999 Y Telehealth attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 91864 01MAR2023 31DEC9999 Y Phone attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes but less than 40 minutes 91865 01MAR2023 31DEC9999 Y Phone attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 91866 01MAR2023 31DEC9999 Y Phone attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 30 minutes but less than 40 minutes 91867 01MAR2023 31DEC9999 Y Phone attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient's treatment; and (b) lasting at least 40 minutes 91868 01MAR2024 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91869, 91870, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient 91869 01MAR2024 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes but not more than 30 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91870, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient 91870 01MAR2024 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes but not more than 45 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient 91871 01MAR2024 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes but not more than 75 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient 91872 01MAR2024 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91871, 91873, or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient 91873 01MAR2024 31DEC9999 Y Telehealth attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the psychiatrist by a referring practitioner, where the formulation of the patient's clinical presentation indicates intensive psychotherapy is a clinically appropriate and indicated treatment, if that attendance and another attendance to which any of items 296, 297, 299 or any of items 300, 302, 304, 306, 308, 319, 92437, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91871, 91872 or 91879 to 91881 applies has not exceeded 160 attendances in a calendar year for the patient 91874 01MAR2024 31DEC9999 Y Telehealth attendance involving an interview, lasting not more than 15 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91875, 91876, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient 91875 01MAR2024 31DEC9999 Y Telehealth attendance involving an interview, lasting more than 15 minutes but not more than 30 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91876, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient 91876 01MAR2024 31DEC9999 Y Telehealth attendance involving an interview, lasting more than 30 minutes but not more than 45 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient 91877 01MAR2024 31DEC9999 Y Telehealth attendance involving an interview, lasting more than 45 minutes but not more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91876 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient 91878 01MAR2024 31DEC9999 Y Telehealth attendance involving an interview, lasting more than 75 minutes, of a person other than the patient, when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91876, 91877, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient 91879 01MAR2024 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration, if that attendance and another attendance to which 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91868 to 91873, 91880, 91881 or 92437 applies exceed 50 attendances in a calendar year for the patient 91880 01MAR2024 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes but not more than 30 minutes in duration, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91868 to 91873, 91879, 91881 or 92437 applies exceed 50 attendances in a calendar year for the patient 91881 01MAR2024 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes but not more than 45 minutes in duration, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91868 to 91873, 91879, 91880 or 92437 applies exceed 50 attendances in a calendar year for the patient 91882 01MAR2024 31DEC9999 Y Phone attendance involving an interview, lasting not more than 15 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874 to 91878, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient 91883 01MAR2024 31DEC9999 Y Phone attendance involving an interview, lasting more than 15 minutes but not more than 30 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874 to 91878, 91882 or 91884 applies have not exceeded 15 in a calendar year for the patient 91884 01MAR2024 31DEC9999 Y Phone attendance involving an interview, lasting more than 30 minutes but not more than 45 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874 to 91878, 91882 or 91883 applies have not exceeded 15 in a calendar year for the patient 91890 01JUL2021 31DEC9999 Y Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management 91891 01JUL2021 31DEC9999 Y Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care 91892 01JUL2021 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management 91893 01JUL2021 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care 91894 01JAN2022 31DEC9999 Y Phone attendance by a general practitioner lasting at least 20 minutes, if: (a) the attendance is performed from a practice location in Modified Monash areas 6 or 7; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care 91895 01JAN2022 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), of more than 25 minutes in duration but not more than 45 minutes, if: (a) the attendance is performed from a practice location in Modified Monash areas 6 or 7; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care 91900 01NOV2023 31DEC2023 N Phone attendance by a general practitioner to a patient registered under MyMedicare with the billing practice, lasting at least 20 minutes, if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; for one or more health related issues, with appropriate documentation 91900 01JAN2024 31DEC9999 Y Phone attendance by a general practitioner to a patient registered under MyMedicare with the billing practice, lasting at least 20 minutes, if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; for one or more health related issues, with appropriate documentation 91903 01NOV2023 31DEC2023 N Phone attendance by a medical practitioner (not including a general practitioner) to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 minutes, if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; for one or more health related issues, with appropriate documentation 91903 01JAN2024 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner) to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 minutes, if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; for one or more health related issues, with appropriate documentation 91906 01NOV2023 31DEC2023 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation 91906 01JAN2024 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking a detailed patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation 91910 01NOV2023 31DEC9999 Y Phone attendance by a general practitioner, to a patient registered under MyMedicare with the billing practice, lasting at least 40 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation 91913 01NOV2023 31DEC2023 N Phone attendance by a medical practitioner, to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking a detailed patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventative health care;for one or more health related issues, with appropriate documentation 91913 01JAN2024 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner), to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventative health care;for one or more health related issues, with appropriate documentation 91916 01NOV2023 31DEC2023 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking a detailed patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventative health care;for one or more health related issues, with appropriate documentation 91916 01JAN2024 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventative health care;for one or more health related issues, with appropriate documentation 91920 01NOV2023 31DEC9999 Y Telehealth attendance by a general practitioner, lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91923 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner), of more than 60 minutes in duration and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 91926 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 60 minutes in duration and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92004 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner for a health assessment of a patient. Where the service is bulk-billed. 92004 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner for a health assessment of a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92004 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner for a health assessment of a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92004 01OCT2020 31DEC9999 Y Telehealth attendance by a general practitioner for a health assessment of a patient - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92011 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment. Where the service is bulk-billed. 92011 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92011 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92011 01OCT2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92016 30MAR2020 05APR2020 N Phone attendance by a general practitioner for a health assessment of a patient. Where the service is bulk-billed. 92016 06APR2020 19JUL2020 N Phone attendance by a general practitioner for a health assessment of a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92016 20JUL2020 30SEP2020 N Phone attendance by a general practitioner for a health assessment of a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92016 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner for a health assessment of a patient - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92023 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment of a patient. Where the service is bulk-billed. 92023 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment of a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92023 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment of a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92023 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment of a patient - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92024 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) Where the service is bulk-billed. 92024 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92024 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92024 01OCT2020 31OCT2023 N Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92024 01NOV2023 29FEB2024 N Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 235 to 340 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92024 01MAR2024 31DEC9999 Y Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92025 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) Where the service is bulk-billed. 92025 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92025 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92025 01OCT2020 31OCT2023 N Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92025 01NOV2023 31DEC9999 Y Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92026 30MAR2020 05APR2020 N Telehealth contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) Where the service is bulk-billed. 92026 06APR2020 19JUL2020 N Telehealth contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92026 20JUL2020 30SEP2020 N Telehealth contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92026 01OCT2020 31OCT2023 N Telehealth contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92026 01NOV2023 31DEC9999 Y Contribution by a general practitioner by telehealth, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92027 30MAR2020 05APR2020 N Telehealth contribution by a general practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) Where the service is bulk-billed. 92027 06APR2020 19JUL2020 N Telehealth contribution by a general practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92027 20JUL2020 30SEP2020 N Telehealth contribution by a general practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92027 01OCT2020 31OCT2023 N Telehealth contribution by a general practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92027 01NOV2023 31DEC9999 Y Contribution by a general practitioner by telehealth to:(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider.(other than a service associated with a service to which items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92028 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table, or item 229 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, or item 230 or item 92025 or 92069 or items applies Where the service is bulk-billed. 92028 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table, or item 229 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, or item 230 or item 92025 or 92069 or items applies NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92028 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table, or item 229 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, or item 230 or item 92025 or 92069 or items applies NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92028 01OCT2020 31OCT2023 N Telehealth attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table, or item 229 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, or item 230 or item 92025 or 92069 or items applies NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92028 01NOV2023 31DEC9999 Y Telehealth attendance by a general practitioner to review or coordinate a review of:(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which items 229 or 721 of the general medical services table, or item 92024, 92055, 92068 or 92099 applies;(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which items 230 or 723 of the general medical services table, or item 92025 or 92069 applies NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92055 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92055 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92055 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92055 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92055 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92056 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92056 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92056 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and(b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92056 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92056 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92057 30MAR2020 05APR2020 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92057 06APR2020 19JUL2020 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92057 20JUL2020 30SEP2020 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92057 01OCT2020 31OCT2023 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92057 01NOV2023 31DEC9999 Y Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by telehealth to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92058 30MAR2020 05APR2020 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician),, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92058 06APR2020 19JUL2020 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician),, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92058 20JUL2020 30SEP2020 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician),, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92058 01OCT2020 30JUN2023 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician),, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92058 01JUL2023 31OCT2023 N Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92058 01NOV2023 31DEC9999 Y Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by telehealth to:(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider(other than a service associated with a service to which items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92059 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721 or item 229 or item 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies Where the service is bulk-billed. 92059 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721 or item 229 or item 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92059 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721 or item 229 or item 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92059 01OCT2020 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721 or item 229 or item 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92059 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review or coordinate a review of:(a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721 or item 229 of the general medical services table or item 92024, 92055, 92068 or 92099 applies; or(b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which items 230 or 723 of the general medical services table or item 92025, 92056, 92069 or 92100 applies NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92068 30MAR2020 05APR2020 N Phone attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) Where the service is bulk-billed. 92068 06APR2020 19JUL2020 N Phone attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92068 20JUL2020 30SEP2020 N Phone attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92068 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92069 30MAR2020 05APR2020 N Phone attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) Where the service is bulk-billed. 92069 06APR2020 19JUL2020 N Phone attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92069 20JUL2020 30SEP2020 N Phone attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92069 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240 or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92070 30MAR2020 05APR2020 N Phone contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240, or items 92074 to 92078 or items 92030 to 92034 apply) Where the service is bulk-billed. 92070 06APR2020 19JUL2020 N Phone contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240, or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92070 20JUL2020 30SEP2020 N Phone contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240, or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92070 01OCT2020 31DEC9999 Y Phone contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, or items 235 to 240, or items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92071 30MAR2020 05APR2020 N Phone contribution by a general practitioner (not including a specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 apply) Where the service is bulk-billed. 92071 06APR2020 19JUL2020 N Phone contribution by a general practitioner (not including a specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply). NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92071 20JUL2020 30SEP2020 N Phone contribution by a general practitioner (not including a specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply). NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92071 01OCT2020 31DEC9999 Y Phone contribution by a general practitioner (not including a specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply). NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92072 30MAR2020 05APR2020 N Phone attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table or item 229 or items 92074 to 92078 or 92030 to 92034 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table or item 92025 or 92069 or items applies Where the service is bulk-billed. 92072 06APR2020 19JUL2020 N Phone attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table or item 229 or items 92074 to 92078 or 92030 to 92034 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table or item 92025 or 92069 or items applies NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92072 20JUL2020 30SEP2020 N Phone attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table or item 229 or items 92074 to 92078 or 92030 to 92034 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table or item 92025 or 92069 or items applies NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92072 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table or item 229 or items 92074 to 92078 or 92030 to 92034 or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table or item 92025 or 92069 or items applies NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92099 30MAR2020 05APR2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92099 06APR2020 19JUL2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92099 20JUL2020 30SEP2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92099 01OCT2020 31DEC9999 Y Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92100 30MAR2020 05APR2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92100 06APR2020 19JUL2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92100 20JUL2020 30SEP2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92100 01OCT2020 31DEC9999 Y Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92101 30MAR2020 05APR2020 N Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92101 06APR2020 19JUL2020 N Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92101 20JUL2020 30SEP2020 N Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92101 01OCT2020 31DEC9999 Y Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92102 30MAR2020 05APR2020 N Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply) Where the service is bulk-billed. 92102 06APR2020 19JUL2020 N Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92102 20JUL2020 30SEP2020 N Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92102 01OCT2020 31DEC9999 Y Telephone contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92103 30MAR2020 05APR2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721, 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies Where the service is bulk-billed. 92103 06APR2020 19JUL2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721, 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92103 20JUL2020 30SEP2020 N Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721, 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92103 01OCT2020 31DEC9999 Y Telephone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721, 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92112 30MAR2020 05APR2020 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92112 06APR2020 19JUL2020 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92112 20JUL2020 30SEP2020 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92112 01OCT2020 30JUN2021 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92112 01JUL2021 20JUL2021 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 92112 21JUL2021 31DEC9999 Y Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92113 30MAR2020 05APR2020 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92113 06APR2020 19JUL2020 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92113 20JUL2020 30SEP2020 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92113 01OCT2020 20JUL2021 N Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92113 21JUL2021 31DEC9999 Y Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92114 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan Where the service is bulk-billed. 92114 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92114 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92114 01OCT2020 30JUN2021 N Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92114 01JUL2021 20JUL2021 N Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 92114 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. 92115 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation Where the service is bulk-billed. 92115 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92115 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92115 01OCT2020 30JUN2021 N Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92115 01JUL2021 20JUL2021 N Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 92115 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. 92116 30MAR2020 05APR2020 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92116 06APR2020 19JUL2020 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92116 20JUL2020 30SEP2020 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92116 01OCT2020 20JUL2021 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92116 21JUL2021 31DEC9999 Y Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92117 30MAR2020 05APR2020 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92117 06APR2020 19JUL2020 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92117 20JUL2020 30SEP2020 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92117 01OCT2020 20JUL2021 N Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92117 21JUL2021 31DEC9999 Y Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92118 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92118 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92118 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92118 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92118 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92118 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 92119 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92119 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92119 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92119 01OCT2020 30JUN2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92119 01JUL2021 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 92119 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92119 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 92120 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan Where the service is bulk-billed. 92120 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92120 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92120 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92120 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. 92120 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan 92121 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation Where the service is bulk-billed. 92121 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92121 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92121 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92121 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. 92121 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation 92122 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92122 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92122 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92122 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92122 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92122 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 92123 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92123 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92123 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92123 01OCT2020 30JUN2021 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92123 01JUL2021 20JUL2021 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 92123 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 92123 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient 92124 30MAR2020 05APR2020 N Phone attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92124 06APR2020 19JUL2020 N Phone attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92124 20JUL2020 30SEP2020 N Phone attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92124 01OCT2020 31DEC9999 Y Phone attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92125 30MAR2020 05APR2020 N Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92125 06APR2020 19JUL2020 N Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92125 20JUL2020 30SEP2020 N Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92125 01OCT2020 31DEC9999 Y Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92126 30MAR2020 05APR2020 N Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan Where the service is bulk-billed. 92126 06APR2020 19JUL2020 N Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92126 20JUL2020 30SEP2020 N Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92126 01OCT2020 20JUL2021 N Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92126 21JUL2021 31DEC9999 Y Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. 92127 30MAR2020 05APR2020 N Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation Where the service is bulk-billed. 92127 06APR2020 19JUL2020 N Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92127 20JUL2020 30SEP2020 N Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92127 01OCT2020 30JUN2021 N Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92127 01JUL2021 20JUL2021 N Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply) 92127 21JUL2021 31DEC9999 Y Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. 92128 30MAR2020 05APR2020 N Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92128 06APR2020 19JUL2020 N Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92128 20JUL2020 30SEP2020 N Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92128 01OCT2020 31DEC9999 Y Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92129 30MAR2020 05APR2020 N Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92129 06APR2020 19JUL2020 N Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92129 20JUL2020 30SEP2020 N Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92129 01OCT2020 31DEC9999 Y Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92130 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92130 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92130 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92130 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92131 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92131 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92131 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92131 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92132 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan Where the service is bulk-billed. 92132 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92132 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92132 01OCT2020 20JUL2021 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92132 21JUL2021 31OCT2023 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. 92132 01NOV2023 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan 92133 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation Where the service is bulk-billed. 92133 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92133 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92133 01OCT2020 20JUL2021 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92133 21JUL2021 31OCT2023 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. 92133 01NOV2023 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation 92134 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92134 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92134 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92134 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92135 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient Where the service is bulk-billed. 92135 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92135 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92135 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92136 30MAR2020 05APR2020 N Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92138, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. Where the service is bulk-billed. 92136 06APR2020 19JUL2020 N Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92138, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92136 20JUL2020 30SEP2020 N Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92138, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92136 01OCT2020 30JUN2021 N Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92138, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92136 01JUL2021 31OCT2023 N Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92137, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy 92136 01NOV2023 31DEC9999 Y Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92137, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy 92137 30MAR2020 05APR2020 N Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92139, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. Where the service is bulk-billed. 92137 06APR2020 19JUL2020 N Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92139, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92137 20JUL2020 30SEP2020 N Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92139, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92137 01OCT2020 30JUN2021 N Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92139, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92137 01JUL2021 31OCT2023 N Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy 92137 01NOV2023 31DEC9999 Y Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy 92138 30MAR2020 05APR2020 N Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. Where the service is bulk-billed. 92138 06APR2020 19JUL2020 N Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92138 20JUL2020 30SEP2020 N Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92138 01OCT2020 30JUN2021 N Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92138 01JUL2021 31OCT2023 N Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92137, 92139, 93026 or 93029 applies in relation to that pregnancy 92138 01NOV2023 31DEC9999 Y Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92137, 92139, 93026 or 93029 applies in relation to that pregnancy 92139 30MAR2020 05APR2020 N Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. Where the service is bulk-billed. 92139 06APR2020 19JUL2020 N Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92139 20JUL2020 30SEP2020 N Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92139 01OCT2020 30JUN2021 N Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92139 01JUL2021 31OCT2023 N Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination or item 92136, 92137, 92138, 93026 or 93029 applies in relation to that pregnancy 92139 01NOV2023 31DEC9999 Y Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination or item 92136, 92137, 92138, 93026 or 93029 applies in relation to that pregnancy 92140 30MAR2020 05APR2020 N Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner and one or more allied health providers, if appropriate, for the treatment of the patient Where the service is bulk-billed. 92140 06APR2020 19APR2020 N Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner and one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92140 20APR2020 28FEB2023 N Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner and one or more allied health providers, if appropriate, for the treatment of the patient. 92140 01MAR2023 31DEC9999 Y Telehealth attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant paediatrician by a referring practitioner, for a patient aged under 25, if the consultant paediatrician: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92141, 92142 or 92434) Applicable only once per lifetime 92141 30MAR2020 05APR2020 N Telehealth attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; Where the service is bulk-billed. 92141 06APR2020 19APR2020 N Telehealth attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92141 20APR2020 31DEC2021 N Telehealth attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient. 92141 01JAN2022 28FEB2023 N Telehealth attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient (other than attendance on a patient for whom payment has previously been made under this item or item 137, 139 or 289) 92141 01MAR2023 31DEC9999 Y Telehealth attendance lasting at least 45 minutes by a specialist or consultant physician (not including a general practitioner), following referral of the patient to the specialist or consultant physician by a referring practitioner, for a patient aged under 25, if the specialist or consultant physician: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of an eligible disability is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92142 or 92434) Applicable only once per lifetime 92142 30MAR2020 05APR2020 N Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient Where the service is bulk-billed. 92142 06APR2020 19JUL2020 N Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92142 20JUL2020 30SEP2020 N Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92142 01OCT2020 28FEB2023 N Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92142 01MAR2023 31DEC9999 Y Telehealth attendance lasting at least 45 minutes by a general practitioner (not including a specialist or consultant physician), for a patient aged under 25, if the general practitioner: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of an eligible disability is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92141 or 92434) Applicable only once per lifetime 92143 30MAR2020 05APR2020 N Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient Where the service is bulk-billed. 92143 06APR2020 19APR2020 N Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92143 20APR2020 31DEC9999 Y Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient. 92144 30MAR2020 05APR2020 N Phone attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient Where the service is bulk-billed. 92144 06APR2020 19APR2020 N Phone attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92144 20APR2020 31DEC9999 Y Phone attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient. 92145 30MAR2020 05APR2020 N Phone attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient Where the service is bulk-billed. 92145 06APR2020 19JUL2020 N Phone attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92145 20JUL2020 30SEP2020 N Phone attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92145 01OCT2020 31DEC9999 Y Phone attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92146 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92146 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92146 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92146 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92146 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92147 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92147 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92147 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92147 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92147 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92148 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92148 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92148 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92148 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92148 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92149 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92149 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92149 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92149 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92149 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92150 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92150 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92150 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92150 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92150 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92150 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 92151 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92151 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92151 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92151 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92151 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92151 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 92152 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92152 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92152 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92152 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92152 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92152 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 92153 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92153 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92153 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92153 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92153 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92153 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 92154 30MAR2020 05APR2020 N Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92154 06APR2020 19JUL2020 N Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92154 20JUL2020 30SEP2020 N Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92154 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92155 30MAR2020 05APR2020 N Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92155 06APR2020 19JUL2020 N Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92155 20JUL2020 30SEP2020 N Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92155 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92156 30MAR2020 05APR2020 N Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92156 06APR2020 19JUL2020 N Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92156 20JUL2020 30SEP2020 N Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92156 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92157 30MAR2020 05APR2020 N Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92157 06APR2020 19JUL2020 N Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92157 20JUL2020 30SEP2020 N Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92157 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92158 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92158 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92158 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92158 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92159 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92159 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92159 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92159 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92160 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92160 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92160 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92160 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92161 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92161 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92161 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92161 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient's eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient's condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92162 30MAR2020 05APR2020 N Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92162 06APR2020 19APR2020 N Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92162 20APR2020 31DEC9999 Y Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92163 30MAR2020 05APR2020 N Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92163 06APR2020 19APR2020 N Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92163 20APR2020 31DEC9999 Y Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92166 30MAR2020 05APR2020 N Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92166 06APR2020 19APR2020 N Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92166 20APR2020 31DEC9999 Y Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92167 30MAR2020 05APR2020 N Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92167 06APR2020 19APR2020 N Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92167 20APR2020 31DEC9999 Y Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92170 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92170 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92170 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92170 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92170 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92171 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92171 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the speciality of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the speciality of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92171 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the speciality of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the speciality of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92171 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the speciality of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the speciality of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92171 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the speciality of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the speciality of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92171 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the speciality of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the speciality of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder 92172 30MAR2020 05APR2020 N Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92172 06APR2020 19APR2020 N Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92172 20APR2020 31DEC9999 Y Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92173 30MAR2020 05APR2020 N Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92173 06APR2020 19APR2020 N Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92173 20APR2020 29FEB2024 N Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92173 01MAR2024 31DEC9999 Y Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees 92176 30MAR2020 05APR2020 N Phone attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92176 06APR2020 19JUL2020 N Phone attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92176 20JUL2020 30SEP2020 N Phone attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92176 01OCT2020 20JUL2021 N Phone attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92176 21JUL2021 31DEC9999 Y Phone attendance by a general practitioner to review an eligible patient's eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92177 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder Where the service is bulk-billed. 92177 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92177 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92177 01OCT2020 20JUL2021 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92177 21JUL2021 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient's eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. 92178 30MAR2020 05APR2020 N Phone attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92178 06APR2020 19APR2020 N Phone attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92178 20APR2020 31DEC9999 Y Phone attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92179 30MAR2020 05APR2020 N Phone attendance of at least 20 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (d) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees Where the service is bulk-billed. 92179 06APR2020 19APR2020 N Phone attendance of at least 20 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (d) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92179 20APR2020 31DEC9999 Y Phone attendance of at least 20 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient's needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (d) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees. 92182 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92182 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92182 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92182 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92182 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92184 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92184 06APR2020 19JUL2020 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92184 20JUL2020 30SEP2020 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92184 01OCT2020 20JUL2021 N Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92184 21JUL2021 31DEC9999 Y Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92186 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92186 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92186 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92186 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92186 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92186 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan 92188 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92188 06APR2020 19JUL2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92188 20JUL2020 30SEP2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92188 01OCT2020 20JUL2021 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92188 21JUL2021 31OCT2023 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92188 01NOV2023 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan 92194 30MAR2020 05APR2020 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92194 06APR2020 19JUL2020 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92194 20JUL2020 30SEP2020 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92194 01OCT2020 20JUL2021 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92194 21JUL2021 31DEC9999 Y Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92196 30MAR2020 05APR2020 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92196 06APR2020 19JUL2020 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92196 20JUL2020 30SEP2020 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92196 01OCT2020 20JUL2021 N Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92196 21JUL2021 31DEC9999 Y Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92198 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92198 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92198 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92198 01OCT2020 20JUL2021 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92198 21JUL2021 31OCT2023 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92198 01NOV2023 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan 92200 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan Where the service is bulk-billed. 92200 06APR2020 19JUL2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92200 20JUL2020 30SEP2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that:(a) this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply); and (b) the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided, for all other patients the service may be bulk-billed. 92200 01OCT2020 20JUL2021 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that this service must be performed by the patient's usual medical practitioner (please see Note AN.1.1 for the definition of 'patient's usual medical practitioner' as some exemptions do apply). 92200 21JUL2021 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 92210 30MAR2020 05APR2020 N Telehealth attendance by a general practitioner on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. Where the service is bulk-billed. 92210 06APR2020 30SEP2020 N Telehealth attendance by a general practitioner on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92210 01OCT2020 31DEC9999 Y Telehealth attendance by a general practitioner on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. 92211 30MAR2020 05APR2020 N Telehealth attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. Where the service is bulk-billed. 92211 06APR2020 30SEP2020 N Telehealth attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92211 01OCT2020 31DEC9999 Y Telehealth attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. 92216 30MAR2020 05APR2020 N Phone attendance by a general practitioner on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. Where the service is bulk-billed. 92216 06APR2020 30SEP2020 N Phone attendance by a general practitioner on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92216 01OCT2020 31DEC9999 Y Phone attendance by a general practitioner on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. 92217 30MAR2020 05APR2020 N Phone attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. Where the service is bulk-billed. 92217 06APR2020 30SEP2020 N Phone attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92217 01OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion-each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient's medical condition requires urgent assessment. 92422 06APR2020 19APR2020 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) this item or item 132 or 92431 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92422 20APR2020 31DEC2021 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) this item or item 132 or 92431 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician. 92422 01JAN2022 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119 of the general medical services table or item 91824, 91825, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) this item, or item 132 of the general medical services table, has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician 92423 06APR2020 19APR2020 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) item 132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item 132, 92422 or 92431; and (f) this item or item 133 or 92432 has not applied more than twice in any 12 month period NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92423 20APR2020 31DEC2021 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) item 132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item 132, 92422 or 92431; and (f) this item or item 133 or 92432 has not applied more than twice in any 12 month period. 92423 01JAN2022 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119 of the general medical services table or 91824, 91825, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) item 132 of the general medical services table or item 92422 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item 132 of the general medical services table or 92422; and (f) this item, or item 133 of the general medical services table has not applied more than twice in any 12 month period 92425 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 92425 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 92426 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance is not a minor attendance after the first as part of a single course of treatment 92426 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is not a minor attendance after the first as part of a single course of treatment 92427 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance is a minor attendance after the first as part of a single course of treatment 92427 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is a minor attendance after the first as part of a single course of treatment 92431 06APR2020 19APR2020 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) this item or item 132 or 92422 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92431 20APR2020 31DEC2021 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) this item or item 132 or 92422 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician. 92431 01JAN2022 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations 92432 06APR2020 19APR2020 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) item 132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item 132, 92422 or 92431; and (f) this item or item 133 or 92423 has not applied more than twice in any 12 month period. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92432 20APR2020 31DEC2021 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) item 132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item 132, 92422 or 92431; and (f) this item or item 133 or 92423 has not applied more than twice in any 12 month period. 92432 01JAN2022 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations 92434 06APR2020 19APR2020 N Telehealth attendance of at least 45 minutes in duration, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92143, 9214, 92144, 92142, 92145 or 92474). NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92434 20APR2020 31DEC2021 N Telehealth attendance of at least 45 minutes in duration, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92143, 9214, 92144, 92142, 92145 or 92474). 92434 01JAN2022 28FEB2023 N Telehealth attendance of at least 45 minutes in duration, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item, or item 135, 137, 139, 289 of the general medical services table, or item 92140, 92141, 92142 or 92145) 92434 01MAR2023 31DEC9999 Y Telehealth attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant psychiatrist by a referring practitioner, for a patient aged under 25, if the consultant psychiatrist: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92141 or 92142) Applicable only once per lifetime 92435 06APR2020 19APR2020 N Telehealth attendance of more than 45 minutes in by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which this item or item 291 or 92475 applies has not been provided. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92435 20APR2020 31DEC2021 N Telehealth attendance of more than 45 minutes in by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which this item or item 291 or 92475 applies has not been provided. 92435 01JAN2022 29FEB2024 N Telehealth attendance of more than 45 minutes in by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which this item or item 291 of the general medical services table applies has not been provided 92435 01MAR2024 31DEC9999 Y Telehealth attendance lasting more than 45 minutes by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant, by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician) or a participating nurse practitioner for an assessment or management; and (b) during the attendance, the consultant: (i) if it is clinically appropriate to do so-uses an appropriate outcome tool; and (ii) carries out a mental state examination; and (iii) undertakes a comprehensive diagnostic assessment; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing management by the consultant and (d) within 2 weeks after the attendance, the consultant prepares and gives the referring practitioner a written report, which includes: (i) a comprehensive diagnostic assessment of the patient; and (ii) a management plan for the patient for the next 12 months for the patient that comprehensively evaluates the patient's biopsychosocial factors and makes recommendations to the referring practitioner to manage the patient's ongoing care in a biopsychosocial model; and (e) if clinically appropriate, the consultant explains the diagnostic assessment and management plan, and a gives a copy, to: (i) the patient; and (ii) the patient's carer (if any), if the patient agrees; and (f) in the preceding 12 months, a service to which this item or item 291 of the general medical services table applies has not been provided 92436 06APR2020 19APR2020 N Telehealth attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291, 92435, 92475 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item 293 or 92476 applies has not been provided NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92436 20APR2020 31DEC2021 N Telehealth attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291, 92435, 92475 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item 293 or 92476 applies has not been provided 92436 01JAN2022 29FEB2024 N Telehealth attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291 or 92435; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291 of the general medical services table or 92435 applies has been provided; and (f) in the preceding 12 months, a service to which this item, or item 293 of the general medical services table applies has not been provided 92436 01MAR2024 31DEC9999 Y Telehealth attendance lasting more than 30 minutes, but not more than 45 minutes, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291 or 92435; and (b) the attendance follows referral of the patient to the consultant, by the medical practitioner or participating nurse practitioner managing the patient, for review of the management plan and the associated comprehensive diagnostic assessment; and (c) during the attendance, the consultant: (i) if it is clinically appropriate to do so-uses an appropriate outcome tool; and (ii) carries out a mental state examination; and (iii) reviews the comprehensive diagnostic assessment and undertakes additional assessment as required; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes: (i) a revised comprehensive diagnostic assessment of the patient; and (ii) a revised management plan including updated recommendations to the referring practitioner to manage the patient's ongoing care in a biopsychosocial model; and (e) if clinically appropriate, the consultant explains the diagnostic assessment and the management plan, and gives a copy, to: (i) the patient; and (ii) the patient's carer (if any), if the patient agrees; and (f) in the preceding 12 months, a service to which item 291 of the general medical services table or item 92435 applies has been provided; and (g) in the preceding 12 months, a service to which this item or item 293 of the general medical services table applies has not been provided 92437 06APR2020 19APR2020 N Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, item 296, 297, 299 or 92477, or any of items 300 to 346, 353 to 358, 361 to 370, 91827 to 91831 or 91837 to 91841, in the preceding 24 months. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92437 20APR2020 31DEC2021 N Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, item 296, 297, 299 or 92477, or any of items 300 to 346, 353 to 358, 361 to 370, 91827 to 91831, 91837 to 91841, 92455 to 93457 or 92495 to 92497 in the preceding 24 months. 92437 01JAN2022 29FEB2024 N Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, or item 91827 to 91831, 91837 to 91839, 92455 to 92457, or item 296, 297, 299 or 300 to 346 of the general medical services table, in the preceding 24 months 92437 01MAR2024 31DEC9999 Y Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, or item 91827 to 91831, 91837 to 91839, 92455 to 92457, 91868 to 91873, 91879 to 91881 or item 296, 297, 299, 300, 302, 304, 306 to 308, 310, 312, 314, 316, 318, 319, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 342, 344 or 346 of the general medical services table, in the preceding 24 months 92455 20APR2020 31DEC9999 Y Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry; and (c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner; -each patient 92456 20APR2020 31DEC9999 Y Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry; and (c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner; -each patient 92457 20APR2020 31DEC9999 Y Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry; and (c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner; -each patient 92458 06APR2020 19APR2020 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. . 92458 20APR2020 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient. . 92459 06APR2020 19APR2020 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92459 20APR2020 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient. 92460 06APR2020 19APR2020 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item or item 352 or 92500 applies have not exceeded 4 in a calendar year for the patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92460 20APR2020 31DEC2021 N Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item or item 352 or 92500 applies have not exceeded 4 in a calendar year for the patient. 92460 01JAN2022 31DEC9999 Y Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item or item 352 of the general medical services table applies have not exceeded 4 in a calendar year for the patient 92461 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration 92461 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; and (c) the patient to whom the service is provided is admitted to hospital 92462 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration 92462 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92463 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration 92463 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92464 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration 92464 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92465 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration 92465 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92466 15SEP2021 31DEC2021 N Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, or item 91827 to 91831, 91837 to 91841, 92455 to 92457, 92495 to 92497 or 92477, or item 296, 297, 299, 300 to 346, 353 to 358 or 361 to 370 of the general medical services table, in the preceding 24 months 92466 01JAN2022 31DEC9999 Y Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner, if the patient to whom the service is provided: (a) either: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) is admitted to hospital 92471 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 92471 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment 92472 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance is not a minor attendance after the first as part of a single course of treatment 92472 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is not a minor attendance after the first as part of a single course of treatment 92473 15SEP2021 31DEC2021 N Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; where the attendance is a minor attendance after the first as part of a single course of treatment 92473 01JAN2022 31DEC9999 Y Telehealth attendance for a person by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is a minor attendance after the first as part of a single course of treatment 92474 06APR2020 19APR2020 N Phone attendance of at least 45 minutes in duration , by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;(other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92143, 92141, 92144, 92142, 92145 or 92434). NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92474 20APR2020 31DEC9999 Y Phone attendance of at least 45 minutes in duration , by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;(other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92143, 92141, 92144, 92142, 92145 or 92434). 92475 06APR2020 19APR2020 N Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which this item or item 291 or 92435 applies has not been provided. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92475 20APR2020 31DEC2021 N Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which this item or item 291 or 92435 applies has not been provided. 92475 01JAN2022 31DEC9999 Y Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees 92476 06APR2020 19APR2020 N Phone attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291, 92435 or 92475 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item 293 or 92436 applies has not been provided. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92476 20APR2020 31DEC2021 N Phone attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291, 92435 or 92475 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item 293 or 92436 applies has not been provided. 92476 01JAN2022 31DEC9999 Y Phone attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees 92477 06APR2020 19APR2020 N Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, item 296, 297, 299 or 92437, or any of items 300 to 346, 353 to 358, 361 to 370, 91827 to 91831 or 91837 to 91841, in the preceding 24 months. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92477 20APR2020 31DEC9999 Y Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, item 296, 297, 299 or 92437, or any of items 300 to 346, 353 to 358, 361 to 370, 91827 to 91831 or 91837 to 91841, in the preceding 24 months. 92495 20APR2020 31DEC9999 Y Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry; and (c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner; -each patient 92496 20APR2020 31DEC9999 Y Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry; and (c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner; -each patient 92497 20APR2020 31DEC9999 Y Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry; and (c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner; -each patient 92498 06APR2020 19APR2020 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92498 20APR2020 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient. 92499 06APR2020 19APR2020 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92499 20APR2020 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient. 92500 06APR2020 19APR2020 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item or item 352 or 92460 applies have not exceeded 4 in a calendar year for the patient. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92500 20APR2020 31DEC2021 N Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item or item 352 or 92460 applies have not exceeded 4 in a calendar year for the patient. 92500 01JAN2022 31DEC9999 Y Phone attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient 92501 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration 92501 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; and (c) the patient to whom the service is provided is admitted to hospital 92502 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration 92502 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92503 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration 92503 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92504 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration 92504 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92505 15SEP2021 31DEC2021 N Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration 92505 01JAN2022 31DEC9999 Y Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital 92506 15SEP2021 31DEC2021 N Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, item 91827 to 91831, 91837 to 91841, 92455 to 92457, 92495 to 92497 or 92437, or item 296, 297, 299, 300 to 346, 353 to 358, or 361 to 370 of the general medical services table, in the preceding 24 months 92506 01JAN2022 31DEC9999 Y Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner if the patient to whom the service is provided: (a) either: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) is admitted to hospital 92513 20APR2020 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine-attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 92514 20APR2020 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 92515 20APR2020 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation. 92516 20APR2020 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation. 92517 15SEP2021 31DEC2021 N Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine-attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management 92517 01JAN2022 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine-attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management: (a) if the patient to whom the service is provided is admitted to hospital 92518 15SEP2021 31DEC2021 N Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 92518 01JAN2022 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital 92519 15SEP2021 31DEC2021 N Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 92519 01JAN2022 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital 92520 15SEP2021 31DEC2021 N Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 92520 01JAN2022 31DEC9999 Y Telehealth attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital 92521 20APR2020 31DEC2021 N Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine-attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 92521 01JAN2022 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine-attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management; Where the attendance is not the first attendance for that particular clinical indication 92522 20APR2020 31DEC2021 N Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation. 92522 01JAN2022 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, where the attendance is not the first attendance for those particular health-related issues, with appropriate documentation 92523 20APR2020 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation. 92524 20APR2020 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation. 92525 15SEP2021 31DEC2021 N Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine-attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management 92525 01JAN2022 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine-attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management: (a) if the patient to whom the service is provided is admitted to hospital 92526 15SEP2021 31DEC2021 N Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 92526 01JAN2022 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital 92527 15SEP2021 31DEC2021 N Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 92527 01JAN2022 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital 92528 15SEP2021 31DEC2021 N Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation 92528 01JAN2022 31DEC9999 Y Phone attendance by a public health physician in the practice of the public health physician's specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital 92610 20APR2020 31DEC9999 Y Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment). 92611 20APR2020 31DEC9999 Y Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment. 92612 20APR2020 31DEC9999 Y Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration. 92613 20APR2020 31DEC9999 Y Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration. 92614 20APR2020 31DEC9999 Y Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration. 92615 15SEP2021 31DEC2021 N Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment) 92615 01JAN2022 31DEC9999 Y Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment): (a) if the patient to whom the service is provided is admitted to hospital 92616 15SEP2021 31DEC2021 N Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment 92616 01JAN2022 31DEC9999 Y Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment: (a) if the patient to whom the service is provided is admitted to hospital 92617 20APR2020 31DEC9999 Y Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment). 92618 20APR2020 31DEC9999 Y Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment. 92619 20APR2020 31DEC9999 Y Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration. 92620 20APR2020 31DEC9999 Y Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration. 92621 20APR2020 31DEC9999 Y Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration. 92623 06APR2020 19APR2020 N Telehealth attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 92628 or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92623 20APR2020 31DEC2021 N Telehealth attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 92628 or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months. 92623 01JAN2022 31DEC9999 Y Telehealth attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119 of the general medical services table or item, 91822, 91823, 91833, 91824, 91825, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 145 of the general medical services table applies has not been provided to the patient by the same practitioner in the preceding 12 months 92624 06APR2020 19APR2020 N Telehealth attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 92629 or 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92624 20APR2020 31DEC2021 N Telehealth attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 92629 or 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. 92624 01JAN2022 31DEC9999 Y Telehealth attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141, 92623 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119 of the general medical services table or item 91822, 91823, 91833, 91824, 91825, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 of the general medical services table or item 92623 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item, or item 147 of the general medical services table applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review 92625 15SEP2021 31DEC2021 N Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment) 92625 01JAN2022 31DEC9999 Y Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment): (a) if the patient to whom the service is provided is admitted to hospital 92626 15SEP2021 31DEC2021 N Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment 92626 01JAN2022 31DEC9999 Y Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment: (a) if the patient to whom the service is provided is admitted to hospital 92628 06APR2020 19APR2020 N Phone attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 92623 or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92628 20APR2020 31DEC2021 N Phone attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 92623 or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months. 92628 01JAN2022 31DEC9999 Y Phone attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner 92629 06APR2020 19APR2020 N Phone attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 92624 or 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 92629 20APR2020 31DEC9999 Y Phone attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 92624 or 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review. 92701 22MAY2020 31DEC9999 Y Telehealth attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply) 92702 15SEP2021 31DEC2021 N Telehealth attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply) 92702 01JAN2022 31DEC9999 Y Telehealth attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply) : (a) if the patient to whom the service is provided is admitted to hospital 92712 22MAY2020 31DEC2021 N Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply) 92712 01JAN2022 31DEC9999 Y Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes 92713 15SEP2021 31DEC2021 N Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply) 92713 01JAN2022 31DEC9999 Y Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply): (a) if the patient to whom the service is provided is admitted to hospital 92715 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92715 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92716 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92716 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92717 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92717 08OCT2021 31OCT2023 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92717 01NOV2023 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92718 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92718 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92719 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92719 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92720 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92720 08OCT2021 31OCT2023 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92720 01NOV2023 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92721 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92721 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92722 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92722 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92723 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92723 08OCT2021 31OCT2023 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92723 01NOV2023 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92724 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92724 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92725 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92725 08OCT2021 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92726 01JUL2021 07OCT2021 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92726 08OCT2021 31OCT2023 N Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92726 01NOV2023 31DEC9999 Y Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92731 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92731 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92732 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92732 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92733 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92733 08OCT2021 31OCT2023 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92733 01NOV2023 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92734 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92734 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92735 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92735 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92736 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92736 08OCT2021 31OCT2023 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92736 01NOV2023 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92737 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92737 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92738 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92738 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92739 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92739 08OCT2021 31OCT2023 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92739 01NOV2023 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92740 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92740 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92741 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92741 08OCT2021 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92742 01JUL2021 07OCT2021 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care 92742 08OCT2021 31OCT2023 N Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items. 92742 01NOV2023 31DEC9999 Y Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items 92746 16JUL2021 31DEC2021 N Phone attendance by a general practitioner lasting at least 20 minutes in duration, if; (a) the service is performed on: (i) a person who is in a COVID-19 Commonwealth declared hotspot; or (ii) a person who is in COVID-19 isolation because of a State or Territory public health order; or (iii) a person who is in COVID-19 quarantine because of a State or Territory public health order; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care 92746 01JAN2022 31DEC9999 Y Phone attendance by a general practitioner lasting at least 20 minutes in duration, if; (a) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care 92747 16JUL2021 31DEC2021 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes in duration, if: (a) the service is performed on: (i) a person who is in a COVID-19 Commonwealth declared hotspot; or (ii) a person who is in COVID-19 isolation because of a State or Territory public health order; or (iii) a person who is in COVID-19 quarantine because of a State or Territory public health order; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care 92747 01JAN2022 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes in duration, if: (a) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care 93000 30MAR2020 05APR2020 N Telehealth attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health telehealth practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health telehealth practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year. Where the service is bulk-billed. 93000 06APR2020 19APR2020 N Telehealth attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93000 20APR2020 31DEC2021 N Telehealth attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year. 93000 01JAN2022 29FEB2024 N Telehealth attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements or multidisciplinary care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Part 1 of the Schedule to the Allied Health Determination applies) in a calendar year 93000 01MAR2024 31DEC9999 Y Telehealth attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements or multidisciplinary care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Subgroup 1 of Group M3 of the Allied Health Determination applies) in a calendar year 93013 30MAR2020 05APR2020 N Phone attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health telehealth practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health telehealth practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year. Where the service is bulk-billed. 93013 06APR2020 19APR2020 N Phone attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93013 20APR2020 31DEC2021 N Phone attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year. 93013 01JAN2022 29FEB2024 N Phone attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements or multidisciplinary care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Part 1 of the Schedule to the Allied Health Determination applies) in a calendar year 93013 01MAR2024 31DEC9999 Y Phone attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person's Team Care Arrangements or multidisciplinary care plan as part of the management of the person's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of -in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Subgroup 1 of Group M3 of the Allied Health Determination applies) in a calendar year 93026 30MAR2020 05APR2020 N Non-directive pregnancy support counselling health service provided to a person who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a telehealth attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the service is provided to the person individually; and (d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (e) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93029 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate Where the service is bulk-billed. 93026 06APR2020 19APR2020 N Non-directive pregnancy support counselling health service provided to a person who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a telehealth attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the service is provided to the person individually; and (d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (e) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93029 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93026 20APR2020 31DEC2021 N Non-directive pregnancy support counselling health service provided to a person who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a telehealth attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the service is provided to the person individually; and (d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (e) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93029 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate 93026 01JAN2022 31DEC9999 Y Non directive pregnancy support counselling health service provided to a person who is currently pregnant or who has been pregnant in the preceding 12 months by an eligible psychologist, eligible social worker or eligible mental health nurse as a telehealth attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the service is provided to the person individually; and (d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (e) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Allied Health Determination, item 4001 of the general medical services table and item 93029, 92136 and 92138 apply) for each pregnancy. The service may be used to address any pregnancy related issues for which non directive counselling is appropriate 93029 30MAR2020 05APR2020 N Non-directive pregnancy support counselling health service provided to a person, who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a phone attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (ba) the service is provided to the person individually; and (c) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (d) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93026 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate Where the service is bulk-billed. 93029 06APR2020 19APR2020 N Non-directive pregnancy support counselling health service provided to a person, who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a phone attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (ba) the service is provided to the person individually; and (c) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (d) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93026 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93029 20APR2020 31DEC2021 N Non-directive pregnancy support counselling health service provided to a person, who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a phone attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (ba) the service is provided to the person individually; and (c) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (d) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93026 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate 93029 01JAN2022 31DEC9999 Y Non directive pregnancy support counselling health service provided to a person, who is currently pregnant or who has been pregnant in the preceding 12 months by an eligible psychologist, eligible social worker or eligible mental health nurse as a phone attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the service is provided to the person individually; and (d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (e) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Allied Health Determination, item 4001 of the general medical services table and item 93026, 92136 and 92138 apply) for each pregnancy. The service may be used to address any pregnancy related issues for which non directive counselling is appropriate 93032 30MAR2020 05APR2020 N Psychology health service provided by telehealth attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93033, 93040 and 93041 or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day Where the service is bulk-billed. 93032 06APR2020 19APR2020 N Psychology health service provided by telehealth attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93033, 93040 and 93041 or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93032 20APR2020 31DEC2021 N Psychology health service provided by telehealth attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93033, 93040 and 93041 or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day 93032 01JAN2022 28FEB2023 N Psychology health service provided by telehealth attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93033, 93040 and 93041 or items 82000, 82005, 82010 and 82030 in the Allied Health Determination apply). Up to 4 services may be provided to the same child on the same day 93032 01MAR2023 31DEC9999 Y Psychology health service provided by telehealth attendance to a patient aged under 25 years by an eligible psychologist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82010, 82030, 93033, 93040 or 93041 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93033 30MAR2020 05APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93040 or 93041, or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day Where the service is bulk-billed. 93033 06APR2020 19APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93040 or 93041, or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93033 20APR2020 31DEC2021 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93040 or 93041, or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day 93033 01JAN2022 28FEB2023 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93040 or 93041, or items 82000, 82005, 82010 and 82030 in the Allied Health Determination apply). Up to 4 services may be provided to the same child on the same day 93033 01MAR2023 31DEC9999 Y Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a patient aged under 25 years by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82010, 82030, 93032, 93040 or 93041 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93035 30MAR2020 05APR2020 N Psychology health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93036, 93043 and 93044, or items 82015, 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day Where the service is bulk-billed. 93035 06APR2020 19APR2020 N Psychology health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93036, 93043 and 93044, or items 82015, 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93035 20APR2020 31DEC2021 N Psychology health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93036, 93043 and 93044, or items 82015, 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day 93035 01JAN2022 28FEB2023 N Psychology health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93036, 93043 and 93044, or items 82015, 82020, 82025 and 82035 in the Allied Health Determination apply). Up to 4 services may be provided to the same child on the same day 93035 01MAR2023 31DEC9999 Y Psychology health service provided by telehealth attendance to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible psychologist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82025, 82035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93036 30MAR2020 05APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, item 93035, 93043 and 93044, or items 82015, 82020 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) Where the service is bulk-billed. 93036 06APR2020 19APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, item 93035, 93043 and 93044, or items 82015, 82020 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93036 20APR2020 31DEC2021 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, item 93035, 93043 and 93044, or items 82015, 82020 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) 93036 01JAN2022 28FEB2023 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, item 93035, 93043 and 93044, or items 82015, 82020 82025 and 82035 in the Allied Health Determination apply) 93036 01MAR2023 31DEC9999 Y Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82025, 82035, 93035, 93043 or 93044 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93040 30MAR2020 05APR2020 N Psychology health service provided by phone attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93033 and 93041, or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day Where the service is bulk-billed. 93040 06APR2020 19APR2020 N Psychology health service provided by phone attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93033 and 93041, or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93040 20APR2020 31DEC2021 N Psychology health service provided by phone attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93033 and 93041, or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day 93040 01JAN2022 28FEB2023 N Psychology health service provided by phone attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93033 and 93041, or items 82005, 82010 and 82030 in the Allied Health Determination apply). Up to 4 services may be provided to the same child on the same day 93040 01MAR2023 31DEC9999 Y Psychology health service provided by phone attendance to a patient aged under 25 years by an eligible psychologist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82010, 82030, 93032, 93033 or 93041 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93041 30MAR2020 05APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93932, 93033 and 93040 or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day Where the service is bulk-billed. 93041 06APR2020 19APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93932, 93033 and 93040 or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93041 20APR2020 31DEC2021 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93932, 93033 and 93040 or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day 93041 01JAN2022 28FEB2023 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child's PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93033 and 93040 or items 82005, 82010 and 82030 in the Allied Health Determination apply). Up to 4 services may be provided to the same child on the same day 93041 01MAR2023 31DEC9999 Y Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a patient aged under 25 years by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if: (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to: (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes duration Up to 4 services to which this item or any of items 82000, 82005, 82010, 82030, 93032, 93033 or 93040 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93043 30MAR2020 05APR2020 N Psychology health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93044, 93036, 93035 and 93932 or items 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) Where the service is bulk-billed. 93043 06APR2020 19APR2020 N Psychology health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93044, 93036, 93035 and 93932 or items 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93043 20APR2020 31DEC2021 N Psychology health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93044, 93036, 93035 and 93932 or items 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) 93043 01JAN2022 28FEB2023 N Psychology health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93032, 93035, 93036 and 93044 or items 82020, 82025 and 82035 in the Allied Health Determination apply) 93043 01MAR2023 31DEC9999 Y Psychology health service provided by phone attendance to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible psychologist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82025, 82035, 93035, 93036 or 93044 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93044 30MAR2020 05APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93935, 93036 and 93043 or items 82015, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) Where the service is bulk-billed. 93044 06APR2020 19APR2020 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93935, 93036 and 93043 or items 82015, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93044 20APR2020 31DEC2021 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93935, 93036 and 93043 or items 82015, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) 93044 01JAN2022 28FEB2023 N Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child's PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child's condition; and (g) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93035, 93036 and 93043 or items 82015, 82025 and 82035 in the Allied Health Determination apply). 93044 01MAR2023 31DEC9999 Y Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist, if: (a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes duration; and (d) on the completion of the course of treatment, the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient's condition Up to 4 services to which this item or any of items 82015, 82020, 82025, 82035, 93035, 93036 or 93043 apply may be provided to the same patient on the same day Further information on the requirements for this item are available in the explanatory notes to this Category 93048 30MAR2020 05APR2020 N Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii) the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or 93061 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year Where the service is bulk-billed. 93048 06APR2020 19APR2020 N Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii) the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or 93061 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93048 20APR2020 31DEC2021 N Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii) the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or 93061 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year 93048 01JAN2022 29FEB2024 N Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or 93061 or any item in Part 6 of Schedule 2 to the Allied Health Determination applies) in a calendar year 93048 01MAR2024 31DEC9999 Y Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 10 services (including any services to which this item or 93000, 93013 or 93061 or any item in Subgroup 1 of Group M3 or any item in Group M11 of the Allied Health Determination applies) in a calendar year 93061 30MAR2020 05APR2020 N Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii) the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or item 93060 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014applies) in a calendar year Where the service is bulk-billed. 93061 06APR2020 19APR2020 N Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii) the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or item 93060 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014applies) in a calendar year NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93061 20APR2020 31DEC2021 N Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii) the person's shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or item 93060 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014applies) in a calendar year 93061 01JAN2022 29FEB2024 N Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 5 services (including any services to which this item or item 93060 or any item in Part 6 of Schedule 2 to the Allied Health Determination applies) in a calendar year 93061 01MAR2024 31DEC9999 Y Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient's medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient's Team Care Arrangements or multidisciplinary care plan as part of the management of the patient's chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or the last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters; to a maximum of 10 services (including any services to which this item or item 93000, 93013, 93048 or any item in Subgroup 1 of Group M3 or any item in Group M11 of the Allied Health Determination applies) in a calendar year 93074 30MAR2020 05APR2020 N Dietetics health service provided by telehealth attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration. Where the service is bulk-billed. 93074 06APR2020 19APR2020 N Dietetics health service provided by telehealth attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93074 20APR2020 31DEC9999 Y Dietetics health service provided by telehealth attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration. 93076 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93076 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93076 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration. 93079 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93079 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93079 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93084 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93084 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93084 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. 93087 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93087 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93087 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93092 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93092 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93092 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration. 93095 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93095 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93095 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93100 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93100 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93100 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. 93103 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93103 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93103 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93108 30MAR2020 05APR2020 N Dietetics health service provided by phone attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration. Where the service is bulk-billed. 93108 06APR2020 19APR2020 N Dietetics health service provided by phone attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93108 20APR2020 31DEC9999 Y Dietetics health service provided by phone attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration. 93110 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93110 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93110 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration. 93113 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93113 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93113 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93118 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93118 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93118 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. 93121 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93121 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93121 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93126 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93126 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93126 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration. 93129 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93129 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93129 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93134 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. Where the service is bulk-billed. 93134 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93134 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration. 93137 30MAR2020 05APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. Where the service is bulk-billed. 93137 06APR2020 19APR2020 N Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed. 93137 20APR2020 31DEC9999 Y Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient's eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration. 93200 20APR2020 31DEC9999 Y Follow-up telehealth attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment. 93201 20APR2020 31DEC9999 Y Telehealth attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements. 93202 20APR2020 31DEC9999 Y Follow-up phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment. 93203 20APR2020 31DEC9999 Y Phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements. 93284 22MAY2020 31DEC2021 N Telehealth attendance by an eligible dietitian to provide a dietetics health service to a person for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP management plan or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services to which this item, item 92386, or items 81100, 81110 and 81120 of the Allied Health Determination apply) 93284 01JAN2022 31DEC9999 Y Telehealth attendance by an eligible dietitian to provide a dietetics health service to a person for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP management plan or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services to which this item, item 92386, or items 81100, 81110 and 81120 of the Allied Health Determination apply) 93285 22MAY2020 31DEC9999 Y Telehealth attendance by an eligible dietitian to provide a dietetics health service, as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment items 81100, 81110 or 81120 of the Allied Health Determination or items 93284 or 93286; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the service is of at least 60 minutes duration; and (d) after the last service in the group services program provided to the person under this item or items 81105, 81115 or 81125 of the Allied Health Determination, the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner; and (e) an attendance record for the group is maintained by the eligible dietitian; to a maximum of 8 group services in a calendar year (including services to which this item or items 81105, 81115 and 81125 of the Allied Health Determination apply) 93286 22MAY2020 31DEC2021 N Phone attendance by an eligible dietitian to provide a dietetics health service to a person for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP management plan or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services to which this item, item 92384, or in items 81100, 81110 and 81120 of the Allied Health Determination apply) 93286 01JAN2022 31DEC9999 Y Phone attendance by an eligible dietitian to provide a dietetics health service to a person for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP management plan or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services to which this item, item 92384, or in items 81100, 81110 and 81120 of the Allied Health Determination apply) 93287 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93288 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes 93291 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93292 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b) the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes 93300 07AUG2020 08OCT2020 N Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93300 09OCT2020 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93301 07AUG2020 08OCT2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93301 09OCT2020 31DEC9999 Y Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93302 07AUG2020 08OCT2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93302 09OCT2020 31DEC9999 Y Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93303 07AUG2020 08OCT2020 N Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes 93303 09OCT2020 31DEC9999 Y Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes 93304 07AUG2020 08OCT2020 N Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes 93304 09OCT2020 31DEC9999 Y Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes 93305 07AUG2020 08OCT2020 N Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes 93305 09OCT2020 31DEC9999 Y Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes 93306 07AUG2020 08OCT2020 N Professional attendance at consulting rooms by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93306 09OCT2020 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93307 07AUG2020 08OCT2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93307 09OCT2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93308 07AUG2020 08OCT2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93308 09OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes 93309 07AUG2020 08OCT2020 N Professional attendance at consulting rooms by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes 93309 09OCT2020 31DEC9999 Y Professional attendance at consulting rooms by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:(b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes 93310 07AUG2020 08OCT2020 N Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes 93310 09OCT2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes 93311 07AUG2020 08OCT2020 N Phone attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (c) the service lasts at least 40 minutes 93311 09OCT2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes 93312 10DEC2020 31DEC9999 Y Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93313 10DEC2020 31DEC9999 Y Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93316 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93319 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital), by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93322 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93323 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93326 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93327 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93330 07AUG2020 08OCT2020 N Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services ; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93330 09OCT2020 31DEC9999 Y Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93331 07AUG2020 08OCT2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93331 09OCT2020 31DEC9999 Y Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93332 07AUG2020 08OCT2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93332 09OCT2020 31DEC9999 Y Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93333 07AUG2020 08OCT2020 N Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93333 09OCT2020 31DEC9999 Y Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93334 07AUG2020 08OCT2020 N Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93334 09OCT2020 31DEC9999 Y Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93335 07AUG2020 08OCT2020 N Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93335 09OCT2020 31DEC9999 Y Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93350 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93350 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93351 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93351 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93352 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93352 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93353 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93353 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93354 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93354 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93355 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93355 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93356 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93356 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93357 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93357 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93358 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93358 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93359 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93359 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93360 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes in duration 93360 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes in duration 93361 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders ; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes in duration 93361 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes in duration 93362 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93362 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93363 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93363 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93364 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93364 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93365 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93365 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93366 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93366 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93367 07AUG2020 08OCT2020 N Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is a person with a mental health disorder subject to COVID-19 public health orders; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who: (i) determines the person is responding to mental health treatment, or may respond to additional mental health treatment; or (ii) determines it appropriate for the person to access additional mental health treatment services; or (iii) makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93367 09OCT2020 31DEC9999 Y Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93375 10DEC2020 31DEC9999 Y Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 30 minutes but less than 50 minutes duration 93376 10DEC2020 31DEC9999 Y Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93381 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93382 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital), by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93383 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93384 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93385 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 20 minutes but less than 50 minutes duration 93386 10DEC2020 31DEC9999 Y Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person's condition; and (f) the service is at least 50 minutes duration 93400 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes 93401 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93402 10DEC2020 31DEC9999 Y Professional attendance, by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes 93403 10DEC2020 31DEC9999 Y Professional attendance, by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93404 10DEC2020 31DEC9999 Y Telehealth attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes 93405 10DEC2020 31DEC9999 Y Telehealth attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93406 10DEC2020 31DEC9999 Y Telehealth attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes 93407 10DEC2020 31DEC9999 Y Telehealth attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93408 10DEC2020 31DEC9999 Y Phone attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes 93409 10DEC2020 31DEC9999 Y Phone attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93410 10DEC2020 31DEC9999 Y Phone attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes 93411 10DEC2020 31DEC9999 Y Phone attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93421 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person's GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services 93422 10DEC2020 31DEC9999 Y Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person's GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services 93423 10DEC2020 31DEC9999 Y Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person's GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services 93431 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner who has not undertaken mental health skills training (not including a general practitioner, specialist or a consultant physician), for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes 93432 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner who has not undertaken mental health skills training (not including a general practitioner, specialist or a consultant physician), for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93433 10DEC2020 31DEC9999 Y Professional attendance, by a medical practitioner who has undertaken mental health skills training (but not including a general practitioner, specialist or consultant physician), for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes 93434 10DEC2020 31DEC9999 Y Professional attendance, by a medical practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93435 10DEC2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes 93436 10DEC2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93437 10DEC2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes 93438 10DEC2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93439 10DEC2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes 93440 10DEC2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93441 10DEC2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) of at least 20 minutes but less than 40 minutes 93442 10DEC2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes 93451 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner to review a GP mental health treatment plan which the medical practitioner, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person's GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services 93452 10DEC2020 31DEC9999 Y Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review a GP mental health treatment plan which the medical practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person's GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services 93453 10DEC2020 31DEC9999 Y Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review a GP mental health treatment plan which the medical practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person's GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services 93469 10DEC2020 31DEC9999 Y Professional attendance by a general practitioner at a residential aged care facility to contribute to a multidisciplinary care plan, prepared by that facility, or to a review of such a plan prepared by such a facility, if the practitioner performs any of the following as a face-to-face service: (a) prepares part of a multidisciplinary care plan and adding a copy of that part of the plan to the person's medical records; or (b) preparing amendments to part of a multidisciplinary care plan and adding a copy of the amendments to the person's medical records; (c) giving advice to a practitioner who prepares part of a multidisciplinary care plan and recording in writing, on the person's medical records, any advice provided to the practitioner; or (d) giving advice to a practitioner who reviews part of a multidisciplinary care plan and recording in writing, on the person's medical records, any advice provided to the practitioner not more than once in a 3 month period 93470 10DEC2020 31DEC9999 Y Professional face-to-face attendance by a general practitioner at a residential aged care facility to perform a health assessment of a person who is: (a) of Aboriginal or Torres Strait Islander descent; and (b) a care recipient in a residential aged care facility not more than once in a 9 month period 93475 10DEC2020 31DEC9999 Y Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician) at a residential aged care facility to contribute to a multidisciplinary care plan, prepared by that facility, or to a review of such a plan prepared by such a facility, if the practitioner performs any of the following as a face-to-face service: (a) prepares part of a multidisciplinary care plan and adding a copy of that part of the plan to the person's medical records; or (b) preparing amendments to part of a multidisciplinary care plan and adding a copy of the amendments to the person's medical records; (c) giving advice to a practitioner who prepares part of a multidisciplinary care plan and recording in writing, on the person's medical records, any advice provided to the practitioner; or (d) giving advice to a practitioner who reviews part of a multidisciplinary care plan and recording in writing, on the person's medical records, any advice provided to the practitioner not more than once in a 3 month period 93479 10DEC2020 31DEC9999 Y Professional face-to-face attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician) at a residential aged care facility to perform a health assessment of a person who is: (a) of Aboriginal or Torres Strait Islander descent; and (b) a care recipient in a residential aged care facility not more than once in a 9 month period 93501 10DEC2020 31DEC9999 Y Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs;(b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner not more than once in a calendar year 93502 10DEC2020 31DEC9999 Y Diabetes education health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner not more than once in a calendar year 93503 10DEC2020 31DEC9999 Y Audiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible audiologist gives a written report to the referring medical practitioner not more than once in a calendar year 93504 10DEC2020 31DEC9999 Y Exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs;(b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner not more than once in a calendar year 93505 10DEC2020 31DEC9999 Y Dietetics health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible dietitian by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner not more than once in a calendar year 93506 10DEC2020 31DEC9999 Y Mental health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible mental health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible mental health worker gives a written report to the referring medical practitioner not more than once in a calendar year 93507 10DEC2020 31DEC9999 Y Occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner not more than once in a calendar year 93508 10DEC2020 31DEC9999 Y Physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner not more than once in a calendar year 93509 10DEC2020 31DEC9999 Y Podiatry health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible podiatrist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible podiatrist gives a written report to the referring medical practitioner not more than once in a calendar year 93510 10DEC2020 31DEC9999 Y Chiropractic health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible chiropractor by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible chiropractor gives a written report to the referring medical practitioner not more than once in a calendar year 93511 10DEC2020 31DEC9999 Y Osteopathy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible osteopath by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible osteopath gives a written report to the referring medical practitioner not more than once in a calendar year 93512 10DEC2020 31DEC9999 Y Psychology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible psychologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible psychologist gives a written report to the referring medical practitioner not more than once in a calendar year 93513 10DEC2020 31DEC9999 Y Speech pathology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible speech pathologist if all of the following apply: (a) the person's chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner not more than once in a calendar year 93518 10DEC2020 14SEP2021 N Additional exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year; (b) the person's chronic or complex care needs are assessed as requiring additional exercise physiology therapy services in a calendar year; (c) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (d) the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (e) the service is provided to the person individually and in person; and (f) the service is at least 20 minutes in duration; and (g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93518 15SEP2021 31DEC9999 Y Additional exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person's chronic or complex care needs are assessed as requiring additional exercise physiology therapy services in a calendar year; (b) the service is provided to a person whose chronic or complex care needs are being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; (e) the service is at least 20 minutes in duration; (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters 93519 10DEC2020 14SEP2021 N Additional occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year; (b) the person's chronic or complex care needs are assessed as requiring additional occupational therapy services in a calendar year; (c) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (d) the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (e) the service is provided to the person individually and in person; and (f) the service is at least 20 minutes in duration; and (g) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93519 15SEP2021 31DEC9999 Y Additional occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the person's chronic or complex care needs are assessed as requiring additional occupational therapy services in a calendar year; (b) the service is provided to a person whose chronic or complex care needs are being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; (e) the service is at least 20 minutes in duration; (f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters 93520 10DEC2020 14SEP2021 N Additional physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year; (b) the person's chronic or complex care needs are assessed as requiring additional physiotherapy services in a calendar year; (c) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (d) the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (e) the service is provided to the person individually and in person; and (f) the service is at least 20 minutes in duration; and (g) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93520 15SEP2021 31DEC9999 Y Additional physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the person's chronic or complex care needs are assessed as requiring additional physiotherapy services in a calendar year; (b) the service is provided to a person whose chronic or complex care needs are being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; (e) the service is at least 20 minutes in duration; (f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters 93524 10DEC2020 31DEC9999 Y Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93525 10DEC2020 31DEC9999 Y Diabetes education health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93526 10DEC2020 31DEC9999 Y Audiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible audiologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93527 10DEC2020 31DEC9999 Y Exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93528 10DEC2020 31DEC9999 Y Dietetics health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible dietitian by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible dietitian gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93529 10DEC2020 31DEC9999 Y Mental health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible mental health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible mental health worker gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93530 10DEC2020 31DEC9999 Y Occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93531 10DEC2020 31DEC9999 Y Physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93532 10DEC2020 31DEC9999 Y Podiatry health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible podiatrist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible podiatrist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93533 10DEC2020 31DEC9999 Y Chiropractic health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible chiropractor by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible chiropractor gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93534 10DEC2020 31DEC9999 Y Osteopathy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible osteopath by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible osteopath gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93535 10DEC2020 31DEC9999 Y Psychology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible psychologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible psychologist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93536 10DEC2020 31DEC9999 Y Speech pathology service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible speech pathologist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93537 10DEC2020 31DEC9999 Y Telehealth attendance provided to a care recipient in a residential aged care facility, by an eligible allied health practitioner, if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93538 10DEC2020 31DEC9999 Y Phone attendance provided to a care recipient in a residential aged care facility, by an eligible allied health practitioner, if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93546 10DEC2020 31DEC9999 Y Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner not more than once in a calendar year 93547 10DEC2020 31DEC9999 Y Diabetes education health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner not more than once in a calendar year 93548 10DEC2020 31DEC9999 Y Audiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible audiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible audiologist gives a written report to the referring medical practitioner not more than once in a calendar year 93549 10DEC2020 31DEC9999 Y Exercise physiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner not more than once in a calendar year 93550 10DEC2020 31DEC9999 Y Dietetics health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner not more than once in a calendar year 93551 10DEC2020 31DEC9999 Y Mental health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible mental health worker gives a written report to the referring medical practitioner not more than once in a calendar year 93552 10DEC2020 31DEC9999 Y Occupational therapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner not more than once in a calendar year 93553 10DEC2020 31DEC9999 Y Physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner not more than once in a calendar year 93554 10DEC2020 31DEC9999 Y Podiatry health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible podiatrist gives a written report to the referring medical practitioner not more than once in a calendar year 93555 10DEC2020 31DEC9999 Y Chiropractic health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible chiropractor by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible chiropractor gives a written report to the referring medical practitioner not more than once in a calendar year 93556 10DEC2020 31DEC9999 Y Osteopathy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible osteopath by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible osteopath gives a written report to the referring medical practitioner not more than once in a calendar year 93557 10DEC2020 31DEC9999 Y Psychology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible psychologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible psychologist gives a written report to the referring medical practitioner not more than once in a calendar year 93558 10DEC2020 31DEC9999 Y Speech pathology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible speech pathologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person's health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; (c) the person is referred to the eligible speech pathologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner not more than once in a calendar year 93571 10DEC2020 14SEP2021 N Additional exercise physiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M30 or Group M11 applied (in total for all items), in that calendar year; (b) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (c) the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 20 minutes in duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93571 15SEP2021 31DEC9999 Y Additional exercise physiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person's health care needs are assessed as requiring additional exercise physiology therapy services in a calendar year; (b) the service is provided to a person: (i) whose need for allied health treatment services has been identified by: A. a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or B. a shared care plan; or (ii) who is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; (d) the service is at least 20 minutes in duration; (e) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters 93572 10DEC2020 14SEP2021 N Additional occupational therapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M30 or Group M11 applied (in total for all items), in that calendar year; (b) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (c) the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 20 minutes in duration; and (f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93572 15SEP2021 31DEC9999 Y Additional occupational therapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the person's health care needs are assessed as requiring additional occupational therapy services in a calendar year; (b) the service is provided to a person: (i) whose need for allied health treatment services has been identified by: A. a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or B. a shared care plan; or (ii) who is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; (d) the service is at least 20 minutes in duration; (e) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters 93573 10DEC2020 14SEP2021 N Additional physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M30 or Group M11 applied (in total for all items), in that calendar year; (b) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (c) the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 20 minutes in duration; and (f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93573 15SEP2021 31DEC9999 Y Additional physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the person's health care needs are assessed as requiring additional physiotherapy health services in a calendar year; (b) the service is provided to a person: (i) whose need for allied health treatment services has been identified by: A. a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or B. a shared care plan; or (ii) who is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; (d) the service is at least 20 minutes in duration; (e) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters 93579 10DEC2020 31DEC9999 Y Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93580 10DEC2020 31DEC9999 Y Diabetes education health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93581 10DEC2020 31DEC9999 Y Audiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible audiologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93582 10DEC2020 31DEC9999 Y Exercise physiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93583 10DEC2020 31DEC9999 Y Dietetics health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible dietitian by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible dietitian gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93584 10DEC2020 31DEC9999 Y Mental health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible mental health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible mental health worker gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93585 10DEC2020 31DEC9999 Y Occupational therapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93586 10DEC2020 31DEC9999 Y Physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93587 10DEC2020 31DEC9999 Y Podiatry health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible podiatrist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible podiatrist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93588 10DEC2020 31DEC9999 Y Chiropractic health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible chiropractor by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible chiropractor gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93589 10DEC2020 31DEC9999 Y Osteopathy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible osteopath by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible osteopath gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93590 10DEC2020 31DEC9999 Y Psychology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the eligible psychologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the eligible psychologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93591 10DEC2020 31DEC9999 Y Speech pathology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an speech pathologist if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the speech pathologist gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93592 10DEC2020 31DEC9999 Y Telehealth attendance provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an by an eligible allied health practitioner if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the by an eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the by an eligible allied health practitioner gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93593 10DEC2020 31DEC9999 Y Phone attendance provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an by an eligible allied health practitioner if all of the following apply: (a) the service is provided to a person whose need for allied health treatment services has been identified by: (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii) a shared care plan; or (b) the person is referred to the by an eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e) after the service, the by an eligible allied health practitioner gives a written report to the referring medical practitioner (i) if the service is the only service under the referral-in relation to that service; or (ii) if the service is the first or last service under the referral-in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of-in relation to those matters 93606 10DEC2020 31DEC9999 Y Diabetes education health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible diabetes educator for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person's type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; and (b) the service is provided to a person whose type 2 diabetes is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and (c) the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner 93607 10DEC2020 31DEC9999 Y Exercise physiology health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible exercise physiologist for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person's type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; and (b) the service is provided to a person whose type 2 diabetes is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and (c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner not more than once in a calendar year 93608 10DEC2020 31DEC9999 Y Dietetics health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible dietitian for assessing the person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs and preparing the person for the group services if: (a) the person's type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person's needs; and (b) the service is provided to a person whose type 2 diabetes is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually and in person; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner 93613 10DEC2020 31DEC9999 Y Diabetes education health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible diabetes educator as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110, 81120, 93284, 93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the service is provided in person; and (d) the service is of at least 60 minutes duration; and (e) after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, 93613, 93614, 93615 the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner 93614 10DEC2020 31DEC9999 Y Exercise physiology health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible exercise physiologist as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110, 81120, 93284, 93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the service is provided in person; and (d) the service is of at least 60 minutes duration; and (e) after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, 93613, 93614, 93615 the eligible exercise physiologist prepares, or contributes to, a written report to be provided to the referring medical practitioner 93615 10DEC2020 31DEC9999 Y Dietetics health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible dietitian as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110, 81120, 93284, 93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the service is provided in person; and (d) the service is of at least 60 minutes duration; and (e) after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, 93613, 93614, 93615 the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner 93620 10DEC2020 31DEC9999 Y Additional exercise physiology health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible exercise physiologist as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110, 81120, 93284, 93286, 93606, 93607 or 93608; and (b) the person has received 8 services, to which an item in subgroup 2 of Group M31 or 81105, 81115, 81125 applied (in total for all items), in that calendar year. (c) the service is provided to a person who is part of a group of between 2 and 12 patients; and (d) the service is provided in person; and (e) the service is of at least 60 minutes duration; and (f) after the last service to which this item applies was provided to a person in a calendar year, the eligible exercise physiologist gives a written report to the referring medical practitioner 93624 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area 93624 31MAY2021 01JUL2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93624 02JUL2021 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93625 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area 93625 31MAY2021 01JUL2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93625 02JUL2021 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93626 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area 93626 31MAY2021 01JUL2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93626 02JUL2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93627 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area 93627 31MAY2021 01JUL2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93627 02JUL2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93634 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period 93634 31MAY2021 01JUL2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93634 02JUL2021 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93635 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period 93635 31MAY2021 01JUL2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93635 02JUL2021 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93636 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period 93636 31MAY2021 01JUL2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93636 02JUL2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93637 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period 93637 31MAY2021 01JUL2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93637 02JUL2021 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93644 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area 93644 31MAY2021 29JUN2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93644 30JUN2021 31JAN2023 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93644 01FEB2023 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area 93645 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area 93645 31MAY2021 29JUN2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93645 30JUN2021 31JAN2023 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93645 01FEB2023 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area 93646 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area 93646 31MAY2021 29JUN2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93646 30JUN2021 31JAN2023 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93646 01FEB2023 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area 93647 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area 93647 31MAY2021 29JUN2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93647 30JUN2021 31JAN2023 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93647 01FEB2023 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area 93653 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period 93653 31MAY2021 29JUN2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93653 30JUN2021 31JAN2023 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93653 01FEB2023 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period 93654 26FEB2021 30MAY2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period 93654 31MAY2021 29JUN2021 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93654 30JUN2021 31JAN2023 N Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93654 01FEB2023 31DEC9999 Y Professional attendance by a general practitioner for the purpose of assessing a patient's suitability for a dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period 93655 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period 93655 31MAY2021 29JUN2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93655 30JUN2021 31JAN2023 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93655 01FEB2023 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period 93656 26FEB2021 30MAY2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period 93656 31MAY2021 29JUN2021 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93656 30JUN2021 31JAN2023 N Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period Note: Effective 31 May 2021, age restrictions on the use of this item have been removed. 93656 01FEB2023 31DEC9999 Y Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient's suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period 93660 01JAN2022 31DEC9999 Y Attendance by a relevant health professional on behalf of a medical practitioner for the purpose of assessing a patient's suitability for a dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is not provided at a practice location; and (d) the service is provided from a practice location in a Modified Monash 1 area 93661 01JAN2022 31DEC9999 Y Attendance by a relevant health professional on behalf of a medical practitioner for the purpose of assessing a patient's suitability for a dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is not provided at a practice location; and (d) the service is provided from a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area 93666 23DEC2021 31DEC9999 Y A medical service associated with a service to which item 93644, 93645, 93646, 93647, 93653, 93654, 93655 or 93656 applies, if: (a) the service is bulk-billed; and (b) the service is for a patient being assessed for their suitability for the booster dose of a COVID-19 vaccine 93680 21JUL2021 31DEC9999 Y Professional attendance for nicotine and smoking cessation counselling, care and advice by a general practitioner at consulting rooms lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation 93681 21JUL2021 31DEC9999 Y Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation 93682 21JUL2021 31DEC9999 Y Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms, in an eligible area, lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation 93683 21JUL2021 31DEC9999 Y Professional attendance for nicotine and smoking cessation counselling, care and advice by a general practitioner at consulting rooms lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation 93684 21JUL2021 31DEC9999 Y Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation 93685 21JUL2021 31DEC9999 Y Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms, in an eligible area, lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93690 21JUL2021 31DEC9999 Y Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a general practitioner lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93691 21JUL2021 31DEC9999 Y Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93692 21JUL2021 31DEC9999 Y Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93693 21JUL2021 31DEC9999 Y Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a general practitioner lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93694 21JUL2021 31DEC9999 Y Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93695 21JUL2021 31DEC9999 Y Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93700 21JUL2021 31DEC9999 Y Phone attendance for nicotine and smoking cessation counselling, care and advice by a general practitioner lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93701 21JUL2021 31DEC9999 Y Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93702 21JUL2021 31DEC9999 Y Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93703 21JUL2021 31DEC9999 Y Phone attendance for nicotine and smoking cessation counselling, care and advice by a general practitioner lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93704 21JUL2021 31DEC9999 Y Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93705 21JUL2021 31DEC9999 Y Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient's nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation. 93715 08NOV2021 17JAN2022 N Attendance by a medical practitioner (other than a specialist or consultant physician) for the assessment and management of a person with COVID-19 infection of recent onset and confirmed by laboratory testing. 93715 18JAN2022 31DEC9999 Y Attendance by a medical practitioner (other than a specialist or consultant physician) for the assessment and management of a person with COVID-19 infection of recent onset and confirmed by either: (a) laboratory testing; or (b) a COVID-19 rapid antigen self-test which has been approved for supply in Australia by the Therapeutic Goods Administration, where: (i) the treating practitioner makes a record in the patient's notes that the relevant state and territory reporting requirements have been met, if applicable, and either: a. confirms the patient has reported the positive test result to the relevant state or territory public health unit where reporting requirements are in place from time to time; or b. assists the patient to report the positive result to the relevant state or territory public health unit where reporting requirements are in place from time to time. 93716 19JUL2022 31DEC9999 Y Phone attendance by a general practitioner lasting at least 20 minutes for the assessment and management of a person with COVID-19 infection of recent onset, for the purposes of determining the patient's eligibility for receiving a COVID-19 oral antiviral treatment, where the service includes any of the following that are clinically relevant: (a) taking a detailed patient history;(b) arranging any necessary investigation;(c) implementing a management plan, including follow up arrangements;(d) providing any necessary treatment, including prescribing a COVID-19 oral antiviral treatment;(e) providing appropriate preventive health care for one or more related issues; with appropriate documentation 93717 19JUL2022 31DEC9999 Y Phone attendance by a medical practitioner (other than a general practitioner) lasting at least 25 minutes for the assessment and management of a person with COVID-19 infection of recent onset, for the purposes of determining the patient's eligibility for receiving a COVID-19 oral antiviral treatment, where the service includes any of the following that are clinically relevant: (a) taking a detailed patient history;(b) arranging any necessary investigation;(c) implementing a management plan, including follow up arrangements;(d) providing any necessary treatment, including prescribing a COVID-19 oral antiviral treatment;(e)providing appropriate preventive health care for one or more related issues; with appropriate documentation