Australian Government
Department of Health and Ageing

Medicare Benefits Schedule Book
Category 3

Operating from 01 November 2012

ISBN: 978-1-74241-825-4
Online ISBN: 978-1-74241-826-1
Publications approval number: D0960

Copyright Statements:

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© Commonwealth of Australia 2012

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© Commonwealth of Australia 2012
 
This work is copyright. You may download, display, print and reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to the Online, Services and External Relations Branch, Department of Health and Ageing, GPO Box 9848, Canberra ACT 2601, or via e-mail to copyright@health.gov.au. 

At the time of printing, the relevant legislation giving authority for the changes included in this edition of the book may still be subject to the approval of Executive Council and the usual Parliamentary scrutiny.  This book is not a legal document, and, in cases of discrepancy, the legislation will be the source document for payment of Medicare benefits.	

The latest Medicare Benefits Schedule information
is available from MBS Online at 
http://www.health.gov.au/mbsonline

TABLE OF CONTENTS

G.1.1.    The Medicare Benefits Schedule - Introduction
G.1.2.    Medicare - an outline
G.1.3.    Medicare benefits and billing practices
G.2.1.    Provider eligibility for Medicare
G.2.2.    Provider Numbers
G.2.3.    Locum tenens
G.2.4.    Overseas trained doctor
G.2.5.    Addresses of Medicare Australia, Schedule Interpretation and Changes to Provider Details
G.3.1.    Patient eligibility for Medicare
G.3.2.    Medicare cards
G.3.3.    Visitors to Australia and temporary residents
G.3.4.    Reciprocal Health Care Agreements
G.4.1.    General Practice
G.5.1.    Recognition as a Specialist or Consultant Physician
G.5.2.    Emergency Medicine
G.6.1.    Referral Of Patients To Specialists Or Consultant Physicians
G.7.1.    Billing procedures
G.8.1.    Provision for review of individual health professionals
G.8.2.    Medicare Participation Review Committee
G.8.3.    Referral of professional issues to regulatory and other bodies
G.8.4.    Comprehensive Management Framework for the MBS
G.8.5.    Medical Services Advisory Committee
G.8.6.    Pathology Services Table Committee
G.8.7.    Medicare Claims Review Panel
G.9.1.    Penalties and Liabilities
G.10.1.   Schedule fees and Medicare benefits
G.10.2.   Medicare safety nets
G.11.1.   Services not listed in the MBS
G.11.2.   Ministerial Determinations
G.12.1.   Professional services
G.12.2.   Services rendered on behalf of medical practitioners
G.12.3.   Mass immunisation
G.13.1.   Services which do not attract Medicare benefits
G.14.1.   Principles of interpretation of the MBS
G.14.2.   Services attracting benefits on an attendance basis
G.14.3.   Consultation and procedures rendered at the one attendance
G.14.4.   Aggregate items
G.14.5.   Residential aged care facility
G.15.1.   Practitioners should maintain adequate and contemporaneous records
T.1.1.    Hyperbaric Oxygen Therapy -  (Items 13015, 13020, 13025 and 13030)
T.1.2.    Haemodialysis - (Items 13100 and 13103)
T.1.3.    Consultant Physician Supervision of Home Dialysis - (Item 13104)
T.1.4.    Assisted Reproductive Technology ART Services - (Items 13200 to 13221)
T.1.5.    Intracytoplasmic Sperm Injection - (Item 13251)
T.1.6.    Peripherally Inserted Central Catheters
T.1.7.    Administration of Blood or Bone Marrow already Collected (Item 13706)
T.1.8.    Collection of Blood - (Item 13709)
T.1.9.    Intensive Care Units -  (Items 13870 to 13888)
T.1.10.   Procedures Associated with Intensive Care - (Items 13818, 13842, 13847, 13848 and 13857)
T.1.11.   Management and Procedures in Intensive Care Unit - (Items 13870, 13873, 13876)
T.1.12.   Cytotoxic Chemotherapy Administration - (Item 13915)
T.1.13.   Implanted Pump or Reservoir/Drug Delivery Device - (Items 13939 and 13942)
T.1.14.   PUVA or UVB Therapy - (Items 14050 and 14053)
T.1.15.   Laser Photocoagulation - (Items 14106 to 14124)
T.1.16.   Laser Photocoagulation (Item 14124)
T.1.17.   Facial Injections of Poly-L-Lactic Acid - (Items 14201 and 14202)
T.1.18.   Hormone and Living Tissue Implantation - (Items 14203 and 14206)
T.1.19.   Implantable Drug Delivery System for the Treatment of Severe Chronic Spasticity - (Items 14227 to 14242)
T.1.20.   Immunomodulating Agent - (Item 14245)
T.1.21.   Therapeutic procedures may be provided by a specialist trainee (Items 13015 to 51318)
T.1.22.   Telehealth Specialist Services
T.2.1.    Radiation Oncology - General
T.2.2.    Brachytherapy of the Prostate - (Item 15338)
T.2.3.    Planning Services - (Items 15500 to 15562 and 15850)
T.2.4.    Treatment Verification - (Items 15700 to 15705, 15710 and 15800)
T.3.1.    Therapeutic Dose of Yttrium 90 - (Item 16003)
T.4.1.    Antenatal Service Provided by a Nurse, Midwife or an Aboriginal and Torres Strait Islander health practitioner - (Item 16400)
T.4.2.    Items for Initial and Subsequent Obstetric Attendances (Items 16401 and 16404)
T.4.3.    Antenatal Care - (Item 16500)
T.4.4.    External Cephalic Version for Breech Presentation - (Item 16501)
T.4.5.    Labour and Delivery - (Items 16515, 16518, 16519 and 16525)
T.4.6.    Caesarean Section - (Item 16520)
T.4.7.    Complicated Confinement - (Item 16522)
T.4.8.    Labour and Delivery Where Care is Transferred by a Participating Midwife - (Items 16527 to 16528)
T.4.9.    Items for Planning and Management of a Pregnancy (Item 16590)
T.4.10.   Post-Partum Care - (Items 16564 to 16573)
T.4.11.   Interventional Techniques - (Items 16600 to 16636)
T.4.12.   Telehealth Specialist Services
T.6.1.    Pre-anaesthesia Consultations by an Anaesthetist - (Items 17610 to 17625)
T.6.2.    Referred Anaesthesia Consultations - (Items 17640 to 17655)
T.6.3.    Anaesthetist Consultations - Other - (Items 17680, 17690)
T.6.4.    Telehealth Specialist Services
T.7.1.    Regional or Field Nerve Blocks - General
T.7.2.    Maintenance of Regional or Field Nerve Block - (Items 18222 and 18225)
T.7.3.    Intrathecal or Epidural Injection - (Item 18232)
T.7.4.    Intrathecal or Epidural Infusion - (Items 18226 and 18227)
T.7.5.    Regional or Field Nerve Blocks - (Items 18234 to 18298)
T.8.1.    Surgical Operations
T.8.2.    Multiple Operation Rule
T.8.3.    Procedure Performed with Local Infiltration or Digital Block
T.8.4.    Aftercare (Post-operative Treatment)
T.8.5.    Abandoned surgery - (Item 30001)
T.8.6.    Repair of Wound - (Items 30023 to 30049)
T.8.7.    Biopsy for Diagnostic Purposes - (Items 30071 to 30096)
T.8.8.    Lipectomy -  (Items 30165 to 30177)
T.8.9.    Treatment of Keratoses, Warts etc (Items 30185, 30186, 30187, 30189, 30192 and 36815)
T.8.10.   Cryotherapy and Serial Curettage Excision - (Items 30196 to 30203)
T.8.11.   Telangiectases or Starburst Vessels - (Items 30213 and 30214)
T.8.12.   Sentinel Node Biopsy for Breast Cancer - (Items 30299 to 30303)
T.8.13.   Dissection of Axillary Lymph Nodes - (Items 30335 and 30336)
T.8.14.   Laparotomy and Other Procedures on the Abdominal Viscera - (Item 30375)
T.8.15.   Diagnostic Laparoscopy - (Item 30390)
T.8.16.   Major Abdominal  Incision - (Item 30396)
T.8.17.   Gastrointestinal Endoscopic Procedures - (Items 30473 to 30481, 30484 to 30487, 30490 to 30494, 30680 to 30694, 32084 to 32095, 32103, 32104 and 32106)
T.8.18.   Revision of Gastric Reduction, Gastroplasty or Bypass - (Item 30514)
T.8.19.   Gastrectomy, Sub-total Radical - (Item 30523)
T.8.20.   Anti reflux Operations - (Items 30527 to 30533, 31464 and 31466)
T.8.21.   Radiofrequency ablation of mucosal metaplasia for the treatment of Barrett's Oesophagus (Item 30687)
T.8.22.   Endoscopic or Endobronchial Ultrasound +/- Fine Needle Aspiration - (Items 30688 - 30710)
T.8.23.   Removal of Skin Lesions - (Items 31200 to 31355)
T.8.24.   Removal of Skin Lesion From Face - (Items 31235 to 31245, 31265 to 31278, 31310 to 31320)
T.8.25.   Dissection of Lymph Nodes of Neck - (Items 31423 to 31438)
T.8.26.   Excision of Breast Lesions, Abnormalities or Tumours - Malignant or Benign - (Items 31500 to 31515)
T.8.27.   Subcutaneous Mastectomy - (Items 31521, 31524 and 31527)
T.8.28.   Fine Needle Aspiration of Breast Lesion - (Item 31533)
T.8.29.   Diagnostic Biopsy of Breast using Advanced Breast Biopsy Instrumentation - (Items 31539 and 31545)
T.8.30.   Preoperative Localisation of Breast Lesion Prior to the Use of Advanced Breast Biopsy Instrumentation - (Item 31542)
T.8.31.   Per Anal Excision of Rectal Tumour using Stereoscopic Rectoscopy - (Items 32103, 32104 and 32106)
T.8.32.   Sacral Nerve Stimulation for Faecal Incontinance - (Items 32213 to 32218)
T.8.33.   Artificial Bowel Sphincter (items 32220, 32221)
T.8.34.   Varicose veins - (Items 32500 to 32517)
T.8.35.   Endovenous Laser Therapy (Items 32520 and 32522)
T.8.36.   Uterine Artery Embolisation - (Item 35410)
T.8.37.   Endovascular Coiling of Intracranial Aneurysms - (Item 35412)
T.8.38.   Arterial and Venous Patches - (Items 33545 to 33551and 34815)
T.8.39.   Embolectomy or Thrombectomy - (Item 33806)
T.8.40.   Carotid Percutaneous Transluminal Angioplasty with Stenting - (Item 35307)
T.8.41.   Peripheral Arterial or Venous Catheterisation - (Item 35317)
T.8.42.   Peripheral Arterial or Venous Embolisation - (Item 35321)
T.8.43.   Selective Internal Radiation Therapy (SIRT) using SIR-Spheres - (Items 35404, 35406 and 35408)
T.8.44.   Percutaneous Transluminal Coronary Angioplasty - (Items 38309, 38312, 38315 and 38318)
T.8.45.   Colposcopic Examination - (Item 35614)
T.8.46.   Hysteroscopy - (Item 35626)
T.8.47.   Curettage of Uterus under GA or Major Nerve Block - (Items 35639 and 35640)
T.8.48.   Neoplastic Changes of the Cervix - (Items 35644-35648)
T.8.49.   Sterilisation of Minors - Legal Requirements - (Items 35657, 35687, 35688, 35691, 37622 and 37623)
T.8.50.   Debulking of Uterus - (Item 35658)
T.8.51.   Nephrectomy - (Items 36526 and 36527)
T.8.52.   Sacral Nerve Stimulation - (Items 36658, 36660, and 36662)
T.8.53.   Sacral Nerve Stimulation (items 36663-36668)
T.8.54.   Ureteroscopy - (Item 36803)
T.8.55.   Selective Coronary Angiography - (Items 38215  to 38246)
T.8.56.   Transurethral Needle Ablation (TUNA) of the Prostate - (Items 37201 and 37202)
T.8.57.   Gold Fiducial Markers into the Prostate - (item 37217)
T.8.58.   Brachytherapy of the Prostate - (Item 37220)
T.8.59.   High Dose Rate Brachytherapy - (Item 37227)
T.8.60.   Radical or Debulking Operation for Ovarian Tumour - (Item 35720)
T.8.61.   Transcutaneous Sperm Retrieval - (Item 37605)
T.8.62.   Surgical Sperm Retrieval, by Open Approach - (Item 37606)
T.8.63.   Cardiac Pacemaker Insertion - (Items 38209, 38212, 38350, 38353 and 38356)
T.8.64.   Implantable ECG Loop Recorder - (Item 38285)
T.8.65.   Transluminal Insertion of Stent or Stents - (Item 38306)
T.8.66.   Permanent Cardiac Synchronisation Device (Items 38365, 38368 and 38654)
T.8.67.   Intravascular Extraction of Permanent Pacing Leads - (Item 38358)
T.8.68.   Cardiac Resynchronisation Therapy - (Item 38371)
T.8.69.   Implantable Cardioverter Defibrillator - (Items 38384 and 38387)
T.8.70.   Cardiac and Thoracic Surgical Items - (Items 38470 to 38766)
T.8.71.   Coronary Artery Bypass - (Items 38497 to 38504)
T.8.72.   Re-operation via Median Sternotomy - (Item 38640)
T.8.73.   Skull Base Surgery - (Items 39640 to 39662)
T.8.74.   Intradiscal Injection of Chymopapain - (Item 40336)
T.8.75.   Removal of Ventilating Tube from Ear - (Item 41500)
T.8.76.   Meatoplasty - (Item 41515)
T.8.77.   Reconstruction of Auditory Canal - (Item 41524)
T.8.78.   Removal of Nasal Polyp or Polypi - (Items 41662, 41665 and 41668)
T.8.79.   Larynx, Direct Examination - (Item 41846)
T.8.80.   Microlaryngoscopy - (Item 41858)
T.8.81.   Imbedded Foreign Body - (Item 42644)
T.8.82.   Corneal Incisions - (Item 42672)
T.8.83.   Cataract surgery (Items 42698 and 42701)
T.8.84.   Posterior Juxtascleral Depot injection - (Item 42741)
T.8.85.   Cyclodestructive Procedures - (Items 42770)
T.8.86.   Insertion of drainage device for glaucoma (Item 42752)
T.8.87.   Laser Trabeculoplasty - (Items 42782 and 42783)
T.8.88.   Laser Iridotomy - (Items 42785 and 42786)
T.8.89.   Laser Capsulotomy - (Items 42788 and 42789)
T.8.90.   Laser Vitreolysis or Corticolysis of Lens Material or Fibrinolysis - (Items 42791 and 42792)
T.8.91.   Division of Suture by Laser - (Item 42794)
T.8.92.   Laser Coagulation of Corneal or Scleral Blood Vessels - (Item 42797)
T.8.93.   Ophthalmic Sutures - (Item 42845)
T.8.94.   Full face Chemical Peel - (Items 45019 and 45020)
T.8.95.   Abrasive Therapy/Resurfacing - (Items 45021 to 45026)
T.8.96.   Foreign Implant - (Item 45051)
T.8.97.   Escharotomy - (Item 45054)
T.8.98.   Local Skin Flap - Definition
T.8.99.   Free Grafting to Burns - (Items 45406 to 45418)
T.8.100.  Revision of Scar - (Items 45506 to  45518)
T.8.101.  Reduction Mammaplasty - (Item 45522)
T.8.102.  Augmentation Mammaplasty - (Items 45524, 45527 and 45528)
T.8.103.  Breast Reconstruction, Myocutaneous Flap - (Item 45530)
T.8.104.  Breast Prosthesis, Removal and Replacement of - (Items 45552 to 45555)
T.8.105.  Breast Ptosis - (Items 45556 to 45559)
T.8.106.  Nipple and/or Areola Reconstruction - (Items 45545 and 45546)
T.8.107.  Liposuction - (Items 45584, 45585 and 45586)
T.8.108.  Meloplasty for Correction of Facial Asymmetry - (Items 45587 and 45588)
T.8.109.  Reduction of Eyelids - (Items 45617 and 45620)
T.8.110.  Rhinoplasty - (Items 45638, 45639)
T.8.111.  Contour Restoration - (Item 45647)
T.8.112.  Vermilionectomy - (Item 45669)
T.8.113.  Osteotomy of Jaw - (Items 45720 to 45752)
T.8.114.  Genioplasty - (Item 45761)
T.8.115.  Tumour, Cyst, Ulcer or Scar - (Items 45801 to 45813)
T.8.116.  Fracture of Mandible or Maxilla - (Items 45975 to 45996)
T.8.117.  Reduction of Dislocation or Fracture
T.8.118.  Removal of Multiple Exostoses (Items 47933 and 47936)
T.8.119.  Lumbar Discectomy - (Item 48636)
T.8.120.  Discectomy in Relation to Anterior Interbody Spinal Fusion - (Items 48660 to 48675)
T.8.121.  Internal Fixation - (Items 48678 to 48690)
T.8.122.  Wrist Surgery - (Items 49200 to 49227)
T.8.123.  Diagnostic Arthroscopy and Arthroscopic Surgery of the Knee (Items 49557 and 49563)
T.8.124.  Paediatric Patients - (Items 50450 to 50658)
T.8.125.  Treatment of Fractures in Paediatric Patients - (Items 50500 to 50588)
T.8.126.  Non-resectable Hepatocellular Carcinoma Destruction of by Open or Laparoscopic Radiofrequency Ablation - (Item 50952)
T.8.127.  Paracentesis of anterior chamber or vitreous cavity and/or intravitreal injection - (Items 42738 to 42740)
T.9.1.    Assistance at Operations - (Items 51300 to 51318)
T.9.2.    Benefits Payable under Item 51300
T.9.3.    Benefits Payable Under Item 51303
T.9.4.    Benefits Payable Under Item 51309
T.9.5.    Assistance at Cataract and Intraocular Lens Surgery - (Item 51318)
T.10.1.   Relative Value Guide For Anaesthetics - (Group T10)
T.10.2.   Eligible Services
T.10.3.   RVG Unit Values
T.10.4.   Deriving the Schedule Fee under the RVG
T.10.5.   Minimum Requirements for Claiming Benefits under Items in the RVG (including sedation)
T.10.6.   Account Requirements
T.10.7.   General Information
T.10.8.   Additional Services Performed in Connection with Anaesthesia - Subgroup 19
T.10.9.   Assistance in the Administration of Anaesthesia
T.10.10.  Perfusion Services - (Items 22055 to 22075)
T.10.11.  Anaesthesia as a Therapeutic Procedure - (Item 21965)
T.10.12.  Discontinued Procedure - (Item 21990)
T.10.13.  Anaesthesia in Connection with a Procedure not Identified as Attracting a Medicare Benefit for Anaesthesia - (Item 21997)
T.10.14.  Anaesthesia in Connection with a Dental Service - (Items 22900 and 22905)
T.10.15.  Anaesthesia in Connection with Cleft Lip and Cleft Palate Repair - (Items 20102 and 20172)
T.10.16.  Anaesthesia in Connection with an Oral and MaxillofaciaI Service - (Category 4 of the Medicare Benefits Schedule)
T.10.17.  Intra-operative Blocks for Post Operative Pain - (Items  22031 to 22050)
T.10.18.  Anaesthesia in Connection with Extensive Surgery on Facial Bones - (Item 20192)
T.10.19.  Intrathecal or Epidural Injection for Control of Post-operative Pain - Initial - (Item 22031)
T.10.20.  Intrathecal or Epidural Injection for Control of Post-operative Pain - Subsequent - (Item 22036)
T.10.21.  Regional or Field Nerve Blocks for Post-operative Pain - (Items 22040 - 22050)
T.10.22.  Anaesthesia for Radical Procedures on the Chest Wall - (Item 20474)
T.10.23.  Anaesthesia for Extensive Spine or Spinal Cord Procedures - (Item 20670)
T.10.24.  Anaesthesia for Femoral Artery Embolectomy - (Item 21274)
T.10.25.  Anaesthesia for Cardiac Catheterisation - (Item 21941)
T.10.26.  Anaesthesia  for 2 Dimensional Real Time Transoesophageal Echocardiography - (Item 21936)
T.10.27.  Anaesthesia for Services on the Upper and Lower Abdomen - (Subgroups 6 and7)
T.10.28.  Anaesthesia for Microvascular Free Tissue Flap Surgery - (Items 20230, 20355, 20475, 20704, 20804, 20905, 21155, 21275, 21455, 21535, 21685, 21785 and 21865)
T.10.29.  Anaesthesia for Endoscopic Ureteric Surgery - Including Laser Procedure - (Item 20911)
T.11.1.   Botulinum Toxin - (Items 18350 to 18373)
GROUP T1 - MISCELLANEOUS THERAPEUTIC PROCEDURES
SUBGROUP 1 - HYPERBARIC OXYGEN THERAPY
SUBGROUP 2 - DIALYSIS
SUBGROUP 3 - ASSISTED REPRODUCTIVE SERVICES
SUBGROUP 4 - PAEDIATRIC & NEONATAL
SUBGROUP 5 - CARDIOVASCULAR
SUBGROUP 6 - GASTROENTEROLOGY
SUBGROUP 8 - HAEMATOLOGY
SUBGROUP 9 - PROCEDURES ASSOCIATED WITH INTENSIVE CARE AND CARDIOPULMONARY SUPPORT
SUBGROUP 10 - MANAGEMENT AND PROCEDURES UNDERTAKEN IN AN INTENSIVE CARE UNIT
SUBGROUP 11 - CHEMOTHERAPEUTIC PROCEDURES
SUBGROUP 12 - DERMATOLOGY
SUBGROUP 13 - OTHER THERAPEUTIC PROCEDURES
GROUP T2 - RADIATION ONCOLOGY
SUBGROUP 1 - SUPERFICIAL
SUBGROUP 2 - ORTHOVOLTAGE
SUBGROUP 3 - MEGAVOLTAGE
SUBGROUP 4 - BRACHYTHERAPY
SUBGROUP 5 - COMPUTERISED PLANNING
SUBGROUP 6 - STEREOTACTIC RADIOSURGERY
SUBGROUP 7 - RADIATION ONCOLOGY TREATMENT VERIFICATION
SUBGROUP 8 - BRACHYTHERAPY PLANNING AND VERIFICATION
GROUP T3 - THERAPEUTIC NUCLEAR MEDICINE
GROUP T4 - OBSTETRICS
GROUP T6 - ANAESTHETICS
SUBGROUP 1 - ANAESTHESIA CONSULTATIONS
GROUP T7 - REGIONAL OR FIELD NERVE BLOCKS
GROUP T11 - BOTULINUM TOXIN INJECTIONS
GROUP T10 - RELATIVE VALUE GUIDE FOR ANAESTHESIA - Medicare Benefits are only payable for anaesthesia performed in association with an eligible service
SUBGROUP 1 - HEAD
SUBGROUP 2 - NECK
SUBGROUP 3 - THORAX
SUBGROUP 4 - INTRATHORACIC
SUBGROUP 5 - SPINE AND SPINAL CORD
SUBGROUP 6 - UPPER ABDOMEN
SUBGROUP 7 - LOWER ABDOMEN
SUBGROUP 8 - PERINEUM
SUBGROUP 9 - PELVIS (EXCEPT HIP)
SUBGROUP 10 - UPPER LEG (EXCEPT KNEE)
SUBGROUP 11 - KNEE AND POPLITEAL AREA
SUBGROUP 12 - LOWER LEG (BELOW KNEE)
SUBGROUP 13 - SHOULDER AND AXILLA
SUBGROUP 14 - UPPER ARM AND ELBOW
SUBGROUP 15 - FOREARM WRIST AND HAND
SUBGROUP 16 - ANAESTHESIA FOR BURNS
SUBGROUP 17 - ANAESTHESIA FOR RADIOLOGICAL OR OTHER DIAGNOSTIC OR THERAPEUTIC PROCEDURES
SUBGROUP 18 - MISCELLANEOUS
SUBGROUP 19 - THERAPEUTIC AND DIAGNOSTIC SERVICES
SUBGROUP 20 - ADMINISTRATION OF ANAESTHESIA IN CONNECTION WITH A DENTAL SERVICE
SUBGROUP 21 - ANAESTHESIA/PERFUSION TIME UNITS
SUBGROUP 22 - ANAESTHESIA/PERFUSION MODIFYING UNITS - PHYSICAL STATUS
SUBGROUP 23 - ANAESTHESIA/PERFUSION MODIFYING UNITS - OTHER
SUBGROUP 24 - ANAESTHESIA AFTER HOURS EMERGENCY MODIFIER
SUBGROUP 25 - PERFUSION AFTER HOURS EMERGENCY MODIFIER
SUBGROUP 26 - ASSISTANCE AT ANAESTHESIA
GROUP T8 - SURGICAL OPERATIONS
SUBGROUP 1 - GENERAL
SUBGROUP 2 - COLORECTAL
SUBGROUP 3 - VASCULAR
VARICOSE VEINS
BYPASS OR ANASTOMOSIS FOR OCCLUSIVE ARTERIAL DISEASE
BYPASS, REPLACEMENT, LIGATION OF ANEURYSMS
ENDARTERECTOMY AND ARTERIAL PATCH
EMBOLECTOMY, THROMBECTOMY AND VASCULAR TRAUMA
LIGATION, EXCISION, ELECTIVE REPAIR, DECOMPRESSION OF VESSELS
OPERATIONS FOR VASCULAR ACCESS
COMPLEX VENOUS OPERATIONS
SYMPATHECTOMY
DEBRIDEMENT AND AMPUTATIONS FOR VASCULAR DISEASE
MISCELLANEOUS VASCULAR PROCEDURES
ENDOVASCULAR INTERVENTIONAL PROCEDURES
INTERVENTIONAL RADIOLOGY PROCEDURES
SUBGROUP 4 - GYNAECOLOGICAL
SUBGROUP 5 - UROLOGICAL
GENERAL
OPERATIONS ON BLADDER
OPERATIONS ON PROSTATE
OPERATIONS ON URETHRA, PENIS OR SCROTUM
OPERATIONS ON TESTES, VASA OR SEMINAL VESICLES
PAEDIATRIC GENITURINARY SURGERY
SUBGROUP 6 - CARDIO-THORACIC
CARDIOLOGY PROCEDURES
CATHETER BASED ARRHYTHMIA ABLATION
ENDOVASCULAR INTERVENTIONAL PROCEDURES
MISCELLANEOUS CARDIAC PROCEDURES
THORACIC SURGERY
CARDIAC SURGERY PROCEDURES
VALVULAR PROCEDURES
SURGERY FOR ISCHAEMIC HEART DISEASE
ARRHYTHMIA SURGERY
PROCEDURES ON THORACIC AORTA
TECHNIQUES FOR PRESERVATION OF ARRESTED HEART
CIRCULATORY SUPPORT PROCEDURES
RE-OPERATION
MISCELLANEOUS CARDIOTHORACIC SURGICAL PROCEDURES
CARDIAC TUMOURS
CONGENITAL CARDIAC SURGERY
MISCELLANEOUS PROCEDURES ON THE CHEST
SUBGROUP 7 - NEUROSURGICAL
GENERAL
PAIN RELIEF
PERIPHERAL NERVES
CRANIAL NERVES
CRANIO-CEREBRAL INJURIES
SKULL BASE SURGERY
INTRA-CRANIAL NEOPLASMS
CEREBROVASCULAR DISEASE
INFECTION
CEREBROSPINAL FLUID CIRCULATION DISORDERS
CONGENITAL DISORDERS
SPINAL DISORDERS
SKULL RECONSTRUCTION
EPILEPSY
STEREOTACTIC PROCEDURES
MISCELLANEOUS
SUBGROUP 8 - EAR, NOSE AND THROAT
SUBGROUP 9 - OPHTHALMOLOGY
SUBGROUP 10 - OPERATIONS FOR OSTEOMYELITIS
ACUTE
CHRONIC
SUBGROUP 11 - PAEDIATRIC
SURGERY IN NEONATE OR YOUNG CHILD
THORACIC SURGERY
ABDOMINAL SURGERY
MISCELLANEOUS SURGERY
SUBGROUP 12 - AMPUTATIONS
SUBGROUP 13 - PLASTIC AND RECONSTRUCTIVE SURGERY
GENERAL
SKIN FLAP SURGERY
FREE GRAFTS
OTHER GRAFTS AND MISCELLANEOUS PROCEDURES
ORAL AND MAXILLOFACIAL SURGERY
SUBGROUP 14 - HAND SURGERY
SUBGROUP 15 - ORTHOPAEDIC
TREATMENT OF DISLOCATIONS
TREATMENT OF FRACTURES
GENERAL
BONE GRAFTS
OSTEOTOMY AND OSTEECTOMY
EPIPHYSEODESIS
SPINE
SHOULDER
ELBOW
WRIST
HIP
KNEE
ANKLE
FOOT
OTHER JOINTS
MALIGNANT DISEASE
LIMB LENGTHENING AND DEFORMITY CORRECTION
SINGLE EVEN MULTILEVEL SURGERY FOR CHILDREN WITH CEREBRAL PALSY
TREATMENT OF FRACTURES IN PAEDIATRIC PATIENTS
SPINE SURGERY FOR SCOLIOSIS AND KYPHOSIS IN PAEDIATRIC PATIENTS
TREATMENT OF HIP DYSPLASIA OR DISLOCATION IN PAEDIATRIC PATIENTS
SUBGROUP 16 - RADIOFREQUENCY ABLATION
GROUP T9 - ASSISTANCE AT OPERATIONS
INDEX

G.1.1.    The Medicare Benefits Schedule - Introduction
Schedules of Services
Each professional service contained in the Schedule has been allocated a unique item number.  Located with the item number and description for each service is the Schedule fee and Medicare benefit, together with a reference to an explanatory note relating to the item (if applicable).

If the service attracts an anaesthetic, the word (Anaes.) appears following the description. Where an operation qualifies for the payment of benefits for an assistant, the relevant items are identified by the inclusion of the word (Assist.) in the item description. Medicare benefits are not payable for surgical assistance associated with procedures which have not been so identified.

In some cases two levels of fees are applied to the same service in General Medical Services, with each level of fee being allocated a separate item number.  The item identified by the letter "S" applies in the case where the procedure has been rendered by a recognised specialist in the practice of his or her specialty and the patient has been referred.  The item identified by the letter "G" applies in any other circumstance.

Higher rates of benefits are also provided for consultations by a recognised consultant physician where the patient has been referred by another medical practitioner or an approved dental practitioner (oral surgeons). 

Differential fees and benefits also apply to services listed in Category 5 (Diagnostic Imaging Services). The conditions relating to these services are set out in Category 5.

Explanatory Notes
Explanatory notes relating to the Medicare benefit arrangements and notes that have general application to services are located at the beginning of the schedule, while notes relating to specific items are located at the beginning of each Category. While there may be a reference following the description of an item to specific notes relating to that item, there may also be general notes relating to each Group of items.

G.1.2.    Medicare - an outline
The Medicare Program (‘Medicare’) provides access to medical and hospital services for all Australian residents and certain categories of visitors to Australia.  Medicare Australia administers Medicare and the payment of Medicare benefits.  The major elements of Medicare are contained in the Health Insurance Act 1973, as amended, and include the following:
(a).	Free treatment for public patients in public hospitals.
(b).	The payment of ‘benefits’, or rebates, for professional services listed in the Medicare Benefits Schedule (MBS).  In general, the Medicare benefit is 85% of the Schedule fee, otherwise the benefits are
i.	100% of the Schedule fee for services provided by a general practitioner to non-referred, non-admitted patients;
ii.	100% of the Schedule fee for services provided on behalf of a general practitioner by a practice nurse or Aboriginal and Torres Strait Islander health practitioner;
iii.	75% of the Schedule fee for professional services rendered to a patient as part of an episode of hospital treatment (other than public patients);
iv.	75% of the Schedule fee for professional services rendered as part of a privately insured episode of hospital-substitute treatment.

Medicare benefits are claimable only for ‘clinically relevant’ services rendered by an appropriate health practitioner.  A ‘clinically relevant’ service is one which is generally accepted by the relevant profession as necessary for the appropriate treatment of the patient.

When a service is not clinically relevant, the fee and payment arrangements are a private matter between the practitioner and the patient.

Services listed in the MBS must be rendered according to the provisions of the relevant Commonwealth, State and Territory laws.  For example, medical practitioners must ensure that the medicines and medical devices they use have been supplied to them in strict accordance with the provisions of the Therapeutic Goods Act 1989.

Where a Medicare benefit has been inappropriately paid, Medicare Australia may request its return from the practitioner concerned.

G.1.3.    Medicare benefits and billing practices
Key information on Medicare benefits and billing practices
The Health Insurance Act 1973 stipulates that Medicare benefits are payable for professional services.  A professional service is a clinically relevant service which is listed in the MBS.  A medical service is clinically relevant if it is generally accepted in the medical profession as necessary for the appropriate treatment of the patient.

Medical practitioners are free to set their fees for their professional service.  However, the amount specified in the patient’s account must be the amount charged for the service specified.  The fee may not include a cost of goods or services which are not part of the MBS service specified on the account.

Billing practices contrary to the Act
A non-clinically relevant service must not be included in the charge for a Medicare item.  The non-clinically relevant service must be separately listed on the account and not billed to Medicare.

Goods supplied for the patient’s home use (such as wheelchairs, oxygen tanks, continence pads) must not be included in the consultation charge.  Medicare benefits are limited to services which the medical practitioner provides at the time of the consultation – any other services must be separately listed on the account and must not be billed to Medicare.

Charging part of all of an episode of hospital treatment or a hospital substitute treatment to a non-admitted consultation is prohibited.  This would constitute a false or misleading statement on behalf of the medical practitioner and no Medicare benefits would be payable.

An account may not be re-issued to include charges and out-of-pocket expenses excluded in the original account.  The account can only be reissued to correct a genuine error.

Potential consequence of improperly issuing an account
The potential consequences for improperly issuing an account are
(a).	No Medicare benefits will be paid for the service;
(b).	The medical practitioner who issued the account, or authorised its issue, may face charges under sections 128A or 128B of the Health Insurance Act 1973.
(c).	Medicare benefits paid as a result of a false or misleading statement will be recoverable from the doctor under section 129AC of the Health Insurance Act 1973.

Providers should be aware that Medicare Australia is legally obliged to investigate doctors suspected of making false or misleading statements, and may refer them for prosecution if the evidence indicates fraudulent charging to Medicare.  If Medicare benefits have been paid inappropriately or incorrectly, Medicare Australia will take recovery action.

G.2.1.    Provider eligibility for Medicare
To be eligible to provide medical service which will attract Medicare benefits, or to provide services for or on behalf of another practitioner, practitioners must meet one of the following criteria:
(a)	be a recognised specialist, consultant physician or general practitioner; or
(b)	be in an approved placement under section 3GA of the Health Insurance Act 1973; or 
(c)	be a temporary resident doctor with an exemption under section 19AB of the Health Insurance Act 1973, and working in accord with that exemption.

Any practitioner who does not satisfy the requirements outlined above may still practice medicine but their services will not be eligible for Medicare benefits.

NOTE: New Zealand citizens entering Australia do so under a special temporary entry visa and are regarded as temporary resident doctors.

NOTE:  It is an offence under Section 19CC of the Health Insurance Act 1973 to provide a service without first informing a patient where a Medicare benefit is not payable for that service (i.e. the service is not listed in the MBS).

Non-medical practitioners
To be eligible to provide services which will attract Medicare benefits under MBS items 10950-10977 and MBS items 80000-88000 and 82100-82140 and 82200-82215, allied health professionals, dentists, and dental specialists, participating midwives and participating nurse practitioners must be
(a)	registered according to State or Territory law or, absent such law, be members of a professional association with uniform national registration requirements; and
(b)	registered with Medicare Australia to provide these services.

G.2.2.    Provider Numbers
Practitioners eligible to have Medicare benefits payable for their services and/or who for Medicare purposes wish to raise referrals for specialist services and requests for pathology or diagnostic imaging services, may apply in writing to Medicare Australia for a Medicare provider number for the locations where these services/referrals/requests will be provided.  The form may be downloaded from www.medicareaustralia.gov.au

For Medicare purposes, an account/receipt issued by a practitioner must include the practitioner’s name and either the provider number for the location where the service was provided or the address where the services were provided.

Medicare provider number information is released in accord with the secrecy provisions of the Health Insurance Act 1973 (section 130) to authorized external organizations including private health insurers, the Department of Veterans’ Affairs and the Department of Health and Ageing.

When a practitioner ceases to practice at a given location they must inform Medicare promptly.  Failure to do so can lead to the misdirection of Medicare cheques and Medicare information.

Practitioners at practices participating in the Practice Incentives Program (PIP) should use a provider number linked to that practice.  Under PIP, only services rendered by a practitioner whose provider number is linked to the PIP will be considered for PIP payments.

G.2.3.    Locum tenens
Where a locum tenens will be in a practice for more than two weeks or in a practice for less than two weeks but on a regular basis, the locum should apply for a provider number for the relevant location.  If the locum will be in a practice for less than two weeks and will not be returning there, they should contact Medicare Australia (provider liaison – 132 150) to discuss their options (for example, use one of the locum’s other provider numbers).

A locum must use the provider number allocated to the location if
(a)	they are an approved general practice or specialist trainee with a provider number issued for an approved training placement; or
(b)	they are associated with an approved rural placement under Section 3GA of the Health Insurance Act 1973; or
(c)	they have access to Medicare benefits as a result of the issue of an exemption under section 19AB of the Health Insurance Act 1973 (i.e. they have access to Medicare benefits at specific practice locations); or
(d)	they will be at a practice which is participating in the Practice Incentives Program; or
(e)	they are associated with a placement on the MedicarePlus for Other Medical Practitioners (OMPs) program, the After Hours OMPs program, the Rural OMPs program or Outer Metropolitan OMPs program.

G.2.4.    Overseas trained doctor
Ten year moratorium
Section 19AB of the Health Insurance Act 1973 states that services provided by overseas trained doctors (including New Zealand trained doctors) and former overseas medical students trained in Australia, will not attract Medicare benefits for 10 years from either
(a)	their date of registration as a medical practitioner for the purposes of the Health Insurance Act 1973; or
(b)	their date of permanent residency (the reference date will vary from case to case).

Exclusions - Practitioners who before 1 January 1997 had
(a)	registered with a State or Territory medical board and retained a continuing right to remain in Australia; or
(b)	lodged a valid application with the Australian Medical Council (AMC) to undertake examinations whose successful completion would normally entitle the candidate to become a medical practitioner.

The Minister of Health and Ageing may grant an overseas trained doctor (OTD) or occupational trainee (OT) an exemption to the requirements of the ten year moratorium, with or without conditions.  When applying for a Medicare provider number, the OTD or OT must
(a)	demonstrate that they need a provider number and that their employer supports their request; and
(b)	provide the following documentation:
i.	Australian medical registration papers; and
ii.	a copy of their personal details in their passport and all Australian visas and entry stamps; and
iii.	a letter from the employer stating why  the person requires a Medicare provider number and/or prescriber number is required; and
iv.	a copy of the employment contract.

G.2.5.    Addresses of Medicare Australia, Schedule Interpretation and Changes to Provider Details

NEW SOUTH WALES
Medicare Australia Paramatta Office
130 George Street
PARRAMATTA NSW 2150
	VICTORIA
Medicare Australia Melbourne Office
Level 10
595 Collins Street
MELBOURNE VIC 3000	QUEENSLAND
Medicare Australia Brisbane Office
143 Turbot Street
BRISBANE QLD 4000	
SOUTH AUSTRALIA 
Medicare Australia Adelaide Office
209 Greenhill Road
EASTWOOD SA 5063
	WESTERN AUSTRALIA
Medicare Australia Perth Office
Level 4
130 Stirling Street
PERTH  WA  6003
	TASMANIA
Medicare Australia Hobart Office
199 Collins Street
HOBART TAS 7000	
NORTHERN TERRITORY
As per South Australia
	AUSTRALIAN CAPITAL TERRITORY
Medicare Australia National Office
134 Reed Street North 
GREENWAY  ACT  2901

Schedule Interpretations
The day-to-day administration and payment of benefits under the Medicare arrangements is the responsibility of Medicare Australia.  Inquiries concerning matters of interpretation of Schedule items should be directed to Medicare Australia and not to the Department of Health and Ageing.  The following telephone numbers have been reserved by Medicare Australia exclusively for inquiries relating to the Schedule:

Provider Enquiries: 132 150
Public Enquiries: 132 011

Changes to Provider Details
It is important that Medicare Australia be notified promptly of changes to practice addresses to ensure correct provider details for each practice location.  Changes to practice address details can be made in writing to the Medicare Australia office, listed above, in the State of the practice location.

G.3.1.    Patient eligibility for Medicare
An "eligible person" is a person who resides permanently in Australia. This includes New Zealand citizens and holders of permanent residence visas.  Applicants for permanent residence may also be eligible persons, depending on circumstances.  Eligible persons must enrol with Medicare before they can receive Medicare benefits.

Medicare covers services provided only in Australia.  It does not refund treatment or evacuation expenses overseas.

G.3.2.    Medicare cards
The green Medicare card is for people permanently in Australia. Cards may be issued for individuals or families.

The blue Medicare card bearing the words “INTERIM CARD” is for people who have applied for permanent residence.

Visitors from countries with which Australia has a Reciprocal Health Care Agreement receive a card bearing the words "RECIPROCAL HEALTH CARE"

G.3.3.    Visitors to Australia and temporary residents
Visitors and temporary residents in Australia are not eligible for Medicare and should therefore have adequate private health insurance.

G.3.4.    Reciprocal Health Care Agreements
Australia has Reciprocal Health Care Agreements with New Zealand, Ireland, the United Kingdom, the Netherlands, Sweden, Finland, Norway, Italy, Malta and Belgium.

Visitors from these countries are entitled to medically necessary treatment while they are in Australia, comprising public hospital care (as public patients), Medicare benefits and drugs under the Pharmaceutical Benefits Scheme (PBS).  Visitors must enroll with Medicare Australia to receive benefits.  A passport is sufficient for public hospital care and PBS drugs.

Exceptions:
•	Visitors from Ireland and New Zealand are entitled to public hospital care and PBS drugs, and should present their passports before treatment as they are not issued with Medicare cards.
•	Visitors from Italy and Malta are covered for a period of six months only.

The Agreements do not cover treatment as a private patient in a public or private hospital.  People visiting Australia for the purpose of receiving treatment are not covered.

G.4.1.    General Practice
Some MBS items may only be used by general practitioners.  For MBS purposes a general practitioner is a medical practitioner who is
(a)	vocationally registered under section 3F of the Health Insurance Act 1973 (see General Explanatory Note below); or
(b)	a Fellow of the Royal Australian College of General Practitioners (FRACGP), who participates in, and meets the requirements for the RACGP Quality Assurance and Continuing Medical Education Program; or
(c)	a Fellow of the Australian College of Rural and Remote Medicine (FACRRM) who participates in, and meets the requirements for the ACRRM Quality Assurance and Continuing Medical Education Program; or
(d)	is undertaking an approved general practice placement in a training program for either the award of FRACGP or a training program recognised by the RACGP being of an equivalent standard; or
(e)	is undertaking an approved general practice placement in a training program for either the award of FACRRM or a training program recognised by ACRRM as being of an equivalent standard.

A medical practitioner seeking recognition as an FRACGP should apply to Medicare Australia, having completed an application form available from Medicare Australia’s website.  A general practice trainee should apply to General Practice Education and Training Limited (GPET) for a general practitioner trainee placement.  GPET will advise Medicare Australia when a placement is approved.  General practitioner trainees need to apply for a provider number using the appropriate provider number application form available on Medicare Australia’s website.

Vocational recognition of general practitioners
The only qualifications leading to vocational recognition are FRACGP and FACRRM.  The criteria for recognition as a GP are:
(a)	certification by the RACGP that the practitioner
•	is a Fellow of the RACGP; and
•	practice is, or will be within 28 days, predominantly in general practice; and
•	has met the minimum requirements of the RACGP for taking part in continuing medical education and quality assurance programs.

(b)	certification by the General Practice Recognition Eligibility Committee (GPREC) that the practitioner
•	is a Fellow of the RACGP; and
•	practice is, or will be within 28, predominantly in general practice; and
•	has met minimum requirements of the RACGP for taking part in continuing medical education and quality assurance programs.

(c)	certification by ACRRM that the practitioner
•	is a Fellow of ACRRM; and
•	has met the minimum requirements of the ACRRM for taking part in continuing medical education and quality assurance programs.

In assessing whether a practitioner’s medical practice is predominantly in general practice, the practitioner must have at least 50% of clinical time and services claimed against Medicare. Regard will also be given as to whether the practitioner provides a comprehensive primary medical service, including treating a wide range of patients and conditions using a variety of accepted medical skills and techniques, providing services away from the practitioner's surgery on request, for example, home visits and making appropriate provision for the practitioner's patients to have access to after hours medical care.

Further information on eligibility for recognition should be directed to:

Program Relations Officer, RACGP
Tel: (03) 8699 0494 	Email at: qacpd@racgp.org.au

Secretary, General Practice Recognition Eligibility Committee:
Tel: (02) 6124 6753   Email at co.medicare.eligibility@medicareaustralia.gov.au

Executive Assistant, ACRRM:
Tel: (07) 3105 8200 	Email at acrrm@acrrm.org.au

How to apply for vocational recognition
Medical practitioners seeking vocational recognition should apply to Medicare Australia using the approved Application Form available on the Medicare Australia website: www.medicareaustralia.gov.au.  Applicants should forward their applications, as appropriate, to
Chief Executive Officer
The Royal Australian College of General Practitioners
College House
1 Palmerston Crescent
SOUTH MELBOURNE VIC 3205

Chief Executive Officer
Australian College of Rural and Remote Medicine
GPO Box 2507
BRISBANE QLD 4001

Secretary
The General Practice Recognition Eligibility Committee
Medicare Australia
PO Box 1001
TUGGERANONG ACT 2901

The relevant body will forward the application together with its certification of eligibility to the Medicare Australia CEO for processing.

Continued vocational recognition is dependent upon:
(a)	the practitioner’s practice continuing to be predominantly in general practice (for medical practitioners in the Register only);  and
(b)	the practitioner continuing to meet minimum requirements for participation in continuing professional development programs approved by the RACGP or the ACRRM.

Further information on continuing medical education and quality assurance requirements should be directed to the RACGP or the ACRRM depending on the college through which the practitioner is pursuing, or is intending to pursue, continuing medical education.

Medical practitioners refused certification by the RACGP, the ACRRM or GPREC may appeal in writing to the General Practice Recognition Appeal Committee (GPRAC), Medicare Australia, PO Box 1001, Tuggeranong, ACT, 2901.

Removal of vocational recognition status
A medical practitioner may at any time request Medicare Australia to remove their name from the Vocational Register of General Practitioners.

Vocational recognition status can also be revoked if the RACGP, the ACRRM or GPREC certifies to Medicare Australia that it is no longer satisfied that the practitioner should remain vocationally recognised.  Appeals of the decision to revoke vocational recognition may be made in writing to GPRAC, at the above address.

A practitioner whose name has been removed from the register, or whose determination has been revoked for any reason must make a formal application to re-register, or for a new determination.

G.5.1.    Recognition as a Specialist or Consultant Physician
A medical practitioner who:
•	is registered as a specialist under State or Territory law; or
•	holds a fellowship of a specified specialist College and has obtained, after successfully completing an appropriate course of study, a relevant qualification from a relevant College
and has formally applied and paid the prescribed fee, may be recognised by the Minister as a specialist or consultant physician for the purposes of the Health Insurance Act 1973.

A relevant specialist College may also give Medicare Australia’s Chief Executive Officer a written notice stating that a medical practitioner meets the criteria for recognition.

A medical practitioner who is training for a fellowship of a specified specialist College and is undertaking training placements in a private hospital or in general practice, may provide services which attract Medicare rebates.  Specialist trainees should consult the information available at www.medicareaustralia.gov.au.

Once the practitioner is recognised as a specialist or consultant physician for the purposes of the Health Insurance Act 1973, Medicare benefits will be payable at the appropriate higher rate for services rendered in the relevant speciality, provided the patient has been appropriately referred to them.

Further information about applying for recognition is available at www.medicareaustralia.gov.au.

G.5.2.    Emergency Medicine
A practitioner will be acting as an emergency medicine specialist when treating a patient within 30 minutes of  the patient’s presentation, and that patient is
(a)	at risk of serious morbidity or mortality requiring urgent assessment and resuscitation; or
(b)	suffering from suspected acute organ or system failure; or
(c)	suffering from an illness or injury where the viability or function of a body part or organ is acutely threatened; or
(d)	suffering from a drug overdose, toxic substance or toxin effect; or
(e)	experiencing severe psychiatric disturbance whereby the health of the patient or other people is at immediate risk; or
(f)	suffering acute severe pain where the viability or function of a body part or organ is suspected to be acutely threatened; or
(g)	suffering acute significant haemorrhage requiring urgent assessment and treatment; and 
(h)	treated in, or via, a bona fide emergency department in a hospital.

Benefits are not payable where such services are rendered in the accident and emergency departments or outpatient departments of public hospitals.

G.6.1.    Referral Of Patients To Specialists Or Consultant Physicians
For certain services provided by specialists and consultant physicians, the Medicare benefit payable is dependent on acceptable evidence that the service has been provided following referral from another practitioner.

A reference to a referral in this Section does not refer to written requests made for pathology services or diagnostic imaging services.

What is a Referral?
A "referral" is a request to a specialist or a consultant physician for investigation, opinion, treatment and/or management of a condition or problem of a patient or for the performance of a specific examination(s) or test(s).

Subject to the exceptions in the paragraph below, for a valid "referral" to take place
(i)	the referring practitioner must have undertaken a professional attendance with the patient and turned his or her mind to the patient's need for referral and have communicated relevant information about the patient to the specialist or consultant physician (this need not mean an attendance on the occasion of the referral);
(ii)	the instrument of referral must be in writing as a letter or note to a specialist or to a consultant physician and must be signed and dated by the referring practitioner; and
(iii)	the specialist or consultant physician to whom the patient is referred must have received the instrument of referral on or prior to the occasion of the professional service to which the referral relates.

The exceptions to the requirements in paragraph above are that
(a) sub-paragraphs (i), (ii) and (iii) do not apply to
-	a pre-anaesthesia consultation by a specialist anaesthetist (items 16710-17625);
(b) sub‑paragraphs (ii) and (iii) do not apply to
-	a referral generated during an episode of hospital treatment, for a service provided or arranged by that hospital, where the hospital records provide evidence of a referral (including the referring practitioner's signature); or 
-	an emergency where the referring practitioner or the specialist or the consultant physician was of the opinion that the service be rendered as quickly as possible; and
(c) sub‑paragraph (iii) does not apply to instances where a written referral was completed by a referring practitioner but was lost, stolen or destroyed.

Examination by Specialist Anaesthetists
A referral  is not required in the case of  pre-anaesthesia consultation items 17610-17625. However, for benefits to be payable at the specialist rate for consultations, other than pre-anaesthesia consultations by specialist anaesthetists (items 17640 -17655) a referral is required.

Who can Refer?
The general practitioner is regarded as the primary source of referrals.  Cross-referrals between specialists and/or consultant physicians should usually occur in consultation with the patient's general practitioner.

Referrals by Dentists or Optometrists or Participating Midwives or Participating Nurse Practitioners
For Medicare benefit purposes, a referral may be made to
(i)	a recognised specialist:
(a)	by a registered dental practitioner, where the referral arises from a dental service; or
(b)	by a registered optometrist where the specialist is an ophthalmologist; or
(c) by a participating midwife where the specialist is an obstetrician or a paediatrician, as clinical needs dictate.  A referral given by a participating midwife is valid until 12 months after the first service given in accordance with the referral and for I pregnancy only or
(d) by a participating nurse practitioner to specialists and consultant physicians.  A referral given by a participating nurse practitioner is valid until 12 months after the first service given in accordance with the referral.

(ii)	a consultant physician, by an approved dental practitioner (oral surgeon), where the referral arises out of a dental service.

In any other circumstances (i.e. a referral to a consultant physician by a dentist, other than an approved oral surgeon, or an optometrist, or a referral by an optometrist to a specialist other than a specialist ophthalmologist), it is not a valid referral.  Any resulting consultant physician or specialist attendances will attract Medicare benefits at unreferred rates.

Registered dentists and registered optometrists may refer themselves to specialists in accordance with the criteria above, and Medicare benefits are payable at the levels which apply to their referred patients.

Billing
Routine Referrals
In addition to providing the usual information required to be shown on accounts, receipts or assignment forms, specialists and consultant physicians must provide the following details (unless there are special circumstances as indicated in paragraph below):-
•	-	name and either practice address or provider number of the referring practitioner;
•	-	date of referral; and
•	-	period of referral (when other than for 12 months) expressed in months, eg "3", "6" or "18" months, or "indefinitely" should be shown.

Special Circumstances
(i) Lost, stolen or destroyed referrals.
If a referral has been made but the letter or note of referral has been lost, stolen or destroyed, benefits will be payable at the referred rate if the account, receipt or the assignment form shows the name of the referring medical practitioner, the practice address or provider number of the referring practitioner (if either of these are known to the consultant physician or specialist) and the words 'Lost referral'.  This provision only applies to the initial attendance.  For subsequent attendances to attract Medicare benefits at the referred rate a duplicate or replacement letter of referral must be obtained by the specialist or the consultant physician.

(ii) Emergencies
If the referral occurred in an emergency, benefit will be payable at the referred rate if the account, receipt or assignment form is endorsed 'Emergency referral'.  This provision only applies to the initial attendance.  For subsequent attendances to attract Medicare benefits at the referred rate the specialist/consultant physician must obtain a letter of referral.

(iii) Hospital referrals. 
Private Patients - Where a referral is generated during an episode of hospital treatment for a service provided or arranged by that hospital, benefits will be payable at the referred rate if the account, receipt or assignment form is endorsed 'Referral within (name of hospital)' and the patient's hospital records show evidence of the referral (including the referring practitioner's signature). However, in other instances where a medical practitioner within a hospital is involved in referring a patient (e.g. to a specialist or a consultant physician in private rooms) the normal referral arrangements apply, including the requirement for a referral letter or note and its retention by the specialist or the consultant physician billing for the service.

Public Hospital Patients 
State and Territory Governments are responsible for the provision of public hospital services to eligible persons in accordance with the National Healthcare Agreement.

Bulk Billing
Bulk billing assignment forms should show the same information as detailed above.   However, faster processing of the claim will be facilitated where the provider number (rather than the practice address) of the referring practitioner is shown.

Period for which Referral is Valid
The referral is valid for the period specified in the referral which is taken to commence on the date of the specialist’s or consultant physician’s first service covered by that referral.

Specialist Referrals
Where a referral originates from a specialist or a consultant physician, the referral is valid for 3 months, except where the referred patient is an admitted patient.  For admitted patients, the referral is valid for 3 months or the duration of the admission whichever is the longer.

As it is expected that the patient’s general practitioner will be kept informed of the patient’s progress, a referral from a specialist or a consultant physician must include the name of the patient’s general practitioners and/or practice. Where a patient is unable or unwilling to nominate a general practitioner or practice this must be stated in the referral.

Referrals by other Practitioners
Where the referral originates from a practitioner other than those listed in Specialist Referrals, the referral is valid for a period of 12 months, unless the referring practitioner indicates that the referral is for a period more or less than 12 months (eg. 3, 6 or 18 months or valid indefinitely). Referrals for longer than 12 months should only be used where the patient’s clinical condition requires continuing care and management of a specialist or a consultant physician for a specific condition or specific conditions.

Definition of a Single Course of Treatment
A single course of treatment involves an initial attendance by a specialist or consultant physician and the continuing management/treatment up to the stage where the patient is referred back to the care of the referring practitioner.  It also includes any subsequent review of the patient's condition by the specialist or the consultant physician that may be necessary. Such a review may be initiated by either the referring practitioner or the specialist/consultant physician.

The presentation of an unrelated illness, requiring the referral of the patient to the specialist's or the consultant physician's care would initiate a new course of treatment in which case a new referral would be required.

The receipt by a specialist or consultant physician of a new referral following the expiration of a previous referral for the same condition(s) does not necessarily indicate the commencement of a new course of treatment involving the itemisation of an initial consultation.  In the continuing management/treatment situation the new referral is to facilitate the payment of benefits at the specialist or the consultant physician referred rates rather than the unreferred rates.

However, where the referring practitioner:-
(a)	deems it necessary for the patient's condition to be reviewed; and
(b)	the patient is seen by the specialist or the consultant physician outside the currency of the last referral; and
(c)	the patient was last seen by the specialist or the consultant physician more than 9 months earlier
the attendance following the new referral initiates a new course of treatment for which Medicare benefit would be payable at the initial consultation rates.

Retention of Referral Letters
The prima facie evidence that a valid referral exists is the provision of the referral particulars on the specialist's or the consultant physician's account.

A specialist or a consultant physician is required to retain the instrument of referral (and a hospital is required to retain the patient's hospital records which show evidence of a referral) for 18 months from the date the service was rendered.

A specialist or a consultant physician is required, if requested by the Medicare Australia CEO, to produce to a medical practitioner who is an employee of Medicare Australia, the instrument of referral within seven days after the request is received. Where the referral originates in an emergency situation or in a hospital, the specialist or consultant physician is required to produce such information as is in his or her possession or control relating to whether the patient was so treated.

Attendance for Issuing of a Referral
Medicare benefit is attracted for an attendance on a patient even where the attendance is solely for the purpose of issuing a referral letter or note.  However, if a medical practitioner issues a referral without an attendance on the patient, no benefit is payable for any charge raised for issuing the referral.

Locum‑tenens Arrangements
It should be noted that where a non-specialist medical practitioner acts as a locum‑tenens for a specialist or consultant physician, or where a specialist acts as a locum‑tenens for a consultant physician, Medicare benefit is only payable at the level appropriate for the particular locum‑tenens, eg, general practitioner level for a general practitioner locum‑tenens and specialist level for a referred service rendered by a specialist locum tenens.

Medicare benefits are not payable where a practitioner is not eligible to provide services attracting Medicare benefits acts as a locum-tenens for any practitioner who is eligible to provide services attracting Medicare benefits.  

Fresh referrals are not required for locum‑tenens acting according to accepted medical practice for the principal of a practice ie referrals to the latter are accepted as applying to the former and benefit is not payable at the initial attendance rate for an attendance by a locum‑tenens if the principal has already performed an initial attendance in respect of the particular instrument of referral.

Self Referral
Medical practitioners may refer themselves to consultant physicians and specialists and Medicare benefits are payable at referred rates.

G.7.1.    Billing procedures
Itemised Accounts
Where the doctor bills the patient for medical services rendered, the patient needs a properly itemised account/receipt to claim   Medicare benefits.

Under the provisions of the Health Insurance Act 1973 and Regulations, a Medicare benefit is not payable for a professional service unless it is recorded on the account setting out the fee for the service or on the receipt for the fee in respect of the service, the following particulars
i.	patient's name;
ii.	the date the professional service was rendered;
iii.	the amount charged for the service;
iv.	the total amount paid in respect of the service;
v.	any amount outstanding in respect of the service;
vi.	for professional services rendered to a patient as part of an episode of hospital treatment; an asterisk '*' directly after an item number where used; or a description of the professional service sufficient to identify the item that relates to that service,  preceded by the words 'admitted patient' ;
vii.	for professional services rendered as part of a privately insured episode of hospital-substitute treatment and the patient who receives the treatment chooses to receive a benefit from a private health insurer, the words ‘hospital-substitute treatment’ directly after an item number where used; or a description of the professional service sufficient to identify the item that relates to that service, preceded by the words ‘hospital-substitute treatment’;
viii.	the name and practice address or name and provider number of the practitioner who actually rendered the service; (where the practitioner has more than one practice location recorded with Medicare Australia, the provider number used should be that which is applicable to the practice location at or from which the service was given); 
ix.	the name and practice address or name and provider number of the practitioner claiming or receiving payment of benefits, or assignment of benefit:‑
a.	for services in Groups A1 to A14, D1, T1, T4 to T9 of the General Medical Services, Groups O1 to O7 (Oral and Maxillofacial services), and Group P9 of Pathology ‑ where the person claiming payment is NOT the person who rendered the service;
b.	for services in Groups D2, T2, T3, I2, to I5 ‑ for every service;
x.	if the service was a Specified Simple Basic Pathology Test (listed in Category 6 ‑ Pathology, Group P9 of the Schedule) that was determined necessary by a practitioner who is another member of the same group medical practice, the surname and initials of that other practitioner;
xi.	where a practitioner has attended the patient on more than one occasion on the same day and on each occasion rendered a professional service to which an item in Category 1 of the Medicare Benefits Schedule relates (i.e. professional attendances), the time at which each such attendance commenced; and
xii.	where the professional service was rendered by a consultant physician or a specialist in the practice of his/her speciality to a patient who has been referred:‑ (a) the name of the referring medical practitioner; (b) the address of the place of practice or provider number for that place of practice; (c) the date of the referral; and (d) the period of referral (where other than for 12 months) expressed in months, e.g. "3", "6" or "18" months, or "indefinitely".

NOTE: If the information required to be recorded on accounts, receipts or assignment of benefit forms is included by an employee of the practitioner, the practitioner claiming payment for the service bears responsibility for the accuracy and completeness of the information. 

Practitioners should note that payment of claims could be delayed or disallowed where it is not possible from account details to clearly identify the service as one which qualifies for Medicare benefits, or the practitioner as a registered medical practitioner at the address the service was rendered.  Practitioners are therefore encouraged to provide as much detail as possible on their accounts, including Medicare Benefits Schedule item number and provider number.

The Private Health Insurance Act 2007 provides for the payment of private health insurance benefits for hospital treatment and general treatment. Hospital treatment is treatment that is intended to manage a disease, injury or condition that is provided to a person by a hospital or arranged with the direct involvement of a hospital. General treatment is treatment that is intended to manage or prevent a disease, injury or condition and is not hospital treatment. Hospital-substitute treatment is a sub-set of General Treatment and a direct substitute for an episode of hospital treatment. Health insurers can cover specific professional services as hospital-substitute treatment in accordance with the Private Health Insurance (Health Insurance Business) Rules.

Claiming of Benefits
The patient, upon receipt of a doctor's account, has three courses open for paying the account and receiving benefits.

Paid Accounts
The patient may pay the account and subsequently present the receipt at a Medicare customer service centre for assessment and payment of the Medicare benefit in cash.

In these circumstances, where a claimant personally attends a Medicare office to obtain a cash or EFT deposit for the payment of Medicare benefits, the claimant is not required to complete a Medicare Patient Claim Form (PC1).

A Medicare patient claim form (PC1) must be completed where the claimant is mailing his/her claim for a cheque or EFT payment of Medicare benefits or arranging for an agent to collect cash on the claimant’s behalf at a Medicare office.

Alternatively a patient may lodge their claim electronically from the doctors’ surgery using Medicare Australia’s Online claiming.

Claims for professional services rendered as part of an episode of hospital-substitute treatment should be submitted to the health insurer in the first instance for the payment of private health insurance benefits. The insurer of the patient will forward the claim to Medicare Australia for the payment of Medicare benefits

Unpaid and Partially Paid Accounts
Where the patient has not paid the account, the unpaid account may be presented to Medicare with a Medicare claim form. In this case Medicare will forward to the claimant a benefit cheque made payable to the doctor.

It will be the patient's responsibility to forward the cheque to the doctor and make arrangements for payment of the balance of the account if any. "Pay doctor" cheques involving Medicare benefits, must (by law), not be sent direct to medical practitioners or to patients at a doctor’s address (even when the claimant requests this). “Pay doctor” cheques are required to be forwarded to the claimant’s last known address.

When issuing a receipt to a patient for an account that is being paid wholly or in part by a Medicare "pay doctor" cheque the medical practitioner should indicate on the receipt that a "Medicare" cheque for $...... was included in the payment of the account.

Where a patient has reached the relevant extended Medicare safety net threshold, the Medicare benefit payable is the Medicare rebate for the service plus 80% of the out-of-pocket cost of the service (ie difference between the fee charged by the doctor and the Medicare rebate). However, where the item has an EMSN benefit cap, there is a maximum limit on the EMSN benefit that will be paid for that item. The patient must pay at least 20% of the out-of-pocket cost of the account before extended Medicare safety net benefits become payable for the out-of-pocket cost. Medicare will apportion the benefit accordingly.

Claims for professional services rendered as part of an episode of hospital-substitute treatment should be submitted to the health insurer in the first instance for the payment of private health insurance benefits. The insurer of the patient will forward the claim to Medicare Australia for the payment of Medicare benefits.

Assignment of Benefit (Direct – Billing) Arrangements
Under the Health Insurance Act an Assignment of Benefit (direct-billing) facility for professional services is available to all persons in Australia who are eligible for benefit under the Medicare program. This facility is NOT confined to pensioners or people in special need.  

If a medical practitioner direct-bills, he/she undertakes to accept the relevant Medicare benefit as full payment for the service. Additional charges for that service (irrespective of the purpose or title of the charge) cannot be raised against the patient, with the exception of certain vaccines. 

Under these arrangements:‑
•	the patient's Medicare number must be quoted on all direct‑bill assignment forms for that patient;
•	the assignment forms provided are loose leaf to enable the patient details to be imprinted from the Medicare Card;
•	the forms include information required by Regulations under Section 19(6) of the Health Insurance Act;
•	the doctor must cause the particulars relating to the professional service to be set out on the assignment form, before the patient signs the form and cause the patient to receive a copy of the form as soon as practicable after the patient signs it;
Where a patient is unable to sign the assignment form: 
•	the signature of the patient's parent, guardian or other responsible person (other than the doctor, doctor's staff, hospital proprietor, hospital staff, residential aged care facility proprietor or residential aged care facility staff) is acceptable; or
•	In the absence of a "responsible person" the patient signature section should be left blank. 

Where the signature space is either left blank or another person signs on the patient's behalf, the form must include:
•	the notation “Patient unable to sign” and  
•	in the section headed 'Practitioner's Use', an explanation should be given as to why the patient was unable to sign (e.g. unconscious, injured hand etc.) and this note should be signed or initialled by the doctor.  If in the opinion of the practitioner the reason is of such a "sensitive" nature that revealing it would constitute an unacceptable breach of patient confidentiality or unduly embarrass or distress the recipient of the patient's copy of the assignment of benefits form, a concessional reason "due to medical condition" to signify that such a situation exists may be substituted for the actual reason.  However, this should not be used routinely and in most cases it is expected that the reason given will be more specific.

Where the patient is direct-billed, an additional charge can ONLY be raised against the patient by the practitioner where the patient is provided with a vaccine/vaccines from the practitioner’s own supply held on the practitioner’s premises.  This exemption only applies to general practitioners and other non-specialist practitioners in association with attendance items 3 to 96 and 5000 to 5267 (inclusive) and only relates to vaccines that are not available to the patient free of charge through Commonwealth or State funding arrangements or available through the Pharmaceutical Benefits Scheme.  The additional charge must only be to cover the supply of the vaccine.

Use of Medicare Cards in Direct Billing
The Medicare card plays an important part in direct billing as it can be used to imprint the patient details (including Medicare number) on the assignment forms.   A special Medicare imprinter is used for this purpose and is available free of charge, on request, from Medicare.

The patient details can, of course, be entered on the assignment forms by hand, but the use of a card to imprint patient details assists practitioners and ensures accuracy of information.  The latter is essential to ensure that the processing of a claim by Medicare is expedited.

The Medicare card number must be quoted on assignment forms.  If the number is not available, then the direct-billing facility should not be used.  To do so would incur a risk that the patient may not be eligible and Medicare benefits not payable. 

Where a patient presents without a Medicare card and indicates that he/she has been issued with a card but does not know the details, the practitioner may contact a Medicare telephone enquiry number to obtain the number.

It is important for the practitioner to check the eligibility of patients to Medicare benefits by reference to the card, as enrolees have entitlement limited to the date shown on the card and some enrolees, eg certain visitors to Australia, have restricted access to Medicare.

Assignment of Benefit Forms
To meet varying requirements the following types of stationery are available from Medicare Australia.   Note that these are approved forms under the Health Insurance Act, and no other forms can be used to assign benefits without the approval of Medicare Australia.
1.	Form DB2-GP.  This form is designed for the use of optical scanning equipment and is used to assign benefits for General Practitioner Services other than requested pathology, specialist and optometrical services.  It is loose leaf for imprinting and comprises a throw away cover sheet (after imprinting), a Medicare copy, a Practitioner copy and a Patient copy.  There are 4 pre-printed items with provision for two other items. The form can also be used as an "offer to assign" when a request for pathology services is sent to an approved pathology practitioner and the patient does not attend the laboratory.
2.	Form DB2-OP.  This form is designed for the use of optical scanning equipment and is used to assign benefits for optometrical services.  It is loose leaf to enable imprinting of patient details from the Medicare card and is similar in most respects to Form DB2-GP, except for content variations.  This form may not be used as an offer to assign pathology services.
3.	Form DB2-OT.  This form is designed for the use of optical scanning equipment and is used to assign benefits for all specialist services.  It is loose leaf to enable imprinting of patient details from the Medicare card and is similar in most respects to Form DB2-GP, except for content variations.   There are no pre-printed items on this form.
4.	Form DB3.  This is used to assign or offer to assign benefits for pathology tests rendered by approved pathology practitioners.  It is loose leaf to enable imprinting of patient details from the Medicare card and is similar in most respects to Form DB2, except for content variations.  The form may not be used for services other than pathology.
5.	Form DB4.  This is a continuous stationery version of the DB2, and has been designed for use on most office accounting machines.
6.	Form DB5.  This is a continuous stationery form for pathology services which can be used on most office machines.  It cannot be used to assign benefits and must therefore be accompanied by an offer to assign (Form DB2, DB3 or DB4) or other form approved by Medicare Australia for that purpose.

The Claim for Assigned Benefits (Form DB1N, DB1H)
Practitioners who accept assigned benefits must claim from Medicare using either Claim for Assigned Benefits form DB1N or DB1H.  The DB1N form should be used where services are rendered to persons for treatment provided out of hospital or day hospital treatment.  The DB1H form should be used where services are rendered to persons while hospital treatment is provided in a hospital or day hospital facility (other than public patients).  Both forms have been designed to enable benefit for a claim to be directed to a practitioner other than the one who rendered the services.  The facility is intended for use in situations such as where a short term locum is acting on behalf of the principal doctor and setting the locum up with a provider number and pay‑group link for the principal doctor's practice is impractical.  Practitioners should note that this facility cannot be used to generate payments to or through a person who does not have a provider number. 

Each claim form must be accompanied by the assignment forms to which the claim relates.

The DB1N and DB1H are also loose leaf to enable imprinting of practitioner details using the special Medicare imprinter. For this purpose, practitioner cards, showing the practitioner's name, practice address and provider number are available from Medicare on request.

Direct‑Bill Stationery (Forms DB6Ba & DB6Bb)
Medical practitioners wishing to direct‑bill may obtain information on direct‑bill stationery by telephoning 132150.
•	Form DB6Ba.  This form is used to order larger stocks of forms DB3, DB4 and DB5 (and where a practitioner uses these forms, DB1N and DB1H), kits for optical scanning stationery (which comprises DB2’s (GP, OP and OT)), DB1’s pre addressed envelopes and an instruction sheet for the use of direct-bill scanning stationery.
•	Form DB6Bb.  This form is used to order stocks of forms and additional products (including Medicare Safety Net forms and promotional material).  These forms are available from Medicare. 

Time Limits Applicable to Lodgement of Claims for Assigned Benefits 
A time limit of two years applies to the lodgement of claims with Medicare under the direct‑billing (assignment of benefits) arrangements.  This means that Medicare benefits are not payable for any service where the service was rendered more than two years earlier than the date the claim was lodged with Medicare.

Provision exists whereby in certain circumstances (eg hardship cases, third party workers' compensation cases), the Minister may waive the time limits.  Special forms for this purpose are available, if required, from the processing centre to which assigned claims are directed.

G.8.1.    Provision for review of individual health professionals
The Professional Services Review (PSR) reviews and investigates service provision by health practitioners to determine if they have engaged in inappropriate practice when rendering or initiating Medicare services, or when prescribing or dispensing under the PBS.

Section 82 of the Health Insurance Act 1973 defines inappropriate practice as conduct that is such that a PSR Committee could reasonably conclude that it would be unacceptable to the general body of the members of the profession in which the practitioner was practicing when they rendered or initiated the services under review.  It is also an offence under Section 82 for a person or officer of a body corporate to knowingly, recklessly or negligently cause or permit a practitioner employed by the person to engage in such conduct.

Medicare Australia monitors health practitioners’ claiming patterns. Where Medicare Australia detects an anomaly, it may request the Director of PSR to review the practitioner’s service provision.  On receiving the request, the Director must decide whether to a conduct a review and in which manner the review will be conducted.  The Director is authorized to require that documents and information be provided.

Following a review, the Director must:
decide to take no further action; or
enter into an agreement with the person under review (which must then be ratified by an independent Determining Authority); or
refer the matter to a PSR Committee.

A PSR Committee normally comprises three medically qualified members, two of whom must be members of the same profession as the practitioner under review.  However, up to two additional Committee members may be appointed to provide wider range of clinical expertise.

The Committee is authorized to:
investigate any aspect of the provision of the referred services, and without being limited by the reasons given in the review request or by a Director’s report following the review;
hold hearings and require the person under review to attend and give evidence;
require the production of documents (including clinical notes). 

The methods available to a PSR Committee to investigate and quantify inappropriate practice are specified in legislation:
(a)	Patterns of Services - The Health Insurance (Professional Services Review) Regulations 1999 specify that when a general practitioner or other medical practitioner reaches or exceeds 80 or more attendances on each of 20 or more days in a 12-month period, they are deemed to have practiced inappropriately.

A professional attendance means a service of a kind mentioned in group A1, A2, A5, A6, A7, A9, A11, A13, A14, A15, A16, A17, A18, A19, A20, A21, A22 or A23 of Part 3 of the General Medical Services Table.

If the practitioner can satisfy the PSR Committee that their pattern of service was as a result of exceptional circumstances, the quantum of inappropriate practice is reduce accordingly.  Exceptional circumstances include, but are not limited to, those set out in the Regulations.  These include: 

an unusual occurrence; 
the absence of other medical services for the practitioner’s patients (having regard to the practice location); and 
the characteristics of the patients.

(b)	Sampling - A PSR Committee may use statistically valid methods to sample the clinical or practice records.

(c)	Generic findings - If a PSR Committee cannot use patterns of service or sampling (for example, there are insufficient medical records), it can make a ‘generic’ finding of inappropriate practice.

Additional Information
A PSR Committee may not make a finding of inappropriate practice unless it has given the person under review notice of its intention to review them, the reasons for its findings, and an opportunity to respond.  In reaching their decision, a PSR Committee is required to consider whether or not the practitioner has kept adequate and contemporaneous patient records (See general explanatory note G15.1 for more information on adequate and contemporaneous patient records).

The practitioner under review is permitted to make submissions to the PSR Committee before key decisions or a final report is made.

If a PSR Committee finds that the person under review has engaged in inappropriate practice, the findings will be reported to the Determining Authority to decide what action should be taken:
(i)	a reprimand;
(ii)	counselling;
(iii)	repayment of Medicare benefits; and/or 
(iv)	complete or partial disqualification from Medicare benefit arrangements for up to three years. 

Further information is available from the PSR website - www.psr.gov.au

G.8.2.    Medicare Participation Review Committee
The Medicare Participation Review Committee determines what administrative action should be taken against a practitioner who:
(a)	has been successfully prosecuted for relevant criminal offences;
(b)	has breached an Approved Pathology Practitioner undertaking;
(c)	has engaged in prohibited diagnostic imaging practices; or
(d)	has been found to have engaged in inappropriate practice under the Professional Services Review scheme and has received Final Determinations on two (or more) occasions.

The Committee can take no further action, counsel or reprimand the practitioner, or determine that the practitioner be disqualified from Medicare for a particular period or in relation to particular services for up to five years.

Medicare benefits are not payable in respect of services rendered by a practitioner who has been fully disqualified, or partly disqualified in relation to relevant services under the Health Insurance Act 1973 (Section 19B applies).

G.8.3.    Referral of professional issues to regulatory and other bodies
The Health Insurance Act 1973 provides for the following referral, to an appropriate regulatory body:
i.	a significant threat to a person’s life or health, when caused or is being caused or is likely to be caused by the conduct of the practitioner under review; or
ii.	a statement of concerns of non-compliance by a practitioner with ‘professional standards’.

G.8.4.    Comprehensive Management Framework for the MBS
The Government announced the Comprehensive Management Framework for the MBS in the 2011-12 Budget to improve MBS management and governance into the future.  As part of this framework, the Medical Services Advisory Committee (MSAC) Terms of Reference and membership have been expanded to provide the Government with independent expert advice on all new proposed services to be funded through the MBS, as well as on all proposed amendments to existing MBS items.  Processes developed under the previously funded MBS Quality Framework are now being integrated with MSAC processes under the Comprehensive Management Framework for the MBS.

G.8.5.    Medical Services Advisory Committee
The Medical Services Advisory Committee (MSAC) advises the Minister on the strength of evidence relating to the safety, effectiveness and cost effectiveness of new and emerging medical services and technologies and under what circumstances public funding, including listing on the MBS, should be supported.

MSAC members are appointed by the Minister and include specialist practitioners, general practitioners, health economists, a health consumer representative, health planning and administration experts and epidemiologists.

For more information on the MSAC refer to their website – www.msac.gov.au or email on msac.secretariat@health.gov.au or by phoning the MSAC secretariat on (02) 6289 6811.

G.8.6.    Pathology Services Table Committee
This Pathology Services Table Committee comprises six representatives from the interested professions and six from the Australian Government.  Its primary role is to advise the Minister on the need for changes to the structure and content of the Pathology Services Table (except new medical services and technologies) including the level of fees.

G.8.7.    Medicare Claims Review Panel
There are MBS items which make the payment of Medicare benefits dependent on a ‘demonstrated’ clinical need.  Services requiring prior approval are those covered by items 11222, 11225, 12207, 12215, 12217, 14124, 21965, 21997, 30214, 32501, 42783, 42786, 42789, 42792, 45019, 45020, 45528, 45557, 45558, 45559, 45585, 45586, 45588, 45639.

Claims for benefits for these services should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.  

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed to:
The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

G.9.1.    Penalties and Liabilities
Penalties of up to $10,000 or imprisonment for up to five years, or both, may be imposed on any person who makes a statement (oral or written) or who issues or presents a document that is false or misleading in a material particular and which is capable of being used with a claim for benefits.  In addition, any practitioner who is found guilty of such offences by a court shall be subject to examination by a Medicare Participation Review Committee and may be counselled or reprimanded or may have services wholly or partially disqualified from the Medicare benefit arrangements.

A penalty of up to $1,000 or imprisonment for up to three months, or both, may be imposed on any person who obtains a patient's signature on a direct‑billing form without the obligatory details having been entered on the form before the person signs, or who fails to cause a patient to be given a copy of the completed form.

G.10.1.   Schedule fees and Medicare benefits
Medicare benefits are based on fees determined for each medical service.   The fee is referred to in these notes as the "Schedule fee".  The fee for any item listed in the MBS is that which is regarded as being reasonable on average for that service having regard to usual and reasonable variations in the time involved in performing the service on different occasions and to reasonable ranges of complexity and technical difficulty encountered.

In some cases two levels of fees are applied to the same service in General Medical Services, with each level of fee being allocated a separate item number.  The item identified by the letter "S" applies in the case where the procedure has been rendered by a recognised specialist in the practice of his or her speciality and the patient has been referred.  The item identified by the letter "G" applies in any other circumstances.

As a general rule Schedule fees are adjusted on an annual basis, usually in November.

The Schedule fee and Medicare benefit levels for the medical services contained in the MBS are located with the item descriptions.  Where appropriate, the calculated benefit has been rounded to the nearest higher 5 cents.  However, in no circumstances will the Medicare benefit payable exceed the fee actually charged.

There are presently three levels of Medicare benefit payable:
(a)	75% of the Schedule fee: 
i.	for professional services rendered to a patient as part of an episode of hospital treatment (other than public patients).  Medical practitioners must indicate on their accounts if a medical service is rendered in these circumstances by placing an asterisk ‘*’ directly after an item number where used; or a description of the professional service, preceded by the word ‘patient’;
ii.	for professional services rendered as part of an episode of hospital-substitute treatment, and the patient who receives the treatment chooses to receive a benefit from a private health insurer.  Medical practitioners must indicate on their accounts if a medical service is rendered in these circumstances by placing the words ‘hospital-substitute treatment’ directly after an item number where used; or a description of the professional service, preceded by the words ‘hospital-substitute treatment’.
(b)	100% of the Schedule fee for non-referred attendances by general practitioners to non-admitted patients and services provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner on behalf of a general practitioner.
(c)	85% of the Schedule fee, or the Schedule fee less $73.70 (indexed annually), whichever is the greater, for all other professional services.

Public hospital services are to be provided free of charge to eligible persons who choose to be treated as public patients in accordance with the National Healthcare Agreement.

A medical service rendered to a patient on the day of admission to, or day of discharge from hospital, but prior to admission or subsequent to discharge, will attract benefits at the 85% or 100% level, not 75%.  This also applies to a pathology service rendered to a patient prior to admission.  Attendances on patients at a hospital (other than patients covered by paragraph (i) above) attract benefits at the 85% level.

The 75% benefit level applies even though a portion of the service (eg. aftercare) may be rendered outside the hospital. With regard to obstetric items, benefits would be attracted at the 75% level where the confinement takes place in hospital.

Pathology tests performed after discharge from hospital on bodily specimens taken during hospitalisation also attract the 75% level of benefits.

It should be noted that private health insurers can cover the "patient gap" (that is, the difference between the Medicare rebate and the Schedule fee) for services attracting benefits at the 75% level.  Patient’s may insure with private health insurers for the gap between the 75% Medicare benefits and the Schedule fee or for amounts in excess of the Schedule fee where the doctor has an arrangement with their health insurer.

G.10.2.   Medicare safety nets
The Medicare Safety Nets provide families and singles with an additional rebate for out-of-hospital Medicare services, once annual thresholds are reached.  There are two safety nets: the original Medicare safety net and the extended Medicare safety net.

Original Medicare Safety Net:
Under the original Medicare safety net, the Medicare benefit for out-of-hospital services is increased to 100% of the Schedule Fee (up from 85%) once an annual threshold in gap costs is reached.  Gap costs refer to the difference between the Medicare benefit (85%) and the Schedule Fee. The threshold from 1 January 2012 is $413.50.  This threshold applies to all Medicare-eligible singles and families.  

Extended Medicare Safety Net:
Under the extended Medicare safety net (EMSN), once an annual threshold in out-of-pocket costs for out-of-hospital Medicare services is reached, Medicare will pay for 80% of any future out-of-pocket costs for out-of-hospital Medicare services for the remainder of the calendar year.  However, where the item has an EMSN benefit cap, there is a maximum limit on the EMSN benefit that will be paid for that item.  Further explanation about EMSN benefit caps is provided below.  Out-of-pocket costs refer to the difference between the Medicare benefit and the fee charged by the practitioner.

In 2012, the threshold for singles and families that hold Commonwealth concession card, families that received Family Tax Benefit Part (A) (FTB(A)) and families that qualify for notional FTB( A) is $598.80.  The threshold for all other singles and families is $1,198.00.

The thresholds for both safety nets are indexed on 1 January each year.

Individuals are automatically registered with Medicare Australia for the safety nets; however couples and families are required to register in order to be recognised as a family for the purposes on the safety nets.  In most cases, registered families have their expenses combined to reach the safety net thresholds.  This may help to qualify for safety net benefits more quickly. Registration forms can be obtained from Medicare Australia offices, or completed online at www.medicareaustralia.gov.au.

EMSN Benefit Caps:
The EMSN benefit cap is the maximum EMSN benefit payable for that item and is paid in addition to the standard Medicare rebate. Where there is an EMSN benefit cap in place for the item, the amount of the EMSN cap is displayed in the item descriptor.

Once the EMSN threshold is reached, each time the item is claimed the patient is eligible to receive up to the EMSN benefit cap.  As with the safety nets, the EMSN benefit cap only applies to out-of-hospital services.

Where the item has an EMSN benefit cap, the EMSN benefit is calculated as 80% of the out-of-pocket cost for the service.  If the calculated EMSN benefit is less than the EMSN benefit cap; then calculated EMSN rebate is paid. If the calculated EMSN benefit is greater than the EMSN benefit cap; the EMSN benefit cap is paid.

For example:

Item A has a Schedule fee of $100, the out-of-hospital benefit is $85 (85% of the Schedule fee). The EMSN benefit cap is $30.  Assuming that the patient has reached the EMSN threshold:

o	If the fee charged by the doctor for Item A is $125, the standard Medicare rebate is $85, with an out-of-pocket cost of $40. The EMSN benefit is calculated as $40 x 80% = $32. However, as the EMSN benefit cap is $30, only $30 will be paid.

o	If the fee charged by the doctor for Item A is $110, the standard Medicare rebate is $85, with an out-of-pocket cost of $25. The EMSN benefit is calculated as $25 x 80% = $20. As this is less than the EMSN benefit cap, the full $20 is paid.

G.11.1.   Services not listed in the MBS
Benefits are not generally payable for services not listed in the MBS.  However, there are some procedural services which are not specifically listed because they are regarded as forming part of a consultation or else attract benefits on an attendance basis.  For example, intramuscular injections, aspiration needle biopsy, treatment of sebhorreic keratoses and less than 10 solar keratoses by ablative techniques and closed reduction of the toe (other than the great toe).

Enquiries about services not listed or on matters of interpretation should be directed to Medicare Australia on 132 150.

G.11.2.   Ministerial Determinations
Section 3C of the Health Insurance Act 1973 empowers the Minister to determine an item and Schedule fee (for the purposes of the Medicare benefits arrangements) for a service not included in the health insurance legislation.  This provision may be used to facilitate payment of benefits for new developed procedures or techniques where close monitoring is desirable.  Services which have received section 3C approval are located in their relevant Groups in the MBS with the notation "(Ministerial Determination)".

G.12.1.   Professional services
Professional services which attract Medicare benefits include medical services rendered by or “on behalf of” a medical practitioner.  The latter include services where a part of the service is performed by a technician employed by or, in accordance with accepted medical practice, acting under the supervision of the medical practitioner.

The Health Insurance Regulations 1975 specify that the following medical services will attract benefits only if they have been personally performed by a medical practitioner on not more than one patient on the one occasion (i.e. two or more patients cannot be attended simultaneously, although patients may be seen consecutively), unless a group session is involved (i.e. Items 170‑172).  The requirement of "personal performance" is met whether or not assistance is provided, according to accepted medical standards:-

(a)	All Category 1 (Professional Attendances) items (except 170‑172, 342-346);
(b)	Each of the following items in Group D1 (Miscellaneous Diagnostic):- 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11627, 11701, 11712, 11724, 11921, 12000, 12003;
(c)	All Group T1 (Miscellaneous Therapeutic) items (except 13020, 13025, 13200-13206, 13212-13221, 13703, 13706, 13709, 13750-13760, 13915-13948, 14050, 14053, 14218, 14221 and 14224);
(d)	Item 15600 in Group T2 (Radiation Oncology);
(e) 	All Group T3 (Therapeutic Nuclear Medicine) items; 
(f)	All Group T4 (Obstetrics) items (except 16400 and 16514);
(g)	All Group T6 (Anaesthetics) items;
(h)	All Group T7 (Regional or Field Nerve Block) items;
(i)	All Group T8 (Operations) items;
(j)	All Group T9 (Assistance at Operations) items;
(k)	All Group T10 (Relative Value Guide for Anaesthetics) items.

For the group psychotherapy and family group therapy services covered by Items 170, 171, 172,  342, 344 and 346, benefits are payable only if the services have been conducted personally by the medical practitioner.

Medicare benefits are not payable for these group items or any of the items listed in (a) ‑ (k) above when the service is rendered by a medical practitioner employed by the proprietor of a hospital (not being a private hospital), except where the practitioner is exercising their right of private practice, or is performing a medical service outside the hospital.  For example, benefits are not paid when a hospital intern or registrar performs a service at the request of a staff specialist or visiting medical officer.

G.12.2.   Services rendered on behalf of medical practitioners
Medical services in Categories 2 and 3 not included in the list above and Category 5 (Diagnostic Imaging) services continue to attract Medicare benefits if the service is rendered by:‑
(a)	the medical practitioner in whose name the service is being claimed;
(b)	a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.

See Category 6 Notes for Guidance for arrangements relating to Pathology services.

So that a service rendered by an employee or under the supervision of a medical practitioner may attract a Medicare rebate, the service must be billed in the name of the practitioner who must accept full responsibility for the service.   Medicare Australia must be satisfied with the employment and supervision arrangements.  While the supervising medical practitioner need not be present for the entire service, they must have a direct involvement in at least part of the service.  Although the supervision requirements will vary according to the service in question, they will, as a general rule, be satisfied where the medical practitioner has:-
(a)	established consistent quality assurance procedures for the data acquisition; and
(b)	personally analysed the data and written the report. 

Benefits are not payable for these services when a medical practitioner refers patients to self‑employed medical or paramedical personnel, such as radiographers and audiologists, who either bill the patient or the practitioner requesting the service.

G.12.3.   Mass immunisation
Medicare benefits are payable for a professional attendance that includes an immunisation, provided that the actual administration of the vaccine is not specifically funded through any other Commonwealth or State Government program, nor through an international or private organisation.

The location of the service, or advertising of it, or the number of patients presenting together for it, normally do not indicate a mass immunisation.

G.13.1.   Services which do not attract Medicare benefits
Services not attracting benefits
­	telephone consultations;
­	issue of repeat prescriptions when the patient does not attend the surgery in person;
­	group attendances (unless otherwise specified in the item, such as items 170, 171, 172, 342, 344 and 346);
­	non-therapeutic cosmetic surgery;
­	euthanasia and any service directly related to the procedure.  However, services rendered for counselling/assessment about euthanasia will attract benefits.

Medicare benefits are not payable where the medical expenses for the service
­	are paid/payable to a public hospital;
­	are for a compensable injury or illness for which the patient’s insurer or compensation agency has accepted liability. (Please note that if the medical expenses relate to a compensable injury/illness for which the insurer/compensation agency is disputing liability, then Medicare benefits are payable until the liability is accepted.);
­	are for a medical examination for the purposes of life insurance, superannuation, a provident account scheme, or admission to membership of a friendly society;
­	are incurred in mass immunisation (see General Explanatory Note 12 for further explanation).

Unless the Minister otherwise directs
Medicare benefits are not payable where:
­	the service is rendered by or on behalf of, or under an arrangement with the Australian Government, a State or Territory, a local government body or an authority established under Commonwealth, State or Territory law;
­	the medical expenses are incurred by the employer of the person to whom the service is rendered;
­	the person to whom the service is rendered is employed in an industrial undertaking and that service is rendered for  the purposes related to the operation of the undertaking; or
­	the service is a health screening service.
­	the service is a pre-employment screening service

Current regulations preclude the payment of Medicare benefits for professional services rendered in relation to or in association with: 
(a)	chelation therapy (that is, the intravenous administration of ethylenediamine tetra-acetic acid or any of its salts) other than for the treatment of heavy-metal poisoning;
(b)	the injection of human chorionic gonadotrophin in the management of obesity;
(c)	the use of hyperbaric oxygen therapy in the treatment of multiple sclerosis;
(d)	the removal of tattoos; 
(e)	the transplantation of a thoracic or abdominal organ, other than a kidney, or of a part of an organ of that kind; or the transplantation of a kidney in conjunction with the transplantation of a thoracic or other abdominal organ, or part of an organ of that kind;
(f)	the removal from a cadaver of kidneys for transplantation;
(g)	the administration of microwave (UHF radio wave) cancer therapy, including the intravenous injection of drugs used in the therapy.

Pain pumps for post-operative pain management
The cannulation and/or catheterisation of surgical sites associated with pain pumps for post-operative pain management cannot be billed under any MBS item.

The filling or re-filling of drug reservoirs of ambulatory pain pumps for post-operative pain  management  cannot be billed under any MBS items.

Non Medicare Services
An item in the range 1 to 10943 does not apply to the service described in that item if the service is provided at the same time as, or in connection with, any of the services specified below

(a)	Endoluminal gastroplication, for the treatment of gastro-oesophageal reflux disease;
(b)	Gamma knife surgery;
(c)	Intradiscal electro thermal arthroplasty;
(d)	Intravascular ultrasound (except where used in conjunction with intravascular brachytherapy);
(e)	Intro-articular viscosupplementation, for the treatment of osteoarthritis of the knee;
(f)	Low intensity ultrasound treatment, for the acceleration of bone fracture healing, using a bone growth stimulator;
(g)	Lung volume reduction surgery, for advanced emphysema;
(h)	Photodynamic therapy, for skin and mucosal cancer;
(i)	Placement of artificial bowel sphincters, in the management of faecal incontinence;
(j)	Selective internal radiation therapy for any condition other than hepatic metastases that are secondary to colorectal cancer;
(k)	Specific mass measurement of bone alkaline phosphatase;
(l)	Transmyocardial laser revascularisation;
(m)	Vertebral axial decompression therapy, for chronic back pain.
(n)	Autologous Chondrocyte Implantation and Matrix-induced Autologous Chondrocyte Implantation.
(o)	Vertebroplasty

Health Screening Services
Unless the Minister otherwise directs Medicare benefits are not payable for health screening services.  A health screening service is defined as a medical examination or test that is not reasonably required for the management of the medical condition of the patient.  Services covered by this proscription include such items as:
­	multiphasic health screening;
­	mammography screening (except as provided for in Items 59300/59303);
­	testing of fitness to undergo physical training program, vocational activities or weight reduction programs;
­	compulsory examinations and tests to obtain a flying, commercial driving or other licence;
­	entrance to schools and other educational facilities;
­	for the purposes of legal proceedings;
­	compulsory examinations for admission to aged persons' accommodation and pathology services associated with clinical ecology.

The Minister has directed that Medicare benefits be paid for the following categories of health screening:
­	a medical examination or test on a symptomless patient by that patient's own medical practitioner in the course of normal medical practice, to ensure the patient receives any medical advice or treatment necessary to maintain their state of health.  Benefits would be payable for the attendance and tests which are considered reasonably necessary according to patients individual circumstances (such as age, physical condition, past personal and family history).   For example, a Papanicolaou test in a woman (see General Explanatory note 13.6.4 for more information), blood lipid estimation where a person has a family history of lipid disorder.  However, such routine check up should not necessarily be accompanied by an extensive battery of diagnostic investigations;
­	a pathology service requested by the National Heart Foundation of Australia, Risk Evaluation Service;
­	age or health related medical examinations to obtain or renew a licence to drive a private motor vehicle;
­	a medical examination of, and/or blood collection from persons occupationally exposed to sexual transmission of disease, in line with conditions determined by the relevant State or Territory health authority, (one examination or collection per person per week).  Benefits are not paid for pathology tests resulting from the examination or collection;
­	a medical examination for a person as a prerequisite of that person becoming eligible to foster a child or children;
­	a medical examination being a requisite for Social Security benefits or allowances;
­	a medical or optometrical examination provided to a person who is an unemployed person (as defined by the Social Security Act 1991), as the request of a prospective employer.

The National Policy on screening for the Prevention of Cervical Cancer (endorsed by the Royal Australian College of General Practitioners, the Royal Australian College of Obstetricians and Gynaecologists, the Royal College of Pathologists of Australasia, the Australian Cancer Society and the National Health and Medical Research Council) is as follows:-
­	an examination interval of two years for women who have no symptoms or history suggestive of abnormal cervical cytology, commencing between the ages of 18 to 20 years, or one or two years after first sexual intercourse, whichever is later;
­	cessation of cervical smears at 70 years for women who have had two normal results within the last five years. Women over 70 who have never been examined, or who request a cervical smear, should be examined.

Note 1:	As separate items exist for routine examination of cervical smears, treating practitioners are asked to clearly identify on the request form to the pathologist, if the smear has been taken as a routine examination or for the management of a previously detected abnormality (see paragraph PP.11 of Pathology Services Explanatory Notes in Category 6).

Note 2:	See items 2501 to 2509, and 2600 to 2616 in Group A18 and A19 of Category 1 – Professional Attendances and the associated explanatory notes for these items in Category 1 – Professional Attendances.

Services rendered to a doctor's dependants, practice partner, or practice partner's dependants
Generally, Medicare benefits are not paid for professional services rendered by a medical practitioner to dependants or partners or a partner's dependants. 

A 'dependant' person is a spouse or a child.  The following provides definitions of these dependant persons:

a spouse, in relation to a dependant person means:
(a) a person who is legally married to, and is not living, on a permanent basis, separately and apart from, that person; and
(b) a de facto spouse of that person.

a child, in relation to a dependant person means:
(a) a child under the age of 16 years who is in the custody, care and control of the person or the spouse of the person; and
(b) a person who:
	(i) has attained the age of 16 years who is in the custody, care and control of the person of the spouse of the person; or
	(ii) is receiving full time education at a school, college or university; and
	(iii) is not being paid a disability support pension under the Social Security Act 1991; and
(iv) is wholly or substantially dependent on the person or on the spouse of the person.

G.14.1.   Principles of interpretation of the MBS
Each professional service listed in the MBS is a complete medical service.  Where a listed service is also a component of a more comprehensive service covered by another item, the benefit for the latter service will cover the former. 

Where a service is rendered partly by one medical practitioner and partly by another, only the one amount of benefit is payable. For example, where a radiographic examination is started by one medical practitioner and finalised by another.

G.14.2.   Services attracting benefits on an attendance basis
Some services are not listed in the MBS because they are regarded as forming part of a consultation or they attract benefits on an attendance basis. 

G.14.3.   Consultation and procedures rendered at the one attendance
Where, during a single attendance, a consultation (under Category 1 of the MBS) and another medical service (under any other Category of the Schedule) occur, benefits are payable subject to certain exceptions, for both the consultation and the other service.  Benefits are not payable for the consultation in addition to an item rendered on the same occasion where the item is qualified by words such as "each attendance", "attendance at which", “including associated attendances/consultations", and all items in Group T6 and T9. In the case of radiotherapy treatment (Group T2 of Category 3) benefits are payable for both the radiotherapy and an initial referred consultation.

Where the level of benefit for an attendance depends upon the consultation time (for example, in psychiatry), the time spent in carrying out a procedure which is covered by another item in the MBS, may not be included in the consultation time.

A consultation fee may only be charged if a consultation occurs; that is, it is not expected that consultation fee will be charged on every occasion a procedure is performed.

G.14.4.   Aggregate items
The MBS includes a number of items which apply only in conjunction with another specified service listed in the MBS.  These items provide for the application of a fixed loading or factor to the fee and benefit for the service with which they are rendered. 

When these particular procedures are rendered in conjunction, the legislation provides for the procedures to be regarded as one service and for a single patient gap to apply.  The Schedule fee for the service will be ascertained in accordance with the particular rules shown in the relevant items.

G.14.5.   Residential aged care facility
A residential aged care facility is defined in the Aged Care Act 1997; the definition includes facilities formerly known as nursing homes and hostels.

G.15.1.   Practitioners should maintain adequate and contemporaneous records
All practitioners who provide, or initiate, a service for which a Medicare benefit is payable, should ensure they maintain adequate and contemporaneous records. 

Note: 'Practitioner' is defined in Section 81 of the Health Insurance Act 1973 and includes: medical practitioners, dentists, optometrists, chiropractors, physiotherapists, podiatrists and osteopaths.

Since 1 November 1999 PSR Committees determining issues of inappropriate practice have been obliged to consider if the practitioner kept adequate and contemporaneous records.  It will be up to the peer judgement of the PSR Committee to decide if a practitioner’s records meet the prescribed standards.

The standards which determine if a record is adequate and contemporaneous are prescribed in the Health Insurance (Professional Services Review) Regulations 1999.

To be adequate, the patient or clinical record needs to: 
­	clearly identify the name of the patient; and
­	contain a separate entry for each attendance by the patient for a service and the date on which the service was rendered or initiated; and
­	each entry needs to provide clinical information adequate to explain the type of service rendered or initiated; and 
­	each entry needs to be sufficiently comprehensible that another practitioner, relying on the record, can effectively undertake the patient’s ongoing care.

To be contemporaneous, the patient or clinical record should be completed at the time that the service was rendered or initiated or as soon as practicable afterwards.  Records for hospital patients are usually kept by the hospital and the practitioner could rely on these records to document in‑patient care.

THERAPEUTIC PROCEDURES
CATEGORY 3
SUMMARY OF CHANGES SINCE 1/08/2012
The 1/08/2012 changes to the MBS are summarised below and are identified in the Schedule pages by one or more of the following words appearing above the item number
	(a)  new item	New
	(b)  amended description	Amend
	(c)  fee amended	Fee
	(d)  item number changed	Renum
	(e)  EMSN changed	EMSN

New items since 1/08/2012
30687	48694														
	
Deleted Items since 1/08/2012
42560	42566	42722	42728	42771											
	
Amended Descriptions since 1/08/2012
13015	13210	16399	17609	21927	31527	32103	32104	32106	42551	42554	42557	42563	42569	42644	42701	
42702	42703	42704	42707	42710	42713	42719	42725	42731	42746	42752	42755	42773	42779	42782	42783	
42812	42815	42818	45585	51300	51303	51315									
	
EMSN Changes since 1/08/2012
14100	17609	17610	17615	17620	17625	17640	17645	17650	17655	17680	17690	20142	30071	31200	31205	
31521	31527	31560	32501	32504	32507	34106	35533	37619	42590	42738	42739	42740	45003	45025	45026	
45200	45203	45206	45545	45584	45585	45587	45614	45617	45620	45623	45624	45632	45635	45652	45659	

T.1.1.    Hyperbaric Oxygen Therapy -  (Items 13015, 13020, 13025 and 13030)
Hyperbaric Oxygen Therapy not covered by these items would attract benefits on an attendance basis.  For the purposes of these items, a comprehensive hyperbaric medicine facility means a separate hospital area that, on a 24 hour basis:

(a)	is equipped and staffed so that it is capable of providing to a patient:
-	hyperbaric oxygen therapy at a treatment pressure of at least 2.8 atmospheric pressure absolute (180 kilo pascal gauge pressure); and
-	mechanical ventilation and invasive cardiovascular monitoring within a monoplace or multiplace chamber for the duration of the hyperbaric treatment.
(b)	is supported by:
-	at least one specialist with training in Diving and Hyperbaric Medicine, or medical practitioner who holds the Diploma of Diving and Hyperbaric Medicine of the South Pacific Underwater Medicine Society who is rostered and immediately available to the facility during normal working hours;
(c)	and is staffed by:
-	a registered medical practitioner with training in Diving and Hyperbaric Medicine who is present in the hyperbaric facility and immediately available at all times when patients are undergoing treatment; and
-	a registered nurse with specific training in hyperbaric patient care to the published standards of the Hyperbaric Oxygen Facility Industry Guidelines (Draft Australian Standard SF346) who is present during hyperbaric oxygen therapy.
(d)	has defined admission and discharge policies.

Item 13015 provides coverage for hyperbaric oxygen treatment of soft tissue radiation injury and radio necrosis, and hypoxic problem wounds in non-diabetic patients.  It is funded on an interim basis pending Ministerial decision informed from the MSAC recommendations in 2011 (MSAC review 1054.1).

T.1.2.    Haemodialysis - (Items 13100 and 13103)
Item 13100 covers the supervision in hospital by a medical specialist for the management of dialysis, haemofiltration, haemoperfusion or peritoneal dialysis in the patient who is not stabilised where the total attendance time by the supervising medical specialist exceeds 45 minutes. 

Item 13103 covers the supervision in hospital by a medical specialist for the management of dialysis, haemofiltration, haemoperfusion or peritoneal dialysis in a stabilised patient, or in the case of an unstabilised patient, where the total attendance time by the supervising medical specialist does not exceed 45 minutes. 

T.1.3.    Consultant Physician Supervision of Home Dialysis - (Item 13104)
Item 13104 covers the planning and management of dialysis and the supervision of a patient on home dialysis by a consultant physician in the practice of his or her specialty of renal medicine.  Planning and management would cover the consultant physician participating in patient management discussions coordinated by renal centres.  Supervision of the patient at home can be undertaken by telephone or other electronic medium, and includes:
-	Regular ordering, performance and interpretation of appropriate biochemical and haematological studies 
(generally monthly);
-	Feed-back of results to the home patient and his or her treating general physician;
-	Adjustments to medications and dialysis therapies based upon these results;
-	Co-ordination of regular investigations required to keep patient on active transplantation lists, where relevant; 
-	Referral to, and communication with, other specialists involved in the care of the patient; and
-	Being available to advise the patient or the patient’s agent. 
A record of the services provided should be made in the patient’s clinical notes.   

The schedule fee equates to one hour of time spent undertaking these activities.  It is expected that the item will be claimed once per month, to a maximum of 12 claims per year. The patient should be informed that he or she will incur a charge for which a Medicare rebate will be payable.

This item includes dialysis conducted in a residential aged care facility. In remote areas, where a patient’s home is an unsuitable environment for home dialysis due to a lack of space, or the absence of telecommunication, electricity and water utilities, the item includes dialysis in a community facility such as the local primary health care clinic.

T.1.4.    Assisted Reproductive Technology ART Services - (Items 13200 to 13221)
From 1 January 2010, the Medicare items for ART services, including In-Vitro Fertilisation (IVF), have been restructured in consultation with the ART profession and the patient group ACCESS.  The new structure better reflects current clinical practice and will help to spread the cost of EMSN caps across the treatment cycle.  For further information on the changes to the EMSN see the fact sheet under Latest News on MBS Online.

There are no restrictions on the number of cycles that patients can have nor are there any age restrictions for these items.

The new structure includes two new items (13201 and 13202) and a number of amended items.  Item 13200 has been amended and will provide for an initial treatment cycle in a single calendar year.  New item 13201 has been introduced for a subsequent treatment cycle in association with items 13200 and 13202.  New item 13202 covers an incomplete stimulated cycle, and can be billed as an initial treatment cycle in a single calendar year.

Embryology laboratory services covered by Items 13200, 13201 and 13206 have been amended to include the preparation of sperm together with egg recovery from aspirated follicular fluid, insemination, monitoring of fertilisation and embryo development, and preparation of gametes or embryos for transfer and freezing.
Items 13200, 13201, 13202, 13206, 13215 and 13218, do not include services provided in relation to artificial insemination.

Item 13221 has been amended to exclude sperm preparation for assisted reproductive technology using IVF.  This item now provides for the preparation of sperm for the purpose of artificial insemination and can only be rendered in conjunction with item 13203.

Medicare benefits are not payable in respect of ANY other item in the Medicare Benefits Schedule (including Pathology and Diagnostic Imaging) in lieu of or in conjunction with items 13200 – 13221 but excluding item 13202.  Specifically, Medicare benefits are not payable for these items in association with items 104, 105, 14203, 14206, 35637, pathology tests or diagnostic imaging.

A treatment cycle that is a series of treatments for the purposes of ART services is defined as beginning either on the day on which treatment by superovulatory drugs is commenced or on the first day of the patient's menstrual cycle, and ending not more than 30 days later.

The date of service in respect of treatment covered by Items 13200, 13201, 13203, 13206, 13209 and 13218 is DEEMED to be the FIRST DAY of the treatment cycle.

Items 13200, 13201, 13202 and 13203 are linked to the supply of hormones under the Section 100 (National Health Act) arrangements. Providers must notify Medicare Australia of Medicare card numbers of patients using hormones under this program, and hormones are only supplied for patients claiming one of these four items.

Medicare benefits are not payable for assisted reproductive services rendered in conjunction with surrogacy arrangements where surrogacy is defined as 'an arrangement whereby a woman agrees to become pregnant and to bear a child for another person or persons to whom she will transfer guardianship and custodial rights at or shortly after birth'.

NOTE: Items 14203 and 14206 are not payable for artificial insemination.

T.1.5.    Intracytoplasmic Sperm Injection - (Item 13251)
Item 13251 provides for intracytoplasmic sperm injection for male factor infertility under the following circumstances:
-	where fertilisation with standard IVF is highly unlikely to be successful; or
-	where in a previous cycle of IVF, the fertilisation rate has failed due to low or no fertilisation.

Item 13251 excludes a service to which item 13218 applies.  Sperm retrieval procedures associated with intracytoplasmic sperm injection are covered under items 37605 and 37606.

Items 13251, 37605, 37606 do not include services provided in relation to artificial insemination using the husband's or donated sperm.

T.1.6.    Peripherally Inserted Central Catheters
Peripherally inserted central catheters (PICC) are an alternative to standard percutaneous central venous catheter placement or surgically placed intravenous catheters where long-term venous access is required for ongoing patient therapy.

Medicare benefits for PICC can be claimed under central vein catheterisation items 13318, 13319, 13815 and 22020.

These items are for central vein catheterisation (where the tip of the catheter is positioned in a central vein) and cannot be used for venous catheters where the tip is positioned in a peripheral vein.  

T.1.7.    Administration of Blood or Bone Marrow already Collected (Item 13706)
Item 13706 is payable for the transfusion of blood, or platelets or white blood cells or bone marrow or gamma globulins. This item is not payable when gamma globulin is administered intramuscularly.

T.1.8.    Collection of Blood - (Item 13709)
Medicare benefits are payable under Item 13709 for collection of blood for autologous transfusions in respect of an impending operation (whether or not the blood is used), or when homologous blood is required in an emergency situation. 

Medicare benefits are not payable under Item 13709 for collection of blood for long‑term storage for possible future autologous transfusion, or for other forms of directed blood donation.

T.1.9.    Intensive Care Units -  (Items 13870 to 13888)
'Intensive Care Unit' means a separate hospital area that:
(a)	is equipped and staffed so as to be capable of providing to a patient:
(i)	mechanical ventilation for a period of several days; and
(ii)	invasive cardiovascular monitoring; and
(b)	is supported by:
(i)	at least one specialist or consultant physician in the specialty of intensive care who is immediately available and exclusively rostered to the ICU during normal working hours; and
(ii)	a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and
(iii)	a registered nurse for at least 18 hours in each day; and
(c) 	has defined admission and discharge policies.

"immediately available" means that the intensivist must be predominantly present in the ICU during normal working hours. Reasonable absences from the ICU would be acceptable to attend conferences, meetings and other commitments which might involve absences of up to 2 hours during the working day.

“exclusively rostered” means that the specialist’s sole clinical commitment is to intensive care associated activities and is not involved in any other duties that may preclude immediate availability to intensive care if required.

For Neonatal Intensive Care Units an 'Intensive Care Unit' means a separate hospital area that:
(a)	is equipped and staffed so as to be capable of providing to a patient, being a newly-born child:
(i)	mechanical ventilation for a period of several days; and
(ii)	invasive cardiovascular monitoring; and
(b)	is supported by:
 (i)	at least one consultant physician in the specialty of paediatric medicine, appointed to manage the unit, and who is immediately available and exclusively rostered to the ICU during normal working hours; and
(ii)	a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and
(iii)a registered nurse for at least 18 hours in each day; and
(c) 	has defined admission and discharge policies. 

Medicare benefits are payable under the 'management' items only once per day irrespective of the number of intensivists involved with the patient on that day.  However, benefits are also payable for an attendance by another specialist/consultant physician who is not managing the patient but who has been asked to attend the patient.  Where appropriate, accounts should be endorsed to the effect that the consultation was not part of the patient's intensive care management in order to identify which consultations should attract benefits in addition to the intensive care items.

In respect of Neonatal Intensive Care Units, as defined above, benefits are payable for admissions of babies who meet the following criteria:-
(i)	all babies weighing less than 1000gms;
(ii)	all babies with an endotracheal tube, and for the 24 hours following endotracheal tube removal;
(iii)	all babies requiring Constant Positive Airway Pressure (CPAP) for acute respiratory instability;
(iv)	all babies requiring more than 40% oxygen for more than 4 hours;
(v)	all babies requiring an arterial line for blood gas or pressure monitoring; or
(vi)	all babies having frequent seizures.

Cases may arise where babies admitted to a Neonatal Intensive Care Unit under the above criteria who, because they no longer satisfy the criteria are ready for discharge, in accordance with accepted discharge policies, but who are physically retained in the Neonatal Intensive Care Unit for other reasons.  For benefit purposes such babies must be deemed as being discharged from the Neonatal Intensive Care Unit and not eligible for benefits under items 13870, 13873, 13876,  13881, 13882, 13885 and 13888.

Likewise, Medicare benefits are not payable under items 13870, 13873, 13876,  13881 13882, 13885 and 13888 in respect of babies not meeting the above criteria, but who, for whatever other reasons, are physically located in a Neonatal Intensive Care Unit.

Medicare benefits are payable for admissions to an Intensive Care Unit following surgery only where clear clinical justification for post-operative intensive care exists.

T.1.10.   Procedures Associated with Intensive Care - (Items 13818, 13842, 13847, 13848 and 13857)
Item 13818 covers the insertion of a right heart balloon catheter (Swan-Ganz catheter).  Benefits are payable under this item only once per day except where a second discrete operation is performed on that day.

Benefits are payable under items 13876 (within an ICU) and 11600 (outside an ICU) once only for each type of pressure, up to a maximum of 4 pressures per patient per calendar day, and irrespective of the number of the practitioners involoved in monitoring the pressures.

If a service covered by Item 13842 is provided outside of an ICU, in association with, for example, an anaesthetic, benefits are payable for Item 13842 in addition to Item 13870 where the services are performed on the same day.  Where this occurs, accounts should be endorsed "performed outside of an Intensive Care Unit" against Item 13842.

Items 13847 and 13848
Item 13847 covers management of counterpulsation by intraaortic balloon on the first day and includes initial and subsequent consultations and monitoring of parameters. Insertion of the intraaortic balloon is covered under item 38609 Management on each day subsequent to the first is covered under item 13848.

“management” of counterpulsation of intraaortic  balloon means full heamodynamic assessment and management on several occasions during the day.

Item 13857 covers the establishment of airway access and initiation of ventilation on a patient outside intensive care for the purpose of subsequent ventilatory support in intensive care. Benefits are not payable under Item 13857 where airway access and ventilation is initiated in the context of an anaesthetic for surgery even if it is likely that following surgery the patient will be ventilated in an ICU. In such cases the appropriate anaesthetic item/s should be itemised.

Medicare benefits are not payable for sampling by arterial puncture under Item 13839 in addition to Item 13870 (and 13873) on the same day.  Benefits are payable under Item 13842 (Intra-arterial cannulation) in addition to Item 13870 (and 13873) when performed on the same day.

T.1.11.   Management and Procedures in Intensive Care Unit - (Items 13870, 13873, 13876)
Medicare benefits are only payable for management and procedures in intensive care covered by items 13870, 13873, 13876, 13882, 13885 and 13888 where the service is provided by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care.

Items 13870 and 13873
Medicare Benefits Schedule fees for Items 13870 and 13873 represent global daily fees covering all attendances by the intensivist in the ICU (and attendances provided by support medical personnel) and all electrocardiographic monitoring, arterial sampling and, bladder catheterisation.performed on the patient on the one day.  If a patient is transferred from one ICU to another it would be necessary for an arrangement to be made between the two ICUs regarding the billing of the patient.

Items 13870 and 13873 should be itemised on accounts according to each calendar day and not per 24 hour period.  For periods when patients are in an ICU for very short periods (say less than 2 hours) with minimal ICU management during that time, a fee should not be raised.

Item 13876
Item 13876 covers the monitoring of pressures in an ICU.  Benefits are paid only once for each type of pressure, up to a maximum of 4 pressures per patient per calendar day and irrespective of the number of medical practitioners involved in the monitoring of pressures in an ICU.

Item 11600
Item 11600 covers the monitoring of pressures outside the ICU by practitioners not associated with the ICU. Benefits are paid only once for each type of pressure, up to a maximum of 4 pressures per patient per calendar day and irrespective of the number of practitioners involved in monitoring the pressures.

T.1.12.   Cytotoxic Chemotherapy Administration - (Item 13915)
Following a recommendation of a National Health and Medical Research Council review committee in 2005, Medicare benefits are no longer payable for professional services rendered for the purpose of administering microwave (UHF radiowave) cancer therapy, including the intravenous injection of drugs used in the therapy.

T.1.13.   Implanted Pump or Reservoir/Drug Delivery Device - (Items 13939 and 13942)
The schedule fee for Items 13939 and 13942 includes a component to cover accessing of the drug delivery device. Accordingly, benefits are not payable under Item 13945 (Long-term implanted drug delivery device, accessing of) in addition to Items 13939 and 13942.

T.1.14.   PUVA or UVB Therapy - (Items 14050 and 14053)
A component for any necessary subsequent consultation has been included in the Schedule fee for these items.  However, the initial consultation preceding commencement of a course of therapy would attract benefits.

T.1.15.   Laser Photocoagulation - (Items 14106 to 14124)
The Australasian College of Dermatologists has advised that the following ranges (applicable to an  average 4 year old child  and an adult) should be used as a reference to the treatment areas specified in Items 14106 - 14124:

Entire forehead	50 -75 cm2	
Cheek	55 - 85 cm2	
Nose	10 -25 cm2	
Chin	10 - 30 cm2	
Unilateral midline anterior - posterior neck	60 - 220 cm2	
Dorsum of hand	25 - 80 cm2	
Forearm	100 - 250 cm2	
Upper arm	105 - 320 cm2	

T.1.16.   Laser Photocoagulation (Item 14124)
Item 14124 applies where additional treatments are indicated in a 12 month period and are only claimable for haemangiomas of infancy.

Claims for benefits for this services should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.1.17.   Facial Injections of Poly-L-Lactic Acid - (Items 14201 and 14202)
Poly-L-lactic acid is listed within the standard arrangements on the Pharmaceutical Benefits Scheme (PBS) as an Authority Required listing for initial and maintenance treatments, for facial administration only, of severe facial lipoatrophy caused by therapy for HIV infection.

T.1.18.   Hormone and Living Tissue Implantation - (Items 14203 and 14206)
Items 14203 and 14206 are not payable for artificial insemination.

T.1.19.   Implantable Drug Delivery System for the Treatment of Severe Chronic Spasticity - (Items 14227 to 14242)
Baclofen is provided under Section 100 of the Pharmaceutical Benefits Scheme for the following indications: Severe chronic spasticity, where oral agents have failed or have caused unacceptable side effects, in patients with chronic spasticity:
(a)	of cerebral origin; or
(b)	due to multiple sclerosis; or
(c)	due to spinal cord injury; or
(d)	due to spinal cord disease.

Items 14227 to 14242 should be used in accordance with these restrictions.

T.1.20.   Immunomodulating Agent - (Item 14245)
Item 14245 applies only to a service provided by a medical practitioner who is registered by the Medicare Australia CEO to participate in the arrangements made, under paragraph 100 (1) (b) of the National Health Act 1953, for the purpose of providing an adequate pharmaceutical service for persons requiring treatment with an immunomodulating agent.  

These drugs are associated with risk of anaphylaxis which must be treated by a medical practitioner.  For this reason a medical practitioner needs to be available at all times during the infusion in case of an emergency.

T.1.21.   Therapeutic procedures may be provided by a specialist trainee (Items 13015 to 51318)
(1)	Items 13015 to 51318 (excluding 13209 (T1) 16400 to 16500 (T4), 16590 to 16591 (T4), 17610 to 17690 (T6) and 18350 to 18373 (T11) apply to a medical service provided by;

     (a)  A medical practitioner, or;
     (b)  A specialist trainee under the direct supervision of a medical practitioner.
(2)	For paragraph (1) (b), a medical service provided by a specialist trainee is taken to have been provided by the supervising medical practitioner.
(3)	In this rule:  Specialist trainee means a medical practitioner who is undertaking an Australian Medical Council (AMC) accredited Medical College Training Program.  Direct Supervision means personal and continuous attendance for the duration of the service.

T.1.22.   Telehealth Specialist Services
These notes provide information on the telehealth MBS video consultation items by specialists, consultant physicians and psychiatrists. A video consultation involves a single specialist, consultant physician or psychiatrist attending a patient, with the possible support of another medical practitioner, a participating nurse practitioner, a participating midwife, practice nurse or Aboriginal health worker at the patient end of the video conference.  The decision as to whether the patient requires clinical support at the patient end of the specialist service is based on whether the support is necessary for the provision of the specialist service.  Telehealth specialist services can be provided to patients when there is no patient-end support service provided.

MBS items numbers 99, 112, 149, 288, 389, 2820, 3015, 6016, 13210, 16399 and 17609 allow a range of existing MBS attendance items to be provided via video conferencing.  These items have a derived fee which is equal to 50% of the schedule fee for the consultation item claimed (e.g. 50% of the schedule fee for item 104) when billed with one of the associated consultation items (such as 104).  A patient rebate of 85% for the derived fee is payable.

Clinical indications
The specialist, consultant physician or psychiatrist must be satisfied that it is clinically appropriate to provide a video consultation to a patient. The decision to provide clinically relevant support to the patient is the responsibility of the specialist, consultant physician or psychiatrist.

Telehealth specialist services can be provided to patients when there is no patient-end support service provided.

Restrictions
The MBS telehealth attendance items are not payable for services to an admitted hospital patient (this includes hospital in the home patients). Benefits are not payable for telephone or email consultations. In order to fulfill the item descriptor there must be a visual and audio link between the patient and the remote practitioner. If the remote practitioner is unable to establish both a video and audio link with the patient, a MBS rebate for a telehealth attendance is not payable.

Billing Requirements
All video consultations provided by specialists, consultant physicians or psychiatrists must be separately billed. That is, only the relevant telehealth MBS consultation item and the associated derived item are to be itemised on the account/bill/voucher.  Any other service/item billed should be itemised on a separate account/bill/voucher. This will ensure the claim is accurately assessed as being a video consultation and paid accordingly. 

Practitioners should not use the notation ‘telehealth’, ‘verbal consent’ or ‘Patient unable to sign’ to overcome administrative difficulties to obtaining a patient signature for bulk billed claims (for further information see mbsonline.gov.au/telehealth).

Eligible Geographical Areas
The patient must be located in a remote, regional or an outer metropolitan area at the time of the consultation.  This means that all areas outside inner metropolitan are eligible locations for patient services.  

From 1st November 2012, there is a requirement for the patient and specialist to be located a minimum of 15km apart at the time of the consultation. Minimum distance between specialist and patient video consultations are measured by the most direct (ie least distance) route by road. The patient or the specialist is not permitted to travel to an area outside the minimum 15 km distance in order to claim a video conference.

This rule will not apply to specialist video consultation with patients who are a care recipient in a residential care service; or at an Aboriginal Medical Service or an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Health Insurance Act 1973 as these patients are able to receive telehealth services anywhere in Australia.

Telehealth Eligible Service Areas are defined at www.mbsonline.gov.au/ telehealth eligible areas   

Record Keeping
Participating telehealth practitioners must keep contemporaneous notes of the consultation including documenting that the service was performed by video conference, the date, time and the people who participated.

Only clinical details recorded at the time of the attendance count towards the time of the consultation. It does not include information added at a later time, such as reports of investigations.

Extended Medicare Safety Net (EMSN)
ART and Obstetric ‘enabled’ items 13290 and 16401, 16404, 16406, 16500, 16590, 16591 have existing EMSN caps. The telehealth items 13210, 16399 have also been capped to maintain consistency with the existing Government policy.

Aftercare Rule
Video consultations are subject to the same aftercare rules as practitioners providing face-to-face consultations.

Multiple attendances on the same day
In some situations a patient may receive a telehealth consultation and a face to face consultation by the same or different practitioner on the same day.

Medicare benefits may be paid for more than one video consultation on a patient on the same day by the same practitioner, provided the second (and any following) video consultations are not a continuation of the initial or earlier video consultations. Practitioners will need to provide the times of each consultation on the patient’s account or bulk billing voucher.

Referrals
The referral procedure for a video consultation is the same as for conventional face-to-face consultations. 

Technical requirements
In order to fulfill the item descriptor there must be a visual and audio link between the patient and the remote practitioner. If the remote practitioner is unable to establish both a video and audio link with the patient, a MBS rebate for a telehealth attendance is not payable.

Individual clinicians must be confident that the technology used is able to satisfy the item descriptor and that software and hardware used to deliver a videoconference meets the applicable laws for security and privacy.

T.2.1.    Radiation Oncology - General
The level of benefits for radiotherapy depends on the number of fields irradiated and the number of times treatment is given.

Treatment by rotational therapy (including rotational therapy using volumetric modulated arc therapy or intensity modulated arc therapy) is considered to be equivalent to the irradiation of three fields (i.e., irradiation of one field plus two additional fields).  For example, each attendance for orthovoltage rotational therapy at the rate of 3 or more treatments per week would attract benefit under Item 15100 plus twice Item 15103.  Similarly, each attendance for arc therapy of the prostate using a dual photon linear accelerator would attract benefits under 15248 plus twice 15263.  Benefits are payable once only per attendance for treatment irrespective of whether one or more arcs are involved.

Benefits for consultations rendered on the same day as treatment and/or planning services are only payable where they are clinically relevant.  A clinically relevant service is one that is generally accepted by the relevant profession as being necessary for the appropriate treatment of the patient.

T.2.2.    Brachytherapy of the Prostate - (Item 15338)
One of the requirements of item 15338 is that patients have a Gleason score of less than or equal to 7.  However, where the patient has a score of 7, comprising a primary score of 4 and a secondary score of 3 (ie. 4+3=7), it is recommended that low dose rate brachytherapy form part of a combined modality treatment.

Low dose brachytherapy of the prostate should be performed in patients with favourable anatomy allowing adequate access to the prostate without pubic arch interference and who have a life expectancy of at least greater than 10 years.  

An ‘approved site’ for the purposes of this item is one at which radiation oncology services may be performed lawfully under the law of the State or Territory in which the site is located.

T.2.3.    Planning Services - (Items 15500 to 15562 and 15850)
A planning episode involves field setting and dosimetry. One plan only will attract Medicare benefits in a course of treatment. However, benefits are payable for a plan for brachytherapy and a plan for megavoltage or teletherapy treatment, when rendered in the same course of treatment.

•	further planning items where planning is undertaken in respect of a different tumour site to that (or those) specified in the original prescription by the radiation oncologist; and
•	a plan for brachytherapy and a plan for megavoltage or teletherapy treatment, when rendered in the same course of treatment.

Items 15500 to 15533 (inclusive) are for a planning episode for 2D conformal radiotherapy.  Items 15550 to 15562 (inclusive) are for a planning episode for 3D conformal radiotherapy.  

It is expected that the 2D simulation items (15500, 15503, and 15506) would be used in association with the 2D planning items (15518, 15521, and 15524) in a planning episode.  However there may be instances where it may be appropriate to use the 3D Planning items (15556, 15559, and 15562) in association with the 2D simulation items (15500, 15503, and 15506) in a planning episode.  The 3D simulation items (15550 and 15553) can only be billed in association with the 3D planning items (15556, 15559, and 15562) in a planning episode.

Item 15850 covers radiation source localisation for high dose brachytherapy treatment.  Item 15850 applies to brachytherapy provided to any part of the body.

T.2.4.    Treatment Verification - (Items 15700 to 15705, 15710 and 15800)
In these items, ‘treatment verification’ means:
a quality assurance procedure designed to facilitate accurate and reproducible delivery of the radiotherapy/brachytherapy to the prescribed site(s) or region(s) of the body as defined in the treatment prescription and/or associated dose plan(s) and which utilises the capture and assessment of appropriate images using: 
(a)	x-rays (this includes portal imaging, either megavoltage or kilovoltage, using a linear accelerator)
(b)	computed tomography; or 
(c)	ultrasound, where the ultrasound equipment is capable of producing  images in at least three dimensions (unidimensional ultrasound is not covered); together with a record of the assessment(s) and any correction(s) of  significant treatment delivery inaccuracies detected.

Item 15700 covers the acquisition of images in one plane and incorporates both single or double exposures. The item may be itemised once only per attendance for treatment, irrespective of the number of treatment sites verified at that attendance.

Item 15705 (multiple projections) applies where images in more that one plane are taken, for example orthogonal views to confirm the isocentre.  It can be itemised only where verification is undertaken of treatments involving three or more fields.   It can be itemised where single projections are acquired for multiple sites, eg multiple metastases for palliative patients.  Item 15705 can be itemized only once per attendance for treatment, irrespective of the number of treatment sites verified at that attendance.

15710 applies to volumetric verification imaging using acquisition by computed tomography.  It can be itemised only where verification is undertaken of treatments involving three or more fields and only once per attendance for treatment, irrespective of the number of treatment sites verified at that attendance.

Items 15700, 15705 and 15710:

•	may not claimed together for the same attendance at which treatment is rendered
•	must only be itemised when the verification procedure has been prescribed in the treatment plan and the image has been reviewed by a radiation oncologist

Item 15800 - Benefits are payable once only per attendance at which treatment is verified.

T.3.1.    Therapeutic Dose of Yttrium 90 - (Item 16003)
This item cannot be claimed for selective internal radiation therapy (SIRT).

See items 35404, 35406 and 35408 for SIRT using SIR_Spheres (yttrium-90 microspheres).

T.4.1.    Antenatal Service Provided by a Nurse, Midwife or an Aboriginal and Torres Strait Islander health practitioner - (Item 16400)
Item 16400 can only be claimed by a medical practitioner (including a vocationally registered or non-vocationally registered GP, a specialist or a consultant physician) where an antenatal service is provided to a patient by a midwife, nurse or Aboriginal and Torres Strait Islander health practitioner on behalf of the medical practitioner at, or from an eligible practice location in a regional, rural or remote area.

A regional, rural or remote area is classified as a RRMA 3-7 area under the Rural Remote Metropolitan Areas classification system.

Evidence based national or regional guidelines should be used in the delivery of this antenatal service.

An eligible practice location is the place associated with the medical practitioner’s Medicare provider number from which the service has been provided. If you are unsure if the location is in an eligible area you can call Medicare Australia on 132 150.

A midwife means a registered midwife who holds a current practising certificate as a midwife issued by a State or Territory regulatory authority and who is employed by, or whose services are otherwise retained by, the medical practitioner or their practice.

A nurse means a registered or enrolled nurse who holds a current practising certificate as a nurse issued by a State or Territory regulatory authority and who is employed by, or whose services are otherwise retained by, the medical practitioner or their practice.  The nurse must have appropriate training and skills to provide an antenatal service.

An Aboriginal and Torres Strait Islander health practitioner means a person who has been registered as an Aboriginal and Torres Strait Islander health practitioner by the Aboriginal and Torres Strait Islander Health Practice Board of Australia and meets the Board's registration standards. The Aboriginal and Torres Strait Islander health practitioner must be employed or retained by a general practice, or by a health service that has an exemption to claim Medicare benefits under subsection 19(2) of the Health Insurance Act 1973.

An Aboriginal and Torres Strait Islander health practitioner may use any of the titles authorised by the Aboriginal and Torres Strait Islander Health Practice Board: Aboriginal health practitioner; Aboriginal and Torres Strait Islander health practitioner; or Torres Strait Islander health practitioner.

The midwife, nurse or Aboriginal and Torres Strait Islander health practitioner must also comply with any relevant legislative or regulatory requirements regarding the provision of the antenatal service.

The medical practitioner under whose supervision the antenatal service is provided retains responsibility for the health, safety and clinical outcomes of the patient.  The medical practitioner must be satisfied that the midwife, nurse or Aboriginal and Torres Strait Islander health practitioner is appropriately registered, qualified and trained, and covered by indemnity insurance to undertake antenatal services.

Supervision at a distance is recognised as an acceptable form of supervision.  This means that the medical practitioner does not have to be physically present at the time the service is provided.  However, the medical practitioner should be able to be contacted if required.

The medical practitioner is not required to see the patient or to be present while the antenatal service is being provided by the midwife, nurse or Aboriginal and Torres Strait Islander health practitioner.  It is up to the medical practitioner to decide whether they need to see the patient.  Where a consultation with the medical practitioner has taken place prior to or following the antenatal service, the medical practitioner is entitled to claim for their own professional service, but item 16400 cannot be claimed in these circumstances.

Item 16400 cannot be claimed in conjunction with another antenatal attendance item for the same patient, on the same day by the same practitioner.

A bulk billing incentive item (10990, 10991 or 10992) cannot be claimed in conjunction with item 16400.  An incentive payment is incorporated into the schedule fee.

Item 16400 can only be claimed 10 times per pregnancy.

Item 16400 cannot be claimed for an admitted patient of a hospital.

T.4.2.    Items for Initial and Subsequent Obstetric Attendances (Items 16401 and 16404)
16401 and 16404 replace items 104 and 105 for any specialist obstetric attendance relating to pregnancy.  This includes any initial and subsequent attendance with a specialist obstetrician for discussion of pregnancy or pregnancy related conditions or complications, or any postnatal care provided to the patient subsequent to the expiration of normal aftercare period.  Item 16500 is still claimed for routine antenatal attendances.  These items are subject to Extended Medicare Safety Net caps.

T.4.3.    Antenatal Care - (Item 16500)
In addition to routine antenatal attendances covered by Item 16500 the following services, where rendered during the antenatal period, attract benefits:‑
(a)	Items 16501, 16502, 16504, 16505, 16508, 16509 (but not normally before the 24th week of pregnancy), 16511, 16512, 16514 and 16600 to 16636.
(b)	The initial consultation at which pregnancy is diagnosed.
(c)	The first referred consultation by a specialist obstetrician when called in to advise on the pregnancy.
(d)	All other services, excluding those in Category 1 and Group T4 of Category 3 not mentioned above.
(e)	Treatment of an intercurrent condition not directly related to the pregnancy.

Item 16504 relates to the treatment of habitual miscarriage by injection of hormones.  A case becomes one of habitual miscarriage following two consecutive spontaneous miscarriages or where progesterone deficiency has been proved by hormonal assay of cells obtained from a smear of the lateral vaginal wall.

Item 16514 relates to antenatal cardiotocography in the management of high risk pregnancy.  Benefits for this service are not attracted when performed during the course of the labour and delivery.

T.4.4.    External Cephalic Version for Breech Presentation - (Item 16501)
Contraindications for this item are as follows:
-	antepartum haemorrhage (APH)
-	multiple pregnancy,
-	fetal anomaly,
-	intrauterine growth retardation (IUGR),
-	caesarean section scar,
-	uterine anomalies,
-	obvious cephalopelvic disproportion,
-	isoimmunization,
-	premature rupture of the membranes.

T.4.5.    Labour and Delivery - (Items 16515, 16518, 16519 and 16525)
Benefits for management of labour and delivery covered by Items 16515, 16518, 16519 and 16525 includes the following (where indicated):-
•	-	surgical and/or intravenous infusion induction of labour;
•	-	forceps or vacuum extraction;
•	-	evacuation of products of conception by manual removal (not being an independent procedure); 
•	-	episiotomy or repair of tears.

Item 16519 covers delivery by any means including Caesarean section. If, however, a patient is referred, or her care is transferred to another medical practitioner for the specific purpose of delivery by Caesarean section, whether because of an emergency situation or otherwise, then Item 16520 would be the appropriate item.

In some instances the obstetrician may not be able to be present at all stages of confinement. In these circumstances, Medicare benefits are payable under Item 16519 provided that the doctor attends the patient as soon as possible during the confinement and assumes full responsibility for the mother and baby.

Two items in Group T9 provide benefits for assistance by a medical practitioner at a Caesarean section. Item 51306 relates to those instances where the Caesarean section is the only procedure performed, while Item 51309 applies when other operative procedures are performed at the same time.

As a rule, 24 weeks would be the period distinguishing a miscarriage from a premature confinement.  However, if a live birth has taken place before 24 weeks and the foetus survives for a reasonable period, benefit would be payable under the appropriate confinement item.

Where, during labour, a medical practitioner hands the patient over to another medical practitioner, benefits are payable under Item 16518 for the referring practitioner's services. The second practitioner's services would attract benefits under Item 16515 (i.e., management of vaginal delivery) or Item 16520 (Caesarean section).  If another medical practitioner is called in for the management of the labour and delivery, benefits for the referring practitioner's services should be assessed under Item 16500 for the routine antenatal attendances and on a consultation basis for the postnatal attendances, if performed.

At a high risk delivery benefits will be payable for the attendance of any medical practitioner (called in by the doctor in charge of the delivery) for the purposes of resuscitation and subsequent supervision of the neonate.  Examples of high risk deliveries include cases of difficult vaginal delivery, Caesarean section or the delivery of babies with Rh problems and babies of toxaemic mothers.

T.4.6.    Caesarean Section - (Item 16520)
Benefits under this item are attracted only where the patient has been specifically referred to another medical practitioner for the management of the delivery by Caesarean section and the practitioner carrying out the procedure has not rendered any antenatal care.  Caesarean sections performed in any other circumstances attract benefits under Item 16519.

T.4.7.    Complicated Confinement - (Item 16522)
Conditions that pose a significant risk of maternal death referred to in Item 16522 include:
‑	severe pre‑eclampsia as defined in the Consensus Statement on the Management of Hypertension in Pregnancy, published in the Medical Journal of Australia, Volume 158 on 17 May 1993, and as revised;
‑	cardiac disease (co‑managed with a consultant physician or a specialist physician);
‑	coagulopathy;
‑	severe autoimmune disease;
‑	previous organ transplant; or
‑	pre‑existing renal or hepatic failure.

T.4.8.    Labour and Delivery Where Care is Transferred by a Participating Midwife - (Items 16527 to 16528)
Where the inter-partum care of a women is transferred to a medical practitioner by a participating midwife for management of birth, item 16527 or 16528 would apply depending on the service provided.

Where care is transferred by a participating midwife prior to the commencement of labour, items 16519 or 16522 would apply.

T.4.9.    Items for Planning and Management of a Pregnancy (Item 16590)
Item 16590 is intended to provide for the planning and management of pregnancy that has progressed beyond 20 weeks, where the medical practitioner is intending to undertake the delivery for a privately admitted patient.  From 1 January 2010 a new item, 16591, has been introduced to reflect the different responsibilities of GPs and obstetricians who plan to manage the pregnancy, labour and birth, and those who are part of a shared care arrangement.  Medical practitioners who do not plan to undertake the delivery of a privately admitted patient should claim item 16591.  Both 16590 and 16591 are subject to Extended Medicare Safety Net caps and should only be claimed by a patient once per pregnancy.

T.4.10.   Post-Partum Care - (Items 16564 to 16573)
The Schedule fees and benefits payable for Items 16519 and 16520 cover all postnatal attendances on the mother and the baby, except in the following circumstances:‑
(i)	where the medical services rendered are outside those covered by a consultation, e.g., blood transfusion; 
(ii)	where the condition of the mother and/or baby is such as to require the services of another practitioner (e.g., paediatrician, gynaecologist, etc);
(iii)	where the patient is transferred, at arms length, to another medical practitioner for routine post-partum, care (eg mother and/or baby returning from a larger centre to a country town or transferring between hospitals following confinement).  In such cases routine postnatal attendances attract benefits on an attendance basis. The transfer of a patient within a group practice would not qualify for benefits under this arrangement except in the case of Items 16515 and 16518. These items cover those occasions when a patient is handed over while in labour from the practitioner who under normal circumstances would have delivered the baby, but because of compelling circumstances decides to transfer the patient to another practitioner for the delivery;
(iv)	where during the postnatal period a condition occurs which requires treatment outside the scope of normal postnatal care;
(v)	in the management of premature babies (i.e. babies born prior to the end of the 37th week of pregnancy or where the birth weight of the baby is less than 2500 grams) during the period that close supervision is necessary.

Normal postnatal care by a medical practitioner would include:-
(i)	uncomplicated care and check of
-	lochia
-	fundus
-	perineum and vulva/episiotomy site
-	temperature
-	bladder/urination
-	bowels
(ii)	advice and support for establishment of breast feeding
(iii)	psychological assessment and support
(iv)	Rhesus status
(v)	Rubella status and immunisation
(vi)	contraception advice/management

Examinations of apparently normal newborn infants by consultant or specialist paediatricians do not attract benefits

Items 16564 to 16573 relate to postnatal complications and should not be itemised in respect of a normal delivery. To qualify for benefits under these items, the patient is required to be transferred to theatre, or be administered general anaesthesia or epidural injection for the performance of the procedure. Utilisation of the items will be closely monitored to ensure appropriate usage.

T.4.11.   Interventional Techniques - (Items 16600 to 16636)
For Items 16600 to 16636, 35518 and 35674 there is no component in the Schedule fee for the associated ultrasound.  Benefits are attracted for the ultrasound under the appropriate items in Group I1 of the Diagnostic Imaging Services Table.  If diagnostic ultrasound is performed on a separate occasion to the procedure, benefits would be payable under the appropriate ultrasound item.

Item 51312 provides a benefit for assistance by a medical practitioner at interventional techniques covered by Items 16606, 16609, 16612, 16615, 16627 and 16633.

T.4.12.   Telehealth Specialist Services
These notes provide information on the telehealth MBS video consultation items by specialists, consultant physicians and psychiatrists. A video consultation involves a single specialist, consultant physician or psychiatrist attending a patient, with the possible support of another medical practitioner, a participating nurse practitioner, a participating midwife, practice nurse or Aboriginal health worker at the patient end of the video conference.  The decision as to whether the patient requires clinical support at the patient end of the specialist service is based on whether the support is necessary for the provision of the specialist service.  Telehealth specialist services can be provided to patients when there is no patient-end support service provided.

MBS items numbers 99, 112, 149, 288, 389, 2820, 3015, 6016, 13210, 16399 and 17609 allow a range of existing MBS attendance items to be provided via video conferencing.  These items have a derived fee which is equal to 50% of the schedule fee for the consultation item claimed (e.g. 50% of the schedule fee for item 104) when billed with one of the associated consultation items (such as 104).  A patient rebate of 85% for the derived fee is payable.

Clinical indications
The specialist, consultant physician or psychiatrist must be satisfied that it is clinically appropriate to provide a video consultation to a patient. The decision to provide clinically relevant support to the patient is the responsibility of the specialist, consultant physician or psychiatrist.

Telehealth specialist services can be provided to patients when there is no patient-end support service provided.

Restrictions
The MBS telehealth attendance items are not payable for services to an admitted hospital patient (this includes hospital in the home patients). Benefits are not payable for telephone or email consultations. In order to fulfill the item descriptor there must be a visual and audio link between the patient and the remote practitioner. If the remote practitioner is unable to establish both a video and audio link with the patient, a MBS rebate for a telehealth attendance is not payable.

Billing Requirements
All video consultations provided by specialists, consultant physicians or psychiatrists must be separately billed. That is, only the relevant telehealth MBS consultation item and the associated derived item are to be itemised on the account/bill/voucher.  Any other service/item billed should be itemised on a separate account/bill/voucher. This will ensure the claim is accurately assessed as being a video consultation and paid accordingly. 

Practitioners should not use the notation ‘telehealth’, ‘verbal consent’ or ‘Patient unable to sign’ to overcome administrative difficulties to obtaining a patient signature for bulk billed claims (for further information see mbsonline.gov.au/telehealth).

Eligible Geographical Areas
The patient must be located in a remote, regional or an outer metropolitan area at the time of the consultation.  This means that all areas outside inner metropolitan are eligible locations for patient services.  

From 1st November 2012, there is a requirement for the patient and specialist to be located a minimum of 15km apart at the time of the consultation. Minimum distance between specialist and patient video consultations are measured by the most direct (ie least distance) route by road. The patient or the specialist is not permitted to travel to an area outside the minimum 15 km distance in order to claim a video conference.

This rule will not apply to specialist video consultation with patients who are a care recipient in a residential care service; or at an Aboriginal Medical Service or an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Health Insurance Act 1973 as these patients are able to receive telehealth services anywhere in Australia.

Telehealth Eligible Service Areas are defined at www.mbsonline.gov.au/ telehealth eligible areas   

Record Keeping
Participating telehealth practitioners must keep contemporaneous notes of the consultation including documenting that the service was performed by video conference, the date, time and the people who participated.

Only clinical details recorded at the time of the attendance count towards the time of the consultation. It does not include information added at a later time, such as reports of investigations.

Extended Medicare Safety Net (EMSN)
ART and Obstetric ‘enabled’ items 13290 and 16401, 16404, 16406, 16500, 16590, 16591 have existing EMSN caps. The telehealth items 13210, 16399 have also been capped to maintain consistency with the existing Government policy.

Aftercare Rule
Video consultations are subject to the same aftercare rules as practitioners providing face-to-face consultations.

Multiple attendances on the same day
In some situations a patient may receive a telehealth consultation and a face to face consultation by the same or different practitioner on the same day.

Medicare benefits may be paid for more than one video consultation on a patient on the same day by the same practitioner, provided the second (and any following) video consultations are not a continuation of the initial or earlier video consultations. Practitioners will need to provide the times of each consultation on the patient’s account or bulk billing voucher.

Referrals
The referral procedure for a video consultation is the same as for conventional face-to-face consultations. 

Technical requirements
In order to fulfill the item descriptor there must be a visual and audio link between the patient and the remote practitioner. If the remote practitioner is unable to establish both a video and audio link with the patient, a MBS rebate for a telehealth attendance is not payable.

Individual clinicians must be confident that the technology used is able to satisfy the item descriptor and that software and hardware used to deliver a videoconference meets the applicable laws for security and privacy.

T.6.1.    Pre-anaesthesia Consultations by an Anaesthetist - (Items 17610 to 17625)
Pre-anaesthesia consultations are covered by items in the range 17610 - 17625.

Pre-anaesthesia consultations comprise 4 time-based items utilising 15 minute increments up to and exceeding 45 minutes, in conjunction with content-based descriptors.  A pre-anaesthesia consultation will attract benefits under the appropriate items based on BOTH the duration of the consultation AND the complexity of the consultation in accordance with the requirements outlined in the content-based item descriptions. 

Whether or not the proposed procedure proceeds, the pre-anaesthetic attendance will attract benefits under the appropriate consultation item in the range 17610 – 17625, as determined by the duration and content of the consultation.

The following provides further guidance on utilisation of the appropriate items in common clinical situations:

(i) Item 17610 (15 mins or less) – a pre-anaesthesia consultation of a straightforward nature occurring prior to investigative procedures and other routine surgery. This item covers routine pre-anaesthesia consultation services including the taking of a brief history, a limited examination of the patient including the cardio-respiratory system and brief discussion of an anaesthesia plan with the patient.    

(ii) Item 17615 (16-30 mins) - a pre-anaesthesia consultation of between 16 to 30 minutes duration AND of significantly greater complexity than that required under item 17610. To qualify for benefits patients will be undergoing advanced surgery or will have complex medical problems. The consultation will involve a more extensive examination of the patient, for example: the cardio-respiratory system, the upper airway, anatomy relevant to regional anaesthesia and invasive monitoring. An anaesthesia plan of management should be formulated, of which there should be a written record included in the patient notes.

(iii) Item 17620 (31-45 mins) – a pre-anaesthesia consultation of high complexity involving all of the requirements of item 17615 and of between 31 to 45 minutes duration. The pre-anaesthesia consultation will also involve evaluation of relevant patient investigations and the formulation of an anaesthesia plan of management of which there should be a written record in the patient notes.

(iv) Item 17625 (more than 45 mins) - a pre-anaesthesia consultation of high complexity involving all of the requirements of item 17615 and item 17620 and of more than 45 minutes duration. The pre-anaesthesia consultation will also involve evaluation of relevant patient investigations as well as discussion of the patient’s medical condition and/or anaesthesia plan of management with other relevant healthcare professionals.  An anaesthesia plan of management should be formulated, of which there should be a written record included in the patient notes.

Some examples of advanced surgery that may require a longer consultation under items 17615-17625 would include:
•	Bowel resection
•	Caesarean section
•	Neonatal surgery
•	Major laparotomies
•	Radical cancer resection
•	Major reconstructive surgery eg free flap transfers, breast reconstruction
•	major joint arthroplasty 
•	joint reconstruction
•	Thoracotomy
•	Craniotomy
•	Spinal surgery eg spinal fusion, discectomy 
•	Major vascular surgery eg aortic aneurysm repair, arterial bypass surgery, carotid artery endarterectomy

Some examples of complex medical problems in relation to items 17615-17625 would include:	
•	Major cardiac problems – e.g cardiomyopathy, unstable ischaemic heart disease, heart failure
•	Major respiratory disease – e.g COPD, respiratory failure, acute lung conditions eg. infection and asthma, 
•	Major neurological conditions – CVA, intra/extra cerebral haemorrhage, cerebral palsy and/or major intellectual disability, degenerative conditions of the CNS
•	Major metabolic conditions – e.g unstable diabetes, uncontrolled hyperthyroidism, renal failure, liver failure, immune deficiency
•	Anaesthetic problems – eg past history of awareness, known or anticipated difficulty with securing the airway, malignant hyperpyrexia, drug allergy,
•	Other conditions – 
-	patients with history of stroke/TIA’s presenting for vascular surgery
-	patients on anti-platelet agents presenting for major surgery requiring management of anticoagulant status
-	patients with poor respiratory/cardiac function presenting for major surgery requiring management of perioperative medications, analgaesia and monitoring

NOTE I: 
It is important to note that: 
•	patients undergoing the types of advanced surgery listed above but who are otherwise of reasonable health and who, therefore, do not require a longer pre-anaesthesia consultation as provided for under items 17615-17625, would qualify for benefits under item 17610; and 
•	not all patients  with complex medical problems will qualify for a longer consultation under items 17615-17625. For example, patients who have reasonably stable diabetes may only require a short consultation, covered  under item 17610. Similarly, patients with reasonably well controlled emphysema (COPD) undergoing minor surgery may only require a short pre-anaesthesia consultation (item 17610), whereas the same patient scheduled for an upper abdominal laparotomy and with recent onset angina with the possible need for ICU postoperatively may require a longer consultation.

NOTE II:
•	Consultation services covered by pain specialists items in the range 2801-3000 cannot be claimed in conjunction with items 17610-17625
•	The consultation time under items 17610 – 17625 only applies to the period of active attendance on the patient and does not include time spent in discussion with other health care practitioners.
•	The requirement of a written patient management plan in items 17615-17625   or the discussion of the management plan with other health care professions, where this occurs, does not relate to and cannot be claimed in conjunction GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans or Case Conference items in Group A15 of the MBS.

T.6.2.    Referred Anaesthesia Consultations - (Items 17640 to 17655)
Referred anaesthesia consultations (other than pre-anaesthesia attendances) where the patient is referred will be covered by new items in the range 17640 - 17655. These new items replace the use of specialist referred items 104 and 105. Items 104 and 105 will no longer apply to referred anaesthesia consultations provided by specialist anaesthetists.

Referred anaesthesia consultations comprise 4  time-based items utilising 15 minute increments up to and exceeding 45 minutes, in conjunction with content-based descriptors. Services covered by these specialist referred items include consultations in association with the following:
(i) Acute pain management
•	Postoperative, utilising specialised techniques eg Patient Controlled Analgesia System (PCAS)
•	as an independent service eg pain control following fractured ribs requiring nerve blocks
•	obstetric pain management
(ii) Perioperative management of patients
•	postoperative management of cardiac, respiratory and fluid balance problems following major surgery
•	vascular access procedures (other than intra-operative peripheral vascular access procedures)

Items 17645 – 17655 will involve the examination of multiple systems and the formulation of a written management plan. Items 17650 and 17655 would also entail the ordering and/or evaluation of relevant patient investigations.

NOTE :
•	It should be noted that the consultation time under items 17640 – 17655 only applies to the period of active attendance on the patient and does not include time spent in discussion with other health care practitioners.
•	Consultation services covered by pain medicine specialist items in the range 2801-3000 cannot be claimed in conjunction with items 17640 – 17655.
•	The requirement of a written patient management plan in items 17645-17655  or the discussion of the management plan with other health care professions, where this occurs, does not relate to and cannot be claimed in conjunction GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans or Case Conference items in Group A15 of the MBS.

It would be expected that in the vast majority of cases, the insertion of a peripheral venous cannula (other than in association with anaesthesia) where the patient is referred, would attract benefit under item 17640. However, in exceptional clinical circumstances, where the procedure is considerably more difficult and exceeds 15 minutes, such as for patients with chronic disease undergoing long term intravenous therapy, paediatric patients or patients having chemotherapy, item 17645 would apply.

T.6.3.    Anaesthetist Consultations - Other - (Items 17680, 17690)
A consultation occurring immediately before the institution of major regional blockade for a patient in labour is covered by item 17680.

Item 17690 can only be claimed where all of the conditions set out in (a) to (d) of item 17690 have been met.

Item 17690 can only be claimed in conjunction with a service covered by items 17615, 17620, or 17625.

Item 17690 cannot be claimed where the pre-anaesthesia consultation covered by items 17615, 17620 or 17625 is provided on the same day as admission to hospital for the subsequent episode of care involving anaesthesia services.

NOTE: Consultation services covered by pain medicine specialist items in the range 2801-3000 cannot be claimed in conjunction with anaesthesia consultation items 17610 – 17690.

T.6.4.    Telehealth Specialist Services
These notes provide information on the telehealth MBS video consultation items by specialists, consultant physicians and psychiatrists. A video consultation involves a single specialist, consultant physician or psychiatrist attending a patient, with the possible support of another medical practitioner, a participating nurse practitioner, a participating midwife, practice nurse or Aboriginal health worker at the patient end of the video conference.  The decision as to whether the patient requires clinical support at the patient end of the specialist service is based on whether the support is necessary for the provision of the specialist service.  Telehealth specialist services can be provided to patients when there is no patient-end support service provided.

MBS items numbers 99, 112, 149, 288, 389, 2820, 3015, 6016, 13210, 16399 and 17609 allow a range of existing MBS attendance items to be provided via video conferencing.  These items have a derived fee which is equal to 50% of the schedule fee for the consultation item claimed (e.g. 50% of the schedule fee for item 104) when billed with one of the associated consultation items (such as 104).  A patient rebate of 85% for the derived fee is payable.

Clinical indications
The specialist, consultant physician or psychiatrist must be satisfied that it is clinically appropriate to provide a video consultation to a patient. The decision to provide clinically relevant support to the patient is the responsibility of the specialist, consultant physician or psychiatrist.

Telehealth specialist services can be provided to patients when there is no patient-end support service provided.

Restrictions
The MBS telehealth attendance items are not payable for services to an admitted hospital patient (this includes hospital in the home patients). Benefits are not payable for telephone or email consultations. In order to fulfill the item descriptor there must be a visual and audio link between the patient and the remote practitioner. If the remote practitioner is unable to establish both a video and audio link with the patient, a MBS rebate for a telehealth attendance is not payable.

Billing Requirements
All video consultations provided by specialists, consultant physicians or psychiatrists must be separately billed. That is, only the relevant telehealth MBS consultation item and the associated derived item are to be itemised on the account/bill/voucher.  Any other service/item billed should be itemised on a separate account/bill/voucher. This will ensure the claim is accurately assessed as being a video consultation and paid accordingly. 

Practitioners should not use the notation ‘telehealth’, ‘verbal consent’ or ‘Patient unable to sign’ to overcome administrative difficulties to obtaining a patient signature for bulk billed claims (for further information see mbsonline.gov.au/telehealth).

Eligible Geographical Areas
The patient must be located in a remote, regional or an outer metropolitan area at the time of the consultation.  This means that all areas outside inner metropolitan are eligible locations for patient services.  

From 1st November 2012, there is a requirement for the patient and specialist to be located a minimum of 15km apart at the time of the consultation. Minimum distance between specialist and patient video consultations are measured by the most direct (ie least distance) route by road. The patient or the specialist is not permitted to travel to an area outside the minimum 15 km distance in order to claim a video conference.

This rule will not apply to specialist video consultation with patients who are a care recipient in a residential care service; or at an Aboriginal Medical Service or an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Health Insurance Act 1973 as these patients are able to receive telehealth services anywhere in Australia.

Telehealth Eligible Service Areas are defined at www.mbsonline.gov.au/ telehealth eligible areas   

Record Keeping
Participating telehealth practitioners must keep contemporaneous notes of the consultation including documenting that the service was performed by video conference, the date, time and the people who participated.

Only clinical details recorded at the time of the attendance count towards the time of the consultation. It does not include information added at a later time, such as reports of investigations.

Extended Medicare Safety Net (EMSN)
ART and Obstetric ‘enabled’ items 13290 and 16401, 16404, 16406, 16500, 16590, 16591 have existing EMSN caps. The telehealth items 13210, 16399 have also been capped to maintain consistency with the existing Government policy.

Aftercare Rule
Video consultations are subject to the same aftercare rules as practitioners providing face-to-face consultations.

Multiple attendances on the same day
In some situations a patient may receive a telehealth consultation and a face to face consultation by the same or different practitioner on the same day.

Medicare benefits may be paid for more than one video consultation on a patient on the same day by the same practitioner, provided the second (and any following) video consultations are not a continuation of the initial or earlier video consultations. Practitioners will need to provide the times of each consultation on the patient’s account or bulk billing voucher.

Referrals
The referral procedure for a video consultation is the same as for conventional face-to-face consultations. 

Technical requirements
In order to fulfill the item descriptor there must be a visual and audio link between the patient and the remote practitioner. If the remote practitioner is unable to establish both a video and audio link with the patient, a MBS rebate for a telehealth attendance is not payable.

Individual clinicians must be confident that the technology used is able to satisfy the item descriptor and that software and hardware used to deliver a videoconference meets the applicable laws for security and privacy.

T.7.1.    Regional or Field Nerve Blocks - General
A nerve block is interpreted as the anaesthetising of a substantial segment of the body innervated by a large nerve or an area supplied by a smaller nerve where the technique demands expert anatomical knowledge and a high degree of precision.

Where anaesthesia combines a regional nerve block with general anaesthesia for an operative procedure, benefit will be paid only under the relevant anaesthesia item as set out in Group T10.

Where a regional or field nerve block is administered by a medical practitioner other than the practitioner carrying out the operation, the block attracts benefits under the Group T10 anaesthesia item and not the block item in Group T7.

Where a regional or field nerve block which is covered by an item in Group T7 is administered by a medical practitioner in the course of a surgical procedure undertaken by that practitioner, then such a block will attract benefit under the appropriate Group T7 item.

When a block is carried out in cases not associated with an operation, such as for intractable pain or during labour, the service falls under Group T7.

Digital ring analgesia, local infiltration into tissue surrounding a lesion or paracervical (uterine) analgesia are not eligible for the payment of Medicare benefits under items within Group T7.  Where procedures are carried out with local infiltration or digital block as the means of anaesthesia, that anaesthesia is considered to be part of the procedure.

T.7.2.    Maintenance of Regional or Field Nerve Block - (Items 18222 and 18225)
Medicare benefit is attracted under these items only when the service is performed other than by the operating surgeon.  This does not preclude benefits for an obstetrician performing an epidural block during labour.

When the service is performed by the operating surgeon during the post-operative period of an operation it is considered to be part of the normal aftercare.  In these circumstances a Medicare benefit is not attracted.

T.7.3.    Intrathecal or Epidural Injection - (Item 18232)
This items covers caudal infusion/injection.

T.7.4.    Intrathecal or Epidural Infusion - (Items 18226 and 18227)
Items 18226 and 18227 apply where intrathecal or epidural analgesia is required for obstetric patients in the after hours period. For these items, the after hours period is defined as the period from 8pm to 8am on any weekday, or any time on a Saturday, Sunday or a public holiday.

Medicare benefits are only payable under item 18227 where more than 50% of the service is provided in the after hours period, benefits would be payable under item 18219.

T.7.5.    Regional or Field Nerve Blocks - (Items 18234 to 18298)
Items in the range 18234 - 18298 are intended to cover the injection of anaesthetic into the nerve or nerve sheath and not for the treatment of carpal tunnel or similar compression syndromes.

Paravertebral nerve block items 18274 and 18276 cover the provision of regional anaesthesia for surgical and related procedures for the management acute pain or of chronic pain related to radiculopathy. Infiltration of the soft tissue of the  paravertebral area for the treatment of other pain symptoms does not attract benefit under these items. Additionally, items 18274 and 18276  do not cover facet joint blocks/injections. This procedure is covered under item 39013.

Item 18292 may not be claimed for the injection of botulinum toxin, but may be claimed where a neurolytic agent (such as phenol) is used to treat the obturator nerve in patients receiving botulinum toxin injections under items 18354, 18356, or 18358 for a dynamic foot deformity.

T.8.1.    Surgical Operations
Many items in Group T8 of the Schedule are qualified by one of the following phrases:
•	"as an independent procedure";
•	"not being a service associated with a service to which another item in this Group applies"; or
•	"not being a service to which another item in this Group applies"

An explanation of each of these phrases is as follows.

As an Independent Procedure 
The inclusion of this phrase in the description of an item precludes payment of benefits when:- 
(i)	a procedure so qualified is associated with another procedure that is performed through the same incision, e.g. nephrostomy (Item 36552) in the course of an open operation on the kidney for another purpose; 
(ii)	such procedure is combined with another in the same body area, e.g. direct examination of larynx (Item 41846) with another operation on the larynx or trachea; 
(iii)	the procedure is an integral part of the performance of another procedure, e.g. removal of foreign body (Item 30067/30068) in conjunction with debridement of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed under general anaesthetic (Item 30023).

Not Being a Service Associated with a Service to which another Item in this Group Applies 
"Not being a service associated with a service to which another item in this Group applies" means that benefit is not payable for any other item in that Group when it is performed on the same occasion as this item. eg item 30106.

"Not being a service associated with a service to which Item ..... applies" means that when this item is performed on the same occasion as the reference item no benefit is payable.  eg item 39330.

Not Being a Service to which another Item in this Group Applies 
"Not being a service to which another item in this Group applies" means that this item may be itemised if there is no specific item relating to the service performed, e.g. Item 30387 (Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this Group applies).   Benefits may be attracted for an item with this qualification as well as benefits for another service during the course of the same operation. 

T.8.2.    Multiple Operation Rule
The fees for two or more operations, listed in Group T8 (other than Subgroup 12 of that Group), performed on a patient on the one occasion (except as provided in paragraph T8.2.3) are calculated by the following rule:‑
-	100% for the item with the greatest Schedule fee
plus 50% for the item with the next greatest Schedule fee
plus 25% for each other item.
Note:
(a)	Fees so calculated which result in a sum which is not a multiple of 5 cents are to be taken to the next higher multiple of 5 cents.
(b)	Where two or more operations performed on the one occasion have Schedule fees which are equal, one of these amounts shall be treated as being greater than the other or others of those amounts.
(c)	The Schedule fee for benefits purposes is the aggregate of the fees calculated in accordance with the above formula.
(d)	For these purposes the term "operation" only refers to all items in Group T8 (other than Subgroup 12 of that Group).

This rule does not apply to an operation which is one of two or more operations performed under the one anaesthetic on the same patient if the medical practitioner who performed the operation did not also perform or assist at the other operation or any of the other operations, or administer the anaesthetic.  In such cases the fees specified in the Schedule apply.

Where two medical practitioners operate independently and either performs more than one operation, the method of assessment outlined above would apply in respect of the services performed by each medical practitioner.

If the operation comprises a combination of procedures which are commonly performed together and for which a specific combined item is provided in the Schedule, it is regarded as the one item and service in applying the multiple operation rule.

There are a number of items in the Schedule where the description indicates that the item applies only when rendered in association with another procedure. The Schedule fees for such items have therefore been determined on the basis that they would always be subject to the "multiple operation rule".

Where the need arises for the patient to be returned to the operating theatre on the same day as the original procedure for further surgery due to post-operative complications, which would not be considered as normal aftercare - see paragraph T8.2, such procedures would generally not be subject to the "multiple operation rule".  Accounts should be endorsed to the effect that they are separate procedures so that a separate benefit may be paid.

T.8.3.    Procedure Performed with Local Infiltration or Digital Block
It is to be noted that where a procedure is carried out with local infiltration or digital block as the means of anaesthesia, that anaesthesia is considered to be part of the procedure and an additional benefit is therefore not payable.

T.8.4.    Aftercare (Post-operative Treatment)
Definition

Section 3(5) of the Health Insurance Act 1973 states that services included in the Schedule (other than attendances) include all professional attendances necessary for the purposes of post-operative treatment of the patient.  For the purposes of this book, post-operative treatment is generally referred to as "aftercare".

Aftercare is deemed to include all post-operative treatment rendered by medical practitioners, and includes all attendances until recovery from the operation, the final check or examination, regardless of whether the attendances are at the hospital, private rooms, or the patient's home.  Aftercare need not necessarily be limited to treatment given by the surgeon or to treatment given by any one medical practitioner.

The medical practitioner determines each individual aftercare period depending on the needs of the patient as the amount and duration of aftercare following an operation may vary between patients for the same operation, as well as between different operations.

Private Patients

Medicare will not normally pay for any consultations during an aftercare period as the Schedule fee for most operations, procedures, fractures and dislocations listed in the MBS item includes a component of aftercare.

There are some instances where the aftercare component has been excluded from the MBS item and this is clearly indicated in the item description.

There are also some minor operations that are merely stages in the treatment of a particular condition.  As such, attendances subsequent to these services should not be regarded as aftercare but rather as a continuation of the treatment of the original condition and attract benefits.  Likewise, there are a number of services which may be performed during the aftercare period for pain relief which would also attract benefits.  This includes all items in Groups T6 and T7, and items 39013, 39100, 39115, 39118, 39121, 39127, 39130, 39133, 39136, 39324 and 39327.

Where there may be doubt as to whether an item actually does include the aftercare, the item description includes the words "including aftercare".

If a service is provided during the aftercare phase for a condition not related to the operation, then this can be claimed, provided the account identifies the service as ‘Not normal aftercare’, with a brief explanation of the reason for the additional services.

If a patient was admitted as a private patient in a public hospital, then unless the MBS item does not include aftercare, no Medicare benefits are payable for aftercare.  If however, a surgeon delegates aftercare to a patient’s medical practitioner, then a Medicare benefit may be apportioned on the basis of 75% for the operation and 25% for the aftercare. Where the benefit is apportioned between two or more medical practitioners, no more than 100% of the benefit for the procedure will be paid.

Medicare benefits are not payable for surgical procedures performed primarily for cosmetic reasons.  However, benefits are payable for certain procedures when performed for specific medical reasons, such as breast reconstruction following mastectomy.  Surgical procedures not listed on the MBS do not attract a Medicare benefit.

Where an initial or subsequent consultation relates to the assessment and discussion of options for treatment and, a cosmetic or other non-rebatable service are discussed, this would be considered a rebatable service under Medicare.  Where a consultation relates entirely to a cosmetic or other non-Medicare rebatable service (either before or after that service has taken place), then that consultation is not rebatable under Medicare.  Any aftercare associated with a cosmetic or non-Medicare rebatable service is also not rebatable under Medicare.

Public Patients

All care directly related to a public in-patient's care should be provided free of charge.  Where a patient has received in-patient treatment in a hospital as a public patient (as defined in Section 3(1) of the Health Insurance Act 1973), routine and non-routine aftercare directly related to that episode of admitted care will be provided free of charge as part of the public hospital service, regardless of where it is provided, on behalf of the state or territory as required by the National Healthcare Agreement.  In this case no Medicare benefit is payable.

Notwithstanding this, where a public patient independently chooses to consult a private medical practitioner for aftercare, then the clinically relevant service provided during this professional attendance will attract Medicare benefits.

Where a public patient independently chooses to consult a private medical practitioner for aftercare following treatment from a public hospital emergency department, then the clinically relevant service provided during this professional attendance will attract Medicare benefits.

Fractures

Where the aftercare for fractures is delegated to a doctor at a place other than where the initial reduction was carried out, then Medicare benefits may be apportioned on a 50:50 basis rather than on the 75:25 basis for surgical operations.

Where the reduction of a fracture is carried out by hospital staff in the out-patient or emergency department of a public hospital, and the patient is then referred to a private practitioner for aftercare, Medicare benefits are payable for the aftercare on an attendance basis.

The following table shows the period which has been adopted as reasonable for the after‑care of fractures:‑
Treatment of fracture of	After-care Period	
Terminal phalanx of finger or thumb	6 weeks	
Proximal phalanx of finger or thumb	6 weeks	
Middle phalanx of finger	6 weeks	
One or more metacarpals not involving base of first carpometacarpal joint	6 weeks	
First metacarpal involving carpometacarpal joint (Bennett's fracture)	8 weeks	
Carpus (excluding navicular)	6 weeks	
Navicular or carpal scaphoid	3 months	
Colles'/Smith/Barton’s fracture of wrist	3 months	
Distal end of radius or ulna, involving wrist	8 weeks	
Radius	8 weeks	
Ulna	8 weeks	
Both shafts of forearm or humerus	3 months	
Clavicle or sternum	4 weeks	
Scapula	6 weeks	
Pelvis (excluding symphysis pubis) or sacrum	4 months	
Symphysis pubis	4 months	
Femur	6 months	
Fibula or tarsus (excepting os calcis or os talus)	8 weeks	
Tibia or patella	4 months	
Both shafts of leg, ankle (Potts fracture) with or without dislocation, os calcis (calcaneus) or os talus	4 months	
Metatarsals ‑ one or more	6 weeks	
Phalanx of toe (other than great toe)	6 weeks	
More than one phalanx of toe (other than great toe)	6 weeks	
Distal phalanx of great toe	8 weeks	
Proximal phalanx of great toe 	8 weeks	
Nasal bones, requiring reduction	4 weeks	
Nasal bones, requiring reduction and involving osteotomies	4 weeks	
Maxilla or mandible, unilateral or bilateral, not requiring splinting	6 weeks	
Maxilla or mandible, requiring splinting or wiring of teeth	3 months	
Maxilla or mandible, circumosseous fixation of	3 months	
Maxilla or mandible, external skeletal fixation of	3 months	
Zygoma	6 weeks	
Spine (excluding sacrum), transverse process or bone other than vertebral body 
requiring immobilisation in plaster or traction by skull calipers	3 months	
Spine (excluding sacrum), vertebral body, without involvement of cord, 
requiring immobilisation in plaster or traction by skull calipers	6 months	
Spine (excluding sacrum), vertebral body, with involvement of cord	6 months	

Note: This list is a guide only and each case should be judged on individual merits.

T.8.5.    Abandoned surgery - (Item 30001)
Item 30001 applies where the procedure has been commenced but is then discontinued for medical reasons or for other reasons which are beyond the surgeon’s control (eg equipment failure).
An operative procedure commences when the:

a)	patient is in the procedure room or on the bed or operation table where the procedure is to be performed; and
b)	patient is anaesthetised or operative site is sufficiently anaesthetised for the procedure to commence; and
c)	patient is positioned or the operative site is prepared with antiseptic or draping.

Where an abandoned procedure eligible for a benefit under item 30001 attracts an assistant under the provisions of the items listed in Group T9 (Assistance at Operations), the fee for the surgical assistant is calculated as 50% of the assistance fee that would have  applied under the relevant item from Group T9.

Practitioners claiming an assistant fee for abandoned surgery should itemise their accounts with the relevant item from group T9. Such claims should include an account endorsement "assistance at abandoned surgery" or similar and should be accompanied by full clinical details of the circumstances of the operation, including details of the surgery proposed and the reasons for the operation being discontinued.
T.8.6.    Repair of Wound - (Items 30023 to 30049)
The repair of wound referred to in these items must be undertaken by suture, tissue adhesive resin (such as methyl methacrylate) or clips. These items do not cover repair of wound at time of surgery.

Item 30023 covers debridement of traumatic, “deep or extensively contaminated” wound. Benefits are not payable under this item for debridement which would be expected to be encountered as part of an operative approach to the treatment of fractures.

For the purpose of items 30026 to 30049 the term 'superficial' means affecting skin and subcutaneous tissue including fat and the term 'deeper tissue' means all tissues deep to but not including subcutaneous tissue such as fascia and muscle.

T.8.7.    Biopsy for Diagnostic Purposes - (Items 30071 to 30096)
Needle aspiration biopsy attracts benefits on an attendance basis and not under item 30078.

Item 30071 should be used when a biopsy (including shave) of a lesion is required to confirm a diagnosis and would facilitate the appropriate management of that lesion. If the shave biopsy results in a definitive excision of the lesion, only 30071 can be claimed.

Items 30071-30096 require that the specimen be sent for pathological examination.

The aftercare period for item 30071 is 2 days rather than the standard aftercare period for skin excision of 10 days.

T.8.8.    Lipectomy -  (Items 30165 to 30177)
Multiple lipectomies, e.g., both buttocks and both thighs attract benefits under Item 30171 once only, i.e. the multiple operation rule does not apply. Medicare benefits are not payable in respect of liposuction, except in the circumstances outlined in Items 45584 and 45585.

Lipectomy items 30165 and 30177 may not be claimed for patients if performed within 12 months after the most recent pregnancy.

Lipectomy items 30165 to 30177 cannot be claimed in association with items 45564, 45565 or 45530. Where the abdomen requires closure with reconstruction of the umbilicus following free tissue transfer (45564, 45565) or breast reconstruction (45530), item 45569 is to be claimed.

T.8.9.    Treatment of Keratoses, Warts etc (Items 30185, 30186, 30187, 30189, 30192 and 36815)
Treatment of seborrheic keratoses by any means, attracts benefits on an attendance basis only.

Treatment of fewer than 10 solar keratoses by ablative techniques such as cryotherapy attracts benefits on an attendance basis only. Where 10 or more solar keratoses are treated by ablative techniques, benefits are payable under item 30192. Where one or more solar keratoses are treated by electrosurgical destruction, simple curettage or shave excision, benefits are payable under item 30195.

Warts and molluscum contagiosum where treated by any means attract benefits on an attendance basis except where:
(a)	admission for treatment in an operating theatre of an accredited day surgery facility or hospital is required. In this circumstance, benefits are paid under item 30189 where a definitive removal of the wart or molluscum contagiosum is to be undertaken.
(b)	benefits have been paid under item 30189, and recurrence occurs.
(c)	definitive removal of palmar or plantar warts is undertaken. In these circumstances, where less than 10 palmar or plantar warts are treated, by methods other than ablative techniques alone, benefits are paid under item 30186, with fees progressively reducing as for multi operations, and where 10 or more palmar or plantar warts are treated, by methods other than ablative techniques alone, benefits are paid as a flat fee under item 30185.
(d)	palmar and plantar warts are treated by laser and require treatment in an operating theatre of an accredited day surgery facility or hospital. In this circumstance, benefits are paid under item 30187.

Ablative techniques include cryotherapy and chemical removal.

T.8.10.   Cryotherapy and Serial Curettage Excision - (Items 30196 to 30203)
In items 30196 and 30197, serial curettage excision, as opposed to simple curettage, refers to the technique where the margin having been defined, the lesion is carefully excised by a skin curette using a series of dissections and cauterisations so that all extensions and infiltrations of the lesion are removed.

For the purposes of Items 30196 to 30203 (inclusive), the requirement for histopathological proof of malignancy is satisfied where multiple lesions are to be removed from the one anatomical region if a single lesion from that region is histologically tested and proven for malignancy.

For the purposes of items 30196 to 30203 (inclusive), an anatomical region is defined as: hand, forearm, upper arm, shoulder, upper trunk or chest (anterior and posterior), lower trunk (anterior or posterior) or abdomen (anterior lower trunk), buttock, genital area/perineum, upper leg, lower leg and foot, neck, face (six sections: left/right lower, left/right mid and left/right upper third) and scalp.

T.8.11.   Telangiectases or Starburst Vessels - (Items 30213 and 30214)
These items are restricted to treatment on the head and/or neck. A session of less than 20 minutes duration attracts benefits on an attendance basis.

Item 30213 is restricted to a maximum of 6 sessions in a 12 month period. Where additional treatments are indicated in that period, item 30214 should be used.

Claims for benefits under item 30214 should be accompanied by full clinical details, including pre-operative colour photographs, to verify the need for additional services. Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered.

The claim and the additional information should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed in a sealed envelope marked ‘Medical-in Confidence’ to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.8.12.   Sentinel Node Biopsy for Breast Cancer - (Items 30299 to 30303)
The Medical Services Advisory Committee (MSAC) evaluated the available evidence and found that sentinel lymph node biopsy is safe and effective in identifying sentinel lymph nodes, but that the long term outcomes of sentinel lymph node biopsy compared to lymph node clearance are uncertain.  As a result, interim Medicare funding is available for these items pending the outcome of clinical trials and further consideration by the MSAC.

For items 30299 and 30300, both lymphoscintigraphy and lymphotropic dye injection must be used, unless the patient has an allergy to the lymphotropic dye.

For the purposes of these items, the axillary lymph node levels referred to are as follows:
-	Level I  - axillary lymph nodes up to the inferior border of pectoralis minor.
-	Level II -axillary lymph nodes up to the superior border of pectoralis minor.
-	Level III - axillary lymph nodes extending above the superior border of pectoralis minor.

T.8.13.   Dissection of Axillary Lymph Nodes - (Items 30335 and 30336)
For the purposes of Items 30335 and 30336, the definitions of lymph node levels referred to are set out below.

Anatomically, the dissection extends from below upwards as follows:
-	Level I  - dissection of axillary lymph nodes up to the inferior border of pectoralis minor.
-	Level II – dissection of axillary lymph nodes up to the superior border of pectoralis minor.
-	Level III - dissection of axillary lymph nodes extending above the superior border of pectoralis minor.

T.8.14.   Laparotomy and Other Procedures on the Abdominal Viscera - (Item 30375)
Procedures on the abdominal viscera may be performed by laparotomy or laparoscopically. Item 30375 covers several operations on abdominal viscera not dissimilar in time and complexity.  Where more than one of the procedures are performed during the one operation, each procedure may be itemised according to the multiple operation formula.

T.8.15.   Diagnostic Laparoscopy - (Item 30390)
If a diagnostic laparoscopy procedure is performed at a different time on the same day to another laparoscopic service, the procedures are considered to be un-associated services.  The claim for benefits should be annotated to indicate that the two services were performed on separate occasions, otherwise the claims will be considered to be a single service.

T.8.16.   Major Abdominal  Incision - (Item 30396)
A major abdominal incision is one that gives access through an open wound to all compartments of the abdominal cavity.  Item 30396 is intended for open surgical incisions only and not those performed laparoscopically.

T.8.17.   Gastrointestinal Endoscopic Procedures - (Items 30473 to 30481, 30484 to 30487, 30490 to 30494, 30680 to 30694, 32084 to 32095, 32103, 32104 and 32106)
The following are guidelines for appropriate minimum standards for the performance of GI endoscopy in relation to (a) cleaning, disinfection and sterilisation procedures, and (b) anaesthetic and resuscitation equipment.  
These guidelines are based on the advice of the Gastroenterological Society of Australia, Royal Australasian College of Surgeons, and the Colorectal Surgical Society of Australia.

Cleaning, disinfection and sterilisation procedures
i.	Endoscopic procedures should be performed in facilities where endoscope and accessory reprocessing protocols follow procedures outlined in:
ii.	Infection and Endoscopy (3rd edition), Gastroenterological Society of Australia;
iii.	Australian Guidelines for the Prevention and Control of Infection in Healthcare (NHMRC, 2010) ; and
iv.	Australian Standard AS 4187-1994 (and Amendments), Standards Association of Australia.

Anaesthetic and resuscitation equipment
Where the patient is anaesthetised, anaesthetic equipment, administration and monitoring, and post-operative and resuscitation facilities should conform to the standards outlined in 'Sedation for Endoscopy', Australian & New Zealand College of Anaesthetists, Gastroenterological Society of Australia and Royal Australasian College of Surgeons.

These guidelines will be taken into account in determining appropriate practice in the context of the Professional Services Review process (see paragraph 8.1 of the General Notes for Guidance).

T.8.18.   Revision of Gastric Reduction, Gastroplasty or Bypass - (Item 30514)
Revision of gastric procedure, for example to correct misplacement of the gastric band or other adverse effects of the initial surgery, involves complete reversal of the initial surgery immediately followed by another reduction, gastroplasty or bypass procedure. For revision item 30514 can be claimed with either item 30511 or 30512, whichever is relevant. For cases where division of adhesions exceeds 45 minutes either item 30378 (laparotomy) or item 30393 (laparoscopy) can also be claimed.

T.8.19.   Gastrectomy, Sub-total Radical - (Item 30523)
The item differs from total radical Gastrectomy (Item 30524) in that a small part of the stomach is left behind. It involves resection of the greater omentum and posterior abdominal wall lymph nodes with or without splenectomy.

T.8.20.   Anti reflux Operations - (Items 30527 to 30533, 31464 and 31466)
These items cover various operations for reflux oesophagitis. Where the only procedure performed is the simple closure of a diaphragmatic hiatus benefit would be attracted under Item 30387 (Laparotomy involving operation on abdominal viscera, including pelvic viscera, not being a service to which another item in this Group applies).

T.8.21.   Radiofrequency ablation of mucosal metaplasia for the treatment of Barrett's Oesophagus (Item 30687)
The diagnosis of high grade dysplasia is recommended to be confirmed by two expert pathologists with experience in upper gastrointestinal pathology.

A multidisciplinary team should review treatment options for patients with high grade dysplasia and would typically include upper gastrointestinal surgeons and/or interventional gastroenterologists.

T.8.22.   Endoscopic or Endobronchial Ultrasound +/- Fine Needle Aspiration - (Items 30688 - 30710)
For the purposes of these items the following definitions apply:

Biopsy  means the removal of solid tissue by core sampling or forceps
FNA  means aspiration of cellular material from solid tissue via a small gauge needle.

The provider should make a record of the findings of the ultrasound imaging in the patient’s notes for any service claimed against items 30688 to 30710.

Endoscopic ultrasound  is an appropriate investigation for patients in whom there is a strong clinical suspicion of pancreatic neoplasia with negative imaging (such as CT scanning). Scenarios include, but are not restricted to:
•	A middle aged or elderly patient with a first attack of otherwise unexplained (eg negative abdominal CT) first episode of acute pancreatitis; or
•	A patient with biochemical evidence of a neuroendocrine tumour.
The procedure is not claimable for periodic surveillance of patients at increased risk of pancreatic cancer, such as chronic pancreatitis. However, EUS would be appropriate for a patient with chronic pancreatitis in whom there was a clinical suspicion of pancreatic cancer (eg: a pancreatic mass occurring on a background of chronic pancreatitis).

T.8.23.   Removal of Skin Lesions - (Items 31200 to 31355)
The excision of warts and seborrheic keratoses attracts benefits on an attendance basis with the exceptions outlined in T8.13 of the explanatory notes to this category. Excision of pre-malignant lesions including solar keratoses where clinically indicated are covered by items 31200 to 31240.

The excision of suspicious pigmented lesions for diagnostic purposes attract benefits under items 31205 to 31240. Only if a further more extensive excision is undertaken should the items covering excision of malignancies be used.

Items 31200 and 31245 do not require the specimen to be sent for histological confirmation. Items 31205 to 31240 and 31250 require that the specimen be sent for histological examination. Items 31255 to 31335 require that a specimen has been sent for histological confirmation of malignancy, and any subsequent specimens are sent for histological examination. Confirmation of malignancy must be received before itemisation of accounts for Medicare benefits purposes.

Where histological results are available at the time of issuing accounts, the histological diagnosis will decide the appropriate itemisation. If the histological report shows the lesion to be benign, items 31205 to 31240 should be used. Malignant tumours are covered by items 31255 to 31355.

A practitioner providing the first treatment episode for a primary BCC/SCC must use the appropriate item from the following: 31255; 31260; 31265; 31270; 31275; 31280; 31285; or 31290.

Where residual BCC/SCC remains following an initial excision of a primary lesion and the same practitioner is excising that residual BCC/SCC then the appropriate item must be claimed from the following: 31256; 31261; 31266; 31271; 31276; 31281; 31286 or 31291.

Where residual BCC/SCC remains following an initial excision of a primary lesion and a practitioner other than the practitioner that performed the previous excision is excising that residual BCC/SCC then the appropriate item must be claimed from the following: 31257; 31262; 31267; 31272; 31277; 31282; 31287 or 31292.

Where a BCC/SCC was removed and complete excision of the lesion was confirmed, but a BCC/SCC has recurred at the primary site, then the items providing for recurrent BCC/SCC would usually apply.

A practitioner excising a recurrent BCC/SCC of the head or neck and who is a specialist in the practice of his or her specialty or a practitioner other than the practitioner who provided previous treatment (where the lesion was removed by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen therapy) must use item 31295.

A practitioner excising a recurrent BCC/SCC from an area other than the head or neck or who otherwise does not meet the criteria as described under item 31295 must use the appropriate item from the following 31258; 31263; 31268; 31273; 31278; 31283; 31288 or 31293.

For the purpose of these items, the tumour/lesion size should be determined by the macroscopic measurement of the surface diameter of the tumour/lesion or, for elliptical tumours/lesions, by the average surface diameter. The relevant size of the lesion relates to that measured in situ before excision. Suture of wound following surgical excision also includes closure by tissue adhesive resin, clips or similar.

Definitive surgical excision for items 31300 to 31335 is defined as “surgical removal with an adequate margin and, as a result, no further surgery is indicated at that site of excision.

It will be necessary for practitioners to retain copies of histological reports.

Items 31245 and 31250 do not cover shave excision.

T.8.24.   Removal of Skin Lesion From Face - (Items 31235 to 31245, 31265 to 31278, 31310 to 31320)
For the purposes of these items, the face is defined as that portion of the head anterior to the hairline and above the jawline.

T.8.25.   Dissection of Lymph Nodes of Neck - (Items 31423 to 31438)
For the purposes of these items, the lymph node levels referred to are as follows:-

Level I	Submandibular and submental lymph nodes	
Level II	Lymph nodes of the upper aspect of the neck including the jugulodigastric node, upper jugular chain nodes and upper spinal accessory nodes	
Level III	Lymph nodes deep to the middle third of the sternomastoid muscle consisting of mid jugular chain nodes, the lower most of which is the jugulo-omohyoid node, lying at the level where the omohyoid muscle crosses the internal jugular vein	
Level IV	Lower jugular chain nodes, including those nodes overlying the scalenus anterior muscle	
Level V	Posterior triangle nodes, which are usually distributed along the spinal accessory nerve in the posterior triangle	

Comprehensive dissection involves all 5 neck levels while selective dissection involves the removal of only certain lymph node groups, for example:-

Item 31426 (removal of 3 lymph node levels) - e.g. supraomohyoid neck dissection (levels I-III) or lateral neck dissection (levels II-IV).

Item 31429 (removal of 4 lymph node levels) - e.g. posterolateral neck dissection (levels II-V) or anterolateral neck dissection (levels I-IV)

Other combinations of node levels may be removed according to clinical circumstances.

T.8.26.   Excision of Breast Lesions, Abnormalities or Tumours - Malignant or Benign - (Items 31500 to 31515)
Therapeutic biopsy or excision of breast lesions, abnormalities or tumours under Items: 31500, 31503, 31506, 31509, 31512, 31515 either singularly or in combination should not be claimed when using the Advanced Breast Biopsy Instrumentation (ABBI) procedure, or any other large core breast biopsy device.

T.8.27.   Subcutaneous Mastectomy - (Items 31521, 31524 and 31527)
When, after completing a subcutaneous mastectomy a prosthesis is inserted, benefits are payable for the latter procedure under Item 45527, the multiple operation formula applying.

Claims for benefits under item 45585 are not payable in association with 31521 or 31527.

T.8.28.   Fine Needle Aspiration of Breast Lesion - (Item 31533)
An impalpable lesion includes those lesions that clinically require definition by ultrasound or mammography for accurate or safe sampling, eg. lesions in association with breast prostheses or in areas of breast thickening.

T.8.29.   Diagnostic Biopsy of Breast using Advanced Breast Biopsy Instrumentation - (Items 31539 and 31545)
For the purposes of Items 31539 and 31545, surgeons performing this procedure should have evidence of appropriate training via a course approved by the Breast Section of the Royal Australasian College of Surgeons, have experience in the procedure, and Medicare Australia notified of their eligibility to perform this procedure.

The ABBI procedure is contraindicated and should not be performed on the following subset of patients:
-	Patients with mass, asymmetry or clustered microcalcifications that cannot be targeted using digital imaging equipment;
-	Patients unable to lie prone and still for 30 to 60 minutes;
-	Breasts less than 20mm in thickness when compressed;
-	Women on anticoagulants;
-	Lesions that are too close to the chest wall to allow cannula access;
-	Patients weighing more than 135kg;
-	Women with prosthetic breast implants.

T.8.30.   Preoperative Localisation of Breast Lesion Prior to the Use of Advanced Breast Biopsy Instrumentation - (Item 31542)
For the purposes of item 31542, radiologists eligible to perform the procedure must have been identified by the Royal Australian and New Zealand College of Radiologists as having sufficient training and experience in this procedure, and Medicare Australia notified of their eligibility to perform this procedure.

T.8.31.   Per Anal Excision of Rectal Tumour using Stereoscopic Rectoscopy - (Items 32103, 32104 and 32106)
Surgeons performing these procedures should be colorectal surgeons and have undergone appropriate training which is recognised by the Colorectal Surgical Society of Australasia.

Items 32103, 32104 and 32106 cannot be claimed in conjunction with each other or with anterior resection items 32024 or 32025 for the same patient, on the same day, by any practitioner.
T.8.32.   Sacral Nerve Stimulation for Faecal Incontinance - (Items 32213 to 32218)
Based on a review of the available evidence, the Medical Services Advisory Committee found that sacral nerve stimulation for faecal incontinence is contraindicated in all patients under 18 years of age, and in patients 18 years of age or older who:
-	are medically unfit for surgery;
-	are pregnant or planning pregnancy; 
-	have irritable bowel syndrome;
-	have congenital anorectal malformations;
-	have active anal abscesses or fistulas;
-	have anorectal organic bowel disease – including cancer;
-	have functional effects of previous pelvic irradiation;
-	have congenital or acquired malformations of the sacrum; or
-	have had rectal or anal surgery within the previous 12 months.

T.8.33.   Artificial Bowel Sphincter (items 32220, 32221)
The safety and effectiveness of artificial bowel sphincters has not been established in children prior to puberty.

An artificial bowel sphincter is contraindicated in:
•	patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases and a scarred or fragile perineum
•	patients who have had an adverse reaction to radiopaque solution
•	patients who engage in receptive anal intercourse.

T.8.34.   Varicose veins - (Items 32500 to 32517)
Item 32500 is restricted to a maximum of 6 treatments in a 12 month period. Where additional treatments are necessary in that period, Item 32501 applies.

In items 32500 and 32501, it is sclerosant which is being injected.

Before item 32501 can be used, it is necessary to demonstrate that truncal reflux in the long or short saphenous veins does not exist on duplex examination.  Claims for benefits should be accompanied by full clinical details, including pre-operative colour photographs, to verify the need for additional services. Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered. The claim and the additional information should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed in a sealed envelope marked ‘Medical-in Confidence’ to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

In relation to endovenous laser therapy (ELT) and/or radiofrequency diathermy/ablation, the following rules apply:

From 1 May 2009, amended wording in Rule 2.44.14 of the Health Insurance (General Medical Services Table) Regulations 2008 (GMST) represented a clarification of existing policy.  It did not represent a new policy decision.

From 1 May 2009, updated wording in Rule 2.44.14 of the GMST means the following:

•	ELT and/or radiofrequency diathermy/ablation are not payable if they are billed under any varicose vein items (32500 to 32517) or vascular item 35321.
•	If ELT and/or radiofrequency diathermy/ablation are provided on the same occasion as these MBS items, the ELT and radiofrequency diathermy/ablation services must be itemised separately on the invoice, showing the full fees for each service separately to the fees billed against the MBS items.
•	We strongly recommend that a practitioner who intends to bill ELT and/or radiofrequency diathermy/ablation on the same occasion as providing MBS services contact Medicare Australia's provider information line on 132 150 to confirm Medicare Australia’s requirements for correct itemisation of MBS and non-MBS services on a single invoice.
•	Medicare Australia monitors billing practices associated with MBS items and any billing which stands out as being out of line with most practitioners may warrant the attention of Medicare Australia.
•	In light of the policy clarification of GMST Rule 2.44.14, with effect from 1 May 2009, Medicare Australia will be able to track any apparent cost-shifting (of ELT and/or radiofrequency diathermy/ablation) to the MBS items detailed in GMST Rule 2.44.14 or to other MBS items.

T.8.35.   Endovenous Laser Therapy (Items 32520 and 32522)
It is recommended that the medical practitioner performing the endovenous laser therapy (ELT) has successfully completed a substantial course of study and training in the management of venous disease, which has been endorsed by their relevant professional organisation.
ELT is recommended in cases where it is documented by duplex ultrasound that the great or small saphenous vein (or one of its major tributaries) demonstrates reflux of 0.5 seconds or longer.

T.8.36.   Uterine Artery Embolisation - (Item 35410)
This item was introduced on an interim basis in November 2006 following a recommendation of the Medical Services Advisory Committee (MSAC), pending the outcome of clinical trials and further consideration by the MSAC. The requirement for specialist referral by a gynaecologist for uterine artery embolisation was a MSAC recommendation. Providers should retain the instrument of specialist referral for each patient from the date of the procedure, as this may be subject to audit by Medicare Australia.

T.8.37.   Endovascular Coiling of Intracranial Aneurysms - (Item 35412)
This service includes balloon angioplasty and insertion of stents (assisted coiling) associated with intracranial aneurysm coiling. The use of liquid embolics alone is not covered by this item. Digital Subtraction Angiography (DSA) done to diagnose the aneurysm (items 60009 and either 60072, 60075 or 60078) is claimable, however this must be clearly noted on the claim and in the clinical notes as separate from the intra-operative DSA done with the coiling procedure.

T.8.38.   Arterial and Venous Patches - (Items 33545 to 33551and 34815)
Vascular surgery items have been constructed on the basis that arteriotomy and venotomy wounds are closed by simple suture without the use of a patch.

Where a patch angioplasty is used to enlarge a narrowed vein, artery or arteriovenous fistula, the correct item would be 34815 or 34518. If the vein is harvested for the patch through a separate incision, Item 33551 would also apply, in accordance with the multiple operation rule.

If a patch graft is involved in conjunction with an operative procedure included in Items 33500 - 33542, 33803, 33806, 33815, 33833 or 34142, the patch graft would attract benefits under Item 33545 or 33548 in addition to the item for the primary operation (under the multiple operation rule). Where vein is harvested for the patch through a separate incision Item 33551 would also apply.

T.8.39.   Embolectomy or Thrombectomy - (Item 33806)
Benefit is payable once only per extremity, regardless of the number of incisions required to access the artery or bypass graft.

T.8.40.   Carotid Percutaneous Transluminal Angioplasty with Stenting - (Item 35307)
This item is introduced into the Schedule following a recommendation of the Medical Services Advisory Committee (MSAC).  MSAC recommended that “CPTAS should be funded for patients who meet the criteria for CEA (carotid endarterectomy) but are unfit for open surgery (CEA).”  A continuing review of the item usage will be undertaken.

The indications for CEA are: >50% stenosis of carotid artery associated with stroke or transient ischaemic attack; or, >80% asymptomatic carotid stenosis. Medical comorbidities which would be considered to make patients at high risk of anaesthetic perioperative complications at open CEA are: significant coronary artery disease; severe heart failure; severe pulmonary disease; or, age greater than 80 years.  Surgical conditions which would make patients unfit for open surgery are: recurrent stenosis post CEA; high cervical internal carotid lesion (above C2); low common carotid lesion below the clavicle; contralateral carotid occlusion; contralateral laryngeal nerve palsy; tracheostomy; or, prior radiation therapy of the neck or neck dissection.

T.8.41.   Peripheral Arterial or Venous Catheterisation - (Item 35317)
Item 35317 is restricted to the regional delivery of thrombolytic, vasoactive or chemotherapeutic oncologic agents in association with a radiological service.  This item in not intended for infusions with systemic affect.

T.8.42.   Peripheral Arterial or Venous Embolisation - (Item 35321)
Item 35321 does not apply to the service described in that item if the service is provided at the same time as, or in connection with, endovenous laser treatment for varicose veins.

T.8.43.   Selective Internal Radiation Therapy (SIRT) using SIR-Spheres - (Items 35404, 35406 and 35408)
These items were introduced into the Schedule on an interim basis in May 2006 following a recommendation of the Medical Services Advisory Committee (MSAC) pending the outcome of clinical trials and further consideration by the MSAC. SIRT should not be performed in an outpatient or day patient setting to ensure patient and radiation safety requirements are met.
T.8.44.   Percutaneous Transluminal Coronary Angioplasty - (Items 38309, 38312, 38315 and 38318)
A coronary artery lesion is considered to be complex when the lesion is a chronic total occlusion, located at an ostial site, angulated, tortuous or greater than 1cm in length. Percutaneous transluminal coronary rotational atherectomy is suitable for revascularisation of complex and heavily calcified coronary artery stenoses in patients for whom coronary artery bypass graft surgery is contraindicated.

Each of the items 38309, 38312, 38315 and 38318 describes an episode of service. As such, only one item in this range can be claimed in a single episode.

T.8.45.   Colposcopic Examination - (Item 35614)
It should be noted that colposcopic examination (screening) of women during the course of a consultation does not attract Medicare benefits under Item 35614 except in the following circumstances:‑ (i) where the patient has had an abnormal cervical smear; (ii) where there is a history of ingestion of oestrogen by the patient's mother during her pregnancy;  or (iii) where the patient has been referred by another medical practitioner because of suspicious signs of genital cancer. 

T.8.46.   Hysteroscopy - (Item 35626)
Hysteroscopy undertaken in the office/consulting rooms can be claimed under this item where the conditions set out in the description of the item are met.

T.8.47.   Curettage of Uterus under GA or Major Nerve Block - (Items 35639 and 35640)
Uterine scraping or biopsy using small curettes (e.g. Sharman's or Zeppelin's) and requiring minimal dilatation of the cervix, not necessitating a general anaesthesia, does not attract benefits under these items but would be paid under Item 35620 where malignancy is suspected, or otherwise on an attendance basis.

T.8.48.   Neoplastic Changes of the Cervix - (Items 35644-35648)
The term "previously confirmed intraepithelial neoplastic changes of the cervix" in these items refers to diagnosis made by either cytologic, colposcopic or histologic methods. This may also include persistent human papilloma virus (HPV) changes of the cervix.

T.8.49.   Sterilisation of Minors - Legal Requirements - (Items 35657, 35687, 35688, 35691, 37622 and 37623)
(i)	It is unlawful throughout Australia to conduct a sterilisation procedure on a minor which is not a by-product of surgery appropriately carried out to treat malfunction or disease (eg malignancies of the reproductive tract) unless legal authorisation has been obtained.
(ii)	Practitioners are liable to be subject to criminal and civil action if such a sterilisation procedure is performed on a minor (a person under 18 years of age) which is not authorised by the Family Court of Australia or another court or tribunal with jurisdiction to give such authorisation.
(iii)	Parents/guardians have no legal authority to consent on behalf of minors to such sterilisation procedures.  Medicare Benefits are only payable for sterilisation procedures that are clinically relevant professional services as defined in Section 3 (1) of the Health Insurance Act 1973.

T.8.50.   Debulking of Uterus - (Item 35658)
Benefits are payable under Item 35658, using the multiple operation rule, in addition to vaginal hysterectomy.

T.8.51.   Nephrectomy - (Items 36526 and 36527)
Items 36526 and 36527 are only claimable where the practitioner has a high index of suspicion of malignancy which cannot be confirmed by biopsy prior to surgery being performed, due to the biopsy being either clinically inappropriate, or the specimen provided showing an inconclusive diagnosis.

T.8.52.   Sacral Nerve Stimulation - (Items 36658, 36660, and 36662)
Items 36658, 36660, and 36662 only apply in the following circumstances:
(a)	the patients has received a sacral nerve stimulation implant for the management of refractory urinary incontinence or urge retention;
(b)	the patient requires replacement or removal of the pulse generator and/or leads for the neurostimulator device; and
(c)	the service referred to in paragraph (a) was rendered to the patient prior to 30 April 1998 and a Medicare benefit was paid for that service under item  30000, 39134, 39139 or 39140.

T.8.53.   Sacral Nerve Stimulation (items 36663-36668)
A two-stage process of testing and treatment is required to ensure suitability for Sacral Nerve Stimulation for detrusor overactivity or non obstructive urinary retention where urethral obstruction has been urodynamically excluded. The testing phase involves acute and sub-chronic testing.  The first stage includes peripheral nerve evaluation and patients who achieve greater than 50% improvement in urinary incontinence or retention episodes during testing will be eligible to receive permanent SNS treatment.

T.8.54.   Ureteroscopy - (Item 36803)
Item 36803 refers to ureteroscopy of one ureter when performed for the purpose of inspection alone. It may not be used when one of the other ureteroscopy numbers (Items 36806 or 36809) or pyeloscopy numbers (Items 36652, 36654 or 36656) is used for a ureteroscopic procedure performed in the same ureter or collecting system.  It may be used when inspection alone is carried out in one ureter independently from a ureteroscopic or pyeloscopic procedure in another ureter or collecting system.  If Item number 36803 is used with one of the other above 5 numbers, it must be specified that item number 36803 refers to ureteroscopy performed in another ureter eg 36654 (Right side) and 36803 (Left side).  36803 may also be used in this way if there is a partial or complete duplex collecting system eg 36809 (Lower pole moiety ureter, Left side) and 36803 (Upper pole moiety ureter, Left side).

Item numbers 36806 and 36809 may only be used together when 2 independent ureteroscopic procedures are performed in separate ureters.  These separate ureters may be components of a complete or partial duplex system.  If both these numbers are used together, the Regulations require qualification of these item numbers by the site, as is necessary with 36803 eg 36806 (Right side) and 36809 (Left side).

T.8.55.   Selective Coronary Angiography - (Items 38215  to 38246)
Each item in the range 38215-38240 describes an episode of service. As such, only one item in this range can be claimed in a single episode.

Item 38243 may be billed once only immediately prior to any coronary interventional procedure, including situations where a second operator performs any coronary interventional procedure after diagnostic angiography by the first operator.

Item 38246 may be billed when the same operator performs diagnostic coronary angiography and then proceeds directly with any coronary interventional procedure during the same occasion of service. Consequently, it may not be billed in conjunction with items 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38243.  In the event that the same operator performed any coronary interventional procedure immediately after the diagnostic procedure described by item 38231, 38237 or 38240, that item may be billed as an alternative to item 38246.

Items in the range 38215 - 38246 cannot be claimed for any intravascular ultrasound (IVUS) procedure therefore Medicare Benefits are not payable for IVUS.

T.8.56.   Transurethral Needle Ablation (TUNA) of the Prostate - (Items 37201 and 37202)
Moderate to severe lower urinary tract symptoms are defined using the American Urological Association (AUA) Symptom Score or the International Prostate Symptom Score (IPSS).

Patients not medically fit for transurethral resection of the prostate (TURP) can be defined as: 
(i)	Those patients who have a high risk of developing a serious complication from the surgery.  Retrograde ejaculation is not considered to be a serious complication of TURP.
(ii)	Those patients with a co-morbidity which may substantially increase the risk of TURP or the risk of the anaesthetic necessary for TURP.

T.8.57.   Gold Fiducial Markers into the Prostate - (item 37217)
Item 37217 is for the insertion of gold fiducial markers into the prostate or prostate surgical bed as markers for radiotherapy.  The service can not be claimed under item 37218 or any other surgical item.
This item is introduced into the Schedule on an interim basis pending the outcome of an evaluation being undertaken by the Medical Services Advisory Committee (MSAC).  
Further information on the review of this service is available from the MSAC Secretariat.

T.8.58.   Brachytherapy of the Prostate - (Item 37220)
One of the requirements of item 37220 is that patients have a Gleason score of less than or equal to 7. However, where the patient has a score of 7, comprising a primary score of 4 and a secondary score of 3 (ie. 4+3=7), it is recommended that low dose rate brachytherapy form part of a combined modality treatment.

Low dose rate brachytherapy of the prostate should be performed in patients, with favourable anatomy allowing adequate access to the prostate without pubic arch interference, and who have a life expectancy of greater than 10 years.

An ‘approved site’ for the purposes of this item is one at which radiation oncology services may be performed lawfully under the law of the State or Territory in which the site is located.

T.8.59.   High Dose Rate Brachytherapy - (Item 37227)
Item 37227 covers the service undertaken by an urologist or radiation oncologist as part of the High Dose Rate Brachytherapy procedure, in association with a radiation oncologist. If the service is undertaken by an urologist, a radiation oncologist must be present in person at the time of the service. The removal of the catheters following completion of the Brachytherapy is also covered under this item.

T.8.60.   Radical or Debulking Operation for Ovarian Tumour - (Item 35720)
This item refers to the operation for carcinoma of the ovary where the bulk of the tumour and the omentum are removed.  Where this procedure is undertaken in association with hysterectomy benefits are payable under both item numbers with the application of the multiple operation formula.

T.8.61.   Transcutaneous Sperm Retrieval - (Item 37605)
Item 37605 covers transcutaneous sperm retrieval for the purposes of intracytoplasmic sperm injection (item 13251) for male factor infertility, in association with assisted reproductive technologies.

Item 37605 provides for the procedure to be performed unilaterally. Where it is clinically necessary to perform the service bilaterally, the multiple operation rule would apply, in accordance with point T8.5 of these Explanatory Notes.

Where the procedure is carried out under local infiltration as the means of anaesthesia, additional benefit is not payable for the anaesthesia component as this is considered to be part of the procedure.

T.8.62.   Surgical Sperm Retrieval, by Open Approach - (Item 37606)
Item 37606 covers open sperm retrieval for the purposes of intracytoplasmic sperm injection (item 13251) for male factor infertility, in association with assisted reproductive technologies. Item 37606 provides for the procedure to be performed unilaterally. Where it is clinically necessary to perform the service bilaterally, the multiple operation rule would apply.

Benefits for item 37606 may be claimed in conjunction with a service or services provided under item 37605, where an open approach is clinically necessary following an unsuccessful percutaneous approach. Likewise, such services would be subject to the multiple operation rule.

Benefit is not payable for item 37606 in conjunction with item 37604.

T.8.63.   Cardiac Pacemaker Insertion - (Items 38209, 38212, 38350, 38353 and 38356)
The fees for the insertion of a pacemaker (Items  38350, 38353 and 38356) cover the testing of cardiac conduction or conduction threshold, etc related to the pacemaker and pacemaker function.

Accordingly, additional benefits are not payable for such routine testing under Item 38209 or 38212 (Cardiac electrophysiological studies).

T.8.64.   Implantable ECG Loop Recorder - (Item 38285)
The fee for implantation of the loop recorder (item 38285) covers the initial programming and testing of the device for satisfactory rhythm capture. Benefits are payable only once per day.

The term “recurrent” refers to more than one episode of syncope, where events occur at intervals of 1 week or longer. The term “other available cardiac investigations” includes the following:
-	a complete history and physical examination that excludes a primary neurological cause of syncope and does not exclude a cardiac cause;
-	electrocardiography (ECG) (items 1170-11702);
-	echocardiography (items 55113-55115);
-	continuous ECG recording or ambulatory ECG monitoring (items 11708-11711);
-	up-right tilt table test (item 11724); and
-	cardiac electrophysiological study, unless there is reasonable medical reason to waive this requirement (item 38209).

T.8.65.   Transluminal Insertion of Stent or Stents - (Item 38306)
Item 38306 should only be billed once per occlusional site.  It is not appropriate to bill item 38306 multiple times for the insertion of more than one stent at the same occlusional site in the same artery. However, it would be appropriate to claim this item multiple times for insertion of stents into the same artery at different occlusional sites or into another artery or occlusional site.  It is expected that the practitioner will note the details of the artery or site into which the stents were placed, in order for Medicare Australia to process the claims.

T.8.66.   Permanent Cardiac Synchronisation Device (Items 38365, 38368 and 38654)
Items 38365, 38368 and 38654 apply only to patients who meet the criteria listed in the item descriptor, and to patients who do not meet the criteria listed in the descriptor but have previously had a CRT device and transvenous left ventricular electrode inserted and who prior to its insertion met the criteria and now need the device replaced.

T.8.67.   Intravascular Extraction of Permanent Pacing Leads - (Item 38358)
For the purposes of Item 38358 specialists or consultant physicians claiming this item must have training recognised by the Lead Extraction Advisory Committee of the Cardiac Society of Australia and New Zealand, and Medicare Australia notified of that recognition. The procedure should only be undertaken in a hospital capable of providing cardiac surgery.

T.8.68.   Cardiac Resynchronisation Therapy - (Item 38371)
Item 38371 applies only to patients who meet the criteria listed in the item descriptor, and to patients who do not meet the criteria listed in the descriptor but have previously had an CRT  device capable of defibrillation inserted and who prior to its insertion met the criteria and now need the device replaced.

T.8.69.   Implantable Cardioverter Defibrillator - (Items 38384 and 38387)
Items 38384 and 38387 apply only to patients who meet the criteria listed in the item descriptor, and to patients who do not meet the criteria listed in the descriptor but have previously had an ICD device inserted and who prior to its insertion met the criteria and now need the device replaced.

T.8.70.   Cardiac and Thoracic Surgical Items - (Items 38470 to 38766)
Items 38470 to 38766 must be performed using open exposure or minimally invasive surgery which excludes percutaneous and transcatheter techniques unless otherwise stated in the item.

T.8.71.   Coronary Artery Bypass - (Items 38497 to 38504)
The fees for Items 38497 and 38498 include the harvesting of vein graft material.  Harvesting of internal mammary artery and/or vein graft material is covered in the fees for Items 38500, 38501, 38503 and 38504.  Where harvesting of an artery other than the internal mammary artery is undertaken, benefits are payable under Item 38496 on the multiple operation basis.  The procedure of coronary artery bypass grafting using arterial graft is covered by Item 38500, 38501, 38503 or 38504 irrespective of the origin of the arterial graft.

Items 38498, 38501 and 38504 require that either a clinical or medical perfusionist are present in the operating theatre throughout the procedure in case it is necessary to convert to an on-pump procedure and cardiopulmonary bypass is required.

If it is necessary to provide cardiopulmonary bypass items 38498, 38501 and 38504 cannot be claimed.  The procedure should be claimed under items 38497, 38500 or 38503 as appropriate in conjunction with the relevant cardiopulmonary bypass procedures.

T.8.72.   Re-operation via Median Sternotomy - (Item 38640)
Medicare benefits are payable for Item 38640 plus the item/s covering the major surgical procedure/s performed at the time of the re-operation, using the multiple operation formula. Benefits are not payable for Item 38640 in association with Item 38656, 38643 or 38647.

T.8.73.   Skull Base Surgery - (Items 39640 to 39662)
The surgical management of lesions involving the skull base (base of anterior, middle and posterior fossae) often requires the skills of several surgeons or a number of surgeons from different surgical specialties working together or in tandem during the operative session.  These operations are usually not staged because of the need for definitive closure of the dura, subcutaneous tissues, and skin to avoid serious infections such as osteomyelitis and/or meningitis.

Items 39640 to 39662 cover the removal of the tumour, which would normally be performed by a neurosurgeon.  Other  items are available to cover procedures performed as a part of skull base surgery by practitioners in other specialities, such as ENT and plastic and reconstructive surgery.

T.8.74.   Intradiscal Injection of Chymopapain - (Item 40336)
The fee for this item includes routine post‑operative care. Associated radiological services attract benefits under the appropriate item in Group I3.

T.8.75.   Removal of Ventilating Tube from Ear - (Item 41500)
Benefits are not payable under Item 41500 for removal of ventilating tube. This service attracts benefits on an attendance basis.

T.8.76.   Meatoplasty - (Item 41515)
When this procedure is associated with Item 41530, 41548, 41557, 41560 or 41563 the multiple operation rule applies.

T.8.77.   Reconstruction of Auditory Canal - (Item 41524)
When associated with Item 41557, 41560 or 41563 the multiple operation rule applies. 

T.8.78.   Removal of Nasal Polyp or Polypi - (Items 41662, 41665 and 41668)
Where such polyps are removed in association with another intranasal procedure, Medicare benefit is paid under Item 41662. However where the associated procedure is of lesser value than Items 41665/41668, benefit for removal of polypi would be paid under Items 41665/41668.

T.8.79.   Larynx, Direct Examination - (Item 41846)
Benefit is not attracted under this item when an anaesthetist examines the larynx during the course of administration of a general anaesthetic.

T.8.80.   Microlaryngoscopy - (Item 41858)
This item covers the removal of "juvenile papillomata" by mechanical means, e.g. cup forceps.  Item 41861 refers to the removal by laser surgery.

T.8.81.   Imbedded Foreign Body - (Item 42644)
For the purpose of item 42644, an imbedded foreign body is one that is sub-epithelial or intra-epithelial and is completely removed using a hypodermic needle, foreign body gouge or similar surgical instrument with magnification provided by a slit lamp biomicroscope, loupe or similar device.

Item 42644 also provides for the removal of rust rings from the cornea, which requires the use of a dental burr, foreign body gouge or similar instrument with magnification by a slit lamp biomicroscope.

Where the imbedded foreign body is not completely removed, benefits are payable under the relevant attendance item.

T.8.82.   Corneal Incisions - (Item 42672)
The description of this item refers to two sets of calculations, one performed some time prior to the operation, the other during the course of the operation. Both of these measurements are included in the Schedule fee and benefit for Item 42672.

T.8.83.   Cataract surgery (Items 42698 and 42701)
Items 42698 and 42701 provide for intraocular lens extraction and replacement as a separate procedure to be used in instances when lens removal and replacements are contraindicated at the same operation, such as in patients presenting with proliferative diabetic retinopathy or recurrent uveitis.
T.8.84.   Posterior Juxtascleral Depot injection - (Item 42741)
For the purpose of item 42741, the therapeutic substance must be registered with the Therapeutic Goods Administration (or listed on the Pharmaceutical Benefits Schedule, if so listed) as being suitable for injection for the treatment of predominantly (greater than or equal to 50%) classic, subfoveal choroidal neovascularisation due to age-related macular degeneration, as diagnosed by fluorescein angiography, in a patient with a baseline visual acuity equal to or better than 6/60.

T.8.85.   Cyclodestructive Procedures - (Items 42770)
Item 42770 is restricted to a maximum of 2 treatments in a 2 year period.

T.8.86.   Insertion of drainage device for glaucoma (Item 42752)
Item 42752 provides for the insertion of a drainage device for the treatment of glaucoma patients who are at high risk of failure of trabeculectomy (such as patients who have aggressive neovascular glaucoma or extensive conjunctival scarring); have iridocorneal endothelial syndrome; inflammatory (uveitic) glaucoma; or aphakic glaucoma.
T.8.87.   Laser Trabeculoplasty - (Items 42782 and 42783)
Item 42782 is restricted to a maximum of 4 treatments in a 2 year period. Where additional treatments are necessary in that period Item 42783 should be utilised. 

Claims for benefits for item 42783 should be accompanied by full clinical details to verify the need for additional services. The claim and the additional information should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.  

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed in a sealed envelope marked ‘Medical-in Confidence’ to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.8.88.   Laser Iridotomy - (Items 42785 and 42786)
Item 42785 is restricted to a maximum of 2 treatments  in a 2 year period. Where additional treatments are necessary in that period Item 42786 should be utilised. 

Claims for benefits should be accompanied by full clinical details to verify the need for additional services. The claim and the additional information should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed in a sealed envelope marked ‘Medical-in Confidence’to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.8.89.   Laser Capsulotomy - (Items 42788 and 42789)
Item 42788 is restricted to a maximum of 2 treatments in a 2 year period. Where additional treatments are necessary in that period Item 42789 should be utilised.

Claims for benefits for item 42789 should be accompanied by full clinical details to verify the need for additional services. The claim and the additional information should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed in a sealed envelope marked ‘Medical-in Confidence’ to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.8.90.   Laser Vitreolysis or Corticolysis of Lens Material or Fibrinolysis - (Items 42791 and 42792)
Item 42791 is restricted to a maximum of 2 treatments in a 2 year period. Where additional treatments are necessary in that period Item 42792 should be utilised.

Claims for benefits for item 42792 should be accompanied by full clinical details to verify the need for additional  services. The claim and the additional information should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed in a sealed envelope marked ‘Medical-in Confidence’to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.8.91.   Division of Suture by Laser - (Item 42794)
Benefits under this item are restricted to a maximum of 2 treatments in a 2 year period. There is no provision for additional treatments in that period.

T.8.92.   Laser Coagulation of Corneal or Scleral Blood Vessels - (Item 42797)
Benefits under this item are restricted to 4 treatments in a 2 year period. There is no provision for additional treatments in that period.

Benefits are not payable under Item 42797 for procedures undertaken for cosmetic purposes (see paragraph 13.1.2 of the General Explanatory Notes).

T.8.93.   Ophthalmic Sutures - (Item 42845)
This item refers to the occasion when readjustment has to be made to the sutures to vary the angle of deviation of the eye.  It does not cover the mere tightening of the loosely tied sutures without repositioning, or adjustment performed prior to the patient leaving the operating theatre.

T.8.94.   Full face Chemical Peel - (Items 45019 and 45020)
These items relate to full face chemical peel in the circumstances outlined in the item descriptors. Claims for benefits should be accompanied by full clinical details, including pre-operative colour photographs, to confirm that the conditions for payment of benefits have been met. Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered. The claim and the additional information should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed  in a sealed envelope marked ‘Medical-in Confidence’to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.8.95.   Abrasive Therapy/Resurfacing - (Items 45021 to 45026)
For the purposes of the above items, one aesthetic area is any of the following of the whole face (considered to be divided into six segments):- forehead; right cheek; left cheek; nose; upper lip; and chin.

Items 45021 and 45024 cover abrasive therapy only. For the purposes of these items, abrasive therapy requires the removal of the epidermis and into the deeper papillary dermis. Services performed using a laser are not eligible for benefits under these items.

Items 45025 and 45026 do not cover the use of fractional (Fraxel®) laser therapy.

T.8.96.   Foreign Implant - (Item 45051)
For Medicare benefits to be payable for this item the intention of the implantation must be either to reconstruct facial or body contours which have been damaged by trauma or disease or to correct a deformity which has been pathologically caused.

T.8.97.   Escharotomy - (Item 45054)
Benefits are payable once only under Item 45054 for each limb (or chest) regardless of the number of incisions to each of these areas.

T.8.98.   Local Skin Flap - Definition
Medicare benefits for flaps are only payable when clinically appropriate. Clinically appropriate in this instance means that the flap or graft is required to close the defect because the defect cannot be closed directly, or because the flap is required to adapt scar position optimally with regard to skin creases or landmarks,   maintain contour on the face or neck, or prevent distortion of adjacent structures or apertures.

A local skin flap is an area of skin and subcutaneous tissue designed to be elevated from the skin adjoining a defect requiring closure.  The flap remains partially attached by its pedicle and is moved into the defect by rotation, advancement or transposition, or a combination of these manoeuvres.  A benefit is only payable when the flap is required for adequate wound closure.  A secondary defect will be created which may be closed by direct suture, skin grafting or sometimes a further local skin flap.  This later procedure will also attract benefit if closed by graft or flap repair but not when closed by direct suture.

By definition, direct wound closure (e.g. by suture) does not constitute skin flap repair.  Similarly, angled, curved or trapdoor incisions which are used for exposure and which are sutured back in the same position relative to the adjacent tissues are not skin flap repairs.  Undermining of the edges of a wound prior to suturing is considered a normal part of wound closure and is not considered a skin flap repair.

A "Z" plasty is a particular type of transposition flap repair.  Although 2 flaps are created, benefit will be paid on the basis of Items 45200, 45203 or 45206 once only.

Items where benefit for local skin flap repair (if indicated as above) is payable, include:

30023,  30180, 30186,  30269, 31205-31340, 45030, 45033, 45036-45045, 45506, 45512, 45626.

Note: This list is not all-inclusive and there are circumstances where other services might involve flap repair.

The following items are examples of where local flap repair would usually not be payable.  If further advice is required, Medicare Australia should be contacted.

30026-30052, 30099-30114, 30165-30177, 31200, 45520, 45522, 45524, 45563, 45587, 45632-45644, 45659, 45662, 45677-45713.

T.8.99.   Free Grafting to Burns - (Items 45406 to 45418)
Items 45406 to 45418 cover split skin grafting using autografts, homografts or xenografts.

T.8.100.  Revision of Scar - (Items 45506 to  45518)
For the purposes of items 45506 to 45518, revision of scar refers to modification of existing scars (traumatic, surgical or pathological) that is designed to decrease scar width, adapt scar position with regard to skin creases and landmarks, release scars from adhering to underlying structures, improve scar contour in keeping with undamaged skin or restore the shape of facial aperture.

Items 45506 to 45518 are only claimable when performed by a specialist in the practice of his or her specialty or where undertaken in the operating theatre of a hospital.

Only items 45506 and 45512, for the face and neck, can be claimed in association with items providing for graft or flap services.

For excision of scar services which do not meet the requirements of the revision of scar items as defined, the appropriate item in the range 31200 to 31240 should be claimed.

T.8.101.  Reduction Mammaplasty - (Item 45522)
Medicare benefits are not payable under item 45522 for gynaecomastia. The treatment of gynaecomastia is provided for under either item 31527 or 45585.

T.8.102.  Augmentation Mammaplasty - (Items 45524, 45527 and 45528)
Medicare benefit is generally not attracted under item 45524 unless the asymmetry in breast size is greater than 10%. Augmentation of a second breast some time after an initial augmentation of one side would not attract benefits. Benefits are not payable for augmentation mammaplasty services performed using fat transfer to the breast.

Item 45528 applies where bilateral mammaplasty is indicated because of malformation of breast tissue, disease or trauma of the breast, (but not as a result of previous cosmetic surgery) other than covered under item 45524 or 45527. Claims for benefits under this item should be accompanied by full clinical details, including pre-operative colour photographs. Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered. The claim and the additional information should be lodged with Medicare, for referral to the National Office of Medicare Australia, in a sealed envelope marked 'Medical-in-Confidence'. 
 
Applications for approval should be addressed to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

T.8.103.  Breast Reconstruction, Myocutaneous Flap - (Item 45530)
When a prosthesis is inserted in conjunction with this operation, benefit would be attracted under Item 45527, the multiple operation rule applying. Benefits would also be payable for nipple reconstruction (Item 45545) when performed.

When claiming item 45530 for a rectus abdominis flap; item 45569 should be claimed  for closure of the abdomen and reconstruction of the umbilicus, and item 45570 may be claimed if repair of the musculoaponeurotic layer is required. When claiming item 45530 for a latissimus dorsi flap, no item for the closure of the musculoaponeurotic layer should be claimed as it is expected that repair will be by direct suture. In the small number of cases, when a latissimus dorsi flap is used, and  repair by means other than direct suture is required, use of item 45203 would be appropriate.

Items 30165, 30168, 30171, 30174 or 30177 (lipectomy items) should not be claimed in association with item 45530 as stated in the Health Insurance (General Medical Services Table) Regulations.

T.8.104.  Breast Prosthesis, Removal and Replacement of - (Items 45552 to 45555)
It is generally expected that the replacement prosthesis will be the same size as the prosthesis that is removed.  Medicare benefits are not payable for services under items 45552-45555 where the procedure is performed solely to increase breast size.

T.8.105.  Breast Ptosis - (Items 45556 to 45559)
For the purposes of item 45556, Medicare benefit is only payable for the correction of breast ptosis when performed unilaterally, to match the position of the contralateral breast. This item is payable only once per patient.  Additional benefit is not payable if this procedure is also performed on the contralateral breast.
 
Items 45557 and 45558 apply where correction of breast ptosis is indicated because the nipple is inferior to the infra-mammary groove.
 
Claims for benefits for items 45557, 45558 and 45559 should be accompanied by full clinical details including colour photographs including an anterolateral view. Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered. The claim and the additional information should be lodged with Medicare, for referral to the National Office of the Commission, in a sealed envelope marked 'Medical-in Confidence'.  These items are payable only once per patient.
 
Applications for approval should be addressed to:
The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901
 
Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.
T.8.106.  Nipple and/or Areola Reconstruction - (Items 45545 and 45546)
Item 45545 involves the taking of tissue from, for example, the other breast, the ear lobe and the inside of the upper thigh with or without local flap.

Item 45546 covers the non-surgical creation of nipple or areola by intradermal colouration.

T.8.107.  Liposuction - (Items 45584, 45585 and 45586)
Medicare benefits for liposuction are generally attracted under item 45584, that is for the treatment of post-traumatic pseudolipoma.  Such trauma must be significant and result in large haematoma and localised swelling.  Only on very rare occasions would benefits be payable for bilateral liposuction.

Where liposuction is indicated for the treatment of Barraquer-Simon's Syndrome (pathological lipodystrophy of hips, buttocks, thighs, and knees or lower legs), lymphoedema or macrodystrophia lipomatosa item 45585 applies.

Claims for benefits under items 45585 and 45586 should be accompanied by full clinical details, including pre-operative colour photographs.

Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered.  The claim and the additional information should be lodged with Medicare, for referral to the Medicare Claims Review Panel, in a sealed envelope marked 'Medical-in-Confidence'.
Applications for approval should be addressed to:
The MCRP Officer
PO Box 9822
In Your Capital City

Practitioners may also apply to Medicare Australia for Prospective approval for proposed surgery.
T.8.108.  Meloplasty for Correction of Facial Asymmetry - (Items 45587 and 45588)
Benefits are payable under items 45587 and 45588 for face‑lift operations performed to correct soft tissue abnormalities of the face due to causes other than the ageing process.

Where bilateral meloplasty is indicated because of congenital malformation for conditions such as drooling from the angles of the mouth and deep pitting of the skin resulting from severe acne scarring, disease or trauma (but not as a result of previous cosmetic surgery), item 45588 applies. Claims for benefits under this item should be accompanied by full clinical details, including pre-operative colour photographs. Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered. The claim and the additional information should be lodged with Medicare, for referral to the National Office of the Commission, in a sealed envelope marked ‘Medical-in Confidence’.

Applications for approval should be addressed to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

For the purpose of items 45587 and 45588 severe acne scarring is defined as scarring on the face or cheeks that is obvious from a distance of 2 metres.

T.8.109.  Reduction of Eyelids - (Items 45617 and 45620)
Where a reduction is performed for a medical condition of one eyelid, it may be necessary to undertake a similar compensating procedure on the other eyelid to restore symmetry.  The latter operation would also attract benefits.  Where there is doubt as to whether benefits would be payable, advice should be sought from a medical adviser of Medicare Australia.

T.8.110.  Rhinoplasty - (Items 45638, 45639)
Benefits are payable for septoplasty (item 41671) where performed in conjunction with rhinoplasty.

Item 45638 applies where surgery is indicated for correction of nasal obstruction, post-traumatic deformity (but not as a result of previous elective cosmetic surgery), or both.

Item 45639 applies where surgery is indicated for the correction of significant developmental deformity. Developmental deformity includes cleft nose, bifid tip and twisted nose. Claims for benefits under this item should be accompanied by full clinical details and pre-operative photographs, including front, base (ie inferior view) and two laterals of the nose. Where digital photographs are supplied, the practitioner must sign each photograph to certify that the digital photograph has not been altered. The claim and the additional information should be lodged with Medicare, for referral to the National Office of the Commission, in a sealed envelope marked ‘Medical-in Confidence’.

Applications for approval should be addressed to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

T.8.111.  Contour Restoration - (Item 45647)
For the purpose of item 45647, a region in relation to the face is defined as either being upper left or right, mid left or right or lower left or right. Accounts should be annotated with region/s to which the service applies.

T.8.112.  Vermilionectomy - (Item 45669)
Item 45669 covers treatment of the entire lip.

T.8.113.  Osteotomy of Jaw - (Items 45720 to 45752)
The fee and benefit for these items include the various forms of internal or dental fixation, jaw immobilisation, the transposition of nerves and vessels and bone grafts taken from the same site. Bone grafts taken from a separate site, eg iliac crest, would attract additional benefit under Item 47726 or 47729 for the harvesting, plus Item 48239 or 48242 for the grafting.

For the purposes of these items, a reference to maxilla includes the zygoma.

Item 75621 for the provision of fitting of surgical templates may be claimed in association with the appropriate orthognathic surgical items in the range of 45720 to 45754 for prescribed dental patients registered under the Cleft Lip and Cleft Palate Scheme.

T.8.114.  Genioplasty - (Item 45761)
Genioplasty attracts benefit once only although a section is made on both sides of the symphysis of the mandible.

T.8.115.  Tumour, Cyst, Ulcer or Scar - (Items 45801 to 45813)
It is recognised that odontogenic keratocysts, although not neoplastic, often require the same surgical management as benign tumours.

T.8.116.  Fracture of Mandible or Maxilla - (Items 45975 to 45996)
There are two maxillae in the skull and for the purpose of these items the mandible is regarded as comprising two bones.

T.8.117.  Reduction of Dislocation or Fracture
Closed reduction means treatment of a dislocation or fracture by non-operative reduction, and includes the use of percutaneous fixation or external splintage by cast or splints.

Open reduction means treatment of a dislocation or fracture by either operative exposure including the use of any internal or external fixation; or non-operative (closed reduction) where intra-medullary or external fixation is used.

Where the treatment of a fracture requires reduction on more than one occasion to achieve an adequate alignment, benefits are payable for each separate occasion at which reduction is performed under the appropriate item covering the fracture being treated.

The treatment of fractures/dislocations not specifically covered by an item in Subgroup 15 (Orthopaedic) attracts benefits on an attendance basis.

T.8.118.  Removal of Multiple Exostoses (Items 47933 and 47936)
Items 47933 and 47936 provide for removal of multiple exostoses when undertaken via the same incision.

T.8.119.  Lumbar Discectomy - (Item 48636)
Following an MSAC assessment of Intradiscal Electrothermal Annuloplasty (IDETA), it was recommended that public funding not be supported for IDETA at this time therefore medical benefits are not payable for the IDETA procedure. A restriction has been placed on the item 48636 (lumbar discectomy). This item cannot be claimed for IDETA.

T.8.120.  Discectomy in Relation to Anterior Interbody Spinal Fusion - (Items 48660 to 48675)
Benefits are not payable for discectomy items claimed in association with anterior interbody fusion items unless discectomy is required to remove expulsed fragments of disc or is undertaken at a level different from where the fusion is performed.  

T.8.121.  Internal Fixation - (Items 48678 to 48690)
Benefits under these items are only attracted where internal fixation is carried out in association with spinal fusion covered by Items 48642 to 48675. The multiple rule would apply in each instance.

T.8.122.  Wrist Surgery - (Items 49200 to 49227)
For the purposes of these items, the wrist includes both the radiocarpal joint and the midcarpal joint.

T.8.123.  Diagnostic Arthroscopy and Arthroscopic Surgery of the Knee (Items 49557 and 49563)
The Medical Services Advisory Committee (MSAC) evaluated the available evidence and did not support public funding for matrix-induced autologous chondrocyte implantation (MACI) or autologous chondrocyte implantation (ACI) for the treatment of chondral defects in the knee and other joints, due to the increased cost compared to existing procedures and the lack of evidence showing short term or long-term improvements in clinical outcomes. Medicare benefits are not payable in association with this technology.

T.8.124.  Paediatric Patients - (Items 50450 to 50658)
For the purpose of Medicare benefits a paediatric patient is considered to be a patient under the age of eighteen years, except in those instances where an item provides further specifications (i.e. fracture items for paediatric patients which state “with open growth plates”).

T.8.125.  Treatment of Fractures in Paediatric Patients - (Items 50500 to 50588)
Items 50552 and 50560 apply to fractures that may arise during delivery and at an age when anaesthesia poses a significant risk and thus reduction is usually performed in the neonatal unit or nursery.

Item 50576 provides for closed reduction in the skeletally immature patient and will require application of a hip spica cast and related aftercare.

Medicare benefits are payable for services that specify reduction with or without internal fixation by open or percutaneous means, where reduction is carried out on the growth plate or joint surface or both.

T.8.126.  Non-resectable Hepatocellular Carcinoma Destruction of by Open or Laparoscopic Radiofrequency Ablation - (Item 50952)
A multi-disciplinary team for the purposes of item 50952 would include a hepatobilliary surgeon, interventional radiologist and a gastroenterologist or oncologist.

T.8.127.  Paracentesis of anterior chamber or vitreous cavity and/or intravitreal injection - (Items 42738 to 42740)
Items 42738 and 42739 provide for paracentesis for the injection of therapeutic substances and/or the removal of aqueous or vitreous, when undertaken as an independent procedure.  That is, not in conjunction with other intraocular surgery.

Item 42739 should be claimed for patients requiring anaesthetic services for the procedure.  Advice from the Royal Australian and New Zealand College of Ophthalmologists is that independent injections require only topical anaesthesia, with or without subconjunctival anaesthesia, except in specific circumstances as outlined below where additional anaesthetic services may be indicated:
 - nystagmus or eye movement disorder;
 - cognitive impairment precluding safe intravitreal injection without sedation;
 - a patient under the age of 18 years;
 - a patient unable to tolerate intravitreal injection under local anaesthetic without sedation; or
 - endophthalmitis or other inflammation requiring more extensive anaesthesia (eg peribulbar).

Practitioners billing item 42739 must keep clinical notes outlining the basis for the use of anaesthetic.

Item 42740 provides for intravitreal injection of therapeutic substances and/or the removal of vitreous for diagnostic purposes when performed in conjunction with other intraocular surgery including with a service to which Item 42809 (retinal photocoagulation) applies.

T.9.1.    Assistance at Operations - (Items 51300 to 51318)
Items covering operations which are eligible for benefits for surgical assistance have been identified by the inclusion of the word "Assist." in the item description.  Medicare benefits are not payable for surgical assistance associated with procedures which have not been so identified.

The assistance must be rendered by a medical practitioner other than the surgeon, the anaesthetist or the assistant anaesthetist.

Where more than one practitioner provides assistance to a surgeon no additional benefits are payable.  The assistance benefit payable is the same irrespective of the number of practitioners providing surgical assistance.

NOTE: The Benefit in respect of assistance at an operation is not payable unless the assistance is rendered by a medical practitioner other than the anaesthetist or assistant anaesthetist.  The amount specified is the amount payable whether the assistance is rendered by one or more medical practitioners.

Assistance at Multiple Operations
Where surgical assistance is provided at two or more operations performed on a patient on the one occasion the multiple operation formula is applied to all the operations to determine the surgeon's fee for Medicare benefits purposes.  The multiple-operation formula is then applied to those items at which assistance was rendered and for which Medicare benefits for surgical assistance is payable to determine the abated fee level for assistance.  The abated fee is used to determine the appropriate Schedule item covering the surgical assistance (ie either Item 51300 or 51303).

Multiple Operation Rule - Surgeon	Multiple Operation Rule - Assistant	
Item A - $300@100%	Item A (Assist.) - $300@100%	
Item B - $250@50%		Item B (No Assist.)	
Item C - $200@25%		Item C (Assist.) - $200@50%	
Item D - $150@25%	Item D (Assist.) - $150@25%	

The derived fee applicable to Item 51303 is calculated on the basis of one-fifth of the abated Schedule fee for the surgery which attracts an assistance rebate.

Surgeons Operating Independently
Where two surgeons operate independently (ie neither assists the other or administers the anaesthetic) the procedures they perform are considered as two separate operations, and therefore, where a surgical assistant is engaged by each, or one of the surgeons, benefits for surgical assistance are payable in the same manner as if  the surgeons were operating separately.

T.9.2.    Benefits Payable under Item 51300
Medicare benefits are payable under item 51300 for assistance rendered at any operation identified by the word "Assist." for which the fee does not exceed the fee threshold specified in the item descriptor, or at a series or combination of operations identified by the word "Assist." for which the aggregate Schedule fee threshold specified in the item descriptor has not been exceeded.

T.9.3.    Benefits Payable Under Item 51303
Medicare benefits are payable under item 51303 for assistance rendered at any operation identified by the word "Assist." for which the fee exceeds the fee threshold specified in the item descriptor or at a series or combination of operations identified by the word "Assist." for which the aggregate Schedule fee exceeds the threshold specified in the item descriptor.

T.9.4.    Benefits Payable Under Item 51309
Medicare benefits are payable under item 51309 for assistance rendered at any operation identified by the word “Assist.” or a series or combination of operations identified  by  the word “Assist.” and assistance at a delivery involving Caesarean section.

Where assistance is provided at a Caesarean section delivery and at a procedure or procedures which have not been identified by the word "Assist.", benefits are payable under item 51306.

T.9.5.    Assistance at Cataract and Intraocular Lens Surgery - (Item 51318)
The reference to “previous significant surgical complication” covers vitreous loss, rupture of posterior capsule, loss of nuclear material into the vitreous, intraocular haemorrhage, intraocular infection (endophthalmitis), cystoid macular oedema, corneal decompensation or retinal detachment.

T.10.1.   Relative Value Guide For Anaesthetics - (Group T10)
Overview of the RVG
The RVG groups anaesthesia services within anatomical regions. These items are listed in the MBS under Group T10, Subgroups 1-16 Anaesthesia for radiological and other therapeutic and diagnostic services are grouped separately under Subgroup 17. Also included in the RVG format are certain additional monitoring and therapeutic services, such as blood pressure monitoring (item 22012) and central vein catheterisation (item 22020) when performed in association with the administration of anaesthesia. These services are listed at subgroup 19.  The RVG also provides for assistance at anaesthesia under certain circumstances.  These items are listed at subgroup 26.

Details of the billing requirements for the RVG are available from the Medicare Australia website.

The RVG is based on an anaesthesia unit system reflecting the complexity of the service and the total time taken for the service. Each unit has been assigned a dollar value.

Under the RVG, the Medicare benefit for anaesthesia in connection with a procedure is comprised of up to three components:

The basic units allocated to each anaesthetic procedure, reflecting the complexity of the procedure (an item in the range 20100-21997). For example:
20702	
INITIATION AND MANAGEMENT OF ANAESTHESIA for percutaneous liver biospy (4 basic units)
Fee: $77.80                   Benefit: 75%  $58.35           85% $66.15	

the time unit allocation reflecting the total time of the anaesthesia (an item in the range 23010-24136), for example;
23033	
-     41 MINUTES to 45 MINUTES (3 units)
Fee:  $58.35                       Benefit: 75%= $43.80         85% = $ 49.60	

plus, where appropriate

modifying units recognising certain added complexities in anaesthesia (an item/s in the range 25000-25020), for example
25015	
ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA where the patients age is less than 12 months of age or 70 years or greater  (1 unit)
Fee:  $19.45                   Benefit: 75%  $14.60          85%  $16.55 	

Each assistant at anaesthesia service in subgroup 26 has also been allocated a number of base units. The total time that the assistant anaesthetist was in active attendance on the patient is then added, along with modifiers, as appropriate, to establish the fee for the assistant service. For example:
25200	ASSISTANCE IN THE ADMINISTRATION OF ANAESTHESIA on a patient in imminent danger of death requiring continuous life saving emergency treatment , to the exclusion of all other patients
Derived Fee: An amount of  $97.25 (5 basic units)
plus an item in the range  23010-24136) plus, where applicable, an item/s in the range 25000 – 25020	

As with anaesthesia, where whole body perfusion is performed, the Schedule fee is determined on the base units allocated to the service (item 22060), the total time for the perfusion, and modifying units, as appropriate i.e

(a)	 the basic units allocated to whole body perfusion under item 22060; 

22060	
WHOLE BODY PERFUSION, CARDIAC BYPASS, using heart-lung machine or equivalent (20 basic units)
Fee: $389.00 	Benefit: 75% = $291.75 	85% = $330.65 	

(b)	plus, the time unit allocation reflecting the total time of the perfusion (an item in the range 23010 – 24136), for example;
23033	
41 MINUTES TO 45 MINUTES (3 basic units)
Fee:  $58.35                       Benefit: 75%= $43.80         85% = $ 49.60	

plus, where appropriate
(c) 	modifying units recognising certain added complexities in perfusion (an item/s in the range 25000 – 25020) for example

25015	
ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA
- where the patient's age is up to one year or 70 years or greater (1 basic units)
Fee:  $19.45                   Benefit: 75%  $14.60         85%  $16.55	

T.10.2.   Eligible Services
Generally, a Medicare benefit is only payable for anaesthesia which is performed in connection with an “eligible” service. Under the Health Insurance Regulations, an “eligible” service is defined as a clinically relevant professional service which is listed in the Schedule and which has been identified as attracting an anaesthetic fee.

T.10.3.   RVG Unit Values
Basic Units
The RVG basic unit allocation represents the complexity of the anaesthetic procedure relative to the anatomical site and physiological impact of the surgery.

Time Units
The number of time units is calculated from the total time of the anaesthesia service, the assistant at anaesthesia service or the whole body perfusion service:
-	for anaesthesia, time is considered to begin when the anaesthetist commences exclusive and continuous care of the patient for anaesthesia. Time ends when the anaesthetist is no longer in professional attendance, that is, when the patient is safely placed under the supervision of other personnel;
-	for assistance at anaesthesia, time is taken to be the period that the assistant anaesthetist is in active attendance on the patient during anaesthesia; and
-	for perfusion, perfusion time begins with the commencement of anaesthesia and finishes with the closure of the chest. 

For up to and including the first - 2 hours of time, each 15 minutes (or part thereof) constitutes 1 time unit. For time beyond 2 hours, each time unit equates to 10 minutes (or part thereof).

For statistical purposes, the first 2 hours of time after the first 15 minutes is represented in the Medicare Benefits Schedule by item numbers in 5 minute increments. For example:

23010	
ANAESTHESIA, ASSISTANCE AT ANAESTHESIA OR PERFUSION TIME 
- for anaesthesia in connection with an eligible medical service or a dental service or assistance at anaesthesia in
connection with an eligible medical service or for perfusion in connection with an eligible medical service

15 MINUTES OR LESS (1 unit)
Fee:  $19.45                             Benefit: 75%= $14.60                          Benefit: 85% = $16.55	
23021	
16 MINUTES TO 20 MINUTES (2 units)
Fee:  $38.90                            Benefit: 75%= $29.20                           Benefit: 85% = $33.10	
23022	
21MINUTES to 25 MINUTES (2 units)
Fee:  $38.90                            Benefit: 75%= $29.20                           Benefit: 85% = $33.10	
23023	
-      26 MINUTES to 30 MINUTES (2 units)
Fee:  $38.90                            Benefit: 75%= $29.20                           Benefit: 85% = $33.10	
23031	
-      31 MINUTES to 35 MINUTES (3 units)
Fee:  $58.35                           Benefit: 75%= $43.80                            Benefit: 85% = $49.60	
23032	
-      36 MINUTES to 40 MINUTES (3 units)
Fee:  $58.35                           Benefit: 75%= $43.80                            Benefit: 85% = $49.60	
23033	
-      41 MINUTES to 45 MINUTES (3 units)
Fee:  $58.35                           Benefit: 75%= $43.80                            Benefit: 85% = $49.60	

For services lasting between 15 minutes and two hours, the appropriate 5 minute item number should be included on accounts.

Modifying Units (25000 – 25050)
Modifying units have been included in the RVG to recognise added complexities in anaesthesia or perfusion, associated with the patient’s age, physical status or the requirement for emergency surgery. These cover the following clinical situations:

-	ASA physical status indicator 3 - A patient with severe systemic disease that significantly limits activity (item 25000). This would include: severely limiting heart disease; severe diabetes with vascular complications or moderate to severe degrees of pulmonary insufficiency.

Some examples of clinical situations to which ASA 3 would apply are:
-	a patient with ischaemic heart disease such that they encounter angina frequently on exertion thus significantly limiting activities;
-	a patient with chronic airflow limitation who gets short of breath such that the patient cannot complete one flight of stairs without pausing;
-	a patient who has suffered a stroke and is left with a residual neurological deficit to the extent that is significantly limits normal activity, such as hemiparesis; or 
-	a patient who has renal failure requiring regular dialysis.

-	ASA physical status indicator 4 - A patient with severe systemic disease which is a constant threat to life (item 25005). This covers patients with severe systemic disorders that are already life-threatening, not always correctable by an operation. This would include: patients with heart disease showing marked signs of cardiac failure; persistent angina or advanced degrees of pulmonary, hepatic, renal or endocrine insufficiency. 

ASA physical status indicator 4 would be characterised by the following clinical examples:
-	a person with coronary disease such that they get angina daily on minimum exertion thus severely curtailing their normal activities;
-	a person with end stage emphysema who is breathless on minimum exertion such as brushing their hair or walking less than 20 metres; or
-	a person with severe diabetes which affects multiple organ systems where they may have one or more of the following examples:-
-	severe visual impairment or significant peripheral vascular disease such that they may get intermittent claudication on walking less than 20 metres; or
-	severe coronary artery disease such that they suffer from cardiac failure and/or angina whereby they are limited to minimal activity.

-	ASA physical status indicator 5 - a moribund patient who is not expected to survive for 24 hours with or without the operation (item 25010). This would include: a burst abdominal aneurysm with profound shock; major cerebral trauma with rapidly increasing intracranial pressure or massive pulmonary embolus. 

The following are some examples that would equate to ASA physical status indicator 5 
-	a burst abdominal aneurysm with profound shock;
-	major cerebral trauma with increasing intracranial pressure; or
-	massive pulmonary embolus.

NOTE: It should be noted that the Medicare Benefits Schedule does NOT include modifying units for patients assessed as ASA physical status indicator 2. Some examples of ASA 2 would include:

-	a patient with controlled hypertension which has no affect on the patient's normal lifestyle;
-	a patient with coronary artery disease that results in angina occurring on substantial exertion but not limiting normal activity; or
-	a patient with insulin dependant diabetes which is well controlled and has minimal effect on normal lifestyle.”

-	Where the patient is less than 12 months or age or 70 years or greater (item 25015).
-	For anaesthesia, assistance at anaesthesia or a perfusion service in association with an *emergency procedure (item 25020).  
-	For anaesthesia or assistance at anaesthesia in association with an *after hours emergency procedure (items 25025 and 25030).
-	For a perfusion service in association with *after hours emergency surgery (item 25050). 

* NOTE:  It should be noted that the emergency modifier and the after hours emergency modifiers cannot both be claimed in the one anaesthesia assistance at anaesthesia or perfusion episode.

It should also be noted that modifiers are not stand alone services and can only be claimed in association with anaesthesia, assistance at anaesthesia or with a perfusion service covered by item 22060.

Definition of Emergency
For the purposes of both the emergency modifier and the after hours emergency modifiers, emergency is defined as existing where the patient requires immediate treatment without which there would be significant threat to life or body part.

Definition of After Hours
For the purposes of the after hours emergency modifier items, the after hours period is defined as being the period from 8pm to 8am on any weekday or at any time on a Saturday, a Sunday or a public holiday.  Benefit for the After Hours Emergency Modifiers is only payable where more than 50% of the time for the emergency anaesthesia, the assistance at emergency anaesthesia or the perfusion service is provided in the after hours period. In situations where less than the 50% of the time for the service falls in the after hours period, the emergency modifier rather than the after hours emergency modifier applies. For information about deriving the fee for the service where the after hours emergency modifier applies.

T.10.4.   Deriving the Schedule Fee under the RVG
The Schedule fee for each component of anaesthesia (base items, time items and modifier items) in the RVG Schedule is derived by applying the unit value to the total number of anaesthesia units for each component. For example:

ITEM 	DESCRIPTION		SCHEDULE FEE  	
RVG	Anaesthesia Service	Units	SCHEDULE FEE (Units x $ 19.45)                           	
20840	Anaesthesia for resection of perforated bowel	6	$116.70	
23200 	Time – 4 hours  40 minutes	24	$466.80	
25000	  	Modifier - Physical status                        	1	$19.45	
22012 	Central Venous Pressure Monitoring       	3	$58.35	

After Hours Emergency Services 
When deriving the fee for the after hours emergency modifier for anaesthesia or assistance at anaesthesia, the 50% loading applies to the anaesthesia or assistance service from Group T10 and to any additional clinically relevant therapeutic or diagnostic service from Group T10, Subgroup 18, provided during the anaesthesia episode. For example:

ITEM 	DESCRIPTION	UNITS	SCHEDULE FEE (Units x $19.45)	
20840	Anaesthesia for resection of perforated bowel	6	$ 116.70	
23190 	Time – 4 hours  40 minutes	24	$466.80	
25000	Modifier - Physical status                        	1	$19.45	
22012 	Central Venous Pressure Monitoring       	3	$58.35	
				
	TOTAL UNITS	34	Schedule fee =   $661.30	
				
25025	Anaesthesia After Hours Emergency Modifier		Schedule Fee $661.30
x 50%
 =330.65	

Definition of Radical Surgery for the RVG
Where the term radical appears in an item description, it refers to an extensive surgical procedure, performed for the treatment of malignancy.  It usually denotes extensive block dissection not only of the malignant tissue, but also of the surrounding tissue, particularly fat and lymphatic drainage systems. See notes T10.18 and T10.22 which clarify the definitions of the words "extensive" and "radical" used in items 20192 and 20474.

Multiple Anaesthesia Services
Where anaesthesia is provided for services covered by multiple items in the RVG, Medicare benefit is only payable for the RVG item with the highest basic unit value. However, the time component should include the total anaesthesia time taken for all services. For example:

ITEM	DESCRIPTION	UNITS	SCHEDULE FEE	
20790	Anaesthesia for Cholecystectomy	8	$155.60	
20752	Incisional Hernia	6	(lower value - fee not payable)    $116.70	
23111	Time – 2hrs 30mins	11	$213.95	
25015	Physical Status – Over 70	1	$19.45	

Prolonged Anaesthesia
Under the RVG, the previous rules that related to prolonged anaesthesia no longer apply. Where anaesthesia is prolonged beyond that which an anaesthetist would normally encounter for a particular service, the RVG provides for the anaesthetist to claim the total anaesthesia time for the procedure/s.

T.10.5.   Minimum Requirements for Claiming Benefits under Items in the RVG (including sedation)
Medicare benefits for RVG services (including sedation) are only payable where both the staffing and the facility in which the service was rendered meets the following minimum guidelines.  These guidelines are based on protocols established by the Australian and New Zealand College of Anaesthetists (ANZCA).

Staffing
-	Techniques intended to produce loss of consciousness must not be used unless an anaesthetist is present to care exclusively for the patient;
-	Where the patient is a young child, is elderly or has any serious medical condition (such as significant cardio-respiratory disease or danger of airway compromise), an anaesthetist should be present to administer sedation and monitor the patient;
-	In all other cases, an appropriately trained medical practitioner, other than the proceduralist, is required to be in exclusive attendance  on the patient during the procedure, to administer sedation and to monitor the patient; and
-	There must be sufficient equipment (including oxygen, suction and appropriate medication), to enable resuscitation should it become necessary.

Facilities
The procedure must be performed in a location which is adequate in size and staffed and equipped to deal with a cardiopulmonary emergency.  This must include:
-	An operating table, trolley or chair which can be readily tilted;
-	Adequate uncluttered floor space to perform resuscitation, should this become necessary;
-	Adequate suction and room lighting;
-	A supply of oxygen and suitable devices for the administration of oxygen to a spontaneously breathing patient;
-	A self inflating bag suitable for artificial ventilation together with a range of equipment for advance airway management;
-	Appropriate drugs for cardiopulmonary resuscitation;
-	A pulse oximeter; and
-	Ready access to a defibrillator.

These requirements apply equally to dental anaesthesia or sedation services provided under items in Group T10, Subgroup 20 of the RVG.

T.10.6.   Account Requirements
Before a benefit will be paid for the administration of anaesthesia, or for the services of an assistant anaesthetist, a number of details additional to those set out at paragraph 7.1 of the General Explanatory Notes of the Medicare Benefits Schedule are required on the anaesthetist’s account:
-	the anaesthetist’s account must show the name/s of the medical practitioner/s who performed the  associated operation/s. In addition, where the after hours emergency modifier applies to the anaesthesia service, the account must include the start time, the end time and total time of the anaesthetic.
-	the assistant anaesthetist’s account must show the names/s of the medical practitioners who performed the associated operation/s, as well as the name of the principal anaesthetist.  In addition, where the after hours emergency modifier applies, the assistant anaesthetist’s account must record the start time, the end time and the total time for which he or she was providing professional attention to the patient during the anaesthetic.
-	the perfusionist’s account must record the start time, end time and total time of the perfusion service where the after hours emergency modifier is claimed.

T.10.7.   General Information
The Health Insurance Act provides that where anaesthesia is administered to a patient, the premedication of the patient in preparation for anaesthesia is deemed to form part of the administration of  anaesthesia.  The administration of anaesthesia also includes the pre‑anaesthesia consultation with the patient in preparation for that administration, except where such consultation entails a separate attendance carried out at a place other than an operating theatre or an anaesthesia induction room. The pre-anaesthesia consultation for a patient should be performed in association with a clinically relevant service.

Except in special circumstances, benefit is not payable for the administration of anaesthesia listed in Subgroups 1-18, unless the anaesthesia is administered by a medical practitioner other than the medical practitioner who renders the medical service in connection with which anaesthesia is administered.

Fees and benefits for anaesthesia services under the RVG cover all essential components in the administration of the anaesthesia service. Separate benefit may be attracted, however, for complementary services such as central venous pressure and direct arterial pressure monitoring (see note T10.9).
It should be noted that additional benefit is not payable for intravenous infusion or electrocardiographic monitoring, provision for which has been made in the value determined for the anaesthetic units.

The Medicare benefit derived under the RVG for the administration of anaesthesia is the benefit payable for that service irrespective of whether one or more than one medical practitioner administers it. However, benefit is provided under Subgroup 24 for the services of one assistant anaesthetist (who must not be either the surgeon or assistant surgeon (see Note 10.9)

Where a regional nerve block or field nerve block is administered by a medical practitioner other than the practitioner carrying out the operation, the block is assessed as an anaesthesia item according to the advice in paragraph T10.4.  When a block is carried out in cases not associated with an operation, such as for intractable pain or during labour, the service falls under Group T7.

When a regional nerve block or field nerve block covered by an item in Group T7 of the Schedule is administered by a medical practitioner in the course of a surgical procedure undertaken by him/her, then such a block will attract benefit under the appropriate item in Group T7.

It should be noted that where a procedure is carried out with local infiltration or digital block as the means of anaesthesia, that anaesthesia is considered to be part of the procedure and an additional benefit is therefore not payable. 

It may happen that the professional service for which the anaesthesia is administered does not itself attract a benefit because it is part of the after‑care of an operation.  This does not, however, affect the benefit payable for the anaesthesia service. Benefit is payable for anaesthesia administered in connection with such a professional service (or combination of services) even though no benefit is payable for the associated professional service.

The administration of epidural anaesthesia during labour is covered by Item 18216 or 18219 in Group T7 of the Schedule whether administered by the medical practitioner undertaking the confinement or by another medical practitioner.  Subsequent "top-ups" are covered by Item 18222 or 18225.

T.10.8.   Additional Services Performed in Connection with Anaesthesia - Subgroup 19
Included in the RVG format are a number of additional or complimentary services which may be provided in connection with anaesthesia such as pulmonary artery pressure monitoring (item 22012) and intra-arterial cannulation (item 22025).

These items (with the exception of peri-operative nerve blocks (22030-22050)) and perfusion services (22055-22075) have also been retained in the MBS in the non-RVG format, for use by practitioners who provide these services other than in association with anaesthesia.

Where an anaesthetist provides an additional (clinically relevant) service during anaesthesia that is not one listed in Subgroup 19 (excluding intravenous infusion or electrocardiographic monitoring) the relevant non-RVG item should be claimed.

Items 22012 and 22014 
Benefits are payable under items 22012 and 22014 only once for each type of pressure, up to a maximum of 4 pressures per patient per calendar day, and irrespective of the number of practitioners involved in monitoring the pressures.

T.10.9.   Assistance in the Administration of Anaesthesia
The RVG provides for a separate benefit to be paid for the services of an assistant anaesthetist in connection with an operation or series of operations in specified circumstances, as outlined below. This benefit is payable only in respect of one assistant anaesthetist who must not be the surgeon or assistant surgeon.

Therapeutic and Diagnostic services covered by Subgroup 19 items (such as blood transfusion, pressure monitoring, insertion of CVC, etc) are payable only once per patient per anaesthetic episode.  Where these services are provided by the assistant anaesthetist these services are eligible for Medicare benefits only where the same service is not also claimed by the primary anaesthetist

Assistance at anaesthesia in connection with emergency treatment (Item 25200)
 Item 25200 provides for assistance at anaesthesia where the patient is in imminent danger of death. Situations where imminent danger of death requiring an assistant anaesthetist might arise include: complex airway problems, anaphylaxis or allergic reactions, malignant hyperpyrexia, neonatal and complicated paediatric anaesthesia, massive blood loss and subsequent resuscitation, intra-operative cardiac arrest, critically ill patients from intensive care units or inability to wean critically ill patients from pulmonary bypass.

Assistance in the administration of elective anaesthesia (Item 25205)

A separate benefit is payable under Item 25205 for the services of an assistant anaesthetist in connection with elective anaesthesia in the circumstances outlined in the item descriptor. This benefit is only payable in respect of one assistant anaesthetist who must not be the surgeon or assistant surgeon.

For the purposes of Item 25205, a ‘complex paediatric case’ involves one or more of the following:-
(i)	the need for invasive monitoring (intravascular or transoesophageal); or
(ii)	organ transplantation; or
(iii)	craniofacial surgery; or
(iv)	major tumour resection; or
(v)	separation of conjoint twins.

T.10.10.  Perfusion Services - (Items 22055 to 22075)
Perfusion services covered by items 22055-22075 have been included in the RVG format.

The ‘Time’ component for item 22060 is defined as beginning with the commencement of anaesthesia and finishing with the closure of the chest.

Items 22065, 22070 and 22075 may only be used in association with item 22060.

Medicare benefits are not payable for perfusion unless the perfusion is performed by a medical practitioner other than the medical practitioner who renders the associated medical service in Group T8 or the medical practitioner who administers the anaesthesia listed in the RVG in Group T10. The service must be performed by a medical practitioner in order to attract Medicare benefits. The “on behalf of” provisions do not apply.

T.10.11.  Anaesthesia as a Therapeutic Procedure - (Item 21965)
Claims for benefits for this service should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.

Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.10.12.  Discontinued Procedure - (Item 21990)
Claims for benefits under Item 21990 should be submitted to Medicare for approval of benefits and should include full details of the circumstances, including details of the surgery/procedure which had been proposed and the reason for it being discontinued.

T.10.13.  Anaesthesia in Connection with a Procedure not Identified as Attracting a Medicare Benefit for Anaesthesia - (Item 21997)
Payment of benefit for Item 21997 is not restricted to the service being performed in connection with a surgical service in Group T8.  Item 21997 may be performed with any item in the Medicare Benefits Schedule that has not been identified as attracting a Medicare benefit for anaesthesia (including attendances) in circumstances where anaesthesia is considered clinically necessary.  

Claims for benefits for this service should be lodged with Medicare Australia for referral to the National Office of Medicare Australia for assessment by the Medicare Claims Review Panel (MCRP) and must be accompanied by sufficient clinical and/or photographic evidence to enable Medicare Australia to determine the eligibility of the service for the payment of benefits.  

 Practitioners may also apply to Medicare Australia for prospective approval for proposed surgery.

Applications for approval should be addressed to:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

T.10.14.  Anaesthesia in Connection with a Dental Service - (Items 22900 and 22905)
Items 22900 and 22905 cover the administration of  anaesthesia in connection with a dental service that is not a service covered by an item in the Medicare Benefits Schedule i.e removal of teeth and restorative dental work. Therefore, the requirement that anaesthesia be performed in association with an ‘eligible’ service (as defined in point T10.2) does not apply to dental anaesthesia items 22900 and 22905. 

T.10.15.  Anaesthesia in Connection with Cleft Lip and Cleft Palate Repair - (Items 20102 and 20172)
Anaesthesia associated with cleft lip and cleft palate repair is covered in Subgroup 1 of the RVG Schedule, under items 20102 and 20172.

T.10.16.  Anaesthesia in Connection with an Oral and MaxillofaciaI Service - (Category 4 of the Medicare Benefits Schedule)
Benefit for anaesthesia provided by a medical practitioner in association with an Oral and Maxillofacial service (Category 4 of the Medicare Benefits Schedule) is derived using the RVG. Benefit for anaesthesia for oral and maxillofacial services should be claimed under the appropriate RVG item from Subgroup 1 or 2. 

T.10.17.  Intra-operative Blocks for Post Operative Pain - (Items  22031 to 22050)
Benefits are only payable for  intra-operative nerve blocks performed for the management of post-operative pain that are specifically catered for under items  22031 to 22050.

T.10.18.  Anaesthesia in Connection with Extensive Surgery on Facial Bones - (Item 20192)
The term ‘extensive’ in relation to this item is defined as major facial bone surgery or reconstruction including major resection or osteotomies or osteectomies of mandibles and/or maxillae, surgery for prognathism or surgery for Le Fort II or III fractures.

T.10.19.  Intrathecal or Epidural Injection for Control of Post-operative Pain - Initial - (Item 22031)
Benefits are payable under item 22031 for the initial intrathecal or epidural injection of a therapeutic substance/s, in association with anaesthesia and surgery, for the control of post-operative pain. Benefit is not payable for subsequent intra-operative intrathecal and epidural injection (item 22036) in the same anaesthetic episode. Where subsequent infusion is provided post operatively, to maintain analgesia, benefit would be payable under items 18222 or 18225.

T.10.20.  Intrathecal or Epidural Injection for Control of Post-operative Pain - Subsequent - (Item 22036)
Benefits are payable under item 22036  for subsequent intrathecal or epidural injection of a therapeutic substance/s, in association with anaesthesia and surgery, performed intra-operatively, for postoperative pain management, where the catheter is already in-situ. Benefits are not payable under this item where the initial injection was performed intra-operatively, under item 22031, in the same anaesthetic episode.

T.10.21.  Regional or Field Nerve Blocks for Post-operative Pain - (Items 22040 - 22050)
Benefits are payable under Items 22040 to 22050 in addition to the general anaesthesia for the related procedure.

T.10.22.  Anaesthesia for Radical Procedures on the Chest Wall - (Item 20474)
Radical procedures on the chest wall referred to in item 20474 would include procedures such as pectus excavatum.

T.10.23.  Anaesthesia for Extensive Spine or Spinal Cord Procedures - (Item 20670)
This item covers major spinal surgery involving multiple levels of the spinal cord and spinal fusion where performed. Procedures covered under this item would include the Harrington Rod technique. Surgery on individual spinal levels would be covered under items 20600, 20620 and 20630.

T.10.24.  Anaesthesia for Femoral Artery Embolectomy - (Item 21274)
Item 21274 covers anaesthesia for  femoral artery embolectomy. Grafts involving intra-abdominal vessels would be covered under item 20880.

T.10.25.  Anaesthesia for Cardiac Catheterisation - (Item 21941)
Item 21941 does not include either central vein catheterisation or insertion of right heart balloon catheter. Anaesthesia for these procedures is covered under item 21943.

T.10.26.  Anaesthesia  for 2 Dimensional Real Time Transoesophageal Echocardiography - (Item 21936)
Benefits are payable for anaesthesia in connection with 2 dimensional real time transoesophageal echocardiography, (including intra-operative echocardiography) which includes doppler techniques, real time colour flow mapping and recording onto video tape or digital medium.  

T.10.27.  Anaesthesia for Services on the Upper and Lower Abdomen - (Subgroups 6 and7)
Establishing whether an RVG anaesthetic item pertains to the upper or lower abdomen, depends on whether the majority of the associated surgery was performed in the region above or below the umbilicus. 

Some examples of upper abdomen would be:
-	laparoscopy on upper abdominal viscera;
-	laparoscopy with operative focus superior to the umbilical port;
-	surgery to the liver, gallbladder and ducts, stomach, pancreas, small bowel to DJ flexure;
-	the kidneys in their normal location (as opposed to pelvic kidney); or
-	spleen or bowel (where it involves a diaphragmatic hernia or adhesions to gallbladder bed).  

Some examples of lower abdomen would be:
-	abdominal wall below the umbilicus;
-	laparoscopy on lower abdominal viscera;
-	laparoscopy with operative focus inferior to the umbilical port;
-	surgery on the jejunum, ileum, or colon;
-	surgery on the appendix; or
-	surgery associated with the female reproductive system.

T.10.28.  Anaesthesia for Microvascular Free Tissue Flap Surgery - (Items 20230, 20355, 20475, 20704, 20804, 20905, 21155, 21275, 21455, 21535, 21685, 21785 and 21865)
Benefits are only payable where complete free tissue flap surgery is undertaken involving microsurgical arterial and venous anastomoses.  Benefits do not apply for microsurgical rotation flaps or for re-implementation of digits or either the hand or the foot.

T.10.29.  Anaesthesia for Endoscopic Ureteric Surgery - Including Laser Procedure - (Item 20911)
Benefits are not payable under item 20911 for diagnostic ureteroscopy.

T.11.1.   Botulinum Toxin - (Items 18350 to 18373)
The Therapeutic Goods Administration (TGA) assesses each indication for the therapeutic use of botulinum toxin on an individual basis. There are currently two botulinum toxin agents with TGA registration (Botox and Dysport). Each has undergone a separate evaluation of its safety and efficacy by the TGA as they are neither bioequivalent, nor dose equivalent. When claiming under an item for the injection of botulinum toxin, only the botulinum toxin agent specified in the item can be used. Benefits are not payable where an agent other than that specified in the item is used.

The TGA assesses each indication for the therapeutic use of botulinum toxin by assessment of clinical evidence for its use in paediatric or adult patients. Where an indication has been assessed for adult use, data has generally been assessed using patients over 12 years of age. Paediatric indications have been assessed using data from patients under 18 years of age. Botulinum toxin should only be administered to patients under the age of 18 where an item is for a paediatric indication, and patients over 12 years of age where the item is for an adult indication, unless otherwise specified.

Items for the administration of botulinum toxin can only be claimed by a medical practitioner who is registered by Medicare Australia to participate in the arrangements under Section 100 of the National Health Act 1953 relating to the use and supply of Botulinum Toxin.

Items 18354, 18356 and 18358 for the treatment of equinus, equinovarus or equinovalgus are limited to a maximum of 4 injections per patient on any one day (2 per limb). Accounts should be annotated with the limb which has been treated.  Item 18292 may not be claimed for the injection of botulinum toxin, but may be claimed where a neurolytic agent (such as phenol) is used, in addition to botulinum toxin injection(s), to treat the obturator nerve in patients with a dynamic foot deformity.

Items 18354 to 18358 have been extended to patients 18 years of age and older who have commenced on the PBS subsidised treatment as a paediatric patient.  This is in line with the extension of the PBS listing for the supply of the drug for this indication under Section 100(1)(b) of the National Health Act 1953.

Botulinum Toxin, which is not supplied and administered in accordance with the arrangements under Section 100 of the National Health Act 1953, is not free of charge to patients. Where a charge is made for the Botulinum Toxin administered, it must be separately listed on the account and not billed to Medicare.

Schedules of Services
Each professional service contained in the Schedule has been allocated a unique item number.  Located with the item number and description for each service is the Schedule fee and Medicare benefit, together with a reference to an explanatory note relating to the item (if applicable).

If the service attracts an anaesthetic, the word (Anaes.) appears following the description. Where an operation qualifies for the payment of benefits for an assistant, the relevant items are identified by the inclusion of the word (Assist.) in the item description. Medicare benefits are not payable for surgical assistance associated with procedures which have not been so identified.

In some cases two levels of fees are applied to the same service in General Medical Services, with each level of fee being allocated a separate item number.  The item identified by the letter "S" applies in the case where the procedure has been rendered by a recognised specialist in the practice of his or her specialty and the patient has been referred.  The item identified by the letter "G" applies in any other circumstance.

Higher rates of benefits are also provided for consultations by a recognised consultant physician where the patient has been referred by another medical practitioner or an approved dental practitioner (oral surgeons). 

Differential fees and benefits also apply to services listed in Category 5 (Diagnostic Imaging Services). The conditions relating to these services are set out in Category 5.

Explanatory Notes
Explanatory notes relating to the Medicare benefit arrangements and notes that have general application to services are located at the beginning of the schedule, while notes relating to specific items are located at the beginning of each Category. While there may be a reference following the description of an item to specific notes relating to that item, there may also be general notes relating to each Group of items.

MISCELLANEOUS	HYPERBARIC OXYGEN THERAPY	
	GROUP T1 - MISCELLANEOUS THERAPEUTIC PROCEDURES	
	SUBGROUP 1 - HYPERBARIC OXYGEN THERAPY	
Amend
13015	
HYPERBARIC, OXYGEN THERAPY, for treatment of localised non-neurological soft tissue radiation injuries excluding radiation-induced soft tissue lymphoedema of the arm after treatment for breast cancer, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours, including any associated attendance.
(See para T1.1 of explanatory notes to this Category)
Fee: $254.75	Benefit: 75% = $191.10	85% = $216.55	
13020	
HYPERBARIC OXYGEN THERAPY, for treatment of decompression illness, gas gangrene, air or gas embolism; diabetic wounds including diabetic gangrene and diabetic foot ulcers; necrotising soft tissue infections including necrotising fasciitis or Fournier's gangrene; or for the prevention and treatment of osteoradionecrosis, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours, including any associated attendance
(See para T1.1 of explanatory notes to this Category)
Fee: $258.85	Benefit: 75% = $194.15	85% = $220.05	
13025	
HYPERBARIC OXYGEN THERAPY for treatment of decompression illness, air or gas embolism, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance - per hour (or part of an hour)
(See para T1.1 of explanatory notes to this Category)
Fee: $115.70	Benefit: 75% = $86.80	85% = $98.35	
13030	
HYPERBARIC OXYGEN THERAPY performed in a comprehensive hyperbaric medicine facility where the medical practitioner is pressurised in the hyperbaric chamber for the purpose of providing continuous life saving emergency treatment, including any associated attendance - per hour (or part of an hour)
(See para T1.1 of explanatory notes to this Category)
Fee: $163.45	Benefit: 75% = $122.60	85% = $138.95	
	SUBGROUP 2 - DIALYSIS	
13100	
SUPERVISION IN HOSPITAL by a medical specialist of  haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in 1 day
(See para T1.2 of explanatory notes to this Category)
Fee: $136.65	Benefit: 75% = $102.50	85% = $116.20	
13103	
SUPERVISION IN HOSPITAL by a medical specialist of  haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in 1 day
(See para T1.2 of explanatory notes to this Category)
Fee: $71.20	Benefit: 75% = $53.40	85% = $60.55	
13104	
Planning and management of home dialysis (either haemodialysis or peritoneal dialysis), by a consultant physician in the practice of his or her specialty of renal medicine, for a patient with end-stage renal disease, and supervision of that patient on self-administered dialysis, to a maximum of 12 claims per year
(See para T1.3 of explanatory notes to this Category)
Fee: $147.95	Benefit: 85% = $125.80	
13106	
DECLOTTING OF AN ARTERIOVENOUS SHUNT
Fee: $121.35	Benefit: 75% = $91.05	85% = $103.15	
13109	
INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS  INSERTION AND FIXATION OF (Anaes.)
Fee: $227.75	Benefit: 75% = $170.85	85% = $193.60	
13110	
TENCKHOFF PERITONEAL DIALYSIS CATHETER, removal of (including catheter cuffs) (Anaes.)
Fee: $228.50	Benefit: 75% = $171.40	85% = $194.25	
13112	
PERITONEAL DIALYSIS, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation) (Anaes.)
Fee: $136.65	Benefit: 75% = $102.50	85% = $116.20	

MISCELLANEOUS	ASSISTED REPRODUCTIVE SERVICES	
	SUBGROUP 3 - ASSISTED REPRODUCTIVE SERVICES	
13200	
ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED TREATMENT CYCLE PROCEEDING TO OOCYTE RETRIEVAL, involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, semen preparation, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which item  13201, 13202, 13203, 13206, 13218 applies – being services rendered during 1 treatment cycle - INITIAL cycle in a single calendar year
(See para T1.4 of explanatory notes to this Category)
Fee: $3,110.75	Benefit: 75% = $2,333.10	85% = $3,036.25
Extended Medicare Safety Net Cap: $1,655.60	
13201	
ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED TREATMENT CYCLE PROCEEDING TO OOCYTE RETRIEVAL, involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, semen preparation, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which item  13200, 13202, 13203, 13206, 13218 applies – being services rendered during 1 treatment cycle - each cycle SUBSEQUENT to the first in a single calendar year
(See para T1.4 of explanatory notes to this Category)
Fee: $2,909.75	Benefit: 75% = $2,182.35	85% = $2,835.25
Extended Medicare Safety Net Cap: $2,403.30	
13202	
ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED TREATMENT CYCLE THAT IS CANCELLED BEFORE OOCYTE RETRIEVAL, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, semen preparation, ultrasound examinations, but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which Item 13200, 13201, 13203, 13206, 13218, applies being services rendered during 1 treatment cycle
(See para T1.4 of explanatory notes to this Category)
Fee: $465.55	Benefit: 75% = $349.20	85% = $395.75
Extended Medicare Safety Net Cap: $64.15	
13203	
OVULATION MONITORING SERVICES, for artificial insemination – including quantitative estimation of hormones and ultrasound examinations, being services rendered during 1 treatment cycle but excluding a service to which Item 13200, 13201, 13202, 13206, 13212, 13215, 13218, applies
(See para T1.4 of explanatory notes to this Category)
Fee: $486.75	Benefit: 75% = $365.10	85% = $413.75
Extended Medicare Safety Net Cap: $106.85	
13206	
ASSISTED REPRODUCTIVE TECHNOLOGIES TREATMENT CYCLE using either the natural cycle or oral medication only to induce oocyte growth and development, and including quantitative estimation of hormones, semen preparation, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, frozen embryo transfer or donated embryos or ova or treatment involving the use of injectable drugs to induce superovulation being services rendered during 1 treatment cycle but only if rendered in conjunction with a service to which item 13212 applies
(See para T1.4 of explanatory notes to this Category)
Fee: $465.55	Benefit: 75% = $349.20	85% = $395.75
Extended Medicare Safety Net Cap: $64.15	
13209	
PLANNING and MANAGEMENT of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies or for artificial insemination payable once only during 1 treatment cycle
(See para T1.4 of explanatory notes to this Category)
Fee: $84.70	Benefit: 75% = $63.55	85% = $72.00
Extended Medicare Safety Net Cap: $10.75	
Amend
Fee
13210	
Professional attendance on a patient by a specialist practising in his or her specialty if: 
	(a)	the attendance is by video conference; and 
	(b)	item 13209 applies to the attendance; and 
	(c)	the patient is not an admitted patient; and 
	(d)	the patient: 
		(i)	is located both: 
			(A) outside an inner metropolitan area; and 
			(B) at the time of the attendance—at least 15 kms by road from the specialist; or 
		(ii)	is a care recipient in a residential care service; or 
		(iii)	is a patient of: 
			(A) an Aboriginal Medical Service; or 
			(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) 	
				of the Act applies 
(See para T1.22 of explanatory notes to this Category)
Derived Fee: 50% of the fee for item 13209. Benefit: 85% of the derived fee
Extended Medicare Safety Net Cap: $5.20	

MISCELLANEOUS	PAEDIATRIC & NEONATAL	
13212	
OOCYTE RETRIEVAL for the purposes of assisted reproductive technologies – only if rendered in conjunction with a service to which Item 13200, 13201 or 13206 applies (Anaes.)
(See para T1.4 of explanatory notes to this Category)
Fee: $354.45	Benefit: 75% = $265.85	85% = $301.30
Extended Medicare Safety Net Cap: $69.50	
13215	
TRANSFER OF EMBRYOS or both ova and sperm to the female reproductive system, excluding artificial insemination – only if rendered in conjunction with a service to which item 13200, 13201, 13206 or 13218 applies, being services rendered in 1 treatment cycle (Anaes.)
(See para T1.4 of explanatory notes to this Category)
Fee: $111.10	Benefit: 75% = $83.35	85% = $94.45
Extended Medicare Safety Net Cap: $48.10	
13218	
PREPARATION of frozen or donated embryos or donated oocytes for transfer to the female reproductive system, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle and excluding a service to which item 13200, 13201, 13202, 13203, 13206, 13212 applies (Anaes.)
(See para T1.4 of explanatory notes to this Category)
Fee: $793.55	Benefit: 75% = $595.20	85% = $719.05
Extended Medicare Safety Net Cap: $694.30	
13221	
PREPARATION OF SEMEN for the purposes of artificial insemination - only if rendered in conjunction with a service to which item 13203 applies
(See para T1.4 of explanatory notes to this Category)
Fee: $50.80	Benefit: 75% = $38.10	85% = $43.20
Extended Medicare Safety Net Cap: $21.40	
13251	
INTRACYTOPLASMIC SPERM INJECTION for the purposes of assisted reproductive technologies, for male factor infertility, excluding a service to which Item 13203 or 13218 applies
(See para T1.5 of explanatory notes to this Category)
Fee: $417.95	Benefit: 75% = $313.50	85% = $355.30
Extended Medicare Safety Net Cap: $106.85	
13290	
SEMEN, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by  a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required
Fee: $204.25	Benefit: 75% = $153.20	85% = $173.65	
13292	
SEMEN, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by  a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required, under general anaesthetic, in a hospital (Anaes.)
Fee: $408.70	Benefit: 75% = $306.55	85% = $347.40	
	SUBGROUP 4 - PAEDIATRIC & NEONATAL	
13300	
UMBILICAL OR SCALP VEIN CATHETERISATION in a NEONATE with or without infusion; or cannulation of a vein in a neonate
Fee: $56.95	Benefit: 75% = $42.75	85% = $48.45	
13303	
UMBILICAL ARTERY CATHETERISATION with or without infusion
Fee: $84.40	Benefit: 75% = $63.30	85% = $71.75	
13306	
BLOOD TRANSFUSION with venesection and complete replacement of blood, including collection from donor
Fee: $334.10	Benefit: 75% = $250.60	85% = $284.00	
13309	
BLOOD TRANSFUSION with venesection and complete replacement of blood, using blood already collected
Fee: $284.85	Benefit: 75% = $213.65	85% = $242.15	
13312	
BLOOD for pathology test, collection of, BY FEMORAL OR EXTERNAL JUGULAR VEIN PUNCTURE IN INFANTS
Fee: $28.45	Benefit: 75% = $21.35	85% = $24.20	
13318	
CENTRAL VEIN CATHETERISATION - by open exposure in a person under 12 years of age (Anaes.)
(See para T1.6 of explanatory notes to this Category)
Fee: $227.45	Benefit: 75% = $170.60	85% = $193.35	
13319	
CENTRAL VEIN CATHETERISATION in a neonate via peripheral vein (Anaes.)
Fee: $227.45	Benefit: 75% = $170.60	85% = $193.35	

MISCELLANEOUS	CARDIOVASCULAR	
	SUBGROUP 5 - CARDIOVASCULAR	
13400	
RESTORATION OF CARDIAC RHYTHM by electrical stimulation (cardioversion), other than in the course of cardiac surgery (Anaes.)
Fee: $96.80	Benefit: 75% = $72.60	85% = $82.30	
	SUBGROUP 6 - GASTROENTEROLOGY	
13500	
GASTRIC HYPOTHERMIA by closed circuit circulation of refrigerant IN THE ABSENCE OF GASTROINTESTINAL HAEMORRHAGE
Fee: $180.30	Benefit: 75% = $135.25	85% = $153.30	
13503	
GASTRIC HYPOTHERMIA by closed circuit circulation of refrigerant FOR UPPER GASTROINTESTINAL HAEMORRHAGE
Fee: $360.70	Benefit: 75% = $270.55	85% = $306.60	
13506	
GASTRO-OESOPHAGEAL balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices
Fee: $184.50	Benefit: 75% = $138.40	85% = $156.85	
	SUBGROUP 8 - HAEMATOLOGY	
13700	
HARVESTING OF HOMOLOGOUS (including allogeneic) or AUTOLOGOUS bone marrow for the purpose of transplantation (Anaes.)
Fee: $333.25	Benefit: 75% = $249.95	85% = $283.30	
13703	
ADMINISTRATION OF BLOOD, including collection from donor
Fee: $119.50	Benefit: 75% = $89.65	85% = $101.60	
13706	
ADMINISTRATION OF BLOOD or bone marrow already collected
(See para T1.7 of explanatory notes to this Category)
Fee: $83.35	Benefit: 75% = $62.55	85% = $70.85	
13709	
COLLECTION OF BLOOD for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation
(See para T1.8 of explanatory notes to this Category)
Fee: $48.45	Benefit: 75% = $36.35	85% = $41.20	
13750	
THERAPEUTIC HAEMAPHERESIS for the removal of plasma or cellular (or both) elements of blood, utilising continuous or intermittent flow techniques; including morphological tests for cell counts and viability studies, if performed; continuous monitoring of vital signs, fluid balance, blood volume and other parameters with continuous registered nurse attendance under the supervision of a consultant physician, not being a service associated with a service to which item 13755 applies -payable once per day
Fee: $136.65	Benefit: 75% = $102.50	85% = $116.20	
13755	
DONOR HAEMAPHERESIS for the collection of blood products for transfusion, utilising continuous or intermitten flow techniques; including morphological tests for cell counts and viability studies; continuous monitoring of vital signs, fluid balance, blood volume and other parameters; with continuous registered nurse attendance under the supervision of a consultant physician; not being a service associated with a service to which item 13750 applies - payable once per day
Fee: $136.65	Benefit: 75% = $102.50	85% = $116.20	
13757	
THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda
Fee: $72.95	Benefit: 75% = $54.75	85% = $62.05	
13760	
IN VITRO PROCESSING (and cryopreservation) of bone marrow or peripheral blood for autologous stem cell transplantation as an adjunct to high dose chemotherapy for:
. chemosensitive intermediate or high grade non-Hodgkin's lymphoma at high risk of relapse following first line chemotherapy; or
. Hodgkin's disease which has relapsed following, or is refractory to, chemotherapy; or 
. acute myelogenous leukaemia in first remission, where suitable genotypically matched sibling donor is not available for allogenic bone marrow transplant;  or
. multiple myeloma in remission (complete or partial) following standard dose chemotherapy;  or
. small round cell sarcomas; or
. primitive neuroectodermal tumour; or
. germ cell tumours which have relapsed following, or are refractory to, chemotherapy; 
. germ cell tumours which have had an incomplete response to first line therapy.
- performed under the supervision of a consultant physician - each day.
Fee: $762.60	Benefit: 75% = $571.95	85% = $688.10	

MISCELLANEOUS	INTENSIVE CARE	
	SUBGROUP 9 - PROCEDURES ASSOCIATED WITH INTENSIVE CARE AND CARDIOPULMONARY SUPPORT	
13815	
CENTRAL VEIN CATHETERISATION by percutaneous or open exposure not being a service to which item 13318 applies (Anaes.)
(See para T1.6 of explanatory notes to this Category)
Fee: $85.25	Benefit: 75% = $63.95	85% = $72.50	
13818	
RIGHT HEART BALLOON CATHETER, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes.)
(See para T1.10 of explanatory notes to this Category)
Fee: $113.70	Benefit: 75% = $85.30	85% = $96.65	
13830	
INTRACRANIAL PRESSURE, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician - each day
Fee: $75.35	Benefit: 75% = $56.55	85% = $64.05	
13839	
ARTERIAL PUNCTURE and collection of blood for diagnostic purposes
Fee: $23.05	Benefit: 75% = $17.30	85% = $19.60	
13842	
INTRAARTERIAL CANNULATION for the purpose of taking multiple arterial blood samples for blood gas analysis
(See para T1.10 of explanatory notes to this Category)
Fee: $69.30	Benefit: 75% = $52.00	85% = $58.95	
13847	
COUNTERPULSATION BY INTRAAORTIC BALLOON management on the first day including initial and subsequent consultations and monitoring of parameters (Anaes.)
(See para T1.10 of explanatory notes to this Category)
Fee: $156.10	Benefit: 75% = $117.10	85% = $132.70	
13848	
COUNTERPULSATION BY INTRAAORTIC BALLOON  management on each day subsequent to the first, including associated consultations and monitoring of parameters
(See para T1.10 of explanatory notes to this Category)
Fee: $131.05	Benefit: 75% = $98.30	85% = $111.40	
13851	
CIRCULATORY SUPPORT DEVICE, management of, on first day
Fee: $493.65	Benefit: 75% = $370.25	85% = $419.65	
13854	
CIRCULATORY SUPPORT DEVICE, management of, on each day subsequent to the first
Fee: $114.85	Benefit: 75% = $86.15	85% = $97.65	
13857	
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION (other than in the context of an anaesthetic for surgery), outside an Intensive Care Unit, for the purpose of subsequent ventilatory support in an Intensive Care Unit
(See para T1.10 of explanatory notes to this Category)
Fee: $146.40	Benefit: 75% = $109.80	85% = $124.45	
	SUBGROUP 10 - MANAGEMENT AND PROCEDURES UNDERTAKEN IN AN INTENSIVE CARE UNIT	
13870	
(Note: See para T1.8 of Explanatory Notes to this
 Category for definition of an Intensive Care Unit)

MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on the first day
(See para T1.9 and T1.11 of explanatory notes to this Category)
Fee: $362.10	Benefit: 75% = $271.60	85% = $307.80	
13873	
MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including all attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on each day subsequent to the first day
(See para T1.9 and T1.11 of explanatory notes to this Category)
Fee: $268.60	Benefit: 75% = $201.45	85% = $228.35	

MISCELLANEOUS	CHEMOTHERAPEUTIC	
13876	
CENTRAL VENOUS PRESSURE, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter in an intensive care unit and managed by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - once only for each type of pressure on any calendar day (up to a maximum of 4 pressures)
(See para T1.9 and T1.11 of explanatory notes to this Category)
Fee: $76.90	Benefit: 75% = $57.70	85% = $65.40	
13881	
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION, in an Intensive Care Unit, not in association with any anaesthetic service, by a specialist or consultant physician for the purpose of subsequent ventilatory support
(See para T1.9 and T1.11 of explanatory notes to this Category)
Fee: $146.40	Benefit: 75% = $109.80	85% = $124.45	
13882	
VENTILATORY SUPPORT in an Intensive Care Unit, management of, by invasive means, or by non-invasive means where the only alternative to non-invasive ventilatory support would be invasive ventilatory support, by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care, each day
(See para T1.9 and T1.11 of explanatory notes to this Category)
Fee: $115.25	Benefit: 75% = $86.45	85% = $98.00	
13885	
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on the first day
(See para T1.9 and T1.11 of explanatory notes to this Category)
Fee: $153.65	Benefit: 75% = $115.25	85% = $130.65	
13888	
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on each day subsequent to the first day
(See para T1.9 and T1.11 of explanatory notes to this Category)
Fee: $76.90	Benefit: 75% = $57.70	85% = $65.40	
	SUBGROUP 11 - CHEMOTHERAPEUTIC PROCEDURES	
13915	
CYTOTOXIC CHEMOTHERAPY, administration of, either by intravenous push technique (directly into a vein, or a butterfly needle, or the side-arm of an infusion) or by intravenous infusion of not more than 1 hours duration - payable once only on the same day, not being a service associated with photodynamic therapy with verteporfin or for the administration of drugs used immediately prior to, or with microwave (UHF radiowave) cancer therapy alone
(See para T1.12 of explanatory notes to this Category)
Fee: $65.05	Benefit: 75% = $48.80	85% = $55.30	
13918	
CYTOTOXIC CHEMOTHERAPY, administration of, by intravenous infusion of more than 1 hours duration but not more than 6 hours duration - payable once only on the same day
Fee: $97.95	Benefit: 75% = $73.50	85% = $83.30	
13921	
CYTOTOXIC CHEMOTHERAPY, administration of, by intravenous infusion of more than 6 hours duration - for the first day of treatment
Fee: $110.80	Benefit: 75% = $83.10	85% = $94.20	
13924	
CYTOTOXIC CHEMOTHERAPY, administration of, by intravenous infusion of more than 6 hours duration - on each day subsequent to the first in the same continuous treatment episode
Fee: $65.25	Benefit: 75% = $48.95	85% = $55.50	
13927	
CYTOTOXIC CHEMOTHERAPY, administration of, either by intra-arterial push technique (directly into an artery, a butterfly needle or the side-arm of an infusion) or by intra-arterial infusion of not more than 1 hours duration - payable once only on the same day
Fee: $84.40	Benefit: 75% = $63.30	85% = $71.75	
13930	
CYTOTOXIC CHEMOTHERAPY, administration of, by intra-arterial infusion of more than 1 hours duration but not more than 6 hours duration - payable once only on the same day
Fee: $117.80	Benefit: 75% = $88.35	85% = $100.15	
13933	
CYTOTOXIC CHEMOTHERAPY, administration of, by intra-arterial infusion of more than 6 hours duration - for the first day of treatment
Fee: $130.70	Benefit: 75% = $98.05	85% = $111.10	
13936	
CYTOTOXIC CHEMOTHERAPY, administration of, by intra-arterial infusion of more than 6 hours duration - on each day subsequent to the first in the same continuous treatment episode
Fee: $85.15	Benefit: 75% = $63.90	85% = $72.40	

MISCELLANEOUS	DERMATOLOGY	
13939	
IMPLANTED PUMP OR RESERVOIR, loading of, with a cytotoxic agent or agents, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933, 13936 or 13945 applies
(See para T1.13 of explanatory notes to this Category)
Fee: $97.95	Benefit: 75% = $73.50	85% = $83.30	
13942	
AMBULATORY DRUG DELIVERY DEVICE, loading of, with a cytotoxic agent or agents for the infusion of the agent or agents via the intravenous, intra-arterial or spinal routes, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933, 13936 or 13945 applies
(See para T1.13 of explanatory notes to this Category)
Fee: $65.25	Benefit: 75% = $48.95	85% = $55.50	
13945	
LONG-TERM IMPLANTED DRUG DELIVERY DEVICE FOR CYTOTOXIC CHEMOTHERAPY, accessing of
Fee: $52.50	Benefit: 75% = $39.40	85% = $44.65	
13948	
CYTOTOXIC AGENT, instillation of, into a body cavity
Fee: $65.25	Benefit: 75% = $48.95	85% = $55.50	
	SUBGROUP 12 - DERMATOLOGY	
14050	
PUVA THERAPY or UVB THERAPY administered in whole body cabinet, not being a service associated with a service to which item 14053 applies including associated consultations other than an initial consultation
(See para T1.14 of explanatory notes to this Category)
Fee: $52.75	Benefit: 75% = $39.60	85% = $44.85	
14053	
PUVA THERAPY or UVB THERAPY administered to localised body areas in hand and foot cabinet not being a service associated with a service to which item 14050 applies including associated consultations other than an initial consultation
(See para T1.14 of explanatory notes to this Category)
Fee: $52.75	Benefit: 75% = $39.60	85% = $44.85	
EMSN
14100	
LASER PHOTOCOAGULATION using laser light within the wave length of 510-1064nm in the treatment of  vascular lesions of the head or neck where abnormality is visible from 3 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period (Anaes.)
Fee: $152.50	Benefit: 75% = $114.40	85% = $129.65
Extended Medicare Safety Net Cap: $122.00	
14106	
LASER PHOTOCOAGULATION using laser light within the wave length of 510-1064nm in the treatment of port wine stains,  haemangiomas of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), where the abnormality is visible from 3 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - area of treatment up to 50cm2 (Anaes.)
(See para T1.15 of explanatory notes to this Category)
Fee: $152.50	Benefit: 75% = $114.40	85% = $129.65	
14109	
LASER PHOTOCOAGULATION using laser light within the wave length of 510-1064nm in the treatment of port wine stains,  haemangiomas of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - area of treatment more than 50cm2 and up to 100cm2 (Anaes.)
(See para T1.15 of explanatory notes to this Category)
Fee: $187.35	Benefit: 75% = $140.55	85% = $159.25	
14112	
LASER PHOTOCOAGULATION using laser light within the wave length of 510-1064nm in the treatment of port wine stains,  haemangiomas of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - area of treatment more than 100cm2 and up to 150cm2 (Anaes.)
(See para T1.15 of explanatory notes to this Category)
Fee: $221.75	Benefit: 75% = $166.35	85% = $188.50	
14115	
LASER PHOTOCOAGULATION using laser light within the wave length of 510-1064nm in the treatment of port wine stains,  haemangiomas of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - area of treatment more than 150cm2 and up to 250cm2 (Anaes.)
(See para T1.15 of explanatory notes to this Category)
Fee: $256.50	Benefit: 75% = $192.40	85% = $218.05	

MISCELLANEOUS	OTHER	
14118	
LASER PHOTOCOAGULATION using laser light within the wave length of 510-1064nm in the treatment of port wine stains,  haemangiomas of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - area of treatment more than 250cm2 (Anaes.)
(See para T1.15 of explanatory notes to this Category)
Fee: $325.75	Benefit: 75% = $244.35	85% = $276.90	
14124	
LASER PHOTOCOAGULATION using laser light within the wave length of 510-1064nm in the treatment of haemangiomas of infancy, including any associated consultation - where a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes.)
(See para T1.15 and T1.16 of explanatory notes to this Category)
Fee: $152.50	Benefit: 75% = $114.40	85% = $129.65	
	SUBGROUP 13 - OTHER THERAPEUTIC PROCEDURES	
14200	
GASTRIC LAVAGE in the treatment of ingested poison
Fee: $59.80	Benefit: 75% = $44.85	85% = $50.85	
14201	
POLY-L-LACTIC ACID, one or more injections of, for the initial session only, for the treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953 - once per patient
(See para T1.17 of explanatory notes to this Category)
Fee: $236.85	Benefit: 75% = $177.65	85% = $201.35
Extended Medicare Safety Net Cap: $35.40	
14202	
POLY-L-LACTIC ACID, one or more injections of (subsequent sessions), for the continuation of treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953
(See para T1.17 of explanatory notes to this Category)
Fee: $119.90	Benefit: 75% = $89.95	85% = $101.95
Extended Medicare Safety Net Cap: $17.95	
14203	
HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation involving incision and suture (Anaes.)
(See para T1.18 of explanatory notes to this Category)
Fee: $51.15	Benefit: 75% = $38.40	85% = $43.50	
14206	
HORMONE OR LIVING TISSUE IMPLANTATION  by cannula
(See para T1.18 of explanatory notes to this Category)
Fee: $35.60	Benefit: 75% = $26.70	85% = $30.30	
14209	
INTRAARTERIAL INFUSION or retrograde intravenous perfusion of a sympatholytic agent
Fee: $88.70	Benefit: 75% = $66.55	85% = $75.40	
14212	
INTUSSUSCEPTION, management of fluid or gas reduction for (Anaes.)
Fee: $185.30	Benefit: 75% = $139.00	85% = $157.55	
14215	
LONG-TERM IMPLANTED RESERVOIR associated with the adjustable gastric band, accessing of to add or remove fluid
Fee: $97.95	Benefit: 75% = $73.50	85% = $83.30	
14218	
IMPLANTED INFUSION PUMP REFILLING OF reservoir, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space, with or without re-programming of a programmable pump, for the management of chronic intractable pain
Fee: $97.95	Benefit: 75% = $73.50	85% = $83.30	
14221	
LONG-TERM IMPLANTED DEVICE FOR DELIVERY OF THERAPEUTIC AGENTS, accessing of, not being a service associated with a service to which item 13945 applies
Fee: $52.50	Benefit: 75% = $39.40	85% = $44.65	
14224	
ELECTROCONVULSIVE THERAPY, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes.)
Fee: $70.35	Benefit: 75% = $52.80	85% = $59.80	
14227	
IMPLANTED INFUSION PUMP, REFILLING of reservoir, with baclofen, for infusion to the subarachnoid or epidural space, with or without re-programming of a programmable pump, for the management of severe chronic spasticity
(See para T1.19 of explanatory notes to this Category)
Fee: $97.95	Benefit: 75% = $73.50	85% = $83.30	

MISCELLANEOUS	OTHER	
14230	
Intrathecal or epidural SPINAL CATHETER insertion or replacement of, for connection to a subcutaneous implanted infusion pump, for the management of severe chronic spasticity with baclofen (Anaes.) (Assist.)
(See para T1.19 of explanatory notes to this Category)
Fee: $298.05	Benefit: 75% = $223.55	
14233	
INFUSION PUMP, subcutaneous implantation or replacement of, and connection to intrathecal or epidural catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.) (Assist.)
(See para T1.19 of explanatory notes to this Category)
Fee: $361.90	Benefit: 75% = $271.45	
14236	
INFUSION PUMP, subcutaneous implantation of, AND intrathecal or epidural SPINAL CATHETER insertion, and connection of pump to catheter and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.) (Assist.)
(See para T1.19 of explanatory notes to this Category)
Fee: $659.95	Benefit: 75% = $495.00	
14239	
Removal of subcutaneously IMPLANTED INFUSION PUMP, OR removal or repositioning of intrathecal or epidural SPINAL CATHETER, for the management of severe chronic spasticity (Anaes.)
(See para T1.19 of explanatory notes to this Category)
Fee: $159.40	Benefit: 75% = $119.55	
14242	
SUBCUTANEOUS RESERVOIR AND SPINAL CATHETER, insertion of, for the management of severe chronic spasticity (Anaes.)
(See para T1.19 of explanatory notes to this Category)
Fee: $473.65	Benefit: 75% = $355.25	
14245	
IMMUNOMODULATING AGENT, administration of, by intravenous infusion for at least 2 hours duration - payable once only on the same day and where the agent is provided under section 100 of the Pharmaceutical Benefits Scheme
(See para T1.20 of explanatory notes to this Category)
Fee: $97.95	Benefit: 75% = $73.50	85% = $83.30	

RADIATION ONCOLOGY	SUPERFICIAL	
	GROUP T2 - RADIATION ONCOLOGY	
	SUBGROUP 1 - SUPERFICIAL	
15000	
(Benefits for administration of general anaesthetic for radiotherapy are payable under Group T10)

RADIOTHERAPY, SUPERFICIAL (including treatment with xrays, radium rays or other radioactive substances), not being a service to which another item in this Group applies each attendance at which fractionated treatment is given
- 1 field
Fee: $42.55	Benefit: 75% = $31.95	85% = $36.20	
Fee
15003	
- 2 or more fields up to a maximum of 5 additional fields
Derived Fee: The fee for item 15000 plus for each field in excess of 1, an amount of $17.10	
15006	
RADIOTHERAPY, SUPERFICIAL, attendance at which single dose technique is applied
- 1 field
Fee: $94.35	Benefit: 75% = $70.80	85% = $80.20	
Fee
15009	
- 2 or more fields up to a maximum of 5 additional fields
Derived Fee: The fee for item 15006 plus for each field in excess of 1, an amount of $18.55	
15012	
RADIOTHERAPY, SUPERFICIAL  each attendance at which treatment is given to an eye
Fee: $53.45	Benefit: 75% = $40.10	85% = $45.45	
	SUBGROUP 2 - ORTHOVOLTAGE	
15100	
RADIOTHERAPY, DEEP OR ORTHOVOLTAGE each attendance at which fractionated treatment is given at 3 or more treatments per week
- 1 field
Fee: $47.70	Benefit: 75% = $35.80	85% = $40.55	
Fee
15103	
- 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
Derived Fee: The fee for item 15100 plus for each field in excess of 1, an amount of $18.80	
15106	
RADIOTHERAPY, DEEP OR ORTHOVOLTAGE  each attendance at which fractionated treatment is given at 2 treatments per week or less frequently
- 1 field
Fee: $56.30	Benefit: 75% = $42.25	85% = $47.90	
Fee
15109	
- 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
Derived Fee: The fee for item 15106 plus for each field in excess of 1, an amount of $22.70	
15112	
RADIOTHERAPY, DEEP OR ORTHOVOLTAGE  attendance at which single dose technique is applied 1 field
Fee: $120.25	Benefit: 75% = $90.20	85% = $102.25	
Fee
15115	
- 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
Derived Fee: The fee for item 15112 plus for each field in excess of 1, an amount of $47.30	
	SUBGROUP 3 - MEGAVOLTAGE	
15211	
RADIATION ONCOLOGY TREATMENT, using cobalt unit or caesium teletherapy unit  each attendance at which treatment is given
- 1 field
Fee: $54.70	Benefit: 75% = $41.05	85% = $46.50	
Fee
15214	
- 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
Derived Fee: The fee for item 15211 plus for each field in excess of 1, an amount of $31.90	
15215	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site (lung)
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
15218	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site (prostate)
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	

RADIATION ONCOLOGY	MEGAVOLTAGE	
15221	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site (breast)
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
15224	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site for diseases and conditions not covered by items 15215, 15218 and 15221
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
15227	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to secondary site
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
Fee
15230	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site (lung)
Derived Fee: The fee for item 15215 plus for each field in excess of 1, an amount of $37.95	
Fee
15233	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site (prostate)
Derived Fee: The fee for item 15218 plus for each field in excess of 1, an amount of $37.95	
Fee
15236	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site (breast)
Derived Fee: The fee for item 15221 plus for each field in excess of 1, an amount of $37.95	
Fee
15239	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site for diseases and conditions not covered by items 15230, 15233 or 15236
Derived Fee: The fee for item 15224 plus for each field in excess of 1, an amount of $37.95	
Fee
15242	
RADIATION ONCOLOGY TREATMENT, using a single photon energy linear accelerator with or without electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to secondary site
Derived Fee: The fee for item 15227 plus for each field in excess of 1, an amount of $37.95	
15245	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site (lung)
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
15248	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site (prostate)
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
15251	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site (breast)
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
15254	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to primary site for diseases and conditions not covered by items 15245, 15248 or 15251
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
15257	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 1 field - treatment delivered to secondary site
Fee: $59.65	Benefit: 75% = $44.75	85% = $50.75	
Fee
15260	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site (lung)
Derived Fee: The fee for item 15245 plus for each field in excess of 1, an amount of $37.95	

RADIATION ONCOLOGY	BRACHYTHERAPY	
Fee
15263	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site (prostate)
Derived Fee: The fee for item 15248 plus for each field in excess of 1, an amount of $37.95	
Fee
15266	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site (breast)
Derived Fee: The fee for item 15251 plus for each field in excess of 1, an amount of $37.95	
Fee
15269	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to primary site for diseases and conditions not covered by items 15260, 15263 or 15266
Derived Fee: The fee for item 15254 plus for each field in excess of 1, an amount of $37.95	
Fee
15272	
RADIATION ONCOLOGY TREATMENT, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities - each attendance at which treatment is given - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) - treatment delivered to secondary site
Derived Fee: The fee for item 15257 plus for each field in excess of 1, an amount of $37.95	
	SUBGROUP 4 - BRACHYTHERAPY	
15303	
INTRAUTERINE TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)
Fee: $357.00	Benefit: 75% = $267.75	85% = $303.45	
15304	
INTRAUTERINE TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)
Fee: $357.00	Benefit: 75% = $267.75	85% = $303.45	
15307	
INTRAUTERINE TREATMENT ALONE using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes.)
Fee: $676.80	Benefit: 75% = $507.60	85% = $602.30	
15308	
INTRAUTERINE TREATMENT ALONE using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes.)
Fee: $676.80	Benefit: 75% = $507.60	85% = $602.30	
15311	
INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)
Fee: $333.20	Benefit: 75% = $249.90	85% = $283.25	
15312	
INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)
Fee: $330.80	Benefit: 75% = $248.10	85% = $281.20	
15315	
INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes.)
Fee: $654.25	Benefit: 75% = $490.70	85% = $579.75	
15316	
INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes.)
Fee: $654.25	Benefit: 75% = $490.70	85% = $579.75	
15319	
COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)
Fee: $406.05	Benefit: 75% = $304.55	85% = $345.15	
15320	
COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)
Fee: $406.05	Benefit: 75% = $304.55	85% = $345.15	
15323	
COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes.)
Fee: $722.00	Benefit: 75% = $541.50	85% = $647.50	

RADIATION ONCOLOGY	BRACHYTHERAPY	
15324	
COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes.)
Fee: $722.00	Benefit: 75% = $541.50	85% = $647.50	
15327	
IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using manual afterloading techniques (Anaes.)
Fee: $785.45	Benefit: 75% = $589.10	85% = $710.95	
15328	
IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using automatic afterloading techniques (Anaes.)
Fee: $785.45	Benefit: 75% = $589.10	85% = $710.95	
15331	
IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using manual afterloading techniques (Anaes.)
Fee: $745.80	Benefit: 75% = $559.35	85% = $671.30	
15332	
IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using automatic afterloading techniques (Anaes.)
Fee: $745.80	Benefit: 75% = $559.35	85% = $671.30	
15335	
IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using manual afterloading techniques (Anaes.)
Fee: $676.80	Benefit: 75% = $507.60	85% = $602.30	
15336	
IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (Anaes.)
Fee: $676.80	Benefit: 75% = $507.60	85% = $602.30	
15338	
PROSTATE, radioactive seed implantation of, radiation oncology component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate), with a Gleason score of less than or equal to 7 and a prostate specific antigen (PSA) of less than or equal to 10ng/ml at the time of diagnosis.  The procedure must be performed at an approved site in association with a urologist.
(See para T2.2 of explanatory notes to this Category)
Fee: $935.60	Benefit: 75% = $701.70	85% = $861.10	
15339	
REMOVAL OF A SEALED RADIOACTIVE SOURCE under general anaesthesia, or under epidural or spinal nerve block (Anaes.)
Fee: $76.20	Benefit: 75% = $57.15	85% = $64.80	
15342	
CONSTRUCTION AND APPLICATION OF A RADIOACTIVE MOULD using a sealed source having a half-life of greater than 115 days, to treat intracavity, intraoral or intranasal site
Fee: $190.30	Benefit: 75% = $142.75	85% = $161.80	
15345	
CONSTRUCTION AND APPLICATION OF A RADIOACTIVE MOULD using a sealed source having a half-life of less than 115 days including iodine, gold, iridium or tantalum to treat intracavity, intraoral or intranasal sites
Fee: $507.80	Benefit: 75% = $380.85	85% = $433.30	
15348	
SUBSEQUENT APPLICATIONS OF RADIOACTIVE MOULD referred to in item 15342 or 15345  each attendance
Fee: $58.40	Benefit: 75% = $43.80	85% = $49.65	
15351	
CONSTRUCTION WITH OR WITHOUT INITIAL APPLICATION OF RADIOACTIVE MOULD not exceeding 5 cm. diameter to an external surface
Fee: $116.60	Benefit: 75% = $87.45	85% = $99.15	
15354	
CONSTRUCTION AND INITIAL APPLICATION OF RADIOACTIVE MOULD 5 cm. or more in diameter to an external surface
Fee: $141.50	Benefit: 75% = $106.15	85% = $120.30	
15357	
SUBSEQUENT APPLICATIONS OF RADIOACTIVE MOULD referred to in item 15351 or 15354  each attendance
Fee: $40.05	Benefit: 75% = $30.05	85% = $34.05	

RADIATION ONCOLOGY	COMPUTERISED PLANNING	
	SUBGROUP 5 - COMPUTERISED PLANNING	
15500	
RADIOTHERAPY PLANNING
RADIATION FIELD SETTING using a simulator or isocentric xray or megavoltage machine or CT of a single area for treatment by a single field or parallel opposed fields (not being a service associated with a service to which item 15509 applies)
(See para T2.3 of explanatory notes to this Category)
Fee: $242.65	Benefit: 75% = $182.00	85% = $206.30	
15503	
RADIATION FIELD SETTING using a simulator or isocentric xray or megavoltage machine or CT of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not being a service associated with a service to which item 15512 applies)
(See para T2.3 of explanatory notes to this Category)
Fee: $311.55	Benefit: 75% = $233.70	85% = $264.85	
15506	
RADIATION FIELD SETTING using a simulator or isocentric xray or megavoltage machine or CT of 3 or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of offaxis fields or several joined fields (not being a service associated with a service to which item 15515 applies)
(See para T2.3 of explanatory notes to this Category)
Fee: $465.30	Benefit: 75% = $349.00	85% = $395.55	
15509	
RADIATION FIELD SETTING using a diagnostic xray unit of a single area for treatment by a single field or parallel opposed fields (not being a service associated with a service to which item 15500 applies)
(See para T2.3 of explanatory notes to this Category)
Fee: $210.30	Benefit: 75% = $157.75	85% = $178.80	
15512	
RADIATION FIELD SETTING using a diagnostic xray unit of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not being a service associated with a service to which item 15503 applies)
(See para T2.3 of explanatory notes to this Category)
Fee: $271.10	Benefit: 75% = $203.35	85% = $230.45	
15513	
RADIATION SOURCE LOCALISATION using a simulator or x-ray machine or CT of a single area, where views in more than 1 plane are required, for brachytherapy treatment planning for I125 seed implantation of localised prostate cancer, in association with item 15338
Fee: $306.55	Benefit: 75% = $229.95	85% = $260.60	
15515	
RADIATION FIELD SETTING using a diagnostic xray unit of 3 or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of offaxis fields or several joined fields (not being a service associated with a service to which item 15506 applies)
(See para T2.3 of explanatory notes to this Category)
Fee: $392.50	Benefit: 75% = $294.40	85% = $333.65	
15518	
RADIATION DOSIMETRY by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks
(See para T2.3 of explanatory notes to this Category)
Fee: $77.00	Benefit: 75% = $57.75	85% = $65.45	
15521	
RADIATION DOSIMETRY by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used
(See para T2.3 of explanatory notes to this Category)
Fee: $339.90	Benefit: 75% = $254.95	85% = $288.95	
15524	
RADIATION DOSIMETRY by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or offaxis fields, or several joined fields
(See para T2.3 of explanatory notes to this Category)
Fee: $637.35	Benefit: 75% = $478.05	85% = $562.85	
15527	
RADIATION DOSIMETRY by a non CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks
(See para T2.3 of explanatory notes to this Category)
Fee: $78.95	Benefit: 75% = $59.25	85% = $67.15	
15530	
RADIATION DOSIMETRY by a non CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used
(See para T2.3 of explanatory notes to this Category)
Fee: $352.15	Benefit: 75% = $264.15	85% = $299.35	

RADIATION ONCOLOGY	COMPUTERISED PLANNING	
15533	
RADIATION DOSIMETRY by a non CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields, or tangential fields or irregularly shaped fields using multiple blocks, or offaxis fields, or several joined fields
(See para T2.3 of explanatory notes to this Category)
Fee: $667.70	Benefit: 75% = $500.80	85% = $593.20	
15536	
BRACHYTHERAPY PLANNING, computerised radiation dosimetry
(See para T2.3 of explanatory notes to this Category)
Fee: $266.90	Benefit: 75% = $200.20	85% = $226.90	
15539	
BRACHYTHERAPY PLANNING, computerised radiation dosimetry for I125 seed implantation of localised prostate cancer, in association with item 15338
Fee: $627.30	Benefit: 75% = $470.50	85% = $552.80	
15550	
SIMULATION FOR THREE DIMENSIONAL CONFORMAL RADIOTHERAPY without intravenous contrast medium, where:
(a)	treatment set up and technique specifications are in preparations for three dimensional conformal radiotherapy dose planning; and
(b)	patient set up and immobilisation techniques are suitable for reliable CT image volume data acquisition and three dimensional conformal radiotherapy treatment; and
(c)	a high-quality CT-image volume dataset must be acquired for the relevant region of interest to be planned and treated; and
(d)	the image set must be suitable for the generation of quality digitally reconstructed radiographic images
(See para T2.3 of explanatory notes to this Category)
Fee: $658.60	Benefit: 75% = $493.95	85% = $584.10	
15553	
SIMULATION FOR THREE DIMENSIONAL CONFORMAL RADIOTHERAPY pre and post intravenous contrast medium, where:
(a)	treatment set up and technique specifications are in preparations for three dimensional conformal radiotherapy dose planning; and
(b)	patient set up and immobilisation techniques are suitable for reliable CT image volume data acquisition and three dimensional conformal radiotherapy treatment; and
(c)	a high-quality CT-image volume dataset must be acquired for the relevant region of interest to be planned and treated; and
(d)	the image set must be suitable for the generation of quality digitally reconstructed radiographic images
(See para T2.3 of explanatory notes to this Category)
Fee: $710.55	Benefit: 75% = $532.95	85% = $636.05	
15556	
DOSIMETRY FOR THREE DIMENSIONAL CONFORMAL RADIOTHERAPY OF LEVEL 1 COMPLEXITY where:
(a)	dosimetry for a single phase three dimensional conformal treatment plan using CT image volume dataset and having a single treatment target volume and organ at risk; and
(b)	one gross tumour volume or clinical target volume, plus one planning target volume plus at least one relevant organ at risk as defined in the prescription must be rendered as volumes; and
(c)	the organ at risk must be nominated as a planning dose goal or constraint and the prescription must specify the organ at risk dose goal or constraint; and
(d)	dose volume histograms must be generated, approved and recorded with the plan; and
(e)	a CT image volume dataset must be used for the relevant region to be planned and treated; and
(f)	the CT images must be suitable for the generation of quality digitally reconstructed radiographic images
(See para T2.3 of explanatory notes to this Category)
Fee: $664.40	Benefit: 75% = $498.30	85% = $589.90	
15559	
DOSIMETRY FOR THREE DIMENSIONAL CONFORMAL RADIOTHERAPY OF LEVEL 2 COMPLEXITY where:
(a)	dosimetry for a two phase three dimensional conformal treatment plan using CT image volume dataset(s) with at least one gross tumour volume, two planning target volumes and one organ at risk defined in the prescription; or
(b)	dosimetry for a one phase three dimensional conformal treatment plan using CT image volume datasets with at least one gross tumour volume, one planning target volume and two organ at risk dose goals or constraints defined in the prescription; or
(c)	image fusion with a secondary image (CT, MRI or PET) volume dataset used to define target and organ at risk volumes in conjunction with and as specified in dosimetry for three dimensional conformal radiotherapy of level 1 complexity.

All gross tumour targets, clinical targets, planning targets and organs at risk as defined in the prescription must be rendered as volumes. The organ at risk must be nominated as planning dose goals or constraints and the prescription must specify the organs at risk as dose goals or constraints. Dose volume histograms must be generated, approved and recorded with the plan. A CT image volume dataset must be used for the relevant region to be planned and treated. The CT images must be suitable for the generation of quality digitally reconstructed radiographic images
(See para T2.3 of explanatory notes to this Category)
Fee: $866.55	Benefit: 75% = $649.95	85% = $792.05	

RADIATION ONCOLOGY	STEREOTACTIC RADIOSURGERY	
15562	
DOSIMETRY FOR THREE DIMENSIONAL CONFORMAL RADIOTHERAPY OF LEVEL 3 COMPLEXITY - where:
(a)	dosimetry for a three or more phase three dimensional conformal treatment plan using CT image volume dataset(s) with at least one gross tumour volume, three planning target volumes and one organ at risk defined in the prescription; or
(b)	dosimetry for a two phase three dimensional conformal treatment plan using CT image volume datasets with at least one gross tumour volume, and
		(i) two planning target volumes; or
		(ii) two organ at risk dose goals or constraints defined in the prescription.
or
(c)	dosimetry for a one phase three dimensional conformal treatment plan using CT image volume datasets with at least one gross tumour volume, one planning target volume and three organ at risk dose goals or constraints defined in the prescription;
or
(d)	image fusion with a secondary image (CT, MRI or PET) volume dataset used to define target and organ at risk volumes in conjunction with and as specified in dosimetry for three dimensional conformal radiotherapy of level 2 complexity.

All gross tumour targets, clinical targets, planning targets and organs at risk as defined in the prescription must be rendered as volumes. The organ at risk must be nominated as planning dose goals or constraints and the prescription must specify the organs at risk as dose goals or constraints. Dose volume histograms must be generated, approved and recorded with the plan. A CT image volume dataset must be used for the relevant region to be planned and treated. The CT images must be suitable for the generation of quality digitally reconstructed radiographic images
(See para T2.3 of explanatory notes to this Category)
Fee: $1,120.75	Benefit: 75% = $840.60	85% = $1,046.25	
	SUBGROUP 6 - STEREOTACTIC RADIOSURGERY	
15600	
STEREOTACTIC RADIOSURGERY, including all radiation oncology consultations, planning, simulation, dosimetry and treatment
Fee: $1,702.30	Benefit: 75% = $1,276.75	85% = $1,627.80	
	SUBGROUP 7 - RADIATION ONCOLOGY TREATMENT VERIFICATION	
15700	
RADIATION ONCOLOGY TREATMENT VERIFICATION - single projection (with single or double exposures) – when prescribed and reviewed by a radiation oncologist and not associated with item 15705 or 15710 - each attendance at which treatment is verified (ie maximum one per attendance).
(See para T2.4 of explanatory notes to this Category)
Fee: $45.95	Benefit: 75% = $34.50	85% = $39.10	
15705	
RADIATION ONCOLOGY TREATMENT VERIFICATION - multiple projection acquisition when prescribed and reviewed by a radiation oncologist and not associated with item 15700 or 15710 - each attendance at which treatment involving three or more fields is verified (ie maximum one per attendance).
(See para T2.4 of explanatory notes to this Category)
Fee: $76.60	Benefit: 75% = $57.45	85% = $65.15	
15710	
RADIATION ONCOLOGY TREATMENT VERIFICATION - volumetric acquisition, when prescribed and reviewed  by a radiation oncologist and not associated with item 15700 or 15705 – each attendance at which treatment involving three fields or more is verified (ie maximum one per attendance). 
(see para T2.5 of explanatory notes to this Category)
Fee: $76.60	Benefit: 75% = $57.45	85% = $65.15	
	SUBGROUP 8 - BRACHYTHERAPY PLANNING AND VERIFICATION	
15800	
BRACHYTHERAPY TREATMENT VERIFICATION – maximum of one only for each attendance.
(See para T2.4 of explanatory notes to this Category)
Fee: $96.30	Benefit: 75% = $72.25	85% = $81.90	
15850	
RADIATION SOURCE LOCALISATION using a simulator, x-ray machine, CT or ultrasound of a single area, where views in more than one plane are required, for brachytherapy treatment planning, not being a service to which Item 15513 applies.
Fee: $199.50	Benefit: 75% = $149.65	85% = $169.60	

THERAPEUTIC NUCLEAR MEDICINE	THERAPEUTIC NUCLEAR MEDICINE	
	GROUP T3 - THERAPEUTIC NUCLEAR MEDICINE	
16003	
INTRACAVITY ADMINISTRATION OF A THERAPEUTIC DOSE OF YTTRIUM 90 not including preliminary paracentesis, not being a service associated with selective internal radiation therapy or to which item 35404, 35406 or 35408 applies (Anaes.)
(See para T3.1 of explanatory notes to this Category)
Fee: $650.50	Benefit: 75% = $487.90	85% = $576.00	
16006	
ADMINISTRATION OF A THERAPEUTIC DOSE OF IODINE 131 for thyroid cancer by single dose technique
Fee: $499.85	Benefit: 75% = $374.90	85% = $425.35	
16009	
ADMINISTRATION OF A THERAPEUTIC DOSE OF IODINE 131 for thyrotoxicosis by single dose technique
Fee: $341.15	Benefit: 75% = $255.90	85% = $290.00	
16012	
INTRAVENOUS ADMINISTRATION OF A THERAPEUTIC DOSE OF PHOSPHOROUS 32
Fee: $295.15	Benefit: 75% = $221.40	85% = $250.90	
16015	
ADMINISTRATION OF STRONTIUM 89 for painful bony metastases from carcinoma of the prostate where hormone therapy has failed and either:
(i)	the disease is poorly controlled by conventional radiotherapy; or
(ii)	conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain
Fee: $4,085.70	Benefit: 75% = $3,064.30	85% = $4,011.20	
16018	
ADMINISTRATION OF 153 SM-LEXIDRONAM for the relief of bone pain due to skeletal metastases (as indicated by a positive bone scan) where hormonal therapy and/or chemotherapy have failed and either the disease is poorly controlled by conventional radiotherapy or conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain.
Fee: $2,442.45	Benefit: 75% = $1,831.85	85% = $2,367.95	

OBSTETRICS	OBSTETRICS	
	GROUP T4 - OBSTETRICS	
Amend
Fee
16399	
Professional attendance on a patient by a specialist practising in his or her specialty of obstetrics if: 
	(a)	the attendance is by video conference; and 
	(b)	item 16401, 16404, 16406, 16500, 16590 or 16591 applies to the attendance; and 
	(c)	the patient is not an admitted patient; and 
	(d)	the patient: 
		(i)	is located both: 
			(A) outside an inner metropolitan area; and 
			(B)	at the time of the attendance—at least 15 kms by road from the specialist; or 
		(ii)	is a care recipient in a residential care service; or 
		(iii)	is a patient of: 
			(A) an Aboriginal Medical Service; or 
			(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) 
			of the Act applies 
(See para T4.12 of explanatory notes to this Category)
Derived Fee: 50% of the fee for item 16401,16404,16406,16500,16590 or 16591. Benefit: 85% of the derived fee
Extended Medicare Safety Net Cap: $23.80	
16400	
ANTENATAL CARE

Antenatal service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner  if:
	(a) the service is provided on behalf of, and under the supervision of, a medical practitioner;
	(b) the service is provided at, or from, a practice location in a regional, rural or remote area RRMA 3-7;
	(c) the service is not performed in conjunction with another antenatal attendance item (same patient, same practitioner on the same day);
	(d) the service is not provided for an admitted patient of a hospital; and
to a maximum of 10 service per pregnancy
(See para T4.1 of explanatory notes to this Category)
Fee: $27.25	Benefit: 85% = $23.20
Extended Medicare Safety Net Cap: $10.90	
16401	
OBSTETRIC SPECIALIST, REFERRED CONSULTATION - SURGERY OR HOSPITAL

Professional attendance at consulting rooms or a hospital by a specialist in the practice of his or her specialty of obstetrics, after referral of the patient to him or her - each INITIAL attendance, in a single course of treatment -  not being a service to which item 104 applies.
Fee: $85.55	Benefit: 75% = $64.20	85% = $72.75
Extended Medicare Safety Net Cap: $54.25	
16404	
Professional attendance at consulting rooms or a hospital by a specialist in the practice of his or her specialty of obstetrics after referral of the patient to him or her - each attendance SUBSEQUENT to the first attendance in a single course of treatment.
Fee: $43.00	Benefit: 75% = $32.25	85% = $36.55
Extended Medicare Safety Net Cap: $32.55	
16406	
32-36 WEEK OBSTETRIC VISIT
Antenatal professional attendance, as part of a single course of treatment, at 32-36 weeks of the patient’s pregnancy when the patient is referred by a participating midwife.  Payable only once for a pregnancy.
Fee: $133.95	Benefit: 75% = $100.50	85% = $113.90
Extended Medicare Safety Net Cap: $106.85	
16500	
ANTENATAL ATTENDANCE
(See para T4.3 of explanatory notes to this Category)
Fee: $47.15	Benefit: 75% = $35.40	85% = $40.10
Extended Medicare Safety Net Cap: $32.55	
16501	
EXTERNAL CEPHALIC VERSION for breech presentation, after 36 weeks where no contraindication exists, in a Unit with facilities for Caesarean Section, including pre- and post version CTG, with or without tocolysis, not being a service to which items 55718 to 55728 and 55768 to 55774 apply - chargeable whether or not the version is successful and limited to a maximum of 2 ECV's per pregnancy
(See para T4.4 of explanatory notes to this Category)
Fee: $140.55	Benefit: 75% = $105.45	85% = $119.50
Extended Medicare Safety Net Cap: $65.10	

OBSTETRICS	OBSTETRICS	
16502	
POLYHYDRAMNIOS, UNSTABLE LIE, MULTIPLE PREGNANCY, PREGNANCY COMPLICATED BY DIABETES OR ANAEMIA, THREATENED PREMATURE LABOUR treated by bed rest only or oral medication, requiring admission to hospital  each attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day
Fee: $47.15	Benefit: 75% = $35.40	85% = $40.10
Extended Medicare Safety Net Cap: $21.70	
16504	
TREATMENT OF HABITUAL MISCARRIAGE by injection of hormones  each injection up to a maximum of 12 injections, where the injection is not administered during a routine antenatal attendance
Fee: $47.15	Benefit: 75% = $35.40	85% = $40.10
Extended Medicare Safety Net Cap: $21.70	
16505	
THREATENED ABORTION, THREATENED MISCARRIAGE OR HYPEREMESIS GRAVIDARUM, requiring admission to hospital, treatment of  each attendance that is not a routine antenatal attendance
Fee: $47.15	Benefit: 75% = $35.40	85% = $40.10
Extended Medicare Safety Net Cap: $21.70	
16508	
PREGNANCY COMPLICATED BY acute intercurrent infection, intrauterine growth retardation, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital - each attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day
Fee: $47.15	Benefit: 75% = $35.40	85% = $40.10
Extended Medicare Safety Net Cap: $21.70	
16509	
PREECLAMPSIA, ECLAMPSIA OR ANTEPARTUM HAEMORRHAGE, treatment of  each attendance that is not a routine antenatal attendance
Fee: $47.15	Benefit: 75% = $35.40	85% = $40.10
Extended Medicare Safety Net Cap: $21.70	
16511	
CERVIX, purse string ligation of (Anaes.)
Fee: $219.95	Benefit: 75% = $165.00	85% = $187.00
Extended Medicare Safety Net Cap: $108.45	
16512	
CERVIX, removal of purse string ligature of (Anaes.)
Fee: $63.50	Benefit: 75% = $47.65	85% = $54.00
Extended Medicare Safety Net Cap: $32.55	
16514	
ANTENATAL CARDIOTOCOGRAPHY in the management of high risk pregnancy (not during the course of the confinement)
Fee: $36.65	Benefit: 75% = $27.50	85% = $31.20
Extended Medicare Safety Net Cap: $16.35	
16515	
MANAGEMENT OF LABOUR AND DELIVERY

MANAGEMENT OF VAGINAL DELIVERY as an independent procedure where the patient's care has been transferred by another medical practitioner for management of the delivery and the attending medical practitioner has not provided antenatal care to the patient, including all attendances related to the delivery (Anaes.)
(See para T4.5 of explanatory notes to this Category)
Fee: $450.65	Benefit: 75% = $338.00	85% = $383.10
Extended Medicare Safety Net Cap: $173.50	
16518	
MANAGEMENT OF LABOUR, incomplete, where the patient's care has been transferred to another medical practitioner for completion of the delivery (Anaes.)
(See para T4.5 of explanatory notes to this Category)
Fee: $450.65	Benefit: 75% = $338.00	85% = $383.10
Extended Medicare Safety Net Cap: $173.50	
16519	
MANAGEMENT OF LABOUR and delivery by any means (including Caesarean section) including post-partum care for 5 days (Anaes.)
(See para T4.5 of explanatory notes to this Category)
Fee: $693.95	Benefit: 75% = $520.50	85% = $619.45
Extended Medicare Safety Net Cap: $325.25	
16520	
CAESAREAN SECTION and post-operative care for 7 days where the patient's care has been transferred by another medical practitioner for management of the confinement and the attending medical practitioner has not provided any of the antenatal care (Anaes.)
(See para T4.6 of explanatory notes to this Category)
Fee: $811.05	Benefit: 75% = $608.30	85% = $736.55
Extended Medicare Safety Net Cap: $325.25	

OBSTETRICS	OBSTETRICS	
16522	
MANAGEMENT OF LABOUR AND DELIVERY, or delivery alone, (including Caesarean section), where in the course of antenatal supervision or intrapartum management 1 or more of the following conditions is present, including postnatal care for 7 days: 

- multiple pregnancy;
- recurrent antepartum haemorrhage from 20 weeks gestation;
- grades 2, 3 or 4 placenta praevia;
- baby with a birth weight less than or equal to 2500gm;
- pre-existing diabetes mellitus dependent on medication, or gestational diabetes requiring at least daily blood glucose monitoring;
- trial of vaginal delivery in a patient with uterine scar, or trial of vaginal breech delivery;
- pre-existing hypertension requiring antihypertensive medication, or pregnancy induced hypertension of at least 
  140/90mm Hg associated with at least 1+ proteinuria on urinalysis;
- prolonged labour greater than 12 hours with partogram evidence of abnormal cervimetric progress;
- fetal distress defined by significant cardiotocograph or scalp pH abnormalities requiring immediate delivery; OR
- conditions that pose a significant risk of maternal death. (Anaes.)
(See para T4.7 of explanatory notes to this Category)
Fee: $1,629.35	Benefit: 75% = $1,222.05	85% = $1,554.85
Extended Medicare Safety Net Cap: $433.70	
16525	
MANAGEMENT OF SECOND TRIMESTER LABOUR, with or without induction, for intrauterine fetal death, gross fetal abnormality or life threatening maternal disease, not being a service to which item 35643 applies (Anaes.)
(See para T4.5 of explanatory notes to this Category)
Fee: $384.35	Benefit: 75% = $288.30	85% = $326.70
Extended Medicare Safety Net Cap: $151.85	
16527	
MANAGEMENT OF VAGINAL DELIVERY, if the patient's care has been transferred by a participating midwife for management of the delivery, including all attendances related to the delivery.  Payable once only for a pregnancy. (Anaes.)
(See para T4.8 of explanatory notes to this Category)
Fee: $450.65	Benefit: 75% = $338.00	85% = $383.10
Extended Medicare Safety Net Cap: $173.50	
16528	
CAESAREAN SECTION and post-operative care for 7 days, if the patient's care has been transferred by a participating midwife for management of the birth.  Payable once only for a pregnancy. (Anaes.)
(See para T4.8 of explanatory notes to this Category)
Fee: $811.05	Benefit: 75% = $608.30	85% = $736.55
Extended Medicare Safety Net Cap: $325.25	
16564	
POST-PARTUM CARE

EVACUATION OF RETAINED PRODUCTS OF CONCEPTION (placenta, membranes or mole) as a complication of confinement, with or without curettage of the uterus, as an independent procedure (Anaes.)
(See para T4.10 of explanatory notes to this Category)
Fee: $218.00	Benefit: 75% = $163.50	85% = $185.30
Extended Medicare Safety Net Cap: $216.85	
16567	
MANAGEMENT OF POSTPARTUM HAEMORRHAGE by special measures such as packing of uterus, as an independent procedure (Anaes.)
(See para T4.10 of explanatory notes to this Category)
Fee: $318.80	Benefit: 75% = $239.10	85% = $271.00
Extended Medicare Safety Net Cap: $216.85	
16570	
ACUTE INVERSION OF THE UTERUS, vaginal correction of, as an independent procedure (Anaes.)
(See para T4.10 of explanatory notes to this Category)
Fee: $416.05	Benefit: 75% = $312.05	85% = $353.65
Extended Medicare Safety Net Cap: $216.85	
16571	
CERVIX, repair of extensive laceration or lacerations (Anaes.)
(See para T4.10 of explanatory notes to this Category)
Fee: $318.80	Benefit: 75% = $239.10	85% = $271.00
Extended Medicare Safety Net Cap: $216.85	
16573	
THIRD DEGREE TEAR, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure (Anaes.)
(See para T4.10 of explanatory notes to this Category)
Fee: $259.80	Benefit: 75% = $194.85	85% = $220.85
Extended Medicare Safety Net Cap: $216.85	

OBSTETRICS	OBSTETRICS	
16590	
Planning and management of a pregnancy that has progressed beyond 20 weeks provided the fee does not include any amount for the management of the labour and delivery, payable once only for any pregnancy that has progressed beyond 20 weeks where the practitioner intends to undertake the delivery for a privately admitted patient, not being a service to which item 16591 applies.
Fee: $324.10	Benefit: 75% = $243.10	85% = $275.50
Extended Medicare Safety Net Cap: $216.85	
16591	
Planning and management of a pregnancy that has progressed beyond 20 weeks provided the fee does not include any amount for the management of the labour and delivery if the care of the patient will be transferred to another medical practitioner, payable once only for any pregnancy that has progressed beyond 20 weeks, not being a service to which item 16590 applies.
Fee: $142.65	Benefit: 75% = $107.00	85% = $121.30
Extended Medicare Safety Net Cap: $108.45	
16600	
INTERVENTIONAL TECHNIQUES

AMNIOCENTESIS, diagnostic
(See para T4.11 of explanatory notes to this Category)
Fee: $63.50	Benefit: 75% = $47.65	85% = $54.00
Extended Medicare Safety Net Cap: $32.55	
16603	
CHORIONIC VILLUS SAMPLING, by any route
(See para T4.11 of explanatory notes to this Category)
Fee: $121.85	Benefit: 75% = $91.40	85% = $103.60
Extended Medicare Safety Net Cap: $65.10	
16606	
FETAL BLOOD SAMPLING, using interventional techniques from umbilical cord or foetus, including fetal neuromuscular blockade and amniocentesis (Anaes.)
(See para T4.11 of explanatory notes to this Category)
Fee: $243.25	Benefit: 75% = $182.45	85% = $206.80
Extended Medicare Safety Net Cap: $130.15	
16609	
FETAL INTRAVASCULAR BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling (Anaes.)
(See para T4.11 of explanatory notes to this Category)
Fee: $496.00	Benefit: 75% = $372.00	85% = $421.60
Extended Medicare Safety Net Cap: $249.40	
16612	
FETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling - not performed in conjunction with a service described in item 16609 (Anaes.)
(See para T4.11 of explanatory notes to this Category)
Fee: $390.25	Benefit: 75% = $292.70	85% = $331.75	
16615	
FETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling - performed in conjunction with a service described in item 16609 (Anaes.)
(See para T4.11 of explanatory notes to this Category)
Fee: $207.85	Benefit: 75% = $155.90	85% = $176.70	
16618	
AMNIOCENTESIS, THERAPEUTIC, when indicated because of polyhydramnios with at least 500ml being aspirated
(See para T4.11 of explanatory notes to this Category)
Fee: $207.85	Benefit: 75% = $155.90	85% = $176.70
Extended Medicare Safety Net Cap: $103.05	
16621	
AMNIOINFUSION, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios
(See para T4.11 of explanatory notes to this Category)
Fee: $207.85	Benefit: 75% = $155.90	85% = $176.70	
16624	
FETAL FLUID FILLED CAVITY, drainage of
(See para T4.11 of explanatory notes to this Category)
Fee: $299.10	Benefit: 75% = $224.35	85% = $254.25
Extended Medicare Safety Net Cap: $140.95	
16627	
FETO-AMNIOTIC SHUNT, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis
(See para T4.11 of explanatory notes to this Category)
Fee: $608.95	Benefit: 75% = $456.75	85% = $534.45
Extended Medicare Safety Net Cap: $303.60	

OBSTETRICS	OBSTETRICS	
16633	
PROCEDURE ON MULTIPLE PREGNANCIES relating to items 16606, 16609, 16612, 16615 and 16627
(See para T4.11 of explanatory notes to this Category)
Derived Fee: 50% of the fee for the first foetus for any additional foetus tested
Extended Medicare Safety Net Cap: $227.75	
16636	
PROCEDURE ON MULTIPLE PREGNANCIES relating to items 16600, 16603, 16618, 16621 and 16624
(See para T4.11 of explanatory notes to this Category)
Derived Fee: 50% of the fee for the first foetus for any additional foetus tested
Extended Medicare Safety Net Cap: $86.80	

ANAESTHETICS	CONSULTATIONS	
	GROUP T6 - ANAESTHETICS	
	SUBGROUP 1 - ANAESTHESIA CONSULTATIONS	
Amend
EMSN
Fee
17609	
Professional attendance on a patient by a specialist practising in his or her specialty of anaesthesia if: 
	(a)	the attendance is by video conference; and 
	(b)	item 17610, 17615, 17620, 17625, 17640, 17645, 17650, 17655 or 17690 applies to the attendance; and 
	(c)	the patient is not an admitted patient; and 
	(d)	the patient: 
		(i)	is located both: 
			(A) outside an inner metropolitan area; and 
			(B) 	at the time of the attendance—at least 15 kms by road from the specialist; or 
		(ii)	is a care recipient in a residential care service; or 
		(iii) is a patient of: 
			(A) an Aboriginal Medical Service; or 
			(B)	 an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) 
				of the Act applies 
(See para T6.4 of explanatory notes to this Category)
Derived Fee: 50% of the fee for item 17610, 17615, 17620, 17625, 17640, 17645, 17650, or 17655. Benefit: 85% of the derived fee
Extended Medicare Safety Net Cap: $93.45	
EMSN
17610	
ANAESTHETIST, PRE-ANAESTHESIA CONSULTATION

(Professional attendance by a medical practitioner  in the practice of ANAESTHESIA)

-	a BRIEF consultation involving a targeted history and limited examination (including the cardio-respiratory system)

-	AND of not more than 15 minutes s duration, not being a service associated with a service to which items 2801 - 3000 apply

(See para T6.1 of explanatory notes to this Category)
Fee: $43.00	Benefit: 75% = $32.25	85% = $36.55
Extended Medicare Safety Net Cap: $129.00	
EMSN
17615	
-	a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and an extensive examination of multiple systems and the formulation of a written patient management plan  documented in the patient notes

-	AND of more than 15 minutes but not more than 30 minutes duration, not being a service associated with a service to which items 2801 - 3000 applies

(See para T6.1 of explanatory notes to this Category)
Fee: $85.55	Benefit: 75% = $64.20	85% = $72.75
Extended Medicare Safety Net Cap: $256.65	
EMSN
17620	
-	a consultation on a patient undergoing advanced surgery or who has complex medical problems involving a detailed history and comprehensive examination of multiple systems and the formulation of a written patient management plan documented in the patient notes

-	AND of more than 30 minutes but not more than 45 minutes duration, not being a service associated with a service to which items 2801 - 3000 apply

(See para T6.1 of explanatory notes to this Category)
Fee: $118.50	Benefit: 75% = $88.90	85% = $100.75
Extended Medicare Safety Net Cap: $355.50	
EMSN
17625	
-	a consultation  on a patient undergoing advanced surgery or who has complex medical problems involving an exhaustive history and comprehensive examination of multiple systems , the formulation of a written patient management plan following discussion with relevant health care professionals and/or the patient, involving medical planning of high complexity documented  in the patient notes

-	AND of more than 45 minutes duration, not being a service associated with a service to which items 2801 – 3000 apply

(See para T6.1 of explanatory notes to this Category)
Fee: $150.90	Benefit: 75% = $113.20	85% = $128.30
Extended Medicare Safety Net Cap: $452.70	

ANAESTHETICS	CONSULTATIONS	
EMSN
17640	
ANAESTHETIST, REFERRED CONSULTATION (other than prior to anaesthesia)

(Professional attendance by a specialist anaesthetist in the practice of ANAESTHESIA where the patient is referred to him or her)

-	a BRIEF consultation involving a short history and limited examination 

-	AND of not more than 15 minutes  duration, not being a service associated with a service to which items 2801 – 3000 apply

(See para T6.2 of explanatory notes to this Category)
Fee: $43.00	Benefit: 75% = $32.25	85% = $36.55
Extended Medicare Safety Net Cap: $129.00	
EMSN
17645	
-	a consultation involving a selective history and examination of multiple systems and  the formulation of a written patient management plan 

-	AND of more than 15 minutes but not more than 30 minutes duration, not being a service associated with a service to which items 2801 – 3000 apply.

(See para T6.2 of explanatory notes to this Category)
Fee: $85.55	Benefit: 75% = $64.20	85% = $72.75
Extended Medicare Safety Net Cap: $256.65	
EMSN
17650	
-	a consultation involving a detailed history and comprehensive examination of multiple systems and the formulation of a written patient management plan 

-	AND of more than 30 minutes but not more than 45 minutes duration, not being a service associated with a service to which items 2801 – 3000 apply

(See para T6.2 of explanatory notes to this Category)
Fee: $118.50	Benefit: 75% = $88.90	85% = $100.75
Extended Medicare Safety Net Cap: $355.50	
EMSN
17655	
-	a consultation involving an exhaustive history and comprehensive examination of multiple systems and  the formulation of a written patient management plan following discussion with relevant health care professionals and/or the patient, involving medical planning of high complexity, 

-	AND of more than 45 minutes duration, not being a service associated with a service to which items 2801 – 3000 apply.
(See para T6.2 of explanatory notes to this Category)
Fee: $150.90	Benefit: 75% = $113.20	85% = $128.30
Extended Medicare Safety Net Cap: $452.70	
EMSN
17680	
ANAESTHETIST, CONSULTATION, OTHER

(Professional attendance by an anaesthetist in the practice of ANAESTHESIA)

-	a consultation immediately prior to the institution of a major regional blockade in a patient in labour, where no previous anaesthesia consultation has occurred, not being a service associated with a service to which items 2801 – 3000 apply.
(See para T6.3 of explanatory notes to this Category)
Fee: $85.55	Benefit: 75% = $64.20	85% = $72.75
Extended Medicare Safety Net Cap: $256.65	
EMSN
17690	
-	Where a pre-anaesthesia consultation covered by an item  in the range 17615-17625 is performed in-rooms if:

(a) the service is provided to a patient prior to an admitted patient episode of care involving anaesthesia; and

(b) the service is not provided  to an admitted patient of a hospital; and

(c) the service is not provided on the day of admission to hospital for the subsequent episode of care involving anaesthesia services; and

(d) the service is of more than 15 minutes duration

not being a service associated with a service to which items 2801 – 3000 apply.
(See para T6.3 of explanatory notes to this Category)
Fee: $39.55	Benefit: 75% = $29.70	85% = $33.65
Extended Medicare Safety Net Cap: $118.65	

REGIONAL OR FIELD NERVE BLOCKS	REGIONAL OR FIELD NERVE BLOCKS	
	GROUP T7 - REGIONAL OR FIELD NERVE BLOCKS	
18213	
INTRAVENOUS REGIONAL ANAESTHESIA of limb by retrograde perfusion
Fee: $88.65	Benefit: 75% = $66.50	85% = $75.40	
18216	
INTRATHECAL OR EPIDURAL INFUSION of a therapeutic substance, initial injection or commencement of, including up to 1 hour of continuous attendance by the medical practitioner (Anaes.)
Fee: $189.90	Benefit: 75% = $142.45	85% = $161.45	
Fee
18219	
INTRATHECAL or EPIDURAL INFUSION of a therapeutic substance, initial injection or commencement of, where continuous attendance by the medical practitioner extends beyond the first hour (Anaes.)
Derived Fee: The fee for item 18216 plus $19.00 for each additional 15 minutes or part thereof beyond the first hour of attendance by the medical practitioner.	
18222	
INFUSION OF A THERAPEUTIC SUBSTANCE to maintain regional anaesthesia or analgesia, subsequent injection or revision of, where the period of continuous medical practitioner attendance is 15 minutes or less
(See para T7.2 of explanatory notes to this Category)
Fee: $37.65	Benefit: 75% = $28.25	85% = $32.05	
18225	
INFUSION OF A THERAPEUTIC SUBSTANCE to maintain regional anaesthesia or analgesia, subsequent injection or revision of, where the period of continuous medical practitioner attendance is more than 15 minutes
(See para T7.2 of explanatory notes to this Category)
Fee: $50.05	Benefit: 75% = $37.55	85% = $42.55	
18226	
INTRATHECAL OR EPIDURAL INFUSION of a therapeutic substance, initial injection or commencement of, including up to 1 hour of continuous attendance by the medical practitioner, for a patient in labour, where the service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or any time on a Saturday, a Sunday or a public holiday.
(See para T7.4 of explanatory notes to this Category)
Fee: $284.80	Benefit: 75% = $213.60	85% = $242.10	
Fee
18227	
INTRATHECAL OR EPIDURAL INFUSION of a therapeutic substance, initial injection or commencement of, where continuous attendance by a medical practitioner extends beyond the first hour, for a patient in labour, where the service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or any time on a Saturday, a Sunday or a public holiday.
(See para T7.4 of explanatory notes to this Category)
Derived Fee: The fee for item 18226 plus $28.60 for each additional 15 minutes or part there of beyond the first hour of attendance by the medical practitioner.	
18228	
INTERPLEURAL BLOCK, initial injection or commencement of infusion of a therapeutic substance
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	
18230	
INTRATHECAL or EPIDURAL INJECTION of neurolytic substance (Anaes.)
Fee: $238.45	Benefit: 75% = $178.85	85% = $202.70	
18232	
INTRATHECAL or EPIDURAL INJECTION of substance other than anaesthetic, contrast or neurolytic solutions, not being a service to which another item in this Group applies (Anaes.)
(See para T7.3 of explanatory notes to this Category)
Fee: $189.90	Benefit: 75% = $142.45	85% = $161.45	
18233	
EPIDURAL INJECTION of blood for blood patch (Anaes.)
Fee: $189.90	Benefit: 75% = $142.45	85% = $161.45	
18234	
TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18236	
TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	
18238	
FACIAL NERVE, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies
(See para T7.5 of explanatory notes to this Category)
Fee: $37.65	Benefit: 75% = $28.25	85% = $32.05	
18240	
RETROBULBAR OR PERIBULBAR INJECTION of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $93.60	Benefit: 75% = $70.20	85% = $79.60	

REGIONAL OR FIELD NERVE BLOCKS	REGIONAL OR FIELD NERVE BLOCKS	
18242	
GREATER OCCIPITAL NERVE, injection of an anaesthetic agent (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $37.65	Benefit: 75% = $28.25	85% = $32.05	
18244	
VAGUS NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $100.80	Benefit: 75% = $75.60	85% = $85.70	
18246	
GLOSSOPHARYNGEAL NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $100.80	Benefit: 75% = $75.60	85% = $85.70	
18248	
PHRENIC NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $88.65	Benefit: 75% = $66.50	85% = $75.40	
18250	
SPINAL ACCESSORY NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	
18252	
CERVICAL PLEXUS, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $100.80	Benefit: 75% = $75.60	85% = $85.70	
18254	
BRACHIAL PLEXUS, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $100.80	Benefit: 75% = $75.60	85% = $85.70	
18256	
SUPRASCAPULAR NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	
18258	
INTERCOSTAL NERVE (single), injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	
18260	
INTERCOSTAL NERVES (multiple), injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $88.65	Benefit: 75% = $66.50	85% = $75.40	
18262	
ILIO-INGUINAL, ILIOHYPOGASTRIC OR GENITOFEMORAL NERVES, 1 or more of, injection of an anaesthetic agent (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	
18264	
PUDENDAL NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $100.80	Benefit: 75% = $75.60	85% = $85.70	
18266	
ULNAR, RADIAL OR MEDIAN NERVE, MAIN TRUNK OF, 1 or more of, injection of an anaesthetic agent, not being associated with a brachial plexus block
(See para T7.5 of explanatory notes to this Category)
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	
18268	
OBTURATOR NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $88.65	Benefit: 75% = $66.50	85% = $75.40	
18270	
FEMORAL NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $88.65	Benefit: 75% = $66.50	85% = $75.40	
18272	
SAPHENOUS, SURAL, POPLITEAL OR POSTERIOR TIBIAL NERVE, MAIN TRUNK OF, 1 or more of, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $62.50	Benefit: 75% = $46.90	85% = $53.15	

REGIONAL OR FIELD NERVE BLOCKS	REGIONAL OR FIELD NERVE BLOCKS	
18274	
PARAVERTEBRAL, CERVICAL, THORACIC, LUMBAR, SACRAL OR COCCYGEAL NERVES, injection of an anaesthetic agent, (single vertebral level)
(See para T7.5 of explanatory notes to this Category)
Fee: $88.65	Benefit: 75% = $66.50	85% = $75.40	
18276	
PARAVERTEBRAL NERVES, injection of an anaesthetic agent, (multiple levels)
(See para T7.5 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18278	
SCIATIC NERVE, injection of an anaesthetic agent
(See para T7.5 of explanatory notes to this Category)
Fee: $88.65	Benefit: 75% = $66.50	85% = $75.40	
18280	
SPHENOPALATINE GANGLION, injection of an anaesthetic agent (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18282	
CAROTID SINUS, injection of an anaesthetic agent, as an independent percutaneous procedure
(See para T7.5 of explanatory notes to this Category)
Fee: $100.80	Benefit: 75% = $75.60	85% = $85.70	
18284	
STELLATE GANGLION, injection of an anaesthetic agent, (cervical sympathetic block) (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $147.65	Benefit: 75% = $110.75	85% = $125.55	
18286	
LUMBAR OR THORACIC NERVES, injection of an anaesthetic agent, (paravertebral sympathetic block) (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $147.65	Benefit: 75% = $110.75	85% = $125.55	
18288	
COELIAC PLEXUS OR SPLANCHNIC NERVES, injection of an anaesthetic agent (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $147.65	Benefit: 75% = $110.75	85% = $125.55	
18290	
CRANIAL NERVE OTHER THAN TRIGEMINAL, destruction by a neurolytic agent, not being a service associated with the injection of botulinum toxin (Anaes.)
Fee: $249.75	Benefit: 75% = $187.35	85% = $212.30	
18292	
NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies or a service associated with the injection of botulinum toxin except those services to which items 18354, 18356 and 18358 applies (Anaes.)
(See para T7.5 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18294	
COELIAC PLEXUS OR SPLANCHNIC NERVES, destruction by a neurolytic agent (Anaes.)
Fee: $176.00	Benefit: 75% = $132.00	85% = $149.60	
18296	
LUMBAR SYMPATHETIC CHAIN, destruction by a neurolytic agent (Anaes.)
Fee: $150.55	Benefit: 75% = $112.95	85% = $128.00	
18298	
CERVICAL OR THORACIC SYMPATHETIC CHAIN, destruction by a neurolytic agent (Anaes.)
Fee: $176.00	Benefit: 75% = $132.00	85% = $149.60	

BOTULINUM TOXIN INJECTIONS	BOTULINUM TOXIN INJECTIONS	
	GROUP T11 - BOTULINUM TOXIN INJECTIONS	
18350	
BOTULINUM TOXIN

BOTULINUM TOXIN (Botox), injection of, for hemifacial spasm in a patient 12 years of age or older, including all injections on any one day
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18351	
BOTULINUM TOXIN (Dysport), injection of, for the treatment of hemifacial spasm in a patient 18 years of age or older, including all such injections on any one day
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18352	
BOTULINUM TOXIN (Botox or Dysport), injection of, for cervical dystonia (spasmodic torticollis), including all injections on any one day
(See para T11.1 of explanatory notes to this Category)
Fee: $249.75	Benefit: 75% = $187.35	85% = $212.30	
18354	
BOTULINUM TOXIN (Botox or Dysport), injection of, for dynamic equinus foot deformity due to spasticity in an ambulant cerebral palsy patient, aged two years or older, in accordance with the supply of the drug under instrument 
PB 122 of 2008 (Arrangements — Botulinum Toxin Program) made under Section 100 (1) (b) of the National Health Act 1953,  including all such injections on any one day for all or any of the muscles subserving one functional activity and supplied by one motor nerve - applicable only to the first two treatments of each limb of the patient on any one day (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18356	
BOTULINUM TOXIN (Botox or Dysport), injection of, for dynamic equinovarus foot deformity due to spasticity in an ambulant cerebral palsy patient, aged two years or older, in accordance with the supply of the drug under instrument PB 122 of 2008 (Arrangements — Botulinum Toxin Program) made under Section 100 (1) (b) of the National Health Act 1953, including all such injections on any one day for all or any of the muscles subserving one functional activity and supplied by one motor nerve - applicable only to the first two treatments of each limb of the patient on any one day (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18358	
BOTULINUM TOXIN (Botox or Dysport), injection of, for dynamic equinovalgus foot deformity due to spasticity in an ambulant cerebral palsy patient, aged two years or older, in accordance with the supply of the drug under instrument PB 122 of 2008 (Arrangements — Botulinum Toxin Program) made under Section 100 (1) (b) of the National Health Act 1953, including all such  injections on any one day for all or any of the muscles subserving one functional activity and supplied by one motor nerve - applicable only to the first two treatments of each limb of the patient on any one day (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18360	
BOTULINUM TOXIN (Botox), injection of, for the treatment of focal spasticity in adults, including all injections for all or any of the muscles subserving one functional activity, supplied by one motor nerve, with a maximum of 4 treatments per patient on any one day (2 per limb)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18361	
Botulinum toxin (Botox), injection of, for the treatment of moderate to severe upper limb spasticity due to cerebral palsy, in a patient who is at least 2 years but less than 18 years, in association with either: 
(a) physiotherapy or occupational therapy or both; or 
(b) electrical stimulation or ultrasound for muscle localisation; 
including all injections for any or all of the muscles sub-serving one functional activity supplied by one motor nerve — with a maximum of four treatments per patient on any one day, and with a maximum of two treatments per limb (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18362	
BOTULINUM TOXIN (Botox), injection of, for the treatment of severe primary hyperhidrosis of the axillae, including all such injections on any one day (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $246.70	Benefit: 75% = $185.05	85% = $209.70	

BOTULINUM TOXIN INJECTIONS	BOTULINUM TOXIN INJECTIONS	
18364	
BOTULINUM TOXIN (Dysport), injection of, for treatment of spasticity of the arm in adults following a stroke, including all injections for all or any of the muscles subserving one functional activity, supplied by one motor nerve, with a maximum of 4 treatments per patient on any one day (2 per limb)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18366	
BOTULINUM TOXIN (Botox), injection of, for the treatment of strabismus in children and adults, including all such injections on any one day and associated electromyography (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $156.40	Benefit: 75% = $117.30	85% = $132.95	
18368	
BOTULINUM TOXIN (Botox), injection of, for the treatment of spasmodic dysphonia, including all such injections on any one day
(See para T11.1 of explanatory notes to this Category)
Fee: $267.05	Benefit: 75% = $200.30	85% = $227.00	
18370	
BOTULINUM TOXIN (Botox), injection of, for the treatment of blepharospasm in a patient 12 years of age or older, including all such injections on any one day. (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $45.05	Benefit: 75% = $33.80	85% = $38.30	
18371	
BOTULINUM TOXIN (Dysport), injection of, for the treatment of blepharospasm in a patient 18 years of age or older, including all such injections on any one day (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $45.05	Benefit: 75% = $33.80	85% = $38.30	
18372	
BOTULINUM TOXIN (Botox), injection of, for the treatment of bilateral blepharospasm in a patient 12 years of age or older, including all such injections on any one day (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	
18373	
BOTULINUM TOXIN (Dysport), injection of, for the treatment of bilateral blepharospasm in a patient 18 years of age or older, including all such injections on any one day (Anaes.)
(See para T11.1 of explanatory notes to this Category)
Fee: $124.85	Benefit: 75% = $93.65	85% = $106.15	

RELATIVE VALUE GUIDE	HEAD	
	GROUP T10 - RELATIVE VALUE GUIDE FOR ANAESTHESIA - Medicare Benefits are only payable for anaesthesia performed in association with an eligible service	
	SUBGROUP 1 - HEAD	
20100	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin, subcutaneous tissue, muscles, salivary glands or superficial vessels of the head including biopsy, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20102	
INITIATION OF MANAGEMENT OF ANAESTHESIA for plastic repair of cleft lip (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20104	
INITIATION OF MANAGEMENT OF ANAESTHESIA for electroconvulsive therapy (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20120	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on external, middle or inner ear, including biopsy, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20124	
INITIATION OF MANAGEMENT OF ANAESTHESIA for otoscopy (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20140	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on eye, not being a service to which another item in this Group applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
EMSN
20142	
INITIATION OF MANAGEMENT OF ANAESTHESIA for lens surgery (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00
Extended Medicare Safety Net Cap: $95.05	
20143	
INITIATION OF MANAGEMENT OF ANAESTHESIA for retinal surgery (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20144	
INITIATION OF MANAGEMENT OF ANAESTHESIA for corneal transplant (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20145	
INITIATION OF MANAGEMENT OF ANAESTHESIA for vitrectomy (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20146	
INITIATION OF MANAGEMENT OF ANAESTHESIA for biopsy of conjunctiva (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20147	
INITIATION OF MANAGEMENT OF ANAESTHESIA for squint repair (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20148	
INITIATION OF MANAGEMENT OF ANAESTHESIA for ophthalmoscopy (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20160	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nose or accessory sinuses, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20162	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical surgery on the nose and accessory sinuses (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20164	
INITIATION OF MANAGEMENT OF ANAESTHESIA for biopsy of soft tissue of the nose and accessory sinuses (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20170	
INITIATION OF MANAGEMENT OF ANAESTHESIA for intraoral procedures, including biopsy, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20172	
INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of cleft palate (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	

RELATIVE VALUE GUIDE	NECK	
20174	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision of retropharyngeal tumour (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	
20176	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical intraoral surgery (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20190	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on facial bones, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20192	
INITIATION OF MANAGEMENT OF ANAESTHESIA for extensive surgery on facial bones (including prognathism and extensive facial bone reconstruction) (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20210	
INITIATION OF MANAGEMENT OF ANAESTHESIA for intracranial procedures, not being a service to which another item in this Subgroup applies (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20212	
INITIATION OF MANAGEMENT OF ANAESTHESIA for subdural taps (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20214	
INITIATION OF MANAGEMENT OF ANAESTHESIA for burr holes of the cranium (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	
20216	
INITIATION OF MANAGEMENT OF ANAESTHESIA for intracranial vascular procedures including those for aneurysms or arterio-venous abnormalities (20 basic units)
Fee: $396.00	Benefit: 75% = $297.00	85% = $336.60	
20220	
INITIATION OF MANAGEMENT OF ANAESTHESIA for spinal fluid shunt procedures (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20222	
INITIATION OF MANAGEMENT OF ANAESTHESIA for ablation of an intracranial nerve (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20225	
INITIATION OF MANAGEMENT OF ANAESTHESIA for all cranial bone procedures (12 basic units)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
20230	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the head or face (12 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
	SUBGROUP 2 - NECK	
20300	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the neck not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20305	
INITIATION OF MANAGEMENT OF ANAESTHESIA for incision and drainage of large haematoma, large abscess, cellulitis or similar lesion or epiglottitis causing life threatening airway obstruction (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20320	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on oesophagus, thyroid, larynx, trachea, lymphatic system, muscles, nerves or other deep tissues of the neck, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20321	
INITIATION OF MANAGEMENT OF ANAESTHESIA for laryngectomy, hemi laryngectomy, laryngopharyngectomy or pharyngectomy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20330	
INITIATION OF MANAGEMENT OF ANAESTHESIA for laser surgery to the airway (excluding nose and mouth) (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	

RELATIVE VALUE GUIDE	THORAX	
20350	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on major vessels of neck, not being a service to which another item in this Subgroup applies (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20352	
INITIATION OF MANAGEMENT OF ANAESTHESIA for simple ligation of major vessels of neck (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20355	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the neck (12 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
	SUBGROUP 3 - THORAX	
20400	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the anterior part of the chest, not being a service to which another item in this Subgroup applies (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
20401	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the breast, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20402	
INITIATION OF MANAGEMENT OF ANAESTHESIA for reconstructive procedures on breast (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20403	
INITIATION OF MANAGEMENT OF ANAESTHESIA for removal of breast lump or for breast segmentectomy where axillary node dissection is performed (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20404	
INITIATION OF MANAGEMENT OF ANAESTHESIA for mastectomy (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20405	
INITIATION OF MANAGEMENT OF ANAESTHESIA for reconstructive procedures on the breast using myocutaneous flaps (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20406	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical or modified radical procedures on breast with internal mammary node dissection (13 basic units)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	
20410	
INITIATION OF MANAGEMENT OF ANAESTHESIA for electrical conversion of arrhythmias (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20420	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the posterior part of the chest not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20440	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the sternum (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20450	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on clavicle, scapula or sternum, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20452	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical surgery on clavicle, scapula or sternum (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20470	
INITIATION OF MANAGEMENT OF ANAESTHESIA for partial rib resection, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20472	
INITIATION OF MANAGEMENT OF ANAESTHESIA for thoracoplasty (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20474	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures on chest wall (13 basic units)
(See para T10.22 of explanatory notes to this Category)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	

RELATIVE VALUE GUIDE	INTRATHORACIC	
20475	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior thorax (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
	SUBGROUP 4 - INTRATHORACIC	
20500	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on the oesophagus (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20520	
INITIATION OF MANAGEMENT OF ANAESTHESIA for all closed chest procedures (including rigid oesophagoscopy or bronchoscopy), not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20522	
INITIATION OF MANAGEMENT OF ANAESTHESIA for needle biopsy of pleura (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20524	
INITIATION OF MANAGEMENT OF ANAESTHESIA for pneumocentesis (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20526	
INITIATION OF MANAGEMENT OF ANAESTHESIA for thoracoscopy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20528	
INITIATION OF MANAGEMENT OF ANAESTHESIA for mediastinoscopy (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20540	
INITIATION OF MANAGEMENT OF ANAESTHESIA for thoracotomy procedures involving lungs, pleura, diaphragm, or mediastinum, not being a service to which another item in this Subgroup applies (13 basic units)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	
20542	
INITIATION OF MANAGEMENT OF ANAESTHESIA for pulmonary decortication (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20546	
INITIATION OF MANAGEMENT OF ANAESTHESIA for pulmonary resection with thoracoplasty (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20548	
INITIATION OF MANAGEMENT OF ANAESTHESIA for intrathoracic repair of trauma to trachea and bronchi (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20560	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on the heart, pericardium or great vessels of chest (20 basic units)
Fee: $396.00	Benefit: 75% = $297.00	85% = $336.60	
	SUBGROUP 5 - SPINE AND SPINAL CORD	
20600	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on cervical spine and/or cord, not being a service to which another item in this Subgroup applies (for myelography and discography see Items 21908 and 21914) (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20604	
INITIATION OF MANAGEMENT OF ANAESTHESIA for posterior cervical laminectomy with the patient in the sitting position (13 basic units)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	
20620	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on thoracic spine and/or cord, not being a service to which another item in this Subgroup applies (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20622	
INITIATION OF MANAGEMENT OF ANAESTHESIA for thoracolumbar sympathectomy (13 basic units)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	
20630	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures in lumbar region, not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20632	
INITIATION OF MANAGEMENT OF ANAESTHESIA for lumbar sympathectomy (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	

RELATIVE VALUE GUIDE	UPPER ABDOMEN	
20634	
INITIATION OF MANAGEMENT OF ANAESTHESIA for chemonucleolysis (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20670	
INITIATION OF MANAGEMENT OF ANAESTHESIA for extensive spine and/or spinal cord procedures (13 basic units)
(See para T10.23 of explanatory notes to this Category)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	
20680	
INITIATION OF MANAGEMENT OF ANAESTHESIA for manipulation of spine when performed in the operating theatre of a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
20690	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous spinal procedures, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
	SUBGROUP 6 - UPPER ABDOMEN	
20700	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper anterior abdominal wall, not being a service to which another item in this Subgroup applies (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
20702	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous liver biopsy (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20703	
INITIATION OF MANAGEMENT OF ANAESTHESIA for all procedures on the nerves, muscles, tendons and fascia of the upper abdominal wall, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20704	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior upper abdomen (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20705	
INITIATION OF MANAGEMENT OF ANAESTHESIA for diagnostic laparoscopy procedures (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20706	
INITIATION OF MANAGEMENT OF ANAESTHESIA for laparoscopic procedures in the upper abdomen, not being a service to which another item in this Subgroup applies (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20730	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper posterior abdominal wall, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20740	
INITIATION OF MANAGEMENT OF ANAESTHESIA for upper gastrointestinal endoscopic procedures (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20745	
INITIATION OF MANAGEMENT OF ANAESTHESIA for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20750	
INITIATION OF MANAGEMENT OF ANAESTHESIA for hernia repairs in upper abdomen, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20752	
INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of incisional hernia and/or wound dehiscence (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20754	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on an omphalocele (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20756	
INITIATION OF MANAGEMENT OF ANAESTHESIA for transabdominal repair of diaphragmatic hernia (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	

RELATIVE VALUE GUIDE	LOWER ABDOMEN	
20770	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on major upper abdominal blood vessels (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20790	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures within the peritoneal cavity in upper abdomen including cholecystectomy, gastrectomy, laparoscopic nephrectomy or  bowel shunts (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20791	
INITIATION OF MANAGEMENT OF ANAESTHESIA for gastric reduction or gastroplasty for the treatment of morbid obesity (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20792	
INITIATION OF MANAGEMENT OF ANAESTHESIA for partial hepatectomy (excluding liver biopsy) (13 basic units)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	
20793	
INITIATION OF MANAGEMENT OF ANAESTHESIA for extended or trisegmental hepatectomy (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20794	
INITIATION OF MANAGEMENT OF ANAESTHESIA for pancreatectomy, partial or total (12 basic units)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
20798	
INITIATION OF MANAGEMENT OF ANAESTHESIA for neuro endocrine tumour removal in the upper abdomen (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20799	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous procedures on an intra-abdominal organ in the upper abdomen (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
	SUBGROUP 7 - LOWER ABDOMEN	
20800	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the lower anterior abdominal walls, not being a service to which another item in this Subgroup applies (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
20802	
INITIATION OF MANAGEMENT OF ANAESTHESIA for lipectomy of the lower abdomen (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20803	
INITIATION OF MANAGEMENT OF ANAESTHESIA for all procedures on the nerves, muscles, tendons and fascia of the lower abdominal wall, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20804	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior lower abdomen (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20805	
INITIATION OF MANAGEMENT OF ANAESTHESIA for diagnostic laparoscopic procedures (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20806	
INITIATION OF MANAGEMENT OF ANAESTHESIA for laparoscopic procedures in the lower abdomen (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20810	
INITIATION OF MANAGEMENT OF ANAESTHESIA for lower  intestinal endoscopic procedures (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20815	
INITIATION OF MANAGEMENT OF ANAESTHESIA for extracorporeal shock wave lithotripsy to urinary tract (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20820	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin, its derivatives or subcutaneous tissue of the lower posterior abdominal wall (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20830	
INITIATION OF MANAGEMENT OF ANAESTHESIA for hernia repairs in lower abdomen, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	

RELATIVE VALUE GUIDE	LOWER ABDOMEN	
20832	
INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of incisional herniae and/or wound dehiscence of the lower abdomen (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20840	
INITIATION OF MANAGEMENT OF ANAESTHESIA for all procedures within the peritoneal cavity in lower abdomen including appendicectomy, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20841	
INITIATION OF MANAGEMENT OF ANAESTHESIA for bowel resection, including laparoscopic bowel resection not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20842	
INITIATION OF MANAGEMENT OF ANAESTHESIA for amniocentesis (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20844	
INITIATION OF MANAGEMENT OF ANAESTHESIA for abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation of bowel reservoir (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20845	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical prostatectomy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20846	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical hysterectomy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20847	
INITIATION OF MANAGEMENT OF ANAESTHESIA for ovarian malignancy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20848	
INITIATION OF MANAGEMENT OF ANAESTHESIA for pelvic exenteration (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20850	
INITIATION OF MANAGEMENT OF ANAESTHESIA for Caesarean section (12 basic units)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
20855	
INITIATION OF MANAGEMENT OF ANAESTHESIA for Caesarean hysterectomy or hysterectomy within 24 hours of delivery. (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20860	
INITIATION OF MANAGEMENT OF ANAESTHESIA for extraperitoneal procedures in lower abdomen, including those on the urinary tract, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20862	
INITIATION OF MANAGEMENT OF ANAESTHESIA for renal procedures, including upper 1/3 of ureter (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20863	
INITIATION OF MANAGEMENT OF ANAESTHESIA for nephrectomy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20864	
INITIATION OF MANAGEMENT OF ANAESTHESIA for total cystectomy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20866	
INITIATION OF MANAGEMENT OF ANAESTHESIA for adrenalectomy (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20867	
INITIATION OF MANAGEMENT OF ANAESTHESIA for neuro endocrine tumour removal in the lower abdomen (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20868	
INITIATION OF MANAGEMENT OF ANAESTHESIA for renal transplantation (donor or recipient) (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20880	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on major lower abdominal vessels, not being a service to which another item in this subgroup applies (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
20882	
INITIATION OF MANAGEMENT OF ANAESTHESIA for inferior vena cava ligation (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	

RELATIVE VALUE GUIDE	PERINEUM	
20884	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous umbrella insertion (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20886	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous procedures on an intra-abdominal organ in the lower abdomen (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
	SUBGROUP 8 - PERINEUM	
20900	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the perineum (including biopsy of male genital system), not being a service to which another item in this Subgroup applies (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
20902	
INITIATION OF MANAGEMENT OF ANAESTHESIA for anorectal procedures (including endoscopy and/or biopsy) (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20904	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical perineal procedures including radical perineal prostatectomy or radical vulvectomy (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20905	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the perineum (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20906	
INITIATION OF MANAGEMENT OF ANAESTHESIA for vulvectomy (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20910	
INITIATION OF MANAGEMENT OF ANAESTHESIA for transurethral procedures (including urethrocystoscopy), not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20911	
INITIATION OF MANAGEMENT OF ANAESTHESIA for endoscopic ureteroscopic surgery including laser procedures (5 basic units)
(See para T10.29 of explanatory notes to this Category)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20912	
INITIATION OF MANAGEMENT OF ANAESTHESIA for transurethral resection of bladder tumour(s) (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20914	
INITIATION OF MANAGEMENT OF ANAESTHESIA for transurethral resection of prostate (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20916	
INITIATION OF MANAGEMENT OF ANAESTHESIA for bleeding post-transurethral resection (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
20920	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on male external genitalia, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20924	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on undescended testis, unilateral or bilateral (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20926	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical orchidectomy, inguinal approach (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20928	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical orchidectomy, abdominal approach (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20930	
INITIATION OF MANAGEMENT OF ANAESTHESIA for orchiopexy, unilateral or bilateral (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20932	
INITIATION OF MANAGEMENT OF ANAESTHESIA for complete amputation of penis (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	

RELATIVE VALUE GUIDE	PELVIS	
20934	
INITIATION OF MANAGEMENT OF ANAESTHESIA for complete amputation of penis with bilateral inguinal lymphadenectomy (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20936	
INITIATION OF MANAGEMENT OF ANAESTHESIA for complete amputation of penis with bilateral inguinal and iliac lymphadenectomy (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20938	
INITIATION OF MANAGEMENT OF ANAESTHESIA for insertion of penile prosthesis (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20940	
INITIATION OF MANAGEMENT OF ANAESTHESIA for per vagina and vaginal procedures (including biopsy of labia, vagina, cervix or endometrium), not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20942	
INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal procedures including repair operations and urinary incontinence procedures (perineal) (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20943	
INITIATION OF MANAGEMENT OF ANAESTHESIA for transvaginal assisted reproductive services (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20944	
INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal hysterectomy (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
20946	
INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal delivery (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
20948	
INITIATION OF MANAGEMENT OF ANAESTHESIA for purse string ligation of cervix, or removal of purse string ligature (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20950	
INITIATION OF MANAGEMENT OF ANAESTHESIA for culdoscopy (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20952	
INITIATION OF MANAGEMENT OF ANAESTHESIA for hysteroscopy (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20953	
INITIATION OF MANAGEMENT OF ANAESTHESIA for endometrial ablation or resection in association with hysteroscopy (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20954	
INITIATION OF MANAGEMENT OF ANAESTHESIA for correction of inverted uterus (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
20956	
INITIATION OF MANAGEMENT OF ANAESTHESIA for evacuation of retained products of conception, as a complication of confinement (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
20958	
INITIATION OF MANAGEMENT OF ANAESTHESIA for manual removal of retained placenta or for repair of vaginal or perineal tear following delivery (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
20960	
INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal procedures in the management of post partum haemorrhage (blood loss > 500mls) (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
	SUBGROUP 9 - PELVIS (EXCEPT HIP)	
21100	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the anterior pelvic region (anterior to iliac crest), except external genitalia (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21110	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin, its derivatives or subcutaneous tissue of the pelvic region (posterior to iliac crest), except perineum (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	

RELATIVE VALUE GUIDE	UPPER LEG	
21112	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the anterior iliac crest (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21114	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the posterior iliac crest (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21116	
INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow harvesting from the pelvis (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21120	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the bony pelvis (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21130	
INITIATION OF MANAGEMENT OF ANAESTHESIA for body cast application or revision when performed in the operating theatre of a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21140	
INITIATION OF MANAGEMENT OF ANAESTHESIA for interpelviabdominal (hind-quarter) amputation (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
21150	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures for tumour of the pelvis, except hind-quarter amputation (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21155	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior pelvis (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21160	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures involving symphysis pubis or sacroiliac joint when performed in the operating theatre of a hospital (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21170	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures involving symphysis pubis or sacroiliac joint (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
	SUBGROUP 10 - UPPER LEG (EXCEPT KNEE)	
21195	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper leg (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21199	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of the upper leg (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21200	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures involving hip joint when performed in the operating theatre of a hospital (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21202	
INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of the hip joint (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21210	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures involving hip joint, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21212	
INITIATION OF MANAGEMENT OF ANAESTHESIA for hip disarticulation (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21214	
INITIATION OF MANAGEMENT OF ANAESTHESIA for total hip replacement or revision (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	

RELATIVE VALUE GUIDE	KNEE AND POPLITEAL AREA	
21216	
INITIATION OF MANAGEMENT OF ANAESTHESIA for bilateral total hip replacement (14 basic units)
Fee: $277.20	Benefit: 75% = $207.90	85% = $235.65	
21220	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures involving upper 2/3 of femur when performed in the operating theatre of a hospital (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21230	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures involving upper 2/3 of femur, not being a service to which another item in this Subgroup applies (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21232	
INITIATION OF MANAGEMENT OF ANAESTHESIA for above knee amputation (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21234	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection of the upper 2/3 of femur (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21260	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures involving veins of upper leg, including exploration (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21270	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures involving arteries of upper leg, including bypass graft, not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21272	
INITIATION OF MANAGEMENT OF ANAESTHESIA for femoral artery ligation (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21274	
INITIATION OF MANAGEMENT OF ANAESTHESIA for femoral artery embolectomy (6 basic units)
(See para T10.24 of explanatory notes to this Category)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21275	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the upper leg (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21280	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of upper leg (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
	SUBGROUP 11 - KNEE AND POPLITEAL AREA	
21300	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the knee and/or popliteal area (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21321	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of knee and/or popliteal area (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21340	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on lower 1/3 of femur when performed in the operating theatre of a hospital (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21360	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on lower 1/3 of femur (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21380	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on knee joint when performed in the operating theatre of a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21382	
INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of knee joint (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21390	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on upper ends of tibia, fibula, and/or patella when performed in the operating theatre of a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	

RELATIVE VALUE GUIDE	LOWER LEG	
21392	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on upper ends of tibia, fibula, and/or patella (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21400	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on knee joint, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21402	
INITIATION OF MANAGEMENT OF ANAESTHESIA for knee replacement (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
21403	
INITIATION OF MANAGEMENT OF ANAESTHESIA for bilateral knee replacement (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21404	
INITIATION OF MANAGEMENT OF ANAESTHESIA for disarticulation of knee (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21420	
INITIATION OF MANAGEMENT OF ANAESTHESIA for cast application, removal, or repair involving knee joint, undertaken in a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21430	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of knee or popliteal area, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21432	
INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of arteriovenous fistula of knee or popliteal area (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21440	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of knee or popliteal area, not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21445	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the knee and/or popliteal area (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
	SUBGROUP 12 - LOWER LEG (BELOW KNEE)	
21460	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of lower leg, ankle, or foot (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21461	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, or fascia of lower leg, ankle, or foot, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21462	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on lower leg, ankle, or foot (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21464	
INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedure of ankle joint (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21472	
INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of Achilles tendon (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21474	
INITIATION OF MANAGEMENT OF ANAESTHESIA for gastrocnemius recession (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21480	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on bones of lower leg, ankle, or foot, including amputation, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21482	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection of bone involving lower leg, ankle or foot (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	

RELATIVE VALUE GUIDE	SHOULDER AND AXILLA	
21484	
INITIATION OF MANAGEMENT OF ANAESTHESIA for osteotomy or osteoplasty of tibia or fibula (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21486	
INITIATION OF MANAGEMENT OF ANAESTHESIA for total ankle replacement (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
21490	
INITIATION OF MANAGEMENT OF ANAESTHESIA for lower leg cast application, removal or repair, undertaken in a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21500	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of lower leg, including bypass graft, not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21502	
INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of the lower leg (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21520	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of lower leg, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21522	
INITIATION OF MANAGEMENT OF ANAESTHESIA for venous thrombectomy of the lower leg (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21530	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of lower leg, ankle or foot (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
21532	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of toe (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21535	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the lower leg (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
	SUBGROUP 13 - SHOULDER AND AXILLA	
21600	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the shoulder or axilla (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21610	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of shoulder or axilla including axillary dissection (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21620	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, or shoulder joint when performed in the operating theatre of a hospital (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21622	
INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of shoulder joint (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21630	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or  shoulder joint, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21632	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection involving humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21634	
INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder disarticulation (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	
21636	
INITIATION OF MANAGEMENT OF ANAESTHESIA for interthoracoscapular (forequarter) amputation (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	

RELATIVE VALUE GUIDE	UPPER ARM AND ELBOW	
21638	
INITIATION OF MANAGEMENT OF ANAESTHESIA for total shoulder replacement (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21650	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of shoulder or axilla, not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21652	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures for axillary-brachial aneurysm (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21654	
INITIATION OF MANAGEMENT OF ANAESTHESIA for bypass graft of arteries of shoulder or axilla (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21656	
INITIATION OF MANAGEMENT OF ANAESTHESIA for axillary-femoral bypass graft (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21670	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of shoulder or axilla (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21680	
INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder cast application, removal or repair, not being a service to which another item in this Subgroup applies, when undertaken in a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21682	
INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder spica application when undertaken in a hospital (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21685	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the shoulder or the axilla (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
	SUBGROUP 14 - UPPER ARM AND ELBOW	
21700	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper arm or elbow (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21710	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of upper arm or elbow, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21712	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open tenotomy of the upper arm or  elbow (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21714	
INITIATION OF MANAGEMENT OF ANAESTHESIA for tenoplasty of the upper arm or  elbow (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21716	
INITIATION OF MANAGEMENT OF ANAESTHESIA for tenodesis for rupture of long tendon of biceps (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21730	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on the upper arm or  elbow when performed in the operating theatre of a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21732	
INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of elbow joint (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21740	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on the upper arm or elbow, not being a service to which another item in this Subgroup applies (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21756	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures on the upper arm or elbow (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21760	
INITIATION OF MANAGEMENT OF ANAESTHESIA for total elbow replacement (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	

RELATIVE VALUE GUIDE	FOREARM WRIST AND HAND	
21770	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on arteries of upper arm, not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21772	
INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of arteries of the upper arm (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21780	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of upper arm, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21785	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the upper arm or elbow (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21790	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of upper arm (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
	SUBGROUP 15 - FOREARM WRIST AND HAND	
21800	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the forearm, wrist or hand (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21810	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the nerves, muscles, tendons, fascia, or bursae of the forearm, wrist or hand (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21820	
INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on the radius, ulna, wrist, or hand bones when performed in the operating theatre of a hospital (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21830	
INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on the radius, ulna, wrist, or hand bones, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21832	
INITIATION OF MANAGEMENT OF ANAESTHESIA for total wrist replacement (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
21834	
INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of the wrist joint (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21840	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the arteries of forearm, wrist or hand, not being a service to which another item in this Subgroup applies (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21842	
INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of artery of forearm, wrist or hand (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21850	
INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the veins of forearm, wrist or hand, not being a service to which another item in this Subgroup applies (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21860	
INITIATION OF MANAGEMENT OF ANAESTHESIA for forearm, wrist, or hand cast application, removal, or repair when rendered to a patient as part of an episode of hospital treatment (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21865	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the forearm, wrist or hand (10 basic units)
(See para T10.28 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21870	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of forearm, wrist or hand (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	

RELATIVE VALUE GUIDE	ANAESTHESIA FOR BURNS	
21872	
INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of a finger (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
	SUBGROUP 16 - ANAESTHESIA FOR BURNS	
21878	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting where the area of burn involves not more than 3% of total body surface (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21879	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting,where the area of burn involves more than 3% but less than 10% of total body surface (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21880	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 10% or more but less than 20% of total body surface (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
21881	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 20% or more but less than 30% of total body surface (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	
21882	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 30% or more but less than 40% of total body surface (11 basic units)
Fee: $217.80	Benefit: 75% = $163.35	85% = $185.15	
21883	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 40% or more but less than 50% of total body surface (13 basic units)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	
21884	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 50% or more but less than 60% of total body surface (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
21885	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 60% or more but less than 70% of total body surface (17 basic units)
Fee: $336.60	Benefit: 75% = $252.45	85% = $286.15	
21886	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 70% or more but less than 80% of total body surface (19 basic units)
Fee: $376.20	Benefit: 75% = $282.15	85% = $319.80	
21887	
INITIATION OF MANAGEMENT OF ANAESTHESIA for excision or debridement of burns, with or without skin grafting, where the area of burn involves 80% or more of total body surface (21 basic units)
Fee: $415.80	Benefit: 75% = $311.85	85% = $353.45	
	SUBGROUP 17 - ANAESTHESIA FOR RADIOLOGICAL OR OTHER DIAGNOSTIC OR THERAPEUTIC PROCEDURES	
21900	
INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for hysterosalpingography (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21906	
INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: lumbar or thoracic (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21908	
INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: cervical (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21910	
INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: posterior fossa (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	
21912	
INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for discography: lumbar or thoracic (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	

RELATIVE VALUE GUIDE	ANAESTHESIA	
21914	
INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for discography: cervical (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21915	
INITIATION OF MANAGEMENT OF ANAESTHESIA for peripheral arteriogram (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21916	
INITIATION OF MANAGEMENT OF ANAESTHESIA for arteriograms: cerebral, carotid or vertebral (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21918	
INITIATION OF MANAGEMENT OF ANAESTHESIA for retrograde arteriogram: brachial or femoral (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21922	
INITIATION OF MANAGEMENT OF ANAESTHESIA for computerised axial tomography scanning, magnetic resonance scanning, digital subtraction angiography scanning (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
21925	
INITIATION OF MANAGEMENT OF ANAESTHESIA for retrograde cystography, retrograde urethrography or retrograde cystourethrography (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21926	
INITIATION OF MANAGEMENT OF ANAESTHESIA for fluoroscopy (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
Amend
21927	
INITIATION OF MANAGEMENT OF ANAESTHESIA for barium enema or other opaque study of the small bowel (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21930	
INITIATION OF MANAGEMENT OF ANAESTHESIA for bronchography (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21935	
INITIATION OF MANAGEMENT OF ANAESTHESIA for phlebography (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21936	
INITIATION OF MANAGEMENT OF ANAESTHESIA for heart, 2 dimensional real time transoesophageal examination (6 basic units)
(See para T10.26 of explanatory notes to this Category)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
21939	
INITIATION OF MANAGEMENT OF ANAESTHESIA for peripheral venous cannulation (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21941	
INITIATION OF MANAGEMENT OF ANAESTHESIA for cardiac catheterisation including coronary arteriography, ventriculography, cardiac mapping, insertion of automatic defibrillator or transvenous pacemaker (7 basic units)
(See para T10.25 of explanatory notes to this Category)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
21942	
INITIATION OF MANAGEMENT OF ANAESTHESIA for cardiac electrophysiological procedures including radio frequency ablation (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21943	
INITIATION OF MANAGEMENT OF ANAESTHESIA for central vein catheterisation or insertion of right heart balloon catheter (via jugular, subclavian or femoral vein) by percutaneous or open exposure (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21945	
INITIATION OF MANAGEMENT OF ANAESTHESIA for lumbar puncture, cisternal puncture, or epidural injection (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21949	
INITIATION OF MANAGEMENT OF ANAESTHESIA for harvesting of bone marrow for the purpose of transplantation (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21952	
INITIATION OF MANAGEMENT OF ANAESTHESIA for muscle biopsy for malignant hyperpyrexia (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
21955	
INITIATION OF MANAGEMENT OF ANAESTHESIA for electroencephalography (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	

RELATIVE VALUE GUIDE	MISCELLANEOUS	
21959	
INITIATION OF MANAGEMENT OF ANAESTHESIA for brain stem evoked response audiometry (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21962	
INITIATION OF MANAGEMENT OF ANAESTHESIA for electrocochleography by extratympanic method or transtympanic membrane insertion method (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21965	
INITIATION OF MANAGEMENT OF ANAESTHESIA as a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia, not for the treatment of headache of any etiology (5 basic units)
(See para T10.11 of explanatory notes to this Category)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21969	
INITIATION OF MANAGEMENT OF ANAESTHESIA during hyperbaric therapy where the medical practitioner is not confined in the chamber (including the administration of oxygen) (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
21970	
INITIATION OF MANAGEMENT OF ANAESTHESIA during hyperbaric therapy where the medical practitioner is confined in the chamber (including the administration of oxygen) (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
21973	
INITIATION OF MANAGEMENT OF ANAESTHESIA for brachytherapy using radioactive sealed sources (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21976	
INITIATION OF MANAGEMENT OF ANAESTHESIA for therapeutic nuclear medicine (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21980	
INITIATION OF MANAGEMENT OF ANAESTHESIA for radiotherapy (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
21981	
ANAESTHETIC AGENT ALLERGY TESTING, using skin sensitivity methods in a patient with a history of prior anaphylactic or anaphylactoid reaction or cardiovascular collapse associated with the management of anaesthesia agents (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
	SUBGROUP 18 - MISCELLANEOUS	
21990	
INITIATION OF MANAGEMENT OF ANAESTHESIA when no procedure ensues (3 basic units)
(See para T10.12 of explanatory notes to this Category)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
21992	
INITIATION OF MANAGEMENT OF ANAESTHESIA performed on a person under the age of 10 years in connection with a procedure covered by an item which has not been identified as attracting an anaesthetic (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
21997	
INITIATION OF MANAGEMENT OF ANAESTHESIA in connection with a procedure covered by an item which has not been identified as attracting an anaesthetic rebate, not being a service to which item 21992 or 21965 applies where it can be demonstrated that there is a clinical need for anaesthesia (4 basic units)
(See para T10.13 of explanatory notes to this Category)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
	SUBGROUP 19 - THERAPEUTIC AND DIAGNOSTIC SERVICES	
22001	
COLLECTION OF BLOOD FOR AUTOLOGOUS TRANSFUSION or when homologous blood is required for immediate transfusion in an emergency situation, when performed in association with the administration of anaesthesia (3 basic units)
(See para T10.8 of explanatory notes to this Category)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
22002	
ADMINISTRATION OF BLOOD or bone marrow already collected when performed in association with the administration of anaesthesia (4 basic units)
(See para T10.8 of explanatory notes to this Category)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
22007	
ENDOTRACHEAL INTUBATION with flexible fibreoptic scope associated with difficult airway when performed in association with the administration of anaesthesia (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	

RELATIVE VALUE GUIDE	THERAPEUTIC AND DIAGNOSTIC	
22008	
DOUBLE LUMEN ENDOBRONCHIAL TUBE OR BRONCHIAL BLOCKER, insertion of when performed in association with the administration of anaesthesia (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
22012	
BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter - once only for each type of pressure on any calendar day, up to a maximum of 4 pressures (not being a service to which item 13876 applies) when performed in association with the administration of anaesthesia (3 basic units)
(See para T10.8 of explanatory notes to this Category)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
22014	
BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter - once only for each type of pressure on any calendar day, up to a maximum of 4 pressures (not being a service to which item 13876 applies) when performed in association with the administration of anaesthesia relating to another discrete operation on the same day (3 basic units)
(See para T10.8 of explanatory notes to this Category)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
22015	
RIGHT HEART BALLOON CATHETER, insertion of, including pulmonary wedge pressure and cardiac output measurement, when performed in association with the administration of anaesthesia (6 basic units)
(See para T10.8 of explanatory notes to this Category)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
22018	
MEASUREMENT OF THE MECHANICAL OR GAS EXCHANGE FUNCTION OF THE RESPIRATORY SYSTEM, using measurements of parameters, including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood and incorporating serial arterial blood gas analysis and a written record of the results, when performed in association with the administration of anaesthesia, not being a service associated with a service to which item 11503 applies (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
22020	
CENTRAL VEIN CATHETERISATION by percutaneous or open exposure, not being a service to which item 13318 applies, when performed in association with the administration of anaesthesia (4 basic units)
(See para T1.6 and T10.8 of explanatory notes to this Category)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
22025	
INTRAARTERIAL CANNULATION when performed in association with the administration of anaesthesia (4 basic units)
(See para T10.8 of explanatory notes to this Category)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
22031	
INTRATHECAL or EPIDURAL INJECTION (initial) of a therapeutic substance or substances, with or without insertion of a catheter, in association with anaesthesia and surgery, for postoperative pain management, not being a service associated with a service to which 22036 applies (5 basic units)
(See para T10.19 of explanatory notes to this Category)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
22036	
INTRATHECAL or EPIDURAL INJECTION (subsequent) of a therapeutic substance or substances, using an in-situ catheter, in association with anaesthesia and surgery, for postoperative pain management, not being a service associated with a service to which 22031 applies (3 basic units)
(See para T10.20 of explanatory notes to this Category)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
22040	
INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room theatre or recovery room for the control of post operative pain via the femoral OR sciatic nerves, in conjunction with hip, knee, ankle or foot surgery (2 basic units)
(See para T10.17 and T10.21 of explanatory notes to this Category)
Fee: $39.60	Benefit: 75% = $29.70	85% = $33.70	
22045	
INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral AND sciatic nerves, in conjunction with hip, knee, ankle or foot surgery (3 basic units)
(See para T10.17 and T10.21 of explanatory notes to this Category)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
22050	
INTRODUCTION OF A REGIONAL OR FIELD NERVE BLOCK peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the brachial plexus in conjunction with shoulder surgery (2 basic units)
(See para T10.17 and T10.21 of explanatory notes to this Category)
Fee: $39.60	Benefit: 75% = $29.70	85% = $33.70	

RELATIVE VALUE GUIDE	ANAESTHESIA FOR DENTAL	
22051	
INTRA-OPERATIVE TRANSOESOPHAGEAL ECHOCARDIOGRAPHY - Monitoring in real time of the structure and function of the heart chambers, valves and surrounding structures, including assessment of blood flow, with appropriate permanent recording during procedures on the heart, pericardium or great vessels of the chest (not in association with items 55130, 55135 or 21936) (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	
22055	
PERFUSION OF LIMB OR ORGAN using heart-lung machine or equivalent, not being a service associated with anaesthesia to which an item in Subgroup 21 applies (12 basic units)
(See para T10.10 of explanatory notes to this Category)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
22060	
WHOLE BODY PERFUSION, CARDIAC BYPASS, using heart-lung machine or equivalent, not being a service associated with anaesthesia to which an item in Subgroup 21 applies (20 basic units)
(See para T10.10 of explanatory notes to this Category)
Fee: $396.00	Benefit: 75% = $297.00	85% = $336.60	
22065	
INDUCED CONTROLLED HYPOTHERMIA total body, being a service to which item 22060 applies, not being a service associated with anaesthesia to which an item in Subgroup 21 applies (5 basic units)
(See para T10.10 of explanatory notes to this Category)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
22070	
CARDIOPLEGIA, blood or crystalloid, administration by any route, being a service to which item 22060 applies, not being a service associated with anaesthesia to which an item in Subgroup 21 applies (10 basic units)
(See para T10.10 of explanatory notes to this Category)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
22075	
DEEP HYPOTHERMIC CIRCULATORY ARREST, with core temperature less than 22°c, including management of retrograde cerebral perfusion if performed, not being a service associated with anaesthesia to which an item in Subgroup 21 applies (15 basic units)
(See para T10.10 of explanatory notes to this Category)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
	SUBGROUP 20 - ADMINISTRATION OF ANAESTHESIA IN CONNECTION WITH A DENTAL SERVICE	
22900	
INITIATION OF MANAGEMENT BY A MEDICAL PRACTITIONER OF ANAESTHESIA for extraction of tooth or teeth with or without incision of soft tissue or removal of bone (6 basic units)
(See para T10.14 of explanatory notes to this Category)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
22905	
INITIATION OF MANAGEMENT OF ANAESTHESIA for restorative dental work (6 basic units)
(See para T10.14 of explanatory notes to this Category)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
	SUBGROUP 21 - ANAESTHESIA/PERFUSION TIME UNITS	
23010	
ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA
(a) administration of anaesthesia performed in association with an item in the range 20100 to 21997 or 22900 to 22905; or
(b) perfusion performed in association with item 22060; or
(c) for assistance at anaesthesia performed in association with items 25200 to 25205

For a period of:

(FIFTEEN MINUTES OR LESS) (1 basic units)
(See para T10.3 of explanatory notes to this Category)
Fee: $19.80	Benefit: 75% = $14.85	85% = $16.85	
23021	
16 MINUTES TO 20 MINUTES (2 basic units)
Fee: $39.60	Benefit: 75% = $29.70	85% = $33.70	
23022	
21 MINUTES TO 25 MINUTES (2 basic units)
Fee: $39.60	Benefit: 75% = $29.70	85% = $33.70	
23023	
26 MINUTES TO 30 MINUTES (2 basic units)
Fee: $39.60	Benefit: 75% = $29.70	85% = $33.70	
23031	
31 MINUTES TO 35 MINUTES (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	

RELATIVE VALUE GUIDE	ANAESTHESIA TIME UNITS	
23032	
36 MINUTES TO 40 MINUTES (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
23033	
41 MINUTES TO 45 MINUTES (3 basic units)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
23041	
46 MINUTES TO 50 MINUTES (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
23042	
51 MINUTES TO 55 MINUTES (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
23043	
56 MINUTES TO 1:00 HOUR (4 basic units)
Fee: $79.20	Benefit: 75% = $59.40	85% = $67.35	
23051	
1:01 HOURS TO 1:05 HOURS (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
23052	
1:06 HOURS TO 1:10 HOURS (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
23053	
1:11 HOURS TO 1:15 HOURS (5 basic units)
Fee: $99.00	Benefit: 75% = $74.25	85% = $84.15	
23061	
1:16 HOURS TO 1:20 HOURS (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
23062	
1:21 HOURS TO 1:25 HOURS (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
23063	
1:26 HOURS TO 1:30 HOURS (6 basic units)
Fee: $118.80	Benefit: 75% = $89.10	85% = $101.00	
23071	
1:31 HOURS TO 1:35 HOURS (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
23072	
1:36 HOURS TO 1:40 HOURS (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
23073	
1:41 HOURS TO 1:45 HOURS (7 basic units)
Fee: $138.60	Benefit: 75% = $103.95	85% = $117.85	
23081	
1:46 HOURS TO 1:50 HOURS (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
23082	
1:51 HOURS TO 1:55 HOURS (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
23083	
1:56 HOURS TO 2:00 HOURS (8 basic units)
Fee: $158.40	Benefit: 75% = $118.80	85% = $134.65	
23091	
2:01 HOURS TO 2:10 HOURS (9 basic units)
Fee: $178.20	Benefit: 75% = $133.65	85% = $151.50	
23101	
2:11 HOURS TO 2:20 HOURS (10 basic units)
Fee: $198.00	Benefit: 75% = $148.50	85% = $168.30	
23111	
2:21 HOURS TO 2:30 HOURS (11 basic units)
Fee: $217.80	Benefit: 75% = $163.35	85% = $185.15	
23112	
2:31 HOURS TO 2:40 HOURS (12 basic units)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
23113	
2:41 HOURS TO 2:50 HOURS (13 basic units)
Fee: $257.40	Benefit: 75% = $193.05	85% = $218.80	

RELATIVE VALUE GUIDE	ANAESTHESIA TIME UNITS	
23114	
2:51 HOURS TO 3:00 HOURS (14 basic units)
Fee: $277.20	Benefit: 75% = $207.90	85% = $235.65	
23115	
3:01 HOURS TO 3:10 HOURS (15 basic units)
Fee: $297.00	Benefit: 75% = $222.75	85% = $252.45	
23116	
3:11 HOURS TO 3:20 HOURS (16 basic units)
Fee: $316.80	Benefit: 75% = $237.60	85% = $269.30	
23117	
3:21 HOURS TO 3:30 HOURS (17 basic units)
Fee: $336.60	Benefit: 75% = $252.45	85% = $286.15	
23118	
3:31 HOURS TO 3:40 HOURS (18 basic units)
Fee: $356.40	Benefit: 75% = $267.30	85% = $302.95	
23119	
3:41 HOURS TO 3:50 HOURS (19 basic units)
Fee: $376.20	Benefit: 75% = $282.15	85% = $319.80	
23121	
3:51 HOURS TO 4:00 HOURS (20 basic units)
Fee: $396.00	Benefit: 75% = $297.00	85% = $336.60	
23170	
4:01 HOURS TO 4:10 HOURS (21 basic units)
Fee: $415.80	Benefit: 75% = $311.85	85% = $353.45	
23180	
4:11 HOURS TO 4:20 HOURS (22 basic units)
Fee: $435.60	Benefit: 75% = $326.70	85% = $370.30	
23190	
4:21 HOURS TO 4:30 HOURS (23 basic units)
Fee: $455.40	Benefit: 75% = $341.55	85% = $387.10	
23200	
4:31 HOURS TO 4:40 HOURS (24 basic units)
Fee: $475.20	Benefit: 75% = $356.40	85% = $403.95	
23210	
4:41 HOURS TO 4:50 HOURS (25 basic units)
Fee: $495.00	Benefit: 75% = $371.25	85% = $420.75	
23220	
4:51 HOURS TO 5:00 HOURS (26 basic units)
Fee: $514.80	Benefit: 75% = $386.10	85% = $440.30	
23230	
5:01 HOURS TO 5:10 HOURS (27 basic units)
Fee: $534.60	Benefit: 75% = $400.95	85% = $460.10	
23240	
5:11 HOURS TO 5:20 HOURS (28 basic units)
Fee: $554.40	Benefit: 75% = $415.80	85% = $479.90	
23250	
5:21 HOURS TO 5:30 HOURS (29 basic units)
Fee: $574.20	Benefit: 75% = $430.65	85% = $499.70	
23260	
5:31 HOURS TO 5:40 HOURS (30 basic units)
Fee: $594.00	Benefit: 75% = $445.50	85% = $519.50	
23270	
5:41 HOURS TO 5:50 HOURS (31 basic units)
Fee: $613.80	Benefit: 75% = $460.35	85% = $539.30	
23280	
(5:51 HOURS TO 6:00 HOURS (32 basic units)
Fee: $633.60	Benefit: 75% = $475.20	85% = $559.10	
23290	
6:01 HOURS TO 6:10 HOURS (33 basic units)
Fee: $653.40	Benefit: 75% = $490.05	85% = $578.90	
23300	
6:11 HOURS TO 6:20 HOURS (34 basic units)
Fee: $673.20	Benefit: 75% = $504.90	85% = $598.70	
23310	
6:21 HOURS TO 6:30 HOURS (35 basic units)
Fee: $693.00	Benefit: 75% = $519.75	85% = $618.50	

RELATIVE VALUE GUIDE	ANAESTHESIA TIME UNITS	
23320	
6:31 HOURS TO 6:40 HOURS (36 basic units)
Fee: $712.80	Benefit: 75% = $534.60	85% = $638.30	
23330	
6:41 HOURS TO 6:50 HOURS (37 basic units)
Fee: $732.60	Benefit: 75% = $549.45	85% = $658.10	
23340	
6:51 HOURS TO 7:00 HOURS (38 basic units)
Fee: $752.40	Benefit: 75% = $564.30	85% = $677.90	
23350	
7:01 HOURS TO 7:10 HOURS (39 basic units)
Fee: $772.20	Benefit: 75% = $579.15	85% = $697.70	
23360	
7:11 HOURS TO 7:20 HOURS (40 basic units)
Fee: $792.00	Benefit: 75% = $594.00	85% = $717.50	
23370	
7:21 HOURS TO 7:30 HOURS (41 basic units)
Fee: $811.80	Benefit: 75% = $608.85	85% = $737.30	
23380	
7:31 HOURS TO 7:40 HOURS (42 basic units)
Fee: $831.60	Benefit: 75% = $623.70	85% = $757.10	
23390	
7:41 HOURS TO 7:50 HOURS (43 basic units)
Fee: $851.40	Benefit: 75% = $638.55	85% = $776.90	
23400	
7:51 HOURS TO 8:00 HOURS (44 basic units)
Fee: $871.20	Benefit: 75% = $653.40	85% = $796.70	
23410	
8:01 HOURS TO 8:10 HOURS (45 basic units)
Fee: $891.00	Benefit: 75% = $668.25	85% = $816.50	
23420	
8:11 HOURS TO 8:20 HOURS (46 basic units)
Fee: $910.80	Benefit: 75% = $683.10	85% = $836.30	
23430	
8:21 HOURS TO 8:30 HOURS (47 basic units)
Fee: $930.60	Benefit: 75% = $697.95	85% = $856.10	
23440	
8:31 HOURS TO 8:40 HOURS (48 basic units)
Fee: $950.40	Benefit: 75% = $712.80	85% = $875.90	
23450	
8:41 HOURS TO 8:50 HOURS (49 basic units)
Fee: $970.20	Benefit: 75% = $727.65	85% = $895.70	
23460	
8:51 HOURS TO 9:00 HOURS (50 basic units)
Fee: $990.00	Benefit: 75% = $742.50	85% = $915.50	
23470	
9:01 HOURS TO 9:10 HOURS (51 basic units)
Fee: $1,009.80	Benefit: 75% = $757.35	85% = $935.30	
23480	
9:11 HOURS TO 9:20 HOURS (52 basic units)
Fee: $1,029.60	Benefit: 75% = $772.20	85% = $955.10	
23490	
9:21 HOURS TO 9:30 HOURS (53 basic units)
Fee: $1,049.40	Benefit: 75% = $787.05	85% = $974.90	
23500	
9:31 HOURS TO 9:40 HOURS (54 basic units)
Fee: $1,069.20	Benefit: 75% = $801.90	85% = $994.70	
23510	
9:41 HOURS TO 9:50 HOURS (55 basic units)
Fee: $1,089.00	Benefit: 75% = $816.75	85% = $1,014.50	
23520	
9:51 HOURS TO 10:00 HOURS (56 basic units)
Fee: $1,108.80	Benefit: 75% = $831.60	85% = $1,034.30	
23530	
10:01 HOURS TO 10:10 HOURS (57 basic units)
Fee: $1,128.60	Benefit: 75% = $846.45	85% = $1,054.10	

RELATIVE VALUE GUIDE	ANAESTHESIA TIME UNITS	
23540	
10:11 HOURS TO 10:20 HOURS (58 basic units)
Fee: $1,148.40	Benefit: 75% = $861.30	85% = $1,073.90	
23550	
10:21 HOURS TO 10:30 HOURS (59 basic units)
Fee: $1,168.20	Benefit: 75% = $876.15	85% = $1,093.70	
23560	
10:31 HOURS TO 10:40 HOURS (60 basic units)
Fee: $1,188.00	Benefit: 75% = $891.00	85% = $1,113.50	
23570	
10:41 HOURS TO 10:50 HOURS (61 basic units)
Fee: $1,207.80	Benefit: 75% = $905.85	85% = $1,133.30	
23580	
10:51 HOURS TO 11:00 HOURS (62 basic units)
Fee: $1,227.60	Benefit: 75% = $920.70	85% = $1,153.10	
23590	
11:01 HOURS TO 11:10 HOURS (63 basic units)
Fee: $1,247.40	Benefit: 75% = $935.55	85% = $1,172.90	
23600	
11:11 HOURS TO 11:20 HOURS (64 basic units)
Fee: $1,267.20	Benefit: 75% = $950.40	85% = $1,192.70	
23610	
11:21 HOURS TO 11:30 HOURS (65 basic units)
Fee: $1,287.00	Benefit: 75% = $965.25	85% = $1,212.50	
23620	
11:31 HOURS TO 11:40 HOURS (66 basic units)
Fee: $1,306.80	Benefit: 75% = $980.10	85% = $1,232.30	
23630	
11:41 HOURS TO 11:50 HOURS (67 basic units)
Fee: $1,326.60	Benefit: 75% = $994.95	85% = $1,252.10	
23640	
11:51 HOURS TO 12:00 HOURS (68 basic units)
Fee: $1,346.40	Benefit: 75% = $1,009.80	85% = $1,271.90	
23650	
12:01 HOURS TO 12:10 HOURS (69 basic units)
Fee: $1,366.20	Benefit: 75% = $1,024.65	85% = $1,291.70	
23660	
12:11 HOURS TO 12:20 HOURS (70 basic units)
Fee: $1,386.00	Benefit: 75% = $1,039.50	85% = $1,311.50	
23670	
12:21 HOURS TO 12:30 HOURS (71 basic units)
Fee: $1,405.80	Benefit: 75% = $1,054.35	85% = $1,331.30	
23680	
12:31 HOURS TO 12:40 HOURS (72 basic units)
Fee: $1,425.60	Benefit: 75% = $1,069.20	85% = $1,351.10	
23690	
12:41 HOURS TO 12:50 HOURS (73 basic units)
Fee: $1,445.40	Benefit: 75% = $1,084.05	85% = $1,370.90	
23700	
12:51 HOURS TO 13:00 HOURS (74 basic units)
Fee: $1,465.20	Benefit: 75% = $1,098.90	85% = $1,390.70	
23710	
13:01 HOURS TO 13:10 HOURS (75 basic units)
Fee: $1,485.00	Benefit: 75% = $1,113.75	85% = $1,410.50	
23720	
13:11 HOURS TO 13:20 HOURS (76 basic units)
Fee: $1,504.80	Benefit: 75% = $1,128.60	85% = $1,430.30	
23730	
13:21 HOURS TO 13:30 HOURS (77 basic units)
Fee: $1,524.60	Benefit: 75% = $1,143.45	85% = $1,450.10	
23740	
13:31 HOURS TO 13:40 HOURS (78 basic units)
Fee: $1,544.40	Benefit: 75% = $1,158.30	85% = $1,469.90	
23750	
13:41 HOURS TO 13:50 HOURS (79 basic units)
Fee: $1,564.20	Benefit: 75% = $1,173.15	85% = $1,489.70	

RELATIVE VALUE GUIDE	ANAESTHESIA TIME UNITS	
23760	
13:51 HOURS TO 14:00 HOURS (80 basic units)
Fee: $1,584.00	Benefit: 75% = $1,188.00	85% = $1,509.50	
23770	
14:01 HOURS TO 14:10 HOURS (81 basic units)
Fee: $1,603.80	Benefit: 75% = $1,202.85	85% = $1,529.30	
23780	
14:11 HOURS TO 14:20 HOURS (82 basic units)
Fee: $1,623.60	Benefit: 75% = $1,217.70	85% = $1,549.10	
23790	
14:21 HOURS TO 14:30 HOURS (83 basic units)
Fee: $1,643.40	Benefit: 75% = $1,232.55	85% = $1,568.90	
23800	
14:31 HOURS TO 14:40 HOURS (84 basic units)
Fee: $1,663.20	Benefit: 75% = $1,247.40	85% = $1,588.70	
23810	
14:41 HOURS TO 14:50 HOURS (85 basic units)
Fee: $1,683.00	Benefit: 75% = $1,262.25	85% = $1,608.50	
23820	
14:51 HOURS TO 15:00 HOURS (86 basic units)
Fee: $1,702.80	Benefit: 75% = $1,277.10	85% = $1,628.30	
23830	
15:01 HOURS TO 15:10 HOURS (87 basic units)
Fee: $1,722.60	Benefit: 75% = $1,291.95	85% = $1,648.10	
23840	
15:11 HOURS TO 15:20 HOURS (88 basic units)
Fee: $1,742.40	Benefit: 75% = $1,306.80	85% = $1,667.90	
23850	
15:21 HOURS TO 15:30 HOURS (89 basic units)
Fee: $1,762.20	Benefit: 75% = $1,321.65	85% = $1,687.70	
23860	
15:31 HOURS TO 15:40 HOURS (90 basic units)
Fee: $1,782.00	Benefit: 75% = $1,336.50	85% = $1,707.50	
23870	
15:41 HOURS TO 15:50 HOURS (91 basic units)
Fee: $1,801.80	Benefit: 75% = $1,351.35	85% = $1,727.30	
23880	
15:51 HOURS TO 16:00 HOURS (92 basic units)
Fee: $1,821.60	Benefit: 75% = $1,366.20	85% = $1,747.10	
23890	
16:01 HOURS TO 16:10 HOURS (93 basic units)
Fee: $1,841.40	Benefit: 75% = $1,381.05	85% = $1,766.90	
23900	
16:11 HOURS TO 16:20 HOURS (94 basic units)
Fee: $1,861.20	Benefit: 75% = $1,395.90	85% = $1,786.70	
23910	
16:21 HOURS TO 16:30 HOURS (95 basic units)
Fee: $1,881.00	Benefit: 75% = $1,410.75	85% = $1,806.50	
23920	
16:31 HOURS TO 16:40 HOURS (96 basic units)
Fee: $1,900.80	Benefit: 75% = $1,425.60	85% = $1,826.30	
23930	
16:41 HOURS TO 16:50 HOURS (97 basic units)
Fee: $1,920.60	Benefit: 75% = $1,440.45	85% = $1,846.10	
23940	
16:51 HOURS TO 17:00 HOURS (98 basic units)
Fee: $1,940.40	Benefit: 75% = $1,455.30	85% = $1,865.90	
23950	
17:01 HOURS TO 17:10 HOURS (99 basic units)
Fee: $1,960.20	Benefit: 75% = $1,470.15	85% = $1,885.70	
23960	
17:11 HOURS TO 17:20 HOURS (100 basic units)
Fee: $1,980.00	Benefit: 75% = $1,485.00	85% = $1,905.50	
23970	
17:21 HOURS TO 17:30 HOURS (101 basic units)
Fee: $1,999.80	Benefit: 75% = $1,499.85	85% = $1,925.30	

RELATIVE VALUE GUIDE	ANAESTHESIA TIME UNITS	
23980	
17:31 HOURS TO 17:40 HOURS (102 basic units)
Fee: $2,019.60	Benefit: 75% = $1,514.70	85% = $1,945.10	
23990	
17:41 HOURS TO 17:50 HOURS (103 basic units)
Fee: $2,039.40	Benefit: 75% = $1,529.55	85% = $1,964.90	
24100	
17:51 HOURS TO 18:00 HOURS (104 basic units)
Fee: $2,059.20	Benefit: 75% = $1,544.40	85% = $1,984.70	
24101	
18:01 HOURS TO 18:10 HOURS (105 basic units)
Fee: $2,079.00	Benefit: 75% = $1,559.25	85% = $2,004.50	
24102	
18:11 HOURS TO 18:20 HOURS (106 basic units)
Fee: $2,098.80	Benefit: 75% = $1,574.10	85% = $2,024.30	
24103	
18:21 HOURS TO 18:30 HOURS (107 basic units)
Fee: $2,118.60	Benefit: 75% = $1,588.95	85% = $2,044.10	
24104	
18:31 HOURS TO 18:40 HOURS (108 basic units)
Fee: $2,138.40	Benefit: 75% = $1,603.80	85% = $2,063.90	
24105	
18:41 HOURS TO 18:50 HOURS (109 basic units)
Fee: $2,158.20	Benefit: 75% = $1,618.65	85% = $2,083.70	
24106	
18:51 HOURS TO 19:00 HOURS (110 basic units)
Fee: $2,178.00	Benefit: 75% = $1,633.50	85% = $2,103.50	
24107	
19:01 HOURS TO 19:10 HOURS (111 basic units)
Fee: $2,197.80	Benefit: 75% = $1,648.35	85% = $2,123.30	
24108	
19:11 HOURS TO 19:20 HOURS (112 basic units)
Fee: $2,217.60	Benefit: 75% = $1,663.20	85% = $2,143.10	
24109	
19:21 HOURS TO 19:30 HOURS (113 basic units)
Fee: $2,237.40	Benefit: 75% = $1,678.05	85% = $2,162.90	
24110	
19:31 HOURS TO 19:40 HOURS (114 basic units)
Fee: $2,257.20	Benefit: 75% = $1,692.90	85% = $2,182.70	
24111	
19:41 HOURS TO 19:50 HOURS (115 basic units)
Fee: $2,277.00	Benefit: 75% = $1,707.75	85% = $2,202.50	
24112	
19:51 HOURS TO 20:00 HOURS (116 basic units)
Fee: $2,296.80	Benefit: 75% = $1,722.60	85% = $2,222.30	
24113	
20:01 HOURS TO 20:10 HOURS (117 basic units)
Fee: $2,316.60	Benefit: 75% = $1,737.45	85% = $2,242.10	
24114	
20:11 HOURS TO 20:20 HOURS (118 basic units)
Fee: $2,336.40	Benefit: 75% = $1,752.30	85% = $2,261.90	
24115	
20:21 HOURS TO 20:30 HOURS (119 basic units)
Fee: $2,356.20	Benefit: 75% = $1,767.15	85% = $2,281.70	
24116	
20:31 HOURS TO 20:40 HOURS (120 basic units)
Fee: $2,376.00	Benefit: 75% = $1,782.00	85% = $2,301.50	
24117	
20:41 HOURS TO 20:50 HOURS (121 basic units)
Fee: $2,395.80	Benefit: 75% = $1,796.85	85% = $2,321.30	
24118	
20:51 HOURS TO 21:00 HOURS (122 basic units)
Fee: $2,415.60	Benefit: 75% = $1,811.70	85% = $2,341.10	
24119	
21:01 HOURS TO 21:10 HOURS (123 basic units)
Fee: $2,435.40	Benefit: 75% = $1,826.55	85% = $2,360.90	

RELATIVE VALUE GUIDE	ANAESTHESIA MODIFYING UNITS	
24120	
21:11 HOURS TO 21:20 HOURS (124 basic units)
Fee: $2,455.20	Benefit: 75% = $1,841.40	85% = $2,380.70	
24121	
21:21 HOURS TO 21:30 HOURS (125 basic units)
Fee: $2,475.00	Benefit: 75% = $1,856.25	85% = $2,400.50	
24122	
21:31 HOURS TO 21:40 HOURS (126 basic units)
Fee: $2,494.80	Benefit: 75% = $1,871.10	85% = $2,420.30	
24123	
21:41 HOURS TO 21:50 HOURS (127 basic units)
Fee: $2,514.60	Benefit: 75% = $1,885.95	85% = $2,440.10	
24124	
21:51 HOURS TO 22:00 HOURS (128 basic units)
Fee: $2,534.40	Benefit: 75% = $1,900.80	85% = $2,459.90	
24125	
22:01 HOURS TO 22:10 HOURS (129 basic units)
Fee: $2,554.20	Benefit: 75% = $1,915.65	85% = $2,479.70	
24126	
22:11 HOURS TO 22:20 HOURS (130 basic units)
Fee: $2,574.00	Benefit: 75% = $1,930.50	85% = $2,499.50	
24127	
22:21 HOURS TO 22:30 HOURS (131 basic units)
Fee: $2,593.80	Benefit: 75% = $1,945.35	85% = $2,519.30	
24128	
22:31 HOURS TO 22:40 HOURS (132 basic units)
Fee: $2,613.60	Benefit: 75% = $1,960.20	85% = $2,539.10	
24129	
22:41 HOURS TO 22:50 HOURS (133 basic units)
Fee: $2,633.40	Benefit: 75% = $1,975.05	85% = $2,558.90	
24130	
22:51 HOURS TO 23:00 HOURS (134 basic units)
Fee: $2,653.20	Benefit: 75% = $1,989.90	85% = $2,578.70	
24131	
23:01 HOURS TO 23:10 HOURS (135 basic units)
Fee: $2,673.00	Benefit: 75% = $2,004.75	85% = $2,598.50	
24132	
23:11 HOURS TO 23:20 HOURS (136 basic units)
Fee: $2,692.80	Benefit: 75% = $2,019.60	85% = $2,618.30	
24133	
23:21 HOURS TO 23:30 HOURS (137 basic units)
Fee: $2,712.60	Benefit: 75% = $2,034.45	85% = $2,638.10	
24134	
23:31 HOURS TO 23:40 HOURS (138 basic units)
Fee: $2,732.40	Benefit: 75% = $2,049.30	85% = $2,657.90	
24135	
23:41 HOURS TO 23:50 HOURS (139 basic units)
Fee: $2,752.20	Benefit: 75% = $2,064.15	85% = $2,677.70	
24136	
23:51 HOURS TO 24:00 HOURS (140 basic units)
Fee: $2,772.00	Benefit: 75% = $2,079.00	85% = $2,697.50	
	SUBGROUP 22 - ANAESTHESIA/PERFUSION MODIFYING UNITS - PHYSICAL STATUS	
25000	
ANAESTHESIA, PERFUSION or ASSISTANCE AT ANAESTHESIA
(a) for anaesthesia performed in association with an item in the range 20100 to 21997 or 22900 to 22905; or
(b) for perfusion performed in association with item 22060; or
(c) for assistance at anaesthesia performed in association with items 25200 to 25205
Where the patient has severe systemic disease equivalent to ASA physical status indicator 3 (1 basic units)
(See para T10.3 of explanatory notes to this Category)
Fee: $19.80	Benefit: 75% = $14.85	85% = $16.85	
25005	
Where the patient has severe systemic disease which is a constant threat to life equivalent to ASA physical status indicator 4 (2 basic units)
(See para T10.3 of explanatory notes to this Category)
Fee: $39.60	Benefit: 75% = $29.70	85% = $33.70	

RELATIVE VALUE GUIDE	ANAESTHESIA MODIFYING UNITS	
25010	
For a patient who is not expected to survive for 24 hours with or without the operation, equivalent to ASA physical status indicator 5 (3 basic units)
(See para T10.3 of explanatory notes to this Category)
Fee: $59.40	Benefit: 75% = $44.55	85% = $50.50	
	SUBGROUP 23 - ANAESTHESIA/PERFUSION MODIFYING UNITS - OTHER	
25015	
ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA
- where the patient is less than 12 months of age or 70 years or greater (1 basic units)
Fee: $19.80	Benefit: 75% = $14.85	85% = $16.85	
25020	
ANAESTHESIA, PERFUSION OR ASSISTANCE AT ANAESTHESIA
- where the patient requires immediate treatment without which there would be significant threat to life or body part - not being a service associated with a service to which item 25025 or 25030 or 25050 applies (2 basic units)
(See para T10.3 of explanatory notes to this Category)
Fee: $39.60	Benefit: 75% = $29.70	85% = $33.70	
	SUBGROUP 24 - ANAESTHESIA AFTER HOURS EMERGENCY MODIFIER	
Fee
25025	
EMERGENCY ANAESTHESIA performed in the after hours period where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for the emergency anaesthesia service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25030 or 25050 applies
(See para T10.3 of explanatory notes to this Category)
Derived Fee: An additional amount of 50% of the fee for the anaesthetic service.  That is: (a) an anaesthesia item/s in the range 20100 - 21997 or 22900, plus  (b) an item in the range 23010 - 24136, plus (c) where applicable, an item in the range 25000-25015,  plus (d) where performed, any associated therapeutic or diagnostic service/s in the range 22001-22051	
25030	
ASSISTANCE AT AFTER HOURS EMERGENCY ANAESTHESIA where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for which the assistant is in professional attendance on the patient is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25050 applies
(See para T10.3 of explanatory notes to this Category)
Derived Fee: An additional amount of 50% of the fee for assistance at anaesthesia.  That is:
(a) an assistant anaesthesia item in the range 25200 - 25205, plus 
(b) an item in the range 23010 - 24136, plus 
(c) where applicable, an item in the range 25000-25015, plus
(d) where performed, any associated therapeutic or diagnostic service/s in the range 22001-22051	
	SUBGROUP 25 - PERFUSION AFTER HOURS EMERGENCY MODIFIER	
25050	
AFTER HOURS EMERGENCY PERFUSION where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the perfusion service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25030 applies
(See para T10.3 of explanatory notes to this Category)
Derived Fee: An additional amount of 50% of the fee for the perfusion service.  That is:
(a) item 22060, plus 
(b) an item in the range 23010 - 24136, plus
(c) where applicable, an item in the range 25000 - 25015, plus 
(d) where performed, any associated therapeutic or diagnostic service/s in the range 22001-22051 or 22065-22075	
	SUBGROUP 26 - ASSISTANCE AT ANAESTHESIA	
Fee
25200	
ASSISTANCE IN THE ADMINISTRATION OF ANAESTHESIA on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of all other patients (5 basic units)
(See para T10.9 of explanatory notes to this Category)
Derived Fee: An amount of $99.0 (5 basic units) plus an item in the range 23010 - 24136 plus, where applicable - an item in the range 25000 - 25020 plus, where performed, any associated therapeutic or diagnostic service/s in the range 22001 - 22051	

RELATIVE VALUE GUIDE	ASSISTANCE AT ANAESTHESIA	
Fee
25205	
ASSISTANCE IN THE ADMINISTRATION OF ELECTIVE ANAESTHESIA where:
(i)	the patient has complex airway problems; or
(ii)	the patient is a neonate or a complex paediatric case; or
(iii)	there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or
(iv)	the patient is critically ill, with multiple organ failure; or
(v)	where the anaesthesia time exceeds 6 hours
and the assistance is provided to the exclusion of all other patients (5 basic units)
(See para T10.9 of explanatory notes to this Category)
Derived Fee: An amount of $99.0 (5 basic units) plus an item in the range 23010 - 24136 plus, where applicable - an item in the range 25000 - 25020 plus, where performed, any associated therapeutic or diagnostic service/s in the range 22001 - 22051	

OPERATIONS	GENERAL	
	GROUP T8 - SURGICAL OPERATIONS	
	SUBGROUP 1 - GENERAL	
30001	
OPERATIVE PROCEDURE, not being a service to which any other item in this Group applies, being a service to which an item in this Group would have applied had the procedure not been discontinued on medical grounds
(See para T8.5 of explanatory notes to this Category)
Derived Fee: 50% of the fee which would have applied had the procedure not been discontinued	
30003	
LOCALISED BURNS, dressing of, (not involving grafting)  each attendance at which the procedure is performed, including any associated consultation
Fee: $36.30	Benefit: 75% = $27.25	85% = $30.90	
30006	
EXTENSIVE BURNS, dressing of, without anaesthesia (not involving grafting)  each attendance at which the procedure is performed, including any associated consultation
Fee: $46.50	Benefit: 75% = $34.90	85% = $39.55	
30009 G
30010 S	
LOCALISED BURNS, dressing of, under general anaesthesia (not involving grafting) (Anaes.)
Fee: $60.75	Benefit: 75% = $45.60
Fee: $73.90	Benefit: 75% = $55.45	
30013 G
30014 S	
EXTENSIVE BURNS, dressing of, under general anaesthesia (not involving grafting) (Anaes.)
Fee: $130.90	Benefit: 75% = $98.20
Fee: $155.40	Benefit: 75% = $116.55	
30017	
BURNS, excision of, under general anaesthesia, involving not more than 10 per cent of body surface, where grafting is not carried out during the same operation (Anaes.) (Assist.)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
30020	
BURNS, excision of, under general anaesthesia, involving more than 10 per cent of body surface, where grafting is not carried out during the same operation (Anaes.) (Assist.)
Fee: $635.00	Benefit: 75% = $476.25	
30023	
WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.)
(See para T8.6 of explanatory notes to this Category)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
30024	
WOUND OF SOFT TISSUE, debridement of extensively infected post-surgical incision or Fournier's Gangrene, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
30026	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $52.20	Benefit: 75% = $39.15	85% = $44.40	
30029	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue, not being a service to which another item in Group T4 applies (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $90.00	Benefit: 75% = $67.50	85% = $76.50	
30032	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $82.50	Benefit: 75% = $61.90	85% = $70.15	
30035	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $117.55	Benefit: 75% = $88.20	85% = $99.95	

OPERATIONS	GENERAL	
30038	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, large (MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $90.00	Benefit: 75% = $67.50	85% = $76.50	
30041 G
30042 S	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, not on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue, not being a service to which another item in Group T4 applies (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $144.00	Benefit: 75% = $108.00	85% = $122.40
Fee: $185.60	Benefit: 75% = $139.20	85% = $157.80	
30045	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), superficial (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $117.55	Benefit: 75% = $88.20	85% = $99.95	
30048 G
30049 S	
SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.)
(See para T8.6 of explanatory notes to this Category)
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30
Fee: $185.60	Benefit: 75% = $139.20	85% = $157.80	
30052	
FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.)
Fee: $254.00	Benefit: 75% = $190.50	85% = $215.90	
30055	
WOUNDS, DRESSING OF, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $73.90	Benefit: 75% = $55.45	85% = $62.85	
30058	
POSTOPERATIVE HAEMORRHAGE, control of, under general anaesthesia, as an independent procedure (Anaes.)
Fee: $144.35	Benefit: 75% = $108.30	85% = $122.70	
30061	
SUPERFICIAL FOREIGN BODY, REMOVAL OF, (including from cornea or sclera), as an independent procedure (Anaes.)
Fee: $23.50	Benefit: 75% = $17.65	85% = $20.00	
30062	
Etonogestrel subcutaneous implant, removal of, as an independent procedure (Anaes.)
Fee: $60.75	Benefit: 75% = $45.60	85% = $51.65	
30064	
SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.)
Fee: $109.90	Benefit: 75% = $82.45	85% = $93.45	
30067 G
30068 S	
FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure (Anaes.) (Assist.)
Fee: $223.60	Benefit: 75% = $167.70	85% = $190.10
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
EMSN
30071	
DIAGNOSTIC BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $52.20	Benefit: 75% = $39.15	85% = $44.40
Extended Medicare Safety Net Cap: $41.80	
30074 G
30075 S	
DIAGNOSTIC BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $117.55	Benefit: 75% = $88.20	85% = $99.95
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30	
30078	
DIAGNOSTIC DRILL BIOPSY OF LYMPH GLAND, DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $48.45	Benefit: 75% = $36.35	85% = $41.20	

OPERATIONS	GENERAL	
30081	
DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using open approach, where the biopsy specimen is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $109.90	Benefit: 75% = $82.45	85% = $93.45	
30084	
DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using percutaneous approach with a Jamshidi needle or similar device, where the biopsy is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $58.80	Benefit: 75% = $44.10	85% = $50.00	
30087	
DIAGNOSTIC BIOPSY OF BONE MARROW by aspiration or PUNCH BIOPSY OF SYNOVIAL MEMBRANE, where the biopsy is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $29.45	Benefit: 75% = $22.10	85% = $25.05	
30090	
DIAGNOSTIC BIOPSY OF PLEURA, PERCUTANEOUS 1 or more biopsies on any 1 occasion, where the biopsy is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $128.55	Benefit: 75% = $96.45	85% = $109.30	
30093	
DIAGNOSTIC NEEDLE BIOPSY OF VERTEBRA, where the biopsy is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $171.55	Benefit: 75% = $128.70	85% = $145.85	
30094	
DIAGNOSTIC PERCUTANEOUS ASPIRATION BIOPSY of deep organ using interventional imaging techniques - but not including imaging, where the biopsy is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $189.40	Benefit: 75% = $142.05	85% = $161.00	
30096	
DIAGNOSTIC SCALENE NODE BIOPSY, by open procedure, where the specimen excised is sent for pathological examination (Anaes.)
(See para T8.7 of explanatory notes to this Category)
Fee: $183.90	Benefit: 75% = $137.95	85% = $156.35	
30097	
Personal performance of a Synacthen Stimulation Test, including associated consultation; by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented.
Fee: $97.15	Benefit: 75% = $72.90	85% = $82.60	
30099	
SINUS, excision of, involving superficial tissue only (Anaes.)
Fee: $90.00	Benefit: 75% = $67.50	85% = $76.50	
30102 G
30103 S	
SINUS, excision of, involving muscle and deep tissue (Anaes.)
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30
Fee: $183.90	Benefit: 75% = $137.95	85% = $156.35	
30104	
PRE-AURICULAR SINUS, excision of (Anaes.)
Fee: $126.90	Benefit: 75% = $95.20	85% = $107.90	
30106 G
30107 S	
GANGLION OR SMALL BURSA, excision of, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $155.40	Benefit: 75% = $116.55	85% = $132.10
Fee: $219.95	Benefit: 75% = $165.00	85% = $187.00	
30110 G
30111 S	
BURSA (LARGE), INCLUDING OLECRANON, CALCANEUM OR PATELLA, excision of (Anaes.) (Assist.)
Fee: $284.35	Benefit: 75% = $213.30	85% = $241.70
Fee: $371.50	Benefit: 75% = $278.65	85% = $315.80	
30114	
BURSA, SEMIMEMBRANOSUS (Baker's cyst), excision of (Anaes.) (Assist.)
Fee: $371.50	Benefit: 75% = $278.65	
30165	
LIPECTOMY transverse wedge excision of abdominal apron, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45530 applies (Anaes.) (Assist.)
(See para T8.8 of explanatory notes to this Category)
Fee: $454.85	Benefit: 75% = $341.15	85% = $386.65	

OPERATIONS	GENERAL	
30168	
LIPECTOMY wedge excision of skin and fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 1 EXCISION (Anaes.) (Assist.)
(See para T8.8 of explanatory notes to this Category)
Fee: $454.85	Benefit: 75% = $341.15	85% = $386.65	
30171	
LIPECTOMY wedge excision of skin and fat, not being a service associated with items 45564, 45565 or 45530 and not being a service to which item 30165 applies, 2 OR MORE EXCISIONS (Anaes.) (Assist.)
(See para T8.8 of explanatory notes to this Category)
Fee: $691.75	Benefit: 75% = $518.85	85% = $617.25	
30174	
LIPECTOMY  subumbilical excision with undermining of skin edges and strengthening of musculoaponeurotic wall, not being a service associated with items 45564 or 45565 or 45530 (Anaes.) (Assist.)
(See para T8.8 of explanatory notes to this Category)
Fee: $691.75	Benefit: 75% = $518.85	85% = $617.25	
30177	
LIPECTOMY radical abdominoplasty (Pitanguy type or similar), with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service performed within 12 months after the end of a pregnancy and not being a service associated with a service to which item 45564, 45565 or 45530 applies (Anaes.) (Assist.)
(See para T8.8 of explanatory notes to this Category)
Fee: $985.70	Benefit: 75% = $739.30	
30180	
AXILLARY HYPERHIDROSIS, partial excision for (Anaes.)
Fee: $136.50	Benefit: 75% = $102.40	85% = $116.05	
30183	
AXILLARY HYPERHIDROSIS, total excision of sweat gland bearing area (Anaes.)
Fee: $246.50	Benefit: 75% = $184.90	85% = $209.55	
30185	
PALMAR OR PLANTAR WARTS (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies (Anaes.)
(See para T8.9 of explanatory notes to this Category)
Fee: $182.50	Benefit: 75% = $136.90	85% = $155.15	
30186	
PALMAR OR PLANTAR WARTS (less than 10), definitive removal of, excluding ablative methods alone, not being a service to which item 30185 or 30187 applies (Anaes.)
(See para T8.9 of explanatory notes to this Category)
Fee: $47.45	Benefit: 75% = $35.60	85% = $40.35	
30187	
PALMAR OR PLANTAR WARTS, removal of, by carbon dioxide laser or erbium laser, requiring admission to a hospital, or when performed by a specialist in the practice of his/her specialty, (5 or more warts) (Anaes.)
(See para T8.9 of explanatory notes to this Category)
Fee: $256.95	Benefit: 75% = $192.75	85% = $218.45	
30189	
WARTS or MOLLUSCUM CONTAGIOSUM (one or more), removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital, not being a service associated with a service to which another item in this Group applies (Anaes.)
(See para T8.9 of explanatory notes to this Category)
Fee: $147.30	Benefit: 75% = $110.50	85% = $125.25	
30190	
ANGIOFIBROMAS, TRICHOEPITHELIOMAS or other severely disfiguring tumours suitable for laser excision as confirmed by specialist opinion, of the face or neck, removal of, by carbon dioxide laser or erbium laser excision-ablation including associated resurfacing (10 or more tumours) (Anaes.) (Assist.)
Fee: $397.75	Benefit: 75% = $298.35	85% = $338.10	
30192	
PREMALIGNANT SKIN LESIONS (including solar keratoses), treatment of, by ablative technique (10 or more lesions) (Anaes.)
(See para T8.9 of explanatory notes to this Category)
Fee: $39.55	Benefit: 75% = $29.70	85% = $33.65	
30195	
BENIGN NEOPLASM OF SKIN, other than viral verrucae (common warts) seborrheic keratoses, cysts and skin tags, treatment by electrosurgical destruction, simple curettage or shave excision, or laser photocoagulation, not being a service to which item 30196, 30197, 30202, 30203 or 30205 applies (1 or more lesions) (Anaes.)
(See para T8.9 of explanatory notes to this Category)
Fee: $63.50	Benefit: 75% = $47.65	85% = $54.00	

OPERATIONS	GENERAL	
30196	
MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser or erbium laser excision-ablation, including any associated cryotherapy or diathermy, not being a service to which item 30197 applies (Anaes.)
(See para T8.10 of explanatory notes to this Category)
Fee: $126.30	Benefit: 75% = $94.75	85% = $107.40	
30197	
MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser excision-ablation, including any associated cryotherapy or diathermy, (10 OR MORE LESIONS) (Anaes.)
(See para T8.10 of explanatory notes to this Category)
Fee: $440.05	Benefit: 75% = $330.05	85% = $374.05	
30202	
MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles, not being a service to which item 30203 applies
(See para T8.10 of explanatory notes to this Category)
Fee: $48.35	Benefit: 75% = $36.30	85% = $41.10	
30203	
MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven by histopathology or confirmed by specialist opinion, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles (10 OR MORE LESIONS)
(See para T8.10 of explanatory notes to this Category)
Fee: $170.25	Benefit: 75% = $127.70	85% = $144.75	
30205	
MALIGNANT NEOPLASM OF SKIN proven by histopathology, removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw cycles WHERE THE MALIGNANT NEOPLASM EXTENDS INTO CARTILAGE (Anaes.)
Fee: $126.30	Benefit: 75% = $94.75	85% = $107.40	
30207	
SKIN LESIONS, multiple injections with hydrocortisone or similar preparations (Anaes.)
Fee: $44.60	Benefit: 75% = $33.45	85% = $37.95	
30210	
KELOID and other SKIN LESIONS, EXTENSIVE, MULTIPLE INJECTIONS OF HYDROCORTISONE or similar preparations where undertaken in the operating theatre of a hospital (Anaes.)
Fee: $162.95	Benefit: 75% = $122.25	85% = $138.55	
30213	
TELANGIECTASES OR STARBURST VESSELS on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation - limited to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period - for a session of at least 20 minutes duration (Anaes.)
(See para T8.11 of explanatory notes to this Category)
Fee: $109.80	Benefit: 75% = $82.35	85% = $93.35	
30214	
TELANGIECTASES OR STARBURST VESSELS on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation - session of at least 20 minutes duration - where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period
(See para T8.11 of explanatory notes to this Category)
Fee: $109.80	Benefit: 75% = $82.35	85% = $93.35	
30216	
HAEMATOMA, aspiration of (Anaes.)
Fee: $27.35	Benefit: 75% = $20.55	85% = $23.25	
30219	
HAEMATOMA, FURUNCLE, SMALL ABSCESS OR SIMILAR LESION not requiring admission to a hospital - INCISION WITH DRAINAGE OF (excluding aftercare)
Fee: $27.35	Benefit: 75% = $20.55	85% = $23.25	
30223	
LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding aftercare) (Anaes.)
Fee: $162.95	Benefit: 75% = $122.25	
30224	
PERCUTANEOUS DRAINAGE OF DEEP ABSCESS using interventional imaging techniques - but not including imaging (Anaes.)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
30225	
ABSCESS DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging (Anaes.)
Fee: $267.65	Benefit: 75% = $200.75	85% = $227.55	
30226	
MUSCLE, excision of (LIMITED), or fasciotomy (Anaes.)
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30	

OPERATIONS	GENERAL	
30229	
MUSCLE, excision of (EXTENSIVE) (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	85% = $232.05	
30232	
MUSCLE, RUPTURED, repair of (limited), not associated with external wound (Anaes.)
Fee: $223.60	Benefit: 75% = $167.70	85% = $190.10	
30235	
MUSCLE, RUPTURED, repair of (extensive), not associated with external wound (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	85% = $251.35	
30238	
FASCIA, DEEP, repair of, FOR HERNIATED MUSCLE (Anaes.)
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30	
30241	
BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	85% = $302.90	
30244	
STYLOID PROCESS OF TEMPORAL BONE, removal of (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
30246	
PAROTID DUCT, repair of, using micro-surgical techniques (Anaes.) (Assist.)
Fee: $689.80	Benefit: 75% = $517.35	
30247	
PAROTID GLAND, total extirpation of (Anaes.) (Assist.)
Fee: $739.35	Benefit: 75% = $554.55	
30250	
PAROTID GLAND, total extirpation of, with preservation of facial nerve (Anaes.) (Assist.)
Fee: $1,251.10	Benefit: 75% = $938.35	
30251	
RECURRENT PAROTID TUMOUR, excision of, with  preservation of facial nerve (Anaes.) (Assist.)
Fee: $1,921.75	Benefit: 75% = $1,441.35	85% = $1,847.25	
30253	
PAROTID GLAND, SUPERFICIAL LOBECTOMY OF, with exposure of facial nerve (Anaes.) (Assist.)
Fee: $834.05	Benefit: 75% = $625.55	
30255	
SUBMANDIBULAR DUCTS, relocation of, for surgical control of drooling (Anaes.) (Assist.)
Fee: $1,110.65	Benefit: 75% = $833.00	
30256	
SUBMANDIBULAR GLAND, extirpation of (Anaes.) (Assist.)
Fee: $445.40	Benefit: 75% = $334.05	
30259	
SUBLINGUAL GLAND, extirpation of (Anaes.)
Fee: $198.50	Benefit: 75% = $148.90	85% = $168.75	
30262	
SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.)
Fee: $58.80	Benefit: 75% = $44.10	85% = $50.00	
30265 G
30266 S	
SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures. (Anaes.)
Fee: $117.55	Benefit: 75% = $88.20	85% = $99.95
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30	
30269	
SALIVARY GLAND, repair of CUTANEOUS FISTULA OF (Anaes.)
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30	
30272	
TONGUE, partial excision of (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	85% = $251.35	
30275	
RADICAL EXCISION OF INTRAORAL TUMOUR INVOLVING RESECTION OF MANDIBLE AND LYMPH GLANDS OF NECK (commandotype operation) (Anaes.) (Assist.)
Fee: $1,762.75	Benefit: 75% = $1,322.10	
30278	
TONGUE TIE, repair of, not being a service to which another item in this Group applies (Anaes.)
Fee: $46.50	Benefit: 75% = $34.90	85% = $39.55	
30281	
TONGUE TIE, MANDIBULAR FRENULUM or MAXILLARY FRENULUM, repair of, in a person aged 2 years and over, under general anaesthesia (Anaes.)
Fee: $119.50	Benefit: 75% = $89.65	85% = $101.60	

OPERATIONS	GENERAL	
30282 G
30283 S	
RANULA OR MUCOUS CYST OF MOUTH, removal of (Anaes.)
Fee: $155.40	Benefit: 75% = $116.55	85% = $132.10
Fee: $204.70	Benefit: 75% = $153.55	85% = $174.00	
30286	
BRANCHIAL CYST, removal of (Anaes.) (Assist.)
Fee: $397.85	Benefit: 75% = $298.40	85% = $338.20	
30289	
BRANCHIAL FISTULA, removal of (Anaes.) (Assist.)
Fee: $502.25	Benefit: 75% = $376.70	
30293	
CERVICAL OESOPHAGOSTOMY or CLOSURE OF CERVICAL OESOPHAGOSTOMY with or without plastic repair (Anaes.) (Assist.)
Fee: $445.40	Benefit: 75% = $334.05	85% = $378.60	
30294	
CERVICAL OESOPHAGECTOMY with tracheostomy and oesophagostomy, with or without plastic reconstruction; or LARYNGOPHARYNGECTOMY with tracheostomy and plastic reconstruction (Anaes.) (Assist.)
Fee: $1,762.75	Benefit: 75% = $1,322.10	
30296	
THYROIDECTOMY, total (Anaes.) (Assist.)
Fee: $1,023.70	Benefit: 75% = $767.80	
30297	
THYROIDECTOMY following previous thyroid surgery (Anaes.) (Assist.)
Fee: $1,023.70	Benefit: 75% = $767.80	
30299	
SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level I axilla, using preoperative lymphoscintigraphy and lymphotropic dye injection, not being a service associated with a service to which item 30300, 30302 or 30303 applies (Anaes.) (Assist.)
(See para T8.12 of explanatory notes to this Category)
Fee: $637.45	Benefit: 75% = $478.10	
30300	
SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level II/III axilla, using preoperative lymphoscintigraphy and lymphotropic dye injection, not being a service associated with a service to which item 30299, 30302 or 30303 applies (Anaes.) (Assist.)
(See para T8.12 of explanatory notes to this Category)
Fee: $764.90	Benefit: 75% = $573.70	
30302	
SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level I axilla, using lymphotropic dye injection, not being a service associated with a service to which item 30299, 30300 or 30303 applies (Anaes.) (Assist.)
(See para T8.12 of explanatory notes to this Category)
Fee: $509.95	Benefit: 75% = $382.50	
30303	
SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, involving dissection in a level II/III axilla, using lymphotropic dye injection, not being a service associated with a service to which item 30299, 30300 or 30302 applies (Anaes.) (Assist.)
(See para T8.12 of explanatory notes to this Category)
Fee: $611.85	Benefit: 75% = $458.90	
30306	
TOTAL HEMITHYROIDECTOMY (Anaes.) (Assist.)
Fee: $798.65	Benefit: 75% = $599.00	
30308	
BILATERAL SUBTOTAL THYROIDECTOMY (Anaes.) (Assist.)
Fee: $798.65	Benefit: 75% = $599.00	
30309	
THYROIDECTOMY, SUBTOTAL for THYROTOXICOSIS (Anaes.) (Assist.)
Fee: $1,023.70	Benefit: 75% = $767.80	
30310	
THYROID, unilateral subtotal thyroidectomy or equivalent partial thyroidectomy (Anaes.) (Assist.)
Fee: $457.40	Benefit: 75% = $343.05	
30313	
THYROGLOSSAL CYST, removal of (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	85% = $232.05	
30314	
THYROGLOSSAL CYST or FISTULA or both, radical removal of, including thyroglossal duct and portion of hyoid bone (Anaes.) (Assist.)
Fee: $457.40	Benefit: 75% = $343.05	

OPERATIONS	GENERAL	
30315	
PARATHYROID operation for hyperparathyroidism (Anaes.) (Assist.)
Fee: $1,139.90	Benefit: 75% = $854.95	
30317	
CERVICAL REEXPLORATION for recurrent or persistent hyperparathyroidism (Anaes.) (Assist.)
Fee: $1,364.90	Benefit: 75% = $1,023.70	
30318	
MEDIASTINUM, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (Anaes.) (Assist.)
Fee: $907.60	Benefit: 75% = $680.70	
30320	
MEDIASTINUM, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (Anaes.) (Assist.)
Fee: $1,364.90	Benefit: 75% = $1,023.70	
30321	
RETROPERITONEAL NEUROENDOCRINE TUMOUR, removal of (Anaes.) (Assist.)
Fee: $907.60	Benefit: 75% = $680.70	
30323	
RETROPERITONEAL NEUROENDOCRINE TUMOUR, removal of, requiring complex and extensive dissection (Anaes.) (Assist.)
Fee: $1,364.90	Benefit: 75% = $1,023.70	
30324	
ADRENAL GLAND TUMOUR, excision of (Anaes.) (Assist.)
Fee: $1,364.90	Benefit: 75% = $1,023.70	
30329	
LYMPH GLANDS of GROIN, limited excision of (Anaes.)
Fee: $246.95	Benefit: 75% = $185.25	85% = $209.95	
30330	
LYMPH GLANDS of GROIN, radical excision of (Anaes.) (Assist.)
Fee: $718.75	Benefit: 75% = $539.10	
30332	
LYMPH NODES of AXILLA, limited excision of (sampling) (Anaes.) (Assist.)
Fee: $346.75	Benefit: 75% = $260.10	
30335	
LYMPH NODES of AXILLA, complete excision of, to level I (Anaes.) (Assist.)
(See para T8.13 of explanatory notes to this Category)
Fee: $866.85	Benefit: 75% = $650.15	
30336	
LYMPH NODES of AXILLA, complete excision of, to level II or level III (Anaes.) (Assist.)
(See para T8.13 of explanatory notes to this Category)
Fee: $1,040.25	Benefit: 75% = $780.20	
30373	
LAPAROTOMY (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes.) (Assist.)
Fee: $483.25	Benefit: 75% = $362.45	
30375	
Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy, Cholecystostomy, Gastrostomy, Gastrotomy, Reduction of intussusception, Removal of Meckel's diverticulum, Suture of perforated peptic ulcer, Simple repair of ruptured viscus, Reduction of volvulus, Pyloroplasty (adult) or Drainage of pancreas (Anaes.) (Assist.)
(See para T8.14 of explanatory notes to this Category)
Fee: $521.25	Benefit: 75% = $390.95	
30376	
LAPAROTOMY INVOLVING DIVISION OF PERITONEAL ADHESIONS (where no other intraabdominal procedure is performed) (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
30378	
LAPAROTOMY involving division of adhesions in conjunction with another intraabdominal procedure where the time taken to divide the adhesions is between 45 minutes and 2 hours (Anaes.) (Assist.)
Fee: $523.70	Benefit: 75% = $392.80	
30379	
LAPAROTOMY WITH DIVISION OF EXTENSIVE ADHESIONS (duration greater than 2 hours) with or without insertion of long intestinal tube (Anaes.) (Assist.)
Fee: $928.15	Benefit: 75% = $696.15	
30382	
ENTEROCUTANEOUS FISTULA, radical repair of, involving extensive dissection and resection of bowel (Anaes.) (Assist.)
Fee: $1,306.90	Benefit: 75% = $980.20	
30384	
LAPAROTOMY FOR GRADING OF LYMPHOMA, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (Anaes.) (Assist.)
Fee: $1,099.40	Benefit: 75% = $824.55	

OPERATIONS	GENERAL	
30385	
LAPAROTOMY FOR CONTROL OF POSTOPERATIVE HAEMORRHAGE, where no other procedure is performed (Anaes.) (Assist.)
Fee: $563.30	Benefit: 75% = $422.50	
30387	
LAPAROTOMY INVOLVING OPERATION ON ABDOMINAL VISCERA (including pelvic viscera), not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $635.00	Benefit: 75% = $476.25	
30388	
LAPAROTOMY for trauma involving 3 or more organs (Anaes.) (Assist.)
Fee: $1,597.55	Benefit: 75% = $1,198.20	
30390	
LAPAROSCOPY, diagnostic, not being a service associated with any other laparoscopic procedure (Anaes.)
(See para T8.15 of explanatory notes to this Category)
Fee: $219.95	Benefit: 75% = $165.00	
30391	
LAPAROSCOPY with biopsy (Anaes.) (Assist.)
Fee: $284.35	Benefit: 75% = $213.30	
30392	
RADICAL OR DEBULKING OPERATION for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure (Anaes.) (Assist.)
Fee: $674.50	Benefit: 75% = $505.90	
30393	
LAPAROSCOPIC DIVISION OF ADHESIONS in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (Anaes.) (Assist.)
Fee: $523.70	Benefit: 75% = $392.80	
30394	
LAPAROTOMY for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (Anaes.) (Assist.)
Fee: $492.85	Benefit: 75% = $369.65	
30396	
LAPAROTOMY for gross intra peritoneal sepsis requiring debridement of fibrin, with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity via a major abdominal incision, with or without closure of abdomen and with or without mesh or zipper insertion (Anaes.) (Assist.)
(See para T8.16 of explanatory notes to this Category)
Fee: $1,016.55	Benefit: 75% = $762.45	
30397	
LAPAROSTOMY, via wound previously made and left open or closed with zipper, involving change of dressings or packs, and with or without drainage of loculated collections (Anaes.)
Fee: $232.35	Benefit: 75% = $174.30	
30399	
LAPAROSTOMY, final closure of wound made at previous operation, after removal of dressings or packs and removal of mesh or zipper if previously inserted (Anaes.) (Assist.)
Fee: $319.60	Benefit: 75% = $239.70	
30400	
LAPAROTOMY WITH INSERTION OF PORTACATH for administration of cytotoxic therapy including placement of reservoir (Anaes.) (Assist.)
Fee: $632.50	Benefit: 75% = $474.40	
30402	
RETROPERITONEAL ABSCESS, drainage of, not involving laparotomy (Anaes.) (Assist.)
Fee: $464.60	Benefit: 75% = $348.45	
30403	
VENTRAL, INCISIONAL, OR RECURRENT HERNIA OR BURST ABDOMEN, repair of with or without mesh (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
30405	
VENTRAL OR INCISIONAL HERNIA, (excluding recurrent inguinal or femoral hernia), repair of, requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel (Anaes.) (Assist.)
Fee: $914.95	Benefit: 75% = $686.25	
30406	
PARACENTESIS ABDOMINIS (Anaes.)
Fee: $52.20	Benefit: 75% = $39.15	85% = $44.40	
30408	
PERITONEOVENOUS shunt, insertion of (Anaes.) (Assist.)
Fee: $392.10	Benefit: 75% = $294.10	
30409	
LIVER BIOPSY, percutaneous (Anaes.)
Fee: $174.45	Benefit: 75% = $130.85	85% = $148.30	

OPERATIONS	GENERAL	
30411	
LIVER BIOPSY by wedge excision when performed in conjunction with another intraabdominal procedure (Anaes.)
Fee: $88.80	Benefit: 75% = $66.60	
30412	
LIVER BIOPSY by core needle, when performed in conjunction with another intra-abdominal procedure (Anaes.)
Fee: $52.35	Benefit: 75% = $39.30	85% = $44.50	
30414	
LIVER, subsegmental resection of, (local excision), other than for trauma (Anaes.) (Assist.)
Fee: $689.80	Benefit: 75% = $517.35	
30415	
LIVER, segmental resection of, other than for trauma (Anaes.) (Assist.)
Fee: $1,379.50	Benefit: 75% = $1,034.65	
30416	
LIVER CYST, laparoscopic marsupialisation of, where the size of the cyst is greater than 5cm in diameter (Anaes.) (Assist.)
Fee: $748.95	Benefit: 75% = $561.75	
30417	
LIVER CYSTS, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5cm in diameter (Anaes.) (Assist.)
Fee: $1,123.40	Benefit: 75% = $842.55	
30418	
LIVER, lobectomy of, other than for trauma (Anaes.) (Assist.)
Fee: $1,597.55	Benefit: 75% = $1,198.20	
30419	
LIVER TUMOURS, destruction of, by hepatic cryotherapy, not being a service associated with a service to which item 50950 or 50952 applies (Anaes.) (Assist.)
Fee: $817.10	Benefit: 75% = $612.85	85% = $742.60	
30421	
LIVER, TRI-SEGMENTAL RESECTION (extended lobectomy) of, other than for trauma (Anaes.) (Assist.)
Fee: $1,996.55	Benefit: 75% = $1,497.45	
30422	
LIVER, repair of superficial laceration of, for trauma (Anaes.) (Assist.)
Fee: $675.35	Benefit: 75% = $506.55	
30425	
LIVER, repair of deep multiple lacerations of, or debridement of, for trauma (Anaes.) (Assist.)
Fee: $1,306.90	Benefit: 75% = $980.20	
30427	
LIVER, segmental resection of, for trauma (Anaes.) (Assist.)
Fee: $1,560.95	Benefit: 75% = $1,170.75	
30428	
LIVER, lobectomy of, for trauma (Anaes.) (Assist.)
Fee: $1,670.00	Benefit: 75% = $1,252.50	85% = $1,595.50	
30430	
LIVER, extended lobectomy (tri-segmental resection) of, for trauma (Anaes.) (Assist.)
Fee: $2,323.30	Benefit: 75% = $1,742.50	85% = $2,248.80	
30431	
LIVER ABSCESS, open abdominal drainage of (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	85% = $446.75	
30433	
LIVER ABSCESS (multiple), open abdominal drainage of (Anaes.) (Assist.)
Fee: $726.05	Benefit: 75% = $544.55	
30434	
HYDATID CYST OF LIVER, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles (Anaes.) (Assist.)
Fee: $588.15	Benefit: 75% = $441.15	
30436	
HYDATID CYST OF LIVER, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty (Anaes.) (Assist.)
Fee: $653.45	Benefit: 75% = $490.10	
30437	
HYDATID CYST OF LIVER, total excision of, by cysto-pericystectomy (membrane plus fibrous wall) (Anaes.) (Assist.)
Fee: $813.30	Benefit: 75% = $610.00	
30438	
HYDATID CYST OF LIVER, excision of, with drainage and excision of liver tissue (Anaes.) (Assist.)
Fee: $1,150.85	Benefit: 75% = $863.15	85% = $1,076.35	
30439	
OPERATIVE CHOLANGIOGRAPHY OR OPERATIVE PANCREATOGRAPHY OR INTRA OPERATIVE ULTRASOUND of the biliary tract (including 1 or more examinations performed during the 1 operation) (Anaes.) (Assist.)
Fee: $185.60	Benefit: 75% = $139.20	

OPERATIONS	GENERAL	
30440	
CHOLANGIOGRAM, percutaneous transhepatic, and insertion of biliary drainage tube, using interventional imaging techniques - but not including imaging, not being a service associated with a service to which item 30451 applies (Anaes.) (Assist.)
Fee: $526.40	Benefit: 75% = $394.80	85% = $451.90	
30441	
INTRA OPERATIVE ULTRASOUND for staging of intra abdominal tumours (Anaes.)
Fee: $136.25	Benefit: 75% = $102.20	
30442	
CHOLEDOCHOSCOPY in conjunction with another procedure (Anaes.)
Fee: $185.60	Benefit: 75% = $139.20	
30443	
CHOLECYSTECTOMY (Anaes.) (Assist.)
Fee: $739.35	Benefit: 75% = $554.55	
30445	
LAPAROSCOPIC CHOLECYSTECTOMY (Anaes.) (Assist.)
Fee: $739.35	Benefit: 75% = $554.55	
30446	
LAPAROSCOPIC CHOLECYSTECTOMY when procedure is completed by laparotomy (Anaes.) (Assist.)
Fee: $739.35	Benefit: 75% = $554.55	
30448	
LAPAROSCOPIC CHOLECYSTECTOMY, involving removal of common duct calculi via the cystic duct (Anaes.) (Assist.)
Fee: $972.90	Benefit: 75% = $729.70	
30449	
LAPAROSCOPIC CHOLECYSTECTOMY with removal of common duct calculi via laparoscopic choledochotomy (Anaes.) (Assist.)
Fee: $1,081.85	Benefit: 75% = $811.40	
30450	
CALCULUS OF BILIARY OR RENAL TRACT, extraction of, using interventional imaging techniques - not being a service associated with a service to which items 36627, 36630, 36645 or 36648 applies (Anaes.) (Assist.)
Fee: $524.40	Benefit: 75% = $393.30	85% = $449.90	
30451	
BILIARY DRAINAGE TUBE, exchange of, using interventional imaging techniques - but not including imaging, not being a service associated with a service to which item 30440 applies (Anaes.) (Assist.)
Fee: $267.65	Benefit: 75% = $200.75	85% = $227.55	
30452	
CHOLEDOCHOSCOPY with balloon dilation of a stricture or passage of stent or extraction of calculi (Anaes.) (Assist.)
Fee: $377.50	Benefit: 75% = $283.15	
30454	
CHOLEDOCHOTOMY (with or without cholecystectomy), with or without removal of calculi (Anaes.) (Assist.)
Fee: $862.50	Benefit: 75% = $646.90	
30455	
CHOLEDOCHOTOMY (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (Anaes.) (Assist.)
Fee: $1,014.05	Benefit: 75% = $760.55	
30457	
CHOLEDOCHOTOMY, intrahepatic, involving removal of intrahepatic bile duct calculi (Anaes.) (Assist.)
Fee: $1,379.50	Benefit: 75% = $1,034.65	85% = $1,305.00	
30458	
TRANSDUODENAL OPERATION ON SPHINCTER OF ODDI, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (Anaes.) (Assist.)
Fee: $1,014.05	Benefit: 75% = $760.55	
30460	
CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, CHOLEDOCHOJEJUNOSTOMY or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (Anaes.) (Assist.)
Fee: $862.50	Benefit: 75% = $646.90	
30461	
RADICAL RESECTION of porta hepatis with biliary-enteric anastomoses, not being a service associated with a service to which item 30443, 30454, 30455, 30458 or 30460 applies (Anaes.) (Assist.)
Fee: $1,478.40	Benefit: 75% = $1,108.80	
30463	
RADICAL RESECTION of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses (Anaes.) (Assist.)
Fee: $1,815.20	Benefit: 75% = $1,361.40	
30464	
RADICAL RESECTION of common hepatic duct and right and left hepatic ducts, involving more than 2 anastomoses or resection of segment or major portion of segment of liver (Anaes.) (Assist.)
Fee: $2,178.25	Benefit: 75% = $1,633.70	

OPERATIONS	GENERAL	
30466	
INTRAHEPATIC biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.)
Fee: $1,256.05	Benefit: 75% = $942.05	
30467	
INTRAHEPATIC BYPASS of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.)
Fee: $1,553.70	Benefit: 75% = $1,165.30	
30469	
BILIARY STRICTURE, repair of, after 1 or more operations on the biliary tree (Anaes.) (Assist.)
Fee: $1,720.90	Benefit: 75% = $1,290.70	85% = $1,646.40	
30472	
HEPATIC OR COMMON BILE DUCT, repair of, as the primary procedure subsequent to partial or total transection of bile duct or ducts (Anaes.) (Assist.)
Fee: $929.35	Benefit: 75% = $697.05	85% = $854.85	
30473	
OESOPHAGOSCOPY (not being a service to which item 41816 or 41822 applies), GASTROSCOPY, DUODENOSCOPY or PANENDOSCOPY (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30476 or 30478 applies (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $177.10	Benefit: 75% = $132.85	85% = $150.55	
30475	
ENDOSCOPY with balloon dilatation of gastric or gastroduodenal stricture (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $320.25	Benefit: 75% = $240.20	85% = $272.25	
30476	
OESOPHAGOSCOPY (not being a service to which item 41816 or 41822 applies), GASTROSCOPY, DUODENOSCOPY or PANENDOSCOPY (1 or more such procedures), with endoscopic sclerosing injection or banding of oesophageal or gastric varices, not being a service associated with a service to which item 30473 or 30478 applies (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $245.55	Benefit: 75% = $184.20	85% = $208.75	
30478	
OESOPHAGOSCOPY (not being a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more of the following endoscopic procedures - polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastrointestinal lesions, not being a service associated with a service to which item 30473 or 30476 applies (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $245.55	Benefit: 75% = $184.20	85% = $208.75	
30479	
ENDOSCOPY with LASER THERAPY or ARGON PLASMA COAGULATION, for the treatment of neoplasia, benign vascular lesions, strictures of the gastrointestinal tract, tumorous overgrowth through or over oesophageal stents, peptic ulcers, angiodysplasia, gastric antral vascular ectasia (GAVE) or post-polypectomy bleeding, 1 or more of (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $476.10	Benefit: 75% = $357.10	85% = $404.70	
30481	
PERCUTANEOUS GASTROSTOMY (initial procedure), including any associated imaging services (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $357.00	Benefit: 75% = $267.75	85% = $303.45	
30482	
PERCUTANEOUS GASTROSTOMY (repeat procedure), including any associated imaging services (Anaes.)
Fee: $253.85	Benefit: 75% = $190.40	85% = $215.80	
30483	
GASTROSTOMY BUTTON, non-endoscopic insertion of, or non-endoscopic replacement of (Anaes.)
Fee: $177.05	Benefit: 75% = $132.80	85% = $150.50	
30484	
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $364.90	Benefit: 75% = $273.70	85% = $310.20	
30485	
ENDOSCOPIC SPHINCTEROTOMY with or without extraction of stones from common bile duct (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $563.30	Benefit: 75% = $422.50	85% = $488.80	
30487	
SMALL BOWEL INTUBATION with biopsy, as an independent procedure (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $180.90	Benefit: 75% = $135.70	85% = $153.80	
30488	
SMALL BOWEL INTUBATION  as an independent procedure (Anaes.)
Fee: $90.00	Benefit: 75% = $67.50	85% = $76.50	

OPERATIONS	GENERAL	
30490	
OESOPHAGEAL PROSTHESIS, insertion of, including endoscopy and dilatation (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $526.40	Benefit: 75% = $394.80	85% = $451.90	
30491	
BILE DUCT, ENDOSCOPIC STENTING OF (including endoscopy and dilatation) (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $555.35	Benefit: 75% = $416.55	85% = $480.85	
30492	
BILE DUCT, PERCUTANEOUS STENTING OF (including dilatation when performed), using interventional imaging techniques - but not including imaging (Anaes.)
Fee: $787.30	Benefit: 75% = $590.50	
30493	
BILIARY MANOMETRY (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $333.20	Benefit: 75% = $249.90	85% = $283.25	
30494	
ENDOSCOPIC BILIARY DILATATION (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $420.50	Benefit: 75% = $315.40	
30495	
PERCUTANEOUS BILIARY DILATATION for biliary stricture, using interventional imaging techniques - but not including imaging (Anaes.)
Fee: $787.30	Benefit: 75% = $590.50	
30496	
VAGOTOMY, truncal or selective, with or without pyloroplasty or gastroenterostomy (Anaes.) (Assist.)
Fee: $588.15	Benefit: 75% = $441.15	85% = $513.65	
30497	
VAGOTOMY and ANTRECTOMY (Anaes.) (Assist.)
Fee: $701.30	Benefit: 75% = $526.00	
30499	
VAGOTOMY, highly selective (Anaes.) (Assist.)
Fee: $834.05	Benefit: 75% = $625.55	
30500	
VAGOTOMY, highly selective with duodenoplasty for peptic stricture (Anaes.) (Assist.)
Fee: $893.10	Benefit: 75% = $669.85	85% = $818.60	
30502	
VAGOTOMY, highly selective, with dilatation of pylorus (Anaes.) (Assist.)
Fee: $985.70	Benefit: 75% = $739.30	
30503	
VAGOTOMY or ANTRECTOMY, or both, for peptic ulcer following previous operation for peptic ulcer (Anaes.) (Assist.)
Fee: $1,103.80	Benefit: 75% = $827.85	85% = $1,029.30	
30505	
BLEEDING PEPTIC ULCER, control of, involving suture of bleeding point or wedge excision (Anaes.) (Assist.)
Fee: $551.85	Benefit: 75% = $413.90	
30506	
BLEEDING PEPTIC ULCER, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (Anaes.) (Assist.)
Fee: $965.75	Benefit: 75% = $724.35	
30508	
BLEEDING PEPTIC ULCER, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (Anaes.) (Assist.)
Fee: $1,016.55	Benefit: 75% = $762.45	
30509	
BLEEDING PEPTIC ULCER, control of, involving gastric resection (other than wedge resection) (Anaes.) (Assist.)
Fee: $1,016.55	Benefit: 75% = $762.45	85% = $942.05	
30511	
(see Item 31441 for repair, revision or replacement of implanted reservoir associated with adjustable gastric band)
(see Item 14215 for adding or removing fluid via the implanted reservoir to adjust the tightness of the gastric band)

MORBID OBESITY, gastric reduction or gastroplasty for, by any method (Anaes.) (Assist.)
Fee: $849.55	Benefit: 75% = $637.20	
30512	
MORBID OBESITY, gastric bypass for, by any method including anastomosis (Anaes.) (Assist.)
Fee: $1,045.40	Benefit: 75% = $784.05	

OPERATIONS	GENERAL	
30514	
MORBID OBESITY, surgical reversal, by any method, of procedure to which item 30511 or 30512 applies (Anaes.) (Assist.)
(See para T8.18 of explanatory notes to this Category)
Fee: $1,539.10	Benefit: 75% = $1,154.35	
30515	
GASTROENTEROSTOMY (INCLUDING GASTRODUODENOSTOMY) OR ENTEROCOLOSTOMY OR ENTEROENTEROSTOMY (Anaes.) (Assist.)
Fee: $704.35	Benefit: 75% = $528.30	
30517	
GASTROENTEROSTOMY, PYLOROPLASTY or GASTRODUODENOSTOMY, reconstruction of (Anaes.) (Assist.)
Fee: $922.20	Benefit: 75% = $691.65	
30518	
PARTIAL GASTRECTOMY (Anaes.) (Assist.)
Fee: $987.50	Benefit: 75% = $740.65	
30520	
GASTRIC TUMOUR, removal of, by local excision, not being a service to which item 30518 applies (Anaes.) (Assist.)
Fee: $675.35	Benefit: 75% = $506.55	
30521	
GASTRECTOMY, TOTAL, for benign disease (Anaes.) (Assist.)
Fee: $1,444.90	Benefit: 75% = $1,083.70	
30523	
GASTRECTOMY, SUBTOTAL RADICAL, for carcinoma, (including splenectomy when performed) (Anaes.) (Assist.)
(See para T8.19 of explanatory notes to this Category)
Fee: $1,510.10	Benefit: 75% = $1,132.60	
30524	
GASTRECTOMY, TOTAL RADICAL, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (Anaes.) (Assist.)
Fee: $1,662.65	Benefit: 75% = $1,247.00	
30526	
GASTRECTOMY, TOTAL, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaphragmatic hiatus, (including splenectomy when performed) (Anaes.) (Assist.)
Fee: $2,156.35	Benefit: 75% = $1,617.30	
30527	
ANTIREFLUX OPERATION by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus  not being a service to which item 30601 applies (Anaes.) (Assist.)
(See para T8.20 of explanatory notes to this Category)
Fee: $871.30	Benefit: 75% = $653.50	
30529	
ANTIREFLUX operation by fundoplasty, with OESOPHAGOPLASTY for stricture or short oesophagus (Anaes.) (Assist.)
(See para T8.20 of explanatory notes to this Category)
Fee: $1,306.90	Benefit: 75% = $980.20	
30530	
ANTIREFLUX operation by cardiopexy, with or without fundoplasty (Anaes.) (Assist.)
(See para T8.20 of explanatory notes to this Category)
Fee: $784.20	Benefit: 75% = $588.15	
30532	
OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (Anaes.) (Assist.)
(See para T8.20 of explanatory notes to this Category)
Fee: $900.45	Benefit: 75% = $675.35	
30533	
OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, WITH FUNDOPLASTY, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (Anaes.) (Assist.)
(See para T8.20 of explanatory notes to this Category)
Fee: $1,071.00	Benefit: 75% = $803.25	
30535	
OESOPHAGECTOMY with gastric reconstruction by abdominal mobilisation and thoracotomy (Anaes.) (Assist.)
Fee: $1,696.65	Benefit: 75% = $1,272.50	
30536	
OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest - 1 surgeon (Anaes.) (Assist.)
Fee: $1,720.90	Benefit: 75% = $1,290.70	
30538	
OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest- conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $1,190.80	Benefit: 75% = $893.10	

OPERATIONS	GENERAL	
30539	
OESOPHAGECTOMY involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest - conjoint surgery, co-surgeon (Assist.)
Fee: $871.30	Benefit: 75% = $653.50	
30541	
OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - 1 surgeon (Anaes.) (Assist.)
Fee: $1,517.50	Benefit: 75% = $1,138.15	
30542	
OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $1,031.10	Benefit: 75% = $773.35	
30544	
OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - conjoint surgery, co-surgeon (Assist.)
Fee: $755.20	Benefit: 75% = $566.40	
30545	
OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - 1 surgeon (Anaes.) (Assist.)
Fee: $1,837.10	Benefit: 75% = $1,377.85	
30547	
OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $1,263.35	Benefit: 75% = $947.55	85% = $1,188.85	
30548	
OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - conjoint surgery, co-surgeon (Assist.)
Fee: $943.80	Benefit: 75% = $707.85	85% = $869.30	
30550	
OESOPHAGECTOMY with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - 1 surgeon (Anaes.) (Assist.)
Fee: $2,062.20	Benefit: 75% = $1,546.65	
30551	
OESOPHAGECTOMY with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $1,423.15	Benefit: 75% = $1,067.40	
30553	
OESOPHAGECTOMY with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint surgery, co-surgeon (Assist.)
Fee: $1,052.65	Benefit: 75% = $789.50	85% = $978.15	
30554	
OESOPHAGECTOMY with reconstruction by free jejunal graft - 1 surgeon (Anaes.) (Assist.)
Fee: $2,294.45	Benefit: 75% = $1,720.85	
30556	
OESOPHAGECTOMY with reconstruction by free jejunal graft - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $1,582.80	Benefit: 75% = $1,187.10	
30557	
OESOPHAGECTOMY with reconstruction by free jejunal graft - conjoint surgery, co-surgeon (Assist.)
Fee: $1,169.00	Benefit: 75% = $876.75	
30559	
OESOPHAGUS, local excision for tumour of (Anaes.) (Assist.)
Fee: $849.55	Benefit: 75% = $637.20	85% = $775.05	
30560	
OESOPHAGEAL PERFORATION, repair of, by thoracotomy (Anaes.) (Assist.)
Fee: $943.80	Benefit: 75% = $707.85	
30562	
ENTEROSTOMY or COLOSTOMY, closure of  not involving resection of bowel (Anaes.) (Assist.)
Fee: $595.00	Benefit: 75% = $446.25	
30563	
COLOSTOMY OR ILEOSTOMY, refashioning of (Anaes.) (Assist.)
Fee: $595.00	Benefit: 75% = $446.25	85% = $520.50	
30564	
SMALL BOWEL STRICTUREPLASTY for chronic inflammatory bowel disease (Anaes.) (Assist.)
Fee: $772.30	Benefit: 75% = $579.25	
30565	
SMALL INTESTINE, resection of, without anastomosis (including formation of stoma) (Anaes.) (Assist.)
Fee: $871.30	Benefit: 75% = $653.50	

OPERATIONS	GENERAL	
30566	
SMALL INTESTINE, resection of, with anastomosis (Anaes.) (Assist.)
Fee: $967.85	Benefit: 75% = $725.90	
30568	
INTRAOPERATIVE ENTEROTOMY for visualisation of the small intestine by endoscopy (Anaes.) (Assist.)
Fee: $726.05	Benefit: 75% = $544.55	
30569	
ENDOSCOPIC EXAMINATION of SMALL BOWEL with flexible endoscope passed at laparotomy, with or without biopsies (Anaes.) (Assist.)
Fee: $370.20	Benefit: 75% = $277.65	
30571	
APPENDICECTOMY, not being a service to which item 30574 applies (Anaes.) (Assist.)
Fee: $445.40	Benefit: 75% = $334.05	
30572	
LAPAROSCOPIC APPENDICECTOMY (Anaes.) (Assist.)
Fee: $445.40	Benefit: 75% = $334.05	
30574	
NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item
APPENDICECTOMY, when performed in conjunction with any other intraabdominal procedure through the same incision (Anaes.)
Fee: $123.25	Benefit: 75% = $92.45	
30575	
PANCREATIC ABSCESS, laparotomy and external drainage of, not requiring retro-pancreatic dissection (Anaes.) (Assist.)
Fee: $512.70	Benefit: 75% = $384.55	
30577	
PANCREATIC NECROSECTOMY for PANCREATIC NECROSIS or ABSCESS FORMATION requiring major pancreatic or retro-pancreatic dissection, excluding aftercare (Anaes.) (Assist.)
Fee: $1,089.15	Benefit: 75% = $816.90	
30578	
ENDOCRINE TUMOUR, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (Anaes.) (Assist.)
Fee: $1,147.20	Benefit: 75% = $860.40	
30580	
ENDOCRINE TUMOUR, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (Anaes.) (Assist.)
Fee: $1,045.40	Benefit: 75% = $784.05	
30581	
ENDOCRINE TUMOUR, exploration of pancreas or duodenum for, but no tumour found (Anaes.) (Assist.)
Fee: $762.35	Benefit: 75% = $571.80	
30583	
DISTAL PANCREATECTOMY (Anaes.) (Assist.)
Fee: $1,194.25	Benefit: 75% = $895.70	
30584	
PANCREATICO-DUODENECTOMY, WHIPPLE'S OPERATION, with or without preservation of pylorus (Anaes.) (Assist.)
Fee: $1,762.75	Benefit: 75% = $1,322.10	
30586	
PANCREATIC CYST  ANASTOMOSIS TO STOMACH OR DUODENUM - by open or endoscopic means (Anaes.) (Assist.)
Fee: $701.30	Benefit: 75% = $526.00	
30587	
PANCREATIC CYST, anastomosis to Roux loop of jejunum (Anaes.) (Assist.)
Fee: $726.05	Benefit: 75% = $544.55	
30589	
PANCREATICO-JEJUNOSTOMY for pancreatitis or trauma (Anaes.) (Assist.)
Fee: $1,251.10	Benefit: 75% = $938.35	
30590	
PANCREATICO-JEJUNOSTOMY following previous pancreatic surgery (Anaes.) (Assist.)
Fee: $1,379.50	Benefit: 75% = $1,034.65	
30593	
PANCREATECTOMY, near total or total (including duodenum), with or without splenectomy (Anaes.) (Assist.)
Fee: $1,887.75	Benefit: 75% = $1,415.85	85% = $1,813.25	
30594	
PANCREATECTOMY for pancreatitis following previously attempted drainage procedure or partial resection (Anaes.) (Assist.)
Fee: $2,178.25	Benefit: 75% = $1,633.70	
30596	
SPLENORRHAPHY OR PARTIAL SPLENECTOMY (Anaes.) (Assist.)
Fee: $897.30	Benefit: 75% = $673.00	
30597	
SPLENECTOMY (Anaes.) (Assist.)
Fee: $720.20	Benefit: 75% = $540.15	

OPERATIONS	GENERAL	
30599	
SPLENECTOMY, for massive spleen (weighing more than 1500 grams) or involving thoraco-abdominal incision (Anaes.) (Assist.)
Fee: $1,306.90	Benefit: 75% = $980.20	
30600	
DIAPHRAGMATIC HERNIA, TRAUMATIC, repair of (Anaes.) (Assist.)
Fee: $777.10	Benefit: 75% = $582.85	
30601	
DIAPHRAGMATIC HERNIA, CONGENITAL repair of, by thoracic or abdominal approach (Anaes.) (Assist.)
Fee: $957.30	Benefit: 75% = $718.00	
30602	
PORTAL HYPERTENSION, porto-caval shunt for (Anaes.) (Assist.)
Fee: $1,553.70	Benefit: 75% = $1,165.30	
30603	
PORTAL HYPERTENSION, meso-caval shunt for (Anaes.) (Assist.)
Fee: $1,640.90	Benefit: 75% = $1,230.70	85% = $1,566.40	
30605	
PORTAL HYPERTENSION, selective spleno-renal shunt for (Anaes.) (Assist.)
Fee: $1,865.95	Benefit: 75% = $1,399.50	
30606	
PORTAL HYPERTENSION, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (Anaes.) (Assist.)
Fee: $1,110.80	Benefit: 75% = $833.10	
30609	
FEMORAL OR INGUINAL HERNIA, laparoscopic repair of, not being a service associated with a service to which item 30612 or 30614 applies (Anaes.) (Assist.)
Fee: $464.50	Benefit: 75% = $348.40	
30612 G
30614 S	
FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not being a service to which item 30403 or 30615 applies (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30
Fee: $464.50	Benefit: 75% = $348.40	
30615	
STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
30616 G
30617 S	
UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, in a person under 10 years of age (Anaes.)
Fee: $265.30	Benefit: 75% = $199.00
Fee: $356.35	Benefit: 75% = $267.30	
30620 G
30621 S	
UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, in a person 10 years of age or over (Anaes.) (Assist.)
Fee: $299.45	Benefit: 75% = $224.60
Fee: $407.50	Benefit: 75% = $305.65	
30628	
HYDROCELE, tapping of
Fee: $35.60	Benefit: 75% = $26.70	85% = $30.30	
30631	
HYDROCELE, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply (Anaes.)
Fee: $236.65	Benefit: 75% = $177.50	85% = $201.20	
30634 G
30635 S	
VARICOCELE, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure (Anaes.) (Assist.)
Fee: $235.05	Benefit: 75% = $176.30
Fee: $291.80	Benefit: 75% = $218.85	
30638 G
30641 S	
ORCHIDECTOMY, simple or subscapsular, unilateral with or without insertion of testicular prosthesis (Anaes.) (Assist.)
Fee: $299.45	Benefit: 75% = $224.60
Fee: $407.50	Benefit: 75% = $305.65	
30644	
EXPLORATION OF SPERMATIC CORD, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
30653	
CIRCUMCISION of a male UNDER 6 MONTHS of age (Anaes.)
Fee: $46.50	Benefit: 75% = $34.90	85% = $39.55	
30656	
CIRCUMCISION of a male UNDER 10 YEARS of age but not less than 6 months of age (Anaes.)
Fee: $108.15	Benefit: 75% = $81.15	85% = $91.95	

OPERATIONS	GENERAL	
30659 G
30660 S	
CIRCUMCISION of a male 10 YEARS OF AGE OR OVER (Anaes.)
Fee: $149.75	Benefit: 75% = $112.35	85% = $127.30
Fee: $185.60	Benefit: 75% = $139.20	85% = $157.80	
30663	
HAEMORRHAGE, arrest of, following circumcision requiring general anaesthesia (Anaes.)
Fee: $144.35	Benefit: 75% = $108.30	85% = $122.70	
30666	
PARAPHIMOSIS, reduction of, under general anaesthesia, with or without dorsal incision, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $47.45	Benefit: 75% = $35.60	85% = $40.35	
30672	
COCCYX, excision of (Anaes.) (Assist.)
Fee: $445.40	Benefit: 75% = $334.05	
30675 G
30676 S	
PILONIDAL SINUS OR CYST, OR SACRAL SINUS OR CYST, excision of (Anaes.)
Fee: $299.45	Benefit: 75% = $224.60	85% = $254.55
Fee: $379.05	Benefit: 75% = $284.30	85% = $322.20	
30679	
PILONIDAL SINUS, injection of sclerosant fluid under anaesthesia (Anaes.)
Fee: $96.30	Benefit: 75% = $72.25	85% = $81.90	
30680	
DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (oral approach), with or without biopsy, WITHOUT intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30682 or 30686)

The patient to whom the service is provided must:
(i)	have recurrent or persistent bleeding; and
(ii)	be anaemic or have active bleeding; and
(iii)	have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding.
 (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $1,170.00	Benefit: 75% = $877.50	85% = $1,095.50	
30682	
DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (anal approach), with or without biopsy, WITHOUT intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30680 or 30684)

The patient to whom the service is provided must:
-	 have recurrent or persistent bleeding; and
-	 be anaemic or have active bleeding; and
(iii)	have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding.
 (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $1,170.00	Benefit: 75% = $877.50	85% = $1,095.50	
30684	
DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (oral approach), with or without biopsy, WITH 1 or more of the following procedures (snare polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30682 or 30686)

The patient to whom the service is provided must:
-	 have recurrent or persistent bleeding; and
-	 be anaemic or have active bleeding; and
(iii)	have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding.
 (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $1,439.85	Benefit: 75% = $1,079.90	85% = $1,365.35	

OPERATIONS	GENERAL	
30686	
DOUBLE BALLOON ENTEROSCOPY, examination of the small bowel (anal approach), with or without biopsy, WITH  1 or more of the following procedures (snare polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation), for diagnosis and management of patients with obscure gastrointestinal bleeding, not in association with another item in this subgroup (with the exception of item 30680 or 30684)

The patient to whom the service is provided must:
-	 have recurrent or persistent bleeding; and
-	 be anaemic or have active bleeding; and
(iii)	have had an upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the cause of the bleeding.
 (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $1,439.85	Benefit: 75% = $1,079.90	85% = $1,365.35	
New
30687	
ENDOSCOPY with RADIOFREQUENCY ABLATION of mucosal metaplasia for the treatment of Barrett's Oesophagus in a single course of treatment, following diagnosis of high grade dysplasia confirmed by histological examination (Anaes.)
(See para T8.17 and T8.21 of explanatory notes to this Category)
Fee: $476.10	Benefit: 75% = $357.10	85% = $404.70	
30688	
ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy, for the staging of 1 or more of oesophageal, gastric or pancreatic cancer, not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
(See para T8.17 and T8.22 of explanatory notes to this Category)
Fee: $364.90	Benefit: 75% = $273.70	85% = $310.20	
30690	
ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy,  WITH FINE NEEDLE ASPIRATION, including aspiration of the locoregional lymph nodes if performed, for the staging of 1 or more of oesophageal, gastric or pancreatic cancer, not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
(See para T8.17 and T8.22 of explanatory notes to this Category)
Fee: $563.30	Benefit: 75% = $422.50	85% = $488.80	
30692	
ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy, for the diagnosis of 1 or more of pancreatic, biliary or gastric submucosal tumours, not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
(See para T8.17 and T8.22 of explanatory notes to this Category)
Fee: $364.90	Benefit: 75% = $273.70	85% = $310.20	
30694	
ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), with or without biopsy,  WITH FINE NEEDLE ASPIRATION for the diagnosis of 1 or more of pancreatic, biliary or gastric submucosal tumours,  not in association with another item in this Subgroup and not being a service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
(See para T8.17 and T8.22 of explanatory notes to this Category)
Fee: $563.30	Benefit: 75% = $422.50	85% = $488.80	
Fee
30696	
ENDOSCOPIC ULTRASOUND GUIDED FINE NEEDLE ASPIRATION BIOPSY(S) (endoscopy with ultrasound imaging) to obtain one or more specimens from either:
 
(a)  mediastinal mass(es) or
(b) locoregional nodes to stage non-small cell lung carcinoma

not being a service associated with another item in this subgroup or to which items 30710 and 55054 apply (Anaes.)
(See para T8.22 of explanatory notes to this Category)
Fee: $563.30	Benefit: 75% = $422.50	85% = $488.80	
Fee
30710	
ENDOBRONCHIAL ULTRASOUND GUIDED BIOPSY(S) (bronchoscopy with ultrasound imaging, with or without associated fluoroscopic imaging) to obtain one or more specimens by either:

(a) transbronchial biopsy(s) of peripheral lung lesions; or
(b) fine needle aspiration(s) of a mediastinal mass(es);  or 
(c) fine needle aspiration(s) of locoregional nodes to stage non-small cell lung carcinoma

not being a service associated with another item in this subgroup or to which items 30696, 41892, 41898, and 60500 to 60509 applies (Anaes.)
(See para T8.22 of explanatory notes to this Category)
Fee: $563.30	Benefit: 75% = $422.50	85% = $488.80	

OPERATIONS	GENERAL	
31000	
MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 6 or fewer sections (Anaes.)
Fee: $580.90	Benefit: 75% = $435.70	85% = $506.40	
31001	
MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 7 to 12 sections (inclusive) (Anaes.)
Fee: $726.05	Benefit: 75% = $544.55	85% = $651.55	
31002	
MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure - 13 or more sections (Anaes.)
Fee: $871.30	Benefit: 75% = $653.50	85% = $796.80	
EMSN
31200	
TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach to an operation), removal by surgical excision (other than shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service associated with a service to which item 45200, 45203 or 45206 applies and not being a service to which another item in this Group applies
(See para T8.23 of explanatory notes to this Category)
Fee: $34.00	Benefit: 75% = $25.50	85% = $28.90
Extended Medicare Safety Net Cap: $27.20	
EMSN
31205	
TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size up to and including 10mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $95.45	Benefit: 75% = $71.60	85% = $81.15
Extended Medicare Safety Net Cap: $76.40	
31210	
TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 10mm and up to and including 20mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $123.10	Benefit: 75% = $92.35	85% = $104.65	
31215	
TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), lesion size more than 20mm in diameter, removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $143.55	Benefit: 75% = $107.70	85% = $122.05	
31220	
TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to and including 10mm in diameter, removal of 4 to 10 lesions by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimens excised are sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $214.55	Benefit: 75% = $160.95	85% = $182.40	
31225	
TUMOURS (other than viral verrucae [common warts] and seborrheic keratoses), CYSTS, ULCERS OR SCARS (other than scars removed during the surgical approach at an operation), lesion size up to and including 10mm in diameter, removal of more than 10 lesions by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimens excised are sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $381.30	Benefit: 75% = $286.00	85% = $324.15	

OPERATIONS	GENERAL	
31230	
TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal by surgical excision (other than by shave excision) and suture from nose, eyelid, lip, ear, digit or genitalia, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $168.05	Benefit: 75% = $126.05	85% = $142.85	
31235	
TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal  by surgical excision (other than by shave excision) and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size up to and including 10mm in diameter - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $143.55	Benefit: 75% = $107.70	85% = $122.05	
31240	
TUMOUR (other than viral verrucae [common warts] and seborrheic keratoses), CYST, ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal  by surgical excision (other than by shave excision) and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size more than 10mm in diameter - where the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $168.05	Benefit: 75% = $126.05	85% = $142.85	
31245	
SKIN AND SUBCUTANEOUS TISSUE, extensive excision of, in the treatment of SUPPURATIVE HIDRADENITIS (excision from axilla, groin or natal cleft) or SYCOSIS BARBAE or NUCHAE (excision from face or neck) (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $369.00	Benefit: 75% = $276.75	85% = $313.65	
31250	
GIANT HAIRY or COMPOUND NAEVUS, excision of an area at least 1 percent of body surface where the specimen excised is sent for histological confirmation of diagnosis (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $369.00	Benefit: 75% = $276.75	85% = $313.65	
31255	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to and including 10mm in diameter - where removal is by therapeutic surgical excision (other than by shave excision) and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $221.35	Benefit: 75% = $166.05	85% = $188.15	
31256	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where previous excision was performed by the same practitioner, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $221.35	Benefit: 75% = $166.05	85% = $188.15	
31257	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $221.35	Benefit: 75% = $166.05	85% = $188.15	
31258	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from nose, eyelid, lip, ear, digit or genitalia, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $221.35	Benefit: 75% = $166.05	85% = $188.15	

OPERATIONS	GENERAL	
31260	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter - where removal is by therapeutic surgical excision (other than shave excision) and suture and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $315.65	Benefit: 75% = $236.75	85% = $268.35	
31261	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where previous excision was performed by the same practitioner, where the original tumour size was more than 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $315.65	Benefit: 75% = $236.75	85% = $268.35	
31262	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from nose, eyelid, lip, ear, digit or genitalia, where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $315.65	Benefit: 75% = $236.75	85% = $268.35	
31263	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from nose, eyelid, lip, ear, digit or genitalia, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment,  where the tumour size is more than 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $315.65	Benefit: 75% = $236.75	85% = $268.35	
31265	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck, (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), tumour size up to and including 10mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $184.50	Benefit: 75% = $138.40	85% = $156.85	
31266	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where previous excision was performed by the same practitioner, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $184.50	Benefit: 75% = $138.40	85% = $156.85	
31267	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $184.50	Benefit: 75% = $138.40	85% = $156.85	
31268	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment,  where the tumour size is up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $184.50	Benefit: 75% = $138.40	85% = $156.85	

OPERATIONS	GENERAL	
31270	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck, (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to and including 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $258.25	Benefit: 75% = $193.70	85% = $219.55	
31271	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where previous excision was performed by the same practitioner, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $258.25	Benefit: 75% = $193.70	85% = $219.55	
31272	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $258.25	Benefit: 75% = $193.70	85% = $219.55	
31273	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $258.25	Benefit: 75% = $193.70	85% = $219.55	
31275	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $299.25	Benefit: 75% = $224.45	85% = $254.40	
31276	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where previous excision was performed by the same practitioner, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $299.25	Benefit: 75% = $224.45	85% = $254.40	
31277	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), where performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $299.25	Benefit: 75% = $224.45	85% = $254.40	
31278	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained - not being a service to which item 31295 applies (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $299.25	Benefit: 75% = $224.45	85% = $254.40	

OPERATIONS	GENERAL	
31280	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to and including 10mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $155.85	Benefit: 75% = $116.90	85% = $132.50	
31281	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31255 and 31265, where previous excision was performed by the same practitioner, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $156.40	Benefit: 75% = $117.30	85% = $132.95	
31282	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31255 and 31265, performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $156.40	Benefit: 75% = $117.30	85% = $132.95	
31283	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from areas of the body not covered by items 31255 and 31265, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is up to and including 10mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $156.40	Benefit: 75% = $117.30	85% = $132.95	
31285	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 10mm and up to and including 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $212.95	Benefit: 75% = $159.75	85% = $181.05	
31286	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31270, where previous excision was performed by the same practitioner, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $212.95	Benefit: 75% = $159.75	85% = $181.05	
31287	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31270, performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $212.95	Benefit: 75% = $159.75	85% = $181.05	
31288	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from areas of the body not covered by items 31260 and 31270, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment, where the tumour size is more than 10mm and up to and including 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $212.95	Benefit: 75% = $159.75	85% = $181.05	

OPERATIONS	GENERAL	
31290	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31275, tumour size more than 20mm in diameter and where removal is by therapeutic surgical excision (other than by shave excision) and suture, where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $245.90	Benefit: 75% = $184.45	85% = $209.05	
31291	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31275, where previous excision was performed by the same practitioner, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $245.90	Benefit: 75% = $184.45	85% = $209.05	
31292	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RESIDUAL, removal of, from areas of the body not covered by items 31260 and 31275, performed by a practitioner other than the practitioner who provided the previous treatment, where the original tumour size was more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $245.90	Benefit: 75% = $184.45	85% = $209.05	
31293	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT, removal of, from areas of the body not covered by items 31260 and 31275, whether previous excision was performed by the same practitioner OR performed by a practitioner other than the practitioner who provided the previous treatment,  where the tumour size is more than 20mm in diameter and where removal is by surgical excision (other than by shave excision) and suture and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $245.90	Benefit: 75% = $184.45	85% = $209.05	
31295	
BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, RECURRENT (where lesion was treated by previous surgery, serial cautery and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid nitrogen therapy), performed by a specialist in the practice of his or her specialty or by a practitioner other than the practitioner who provided the previous treatment, removal from the head or neck (anterior to the sternomastoid muscles), where removal is by surgical excision and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $292.85	Benefit: 75% = $219.65	85% = $248.95	
31300	
TREATMENT OF MALIGNANT MELANOMA AND LOCALLY AGGRESSIVE SKIN TUMOURS

Definitive surgical excision for items 31300-31335 is defined as "surgical removal with an adequate margin and as a result, no further surgery is indicated at that site of excision".

MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to and including 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $319.90	Benefit: 75% = $239.95	85% = $271.95	
31305	
MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE and removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $393.50	Benefit: 75% = $295.15	85% = $334.50	
31310	
MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size up to and including 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $278.65	Benefit: 75% = $209.00	85% = $236.90	

OPERATIONS	GENERAL	
31315	
MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 10mm and up to and including 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $352.50	Benefit: 75% = $264.40	85% = $299.65	
31320	
MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle) tumour size more than 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 and T8.24 of explanatory notes to this Category)
Fee: $393.50	Benefit: 75% = $295.15	85% = $334.50	
31325	
MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31300 and 31310 - tumour size up to and including 10mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $270.55	Benefit: 75% = $202.95	85% = $230.00	
31330	
MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31310 - tumour size more than 10mm and up to and including 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $319.90	Benefit: 75% = $239.95	85% = $271.95	
31335	
MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA, MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL CARCINOMA OF SKIN or HUTCHINSON'S MELANOTIC FRECKLE - removal from areas of the body not covered by items 31305 and 31320 - tumour size more than 20mm in diameter and where removal is by definitive surgical excision (as defined above and in the explanatory notes to this category) and suture, where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $369.00	Benefit: 75% = $276.75	85% = $313.65	
31340	
NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item.
MUSCLE, BONE OR CARTILAGE, excision of one or more of, where clinically indicated, where the specimen excised is sent for histological confirmation, performed in association with excision of malignant tumour of skin covered by item 31255, 31256, 31257, 31258, 31260, 31261, 31262, 31263, 31265, 31266, 31267, 31268, 31270, 31271, 31272, 31273, 31275, 31276, 31277, 31278, 31280, 31281, 31282, 31283, 31285, 31286, 31287, 31288, 31290, 31291, 31292, 31293, 31295, 31300, 31305, 31310, 31315, 31320, 31325, 31330 or 31335 (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Derived Fee: 75% of the fee for excision of malignant tumour	
31345	
LIPOMA, removal of by surgical excision or liposuction, where lesion is subcutaneous and 50mm or more in diameter, or is sub-fascial, where the specimen is sent for histological confirmation of diagnosis (Anaes.)
(See para T8.23 of explanatory notes to this Category)
Fee: $210.95	Benefit: 75% = $158.25	85% = $179.35	
31346	
LIPOSUCTION (suction assisted lipolysis) to 1 regional area for treatment of contour problems of abdominal or upper arm or thigh fat due to repeated insulin injections, where the lesion is subcutaneous and 50mm or more in diameter (Anaes.)
Fee: $210.95	Benefit: 75% = $158.25	85% = $179.35	
31350	
BENIGN TUMOUR of SOFT TISSUE, excluding tumours of skin, cartilage, and bone, simple lipomas covered by item 31345 and lipomata, removal of by surgical excision, where the specimen excised is sent for histological confirmation of diagnosis, not being a service to which another item in this Group applies (Anaes.) (Assist.)
(See para T8.23 of explanatory notes to this Category)
Fee: $433.35	Benefit: 75% = $325.05	85% = $368.35	

OPERATIONS	GENERAL	
31355	
MALIGNANT TUMOUR  of SOFT TISSUE, excluding tumours of skin, cartilage and bone, removal of by surgical excision, where histological proof of malignancy has been obtained, not being a service to which another item in this Group applies (Anaes.) (Assist.)
(See para T8.23 of explanatory notes to this Category)
Fee: $714.45	Benefit: 75% = $535.85	85% = $639.95	
31400	
MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR up to and including 20mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes.) (Assist.)
Fee: $261.05	Benefit: 75% = $195.80	85% = $221.90	
31403	
MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 20mm and up to and including 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes.) (Assist.)
Fee: $301.35	Benefit: 75% = $226.05	
31406	
MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes.) (Assist.)
Fee: $502.15	Benefit: 75% = $376.65	85% = $427.65	
31409	
PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
Fee: $1,560.15	Benefit: 75% = $1,170.15	
31412	
RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
Fee: $1,921.75	Benefit: 75% = $1,441.35	
31420	
LYMPH NODE OF NECK, biopsy of (Anaes.)
Fee: $183.90	Benefit: 75% = $137.95	85% = $156.35	
31423	
LYMPH NODES OF NECK, selective dissection of 1 or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck (Anaes.) (Assist.)
(See para T8.25 of explanatory notes to this Category)
Fee: $401.75	Benefit: 75% = $301.35	85% = $341.50	
31426	
LYMPH NODES OF NECK, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck (Anaes.) (Assist.)
(See para T8.25 of explanatory notes to this Category)
Fee: $803.45	Benefit: 75% = $602.60	
31429	
LYMPH NODES OF NECK, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve (Anaes.) (Assist.)
(See para T8.25 of explanatory notes to this Category)
Fee: $1,252.10	Benefit: 75% = $939.10	
31432	
LYMPH NODES OF NECK, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections) (Anaes.) (Assist.)
(See para T8.25 of explanatory notes to this Category)
Fee: $1,339.15	Benefit: 75% = $1,004.40	
31435	
LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph node levels on one side of the neck (Anaes.) (Assist.)
(See para T8.25 of explanatory notes to this Category)
Fee: $984.30	Benefit: 75% = $738.25	
31438	
LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve (Anaes.) (Assist.)
(See para T8.25 of explanatory notes to this Category)
Fee: $1,560.15	Benefit: 75% = $1,170.15	
31441	
(see Item 14215 for adding or removing fluid via the implanted reservoir to adjust the tightness of the gastric band)

LONG-TERM IMPLANTED RESERVOIR associated with the adjustable gastric band, repair, revision or replacement of (Anaes.)
Fee: $251.70	Benefit: 75% = $188.80	85% = $213.95	
31450	
LAPAROSCOPIC DIVISION OF ADHESIONS, as an independent procedure, where the time taken is 1 hour or less (Anaes.) (Assist.)
Fee: $406.65	Benefit: 75% = $305.00	

OPERATIONS	GENERAL	
31452	
LAPAROSCOPIC DIVISION OF ADHESIONS, as an independent procedure, where the time taken in more than 1 hour (Anaes.) (Assist.)
Fee: $711.50	Benefit: 75% = $533.65	
31454	
LAPAROSCOPY with drainage of pus, bile or blood, as an independent procedure (Anaes.) (Assist.)
Fee: $563.30	Benefit: 75% = $422.50	
31456	
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.)
Fee: $245.55	Benefit: 75% = $184.20	
31458	
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.)
Fee: $294.65	Benefit: 75% = $221.00	
31460	
PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.)
Fee: $357.00	Benefit: 75% = $267.75	
31462	
OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
31464	
ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopic technique - not being a service to which item 30601 applies (Anaes.) (Assist.)
(See para T8.20 of explanatory notes to this Category)
Fee: $871.30	Benefit: 75% = $653.50	
31466	
ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.)
(See para T8.20 of explanatory notes to this Category)
Fee: $1,306.95	Benefit: 75% = $980.25	
31468	
PARA-OESOPHAGEAL HIATUS HERNIA, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication (Anaes.) (Assist.)
Fee: $1,435.85	Benefit: 75% = $1,076.90	
31470	
LAPAROSCOPIC SPLENECTOMY (Anaes.) (Assist.)
Fee: $720.20	Benefit: 75% = $540.15	
31472	
CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, CHOLEDOCHOJEJUNOSTOMY OR ROUX-EN-Y as a bypass procedure where prior biliary surgery has been performed (Anaes.) (Assist.)
Fee: $1,169.80	Benefit: 75% = $877.35	
31500	
BREAST, BENIGN LESION up to and including 50mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (Anaes.)
(See para T8.26 of explanatory notes to this Category)
Fee: $260.05	Benefit: 75% = $195.05	85% = $221.05	
31503	
BREAST, BENIGN LESION more than 50mm in diameter, excision of (Anaes.) (Assist.)
(See para T8.26 of explanatory notes to this Category)
Fee: $346.75	Benefit: 75% = $260.10	85% = $294.75	
31506	
BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.)
(See para T8.26 of explanatory notes to this Category)
Fee: $390.10	Benefit: 75% = $292.60	
31509	
BREAST, MALIGNANT TUMOUR, open surgical biopsy of, with or without frozen section histology (Anaes.)
(See para T8.26 of explanatory notes to this Category)
Fee: $346.75	Benefit: 75% = $260.10	85% = $294.75	
31512	
BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology (Anaes.) (Assist.)
(See para T8.26 of explanatory notes to this Category)
Fee: $650.15	Benefit: 75% = $487.65	

OPERATIONS	GENERAL	
31515	
BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.)
(See para T8.26 of explanatory notes to this Category)
Fee: $436.15	Benefit: 75% = $327.15	
31518	
BREAST (female), total mastectomy (Anaes.) (Assist.)
Fee: $736.30	Benefit: 75% = $552.25	
EMSN
31521	
BREAST (male), total mastectomy, not being a service associated with a service to which item 45585 applies (Anaes.) (Assist.)
(See para T8.27 of explanatory notes to this Category)
Fee: $433.50	Benefit: 75% = $325.15	85% = $368.50
Extended Medicare Safety Net Cap: $346.80	
31524	
BREAST (female), subcutaneous mastectomy (Anaes.) (Assist.)
(See para T8.27 of explanatory notes to this Category)
Fee: $1,040.25	Benefit: 75% = $780.20	
Amend
EMSN
31527	
BREAST (male), SUBCUTANEOUS MASTECTOMY, with or without liposuction (suction assisted lipolysis), not being a service associated with a service to which 45585 applies (Anaes.) (Assist.)
(See para T8.27 of explanatory notes to this Category)
Fee: $520.20	Benefit: 75% = $390.15	85% = $445.70
Extended Medicare Safety Net Cap: $416.20	
31530	
BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, where imaging has demonstrated:
(a)	microcalcification of lesion; or
(b)	impalpable lesion less than 1cm in diameter
-	including pre-operative localisation of lesion where performed, not being a service to which items 31539, 31545 or 31548 apply
Fee: $595.65	Benefit: 75% = $446.75	85% = $521.15	
31533	
FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.)
(See para T8.28 of explanatory notes to this Category)
Fee: $137.90	Benefit: 75% = $103.45	85% = $117.25	
31536	
BREAST, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques - but not including imaging, not being a service to which item 31539, 31542 or 31545 applies (Anaes.)
Fee: $189.40	Benefit: 75% = $142.05	85% = $161.00	
31539	
BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using advanced breast biopsy instrumentation (ABBI), for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons, and where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, not being a service to which item 31530, 31536 or 31548 applies (Anaes.)
(See para T8.29 of explanatory notes to this Category)
Fee: $398.80	Benefit: 75% = $299.10	
31542	
BREAST, initial guidewire localisation of lesion, by hookwire or similar device, when conducted by a radiologist as determined by the Royal Australian and New Zealand College of Radiologists, using interventional imaging techniques prior to advanced breast biopsy instrumentation (ABBI), - including imaging not being a service associated with a service to which item 31536 applies (Anaes.)
(See para T8.30 of explanatory notes to this Category)
Fee: $196.95	Benefit: 75% = $147.75	85% = $167.45	
31545	
BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using advanced breast biopsy instrumentation (ABBI), for histological examination, when conducted by a surgeon as determined by the Royal Australasian College of Surgeons; where imaging has demonstrated an impalpable lesion of less than 15mm in diameter, including initial guidewire localisation of lesion, by hookwire or similar device, using interventional imaging techniques and including imaging not being a service associated with a service to which item 31530, 31536 or 31548 applies (Anaes.)
(See para T8.29 of explanatory notes to this Category)
Fee: $595.65	Benefit: 75% = $446.75	85% = $521.15	
31548	
BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using mechanical biopsy device, for histological examination, not being a service to which items 31530, 31539 or 31545 apply (Anaes.)
Fee: $137.90	Benefit: 75% = $103.45	85% = $117.25	

OPERATIONS	COLORECTAL	
31551	
BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare (Anaes.)
Fee: $216.75	Benefit: 75% = $162.60	85% = $184.25	
31554	
BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.)
Fee: $433.50	Benefit: 75% = $325.15	
31557	
BREAST CENTRAL DUCTS, excision of, for benign condition (Anaes.) (Assist.)
Fee: $346.75	Benefit: 75% = $260.10	85% = $294.75	
EMSN
31560	
ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.)
Fee: $346.75	Benefit: 75% = $260.10	85% = $294.75
Extended Medicare Safety Net Cap: $277.40	
31563	
INVERTED NIPPLE, surgical eversion of (Anaes.)
Fee: $259.75	Benefit: 75% = $194.85	85% = $220.80	
31566	
ACCESSORY NIPPLE, excision of (Anaes.)
Fee: $129.95	Benefit: 75% = $97.50	85% = $110.50	
	SUBGROUP 2 - COLORECTAL	
32000	
LARGE INTESTINE, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (Anaes.) (Assist.)
Fee: $1,031.35	Benefit: 75% = $773.55	
32003	
LARGE INTESTINE, resection of, with anastomosis, including right hemicolectomy (Anaes.) (Assist.)
Fee: $1,078.80	Benefit: 75% = $809.10	
32004	
LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not being a service associated with a service to which item 32000, 32003, 32005 or 32006 applies (Anaes.) (Assist.)
Fee: $1,150.35	Benefit: 75% = $862.80	
32005	
LARGE INTESTINE, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not being a service associated with a service to which item 32000, 32003, 32004 or 32006 applies (Anaes.) (Assist.)
Fee: $1,299.55	Benefit: 75% = $974.70	
32006	
LEFT HEMICOLECTOMY, including the descending and sigmoid colon (including formation of stoma) (Anaes.) (Assist.)
Fee: $1,150.35	Benefit: 75% = $862.80	
32009	
TOTAL COLECTOMY AND ILEOSTOMY (Anaes.) (Assist.)
Fee: $1,364.60	Benefit: 75% = $1,023.45	
32012	
TOTAL COLECTOMY AND ILEORECTAL ANASTOMOSIS (Anaes.) (Assist.)
Fee: $1,507.40	Benefit: 75% = $1,130.55	
32015	
TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY  1 surgeon (Anaes.) (Assist.)
Fee: $1,852.50	Benefit: 75% = $1,389.40	
32018	
TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION; ABDOMINAL RESECTION (including aftercare) (Anaes.) (Assist.)
Fee: $1,570.85	Benefit: 75% = $1,178.15	
32021	
TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION; PERINEAL RESECTION (Assist.)
Fee: $563.30	Benefit: 75% = $422.50	
32024	
RECTUM, HIGH RESTORATIVE ANTERIOR RESECTION WITH INTRAPERITONEAL ANASTOMOSIS (of the rectum) greater than 10 centimetres from the anal verge  excluding resection of sigmoid colon alone not being a service associated with a service to which item 32103, 32104 or 32106 applies (Anaes.) (Assist.)
Fee: $1,364.60	Benefit: 75% = $1,023.45	
32025	
RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge, with or without covering stoma not being a service associated with a service to which item 32103, 32104 or 32106 applies (Anaes.) (Assist.)
Fee: $1,825.30	Benefit: 75% = $1,369.00	

OPERATIONS	COLORECTAL	
32026	
RECTUM, ULTRA LOW RESTORATIVE RESECTION, with or without covering stoma, where the anastomosis is sited in the anorectal region and is 6cm or less from the anal verge (Anaes.) (Assist.)
Fee: $1,965.65	Benefit: 75% = $1,474.25	
32028	
RECTUM, LOW OR ULTRA LOW RESTORATIVE RESECTION, with peranal sutured coloanal anastomosis, with or without covering stoma (Anaes.) (Assist.)
Fee: $2,106.20	Benefit: 75% = $1,579.65	
32029	
COLONIC RESERVOIR, construction of, being a service associated with a service to which any other item in this Subgroup applies (Anaes.) (Assist.)
Fee: $421.20	Benefit: 75% = $315.90	
32030	
RECTOSIGMOIDECTOMY  (Hartmann's operation) (Anaes.) (Assist.)
Fee: $1,031.35	Benefit: 75% = $773.55	
32033	
RESTORATION OF BOWEL following Hartmann's or similar operation, including dismantling of the stoma (Anaes.) (Assist.)
Fee: $1,507.40	Benefit: 75% = $1,130.55	
32036	
SACROCOCCYGEAL AND PRESACRAL TUMOUR  excision of (Anaes.) (Assist.)
Fee: $1,911.80	Benefit: 75% = $1,433.85	
32039	
RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF  1 surgeon (Anaes.) (Assist.)
Fee: $1,535.05	Benefit: 75% = $1,151.30	
32042	
RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF, COMBINED SYNCHRONOUS OPERATION  abdominal resection (Anaes.) (Assist.)
Fee: $1,293.15	Benefit: 75% = $969.90	
32045	
RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF, COMBINED SYNCHRONOUS OPERATION  perineal resection (Assist.)
Fee: $483.95	Benefit: 75% = $363.00	
32046	
RECTUM and ANUS, abdomino-perineal resection of, combined synchronous operation - perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon (Assist.)
Fee: $747.90	Benefit: 75% = $560.95	
32047	
PERINEAL PROCTECTOMY (Anaes.) (Assist.)
Fee: $871.30	Benefit: 75% = $653.50	
32051	
TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy  1 surgeon (Anaes.) (Assist.)
Fee: $2,316.60	Benefit: 75% = $1,737.45	
32054	
TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy  conjoint surgery, abdominal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $2,126.20	Benefit: 75% = $1,594.65	
32057	
TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir  conjoint surgery, perineal surgeon (Assist.)
Fee: $563.30	Benefit: 75% = $422.50	
32060	
ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy  1 surgeon (Anaes.) (Assist.)
Fee: $2,316.60	Benefit: 75% = $1,737.45	
32063	
ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy  conjoint surgery, abdominal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $2,126.20	Benefit: 75% = $1,594.65	
32066	
ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy  conjoint surgery, perineal surgeon (Assist.)
Fee: $563.30	Benefit: 75% = $422.50	
32069	
ILEOSTOMY RESERVOIR, continent type, creation of, including conversion of existing ileostomy where appropriate (Anaes.)
Fee: $1,713.65	Benefit: 75% = $1,285.25	

OPERATIONS	COLORECTAL	
32072	
SIGMOIDOSCOPIC EXAMINATION (with rigid sigmoidoscope), with or without biopsy
Fee: $47.85	Benefit: 75% = $35.90	85% = $40.70	
32075	
SIGMOIDOSCOPIC EXAMINATION (with rigid sigmoidoscope), UNDER GENERAL ANAESTHESIA, with or without biopsy, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $75.05	Benefit: 75% = $56.30	85% = $63.80	
32078	
SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or more polyps where the time taken is less than or equal to 45 minutes (Anaes.)
Fee: $168.55	Benefit: 75% = $126.45	85% = $143.30	
32081	
SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or more polyps where the time taken is greater than 45 minutes (Anaes.)
Fee: $231.45	Benefit: 75% = $173.60	85% = $196.75	
32084	
FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC COLONOSCOPY up to the hepatic flexure, WITH or WITHOUT BIOPSY (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $111.35	Benefit: 75% = $83.55	85% = $94.65	
32087	
Endoscopic examination of the colon up to the hepatic flexure by FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC COLONOSCOPY for the REMOVAL OF 1 OR MORE POLYPS or the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by ARGON PLASMA COAGULATION, 1 or more of, not being a service to which item 32078 applies (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $204.70	Benefit: 75% = $153.55	85% = $174.00	
32090	
FIBREOPTIC COLONOSCOPY  examination of colon beyond the hepatic flexure WITH or WITHOUT BIOPSY (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $334.35	Benefit: 75% = $250.80	85% = $284.20	
32093	

Endoscopic examination of the colon beyond the hepatic flexure by FIBREOPTIC COLONOSCOPY for the REMOVAL OF 1 OR MORE POLYPS, or the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by ARGON PLASMA COAGULATION, 1 or more of  (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $469.20	Benefit: 75% = $351.90	85% = $398.85	
32094	
ENDOSCOPIC DILATATION OF COLORECTAL STRICTURES including colonoscopy (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $551.85	Benefit: 75% = $413.90	
32095	
ENDOSCOPIC EXAMINATION of SMALL BOWEL with flexible endoscope passed by stoma, with or without biopsies (Anaes.)
(See para T8.17 of explanatory notes to this Category)
Fee: $127.80	Benefit: 75% = $95.85	85% = $108.65	
32096	
RECTAL BIOPSY, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital (Anaes.) (Assist.)
Fee: $256.95	Benefit: 75% = $192.75	85% = $218.45	
32099	
RECTAL TUMOUR of 5 centimetres or less in diameter, per anal submucosal excision of (Anaes.) (Assist.)
Fee: $333.20	Benefit: 75% = $249.90	
32102	
RECTAL TUMOUR of greater than 5 centimetres in diameter, indicated by pathological examination, per anal submucosal excision of (Anaes.) (Assist.)
Fee: $634.70	Benefit: 75% = $476.05	
Amend
32103	
RECTAL TUMOUR, of less than 4 cm in diameter, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy or by local excision, other than a service associated with a service to which item 32024, 32025, 32104 or 32106 applies  (Anaes.) (Assist.)
(See para T8.17 and T8.31 of explanatory notes to this Category)
Fee: $772.30	Benefit: 75% = $579.25	

OPERATIONS	COLORECTAL	
Amend
32104	
RECTAL TUMOUR, of 4 cm or greater in diameter, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy or by local excision, other than a service associated with a service to which item 32024, 32025, 32103 or 32106 applies  (Anaes.) (Assist.)
(See para T8.17 and T8.31 of explanatory notes to this Category)
Fee: $999.65	Benefit: 75% = $749.75	
32105	
ANORECTAL CARCINOMA  per anal full thickness excision of (Anaes.) (Assist.)
Fee: $483.95	Benefit: 75% = $363.00	85% = $411.40	
Amend
32106	
ANTEROLATERAL INTRAPERITONEAL RECTAL TUMOUR, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy and if removal requires dissection within the peritoneal cavity, other than a service associated with a service to which item 32024, 32025, 32103 or 32104 applies (Anaes.) (Assist.)
(See para T8.17 and T8.31 of explanatory notes to this Category)
Fee: $1,364.60	Benefit: 75% = $1,023.45	85% = $1,290.10	
32108	
RECTAL TUMOUR, transsphincteric excision of (Kraske or similar operation) (Anaes.) (Assist.)
Fee: $999.65	Benefit: 75% = $749.75	
32111	
RECTAL PROLAPSE  Delorme procedure for (Anaes.) (Assist.)
Fee: $634.70	Benefit: 75% = $476.05	
32112	
RECTAL PROLAPSE, perineal recto-sigmoidectomy for (Anaes.) (Assist.)
Fee: $772.30	Benefit: 75% = $579.25	
32114	
RECTAL STRICTURE, per anal release of (Anaes.)
Fee: $174.45	Benefit: 75% = $130.85	85% = $148.30	
32115	
RECTAL STRICTURE, dilatation of (Anaes.)
Fee: $126.85	Benefit: 75% = $95.15	
32117	
RECTAL PROLAPSE, abdominal rectopexy of (Anaes.) (Assist.)
Fee: $999.65	Benefit: 75% = $749.75	
32120	
RECTAL PROLAPSE, perineal repair of (Anaes.) (Assist.)
Fee: $256.95	Benefit: 75% = $192.75	
32123	
ANAL STRICTURE, anoplasty for (Anaes.) (Assist.)
Fee: $333.20	Benefit: 75% = $249.90	85% = $283.25	
32126	
ANAL INCONTINENCE, Parks' intersphincteric procedure for (Anaes.) (Assist.)
Fee: $483.95	Benefit: 75% = $363.00	
32129	
ANAL SPHINCTER, direct repair of (Anaes.) (Assist.)
Fee: $634.70	Benefit: 75% = $476.05	
32131	
RECTOCELE, transanal repair of rectocele (Anaes.) (Assist.)
Fee: $533.60	Benefit: 75% = $400.20	
32132	
HAEMORRHOIDS OR RECTAL PROLAPSE  sclerotherapy for (Anaes.)
Fee: $45.10	Benefit: 75% = $33.85	85% = $38.35	
32135	
HAEMORRHOIDS OR RECTAL PROLAPSE  rubber band ligation of, with or without sclerotherapy, cryotherapy or infra red therapy for (Anaes.)
Fee: $67.50	Benefit: 75% = $50.65	85% = $57.40	
32138	
HAEMORRHOIDECTOMY including excision of anal skin tags when performed (Anaes.)
Fee: $367.75	Benefit: 75% = $275.85	85% = $312.60	
32139	
HAEMORRHOIDECTOMY involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed (Anaes.) (Assist.)
Fee: $367.75	Benefit: 75% = $275.85	
32142	
ANAL SKIN TAGS or ANAL POLYPS, excision of 1 or more of (Anaes.)
Fee: $67.50	Benefit: 75% = $50.65	85% = $57.40	

OPERATIONS	COLORECTAL	
32145	
ANAL SKIN TAGS or ANAL POLYPS, excision of 1 or more of, undertaken in the operating theatre of a hospital (Anaes.)
Fee: $135.05	Benefit: 75% = $101.30	85% = $114.80	
32147	
PERIANAL THROMBOSIS, incision of (Anaes.)
Fee: $45.10	Benefit: 75% = $33.85	85% = $38.35	
32150	
OPERATION FOR FISSUREINANO, including excision or sphincterotomy, but excluding dilatation only (Anaes.) (Assist.)
Fee: $256.95	Benefit: 75% = $192.75	85% = $218.45	
32153	
ANUS, DILATATION OF, under general anaesthesia, with or without disimpaction of faeces, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $70.10	Benefit: 75% = $52.60	
32156	
FISTULA-IN-ANO, SUBCUTANEOUS, excision of (Anaes.)
Fee: $131.75	Benefit: 75% = $98.85	85% = $112.00	
32159	
ANAL FISTULA, treatment of, by excision or by insertion of a Seton, or by a combination of both procedures, involving the lower half of the anal sphincter mechanism (Anaes.) (Assist.)
Fee: $333.20	Benefit: 75% = $249.90	
32162	
ANAL FISTULA, treatment of, by excision or by insertion of a Seton, or by a combination of both procedures, involving the upper half of the anal sphincter mechanism (Anaes.) (Assist.)
Fee: $483.95	Benefit: 75% = $363.00	
32165	
ANAL FISTULA, repair of, by mucosal flap advancement (Anaes.) (Assist.)
Fee: $634.70	Benefit: 75% = $476.05	85% = $560.20	
32166	
ANAL FISTULA - readjustment of Seton (Anaes.)
Fee: $206.20	Benefit: 75% = $154.65	85% = $175.30	
32168	
FISTULA WOUND, review of, under general or regional anaesthetic, as an independent procedure (Anaes.)
Fee: $131.75	Benefit: 75% = $98.85	
32171	
ANORECTAL EXAMINATION, with or without biopsy, under general anaesthetic, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $88.80	Benefit: 75% = $66.60	
32174	
INTR-AANAL, perianal or ischiorectal abscess, drainage of (excluding aftercare) (Anaes.)
Fee: $88.80	Benefit: 75% = $66.60	85% = $75.50	
32175	
INTRA-ANAL, PERIANAL or ISCHIO-RECTAL ABSCESS, draining of, undertaken in the operating theatre of a hospital (excluding aftercare) (Anaes.)
Fee: $162.65	Benefit: 75% = $122.00	
32177	
ANAL WARTS, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is less than or equal to 45 minutes - not being a service associated with a service to which item 35507 or 35508 applies (Anaes.)
Fee: $174.25	Benefit: 75% = $130.70	
32180	
ANAL WARTS, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is greater than 45 minutes - not being a service associated with a service to which item 35507 or 35508 applies (Anaes.)
Fee: $256.95	Benefit: 75% = $192.75	
32183	
INTESTINAL SLING PROCEDURE prior to radiotherapy (Anaes.) (Assist.)
Fee: $561.65	Benefit: 75% = $421.25	
32186	
COLONIC LAVAGE, total, intra operative (Anaes.) (Assist.)
Fee: $561.65	Benefit: 75% = $421.25	
32200	
DISTAL MUSCLE, devascularisation of (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	85% = $251.35	
32203	
ANAL OR PERINEAL GRACILOPLASTY (Anaes.) (Assist.)
Fee: $635.00	Benefit: 75% = $476.25	

OPERATIONS	VASCULAR	
32206	
STIMULATOR AND ELECTRODES, insertion of, following previous graciloplasty (Anaes.) (Assist.)
Fee: $573.70	Benefit: 75% = $430.30	
32209	
ANAL OR PERINEAL GRACILOPLASTY with insertion of stimulator and electrodes (Anaes.) (Assist.)
Fee: $921.95	Benefit: 75% = $691.50	
32210	
GRACILIS NEOSPHINCTER PACEMAKER, replacement of (Anaes.)
Fee: $255.45	Benefit: 75% = $191.60	85% = $217.15	
32212	
ANO-RECTAL APPLICATION OF FORMALIN in the treatment of radiation proctitis, where performed in the operating theatre of a hospital, excluding aftercare (Anaes.)
Fee: $136.25	Benefit: 75% = $102.20	85% = $115.85	
32213	
SACRAL NERVE LEAD(S), placement of, percutaneous using fluoroscopic guidance, or open, and intraoperative test stimulation, for the management of faecal incontinence in a patient who has an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment (Anaes.)
(See para T8.32 of explanatory notes to this Category)
Fee: $660.95	Benefit: 75% = $495.75	
32214	
NEUROSTIMULATOR or RECEIVER, subcutaneous placement of, and placement and connection of extension wire(s) to sacral nerve electrode(s), for the management of faecal incontinence in a patient who has an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, using fluoroscopic guidance (Anaes.) (Assist.)
(See para T8.32 of explanatory notes to this Category)
Fee: $334.00	Benefit: 75% = $250.50	
32215	
SACRAL NERVE ELECTRODE(S), management, adjustment, and electronic programming of neurostimulator by a medical practitioner, for the management of faecal incontinence - each day
(See para T8.32 of explanatory notes to this Category)
Fee: $125.40	Benefit: 75% = $94.05	85% = $106.60	
32216	
SACRAL NERVE LEAD(S), inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, surgical repositioning of, percutaneous using fluoroscopic guidance, or open, to correct displacement or unsatisfactory positioning, and intraoperative test stimulation, not being a service to which item 32213 applies (Anaes.)
(See para T8.32 of explanatory notes to this Category)
Fee: $593.55	Benefit: 75% = $445.20	
32217	
NEUROSTIMULATOR or RECEIVER, inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, removal of (Anaes.)
(See para T8.32 of explanatory notes to this Category)
Fee: $156.30	Benefit: 75% = $117.25	
32218	
SACRAL NERVE LEAD(S), inserted for the management of faecal incontinence in a patient who had an anatomically intact but functionally deficient anal sphincter with faecal incontinence refractory to at least 12 months of conservative non-surgical treatment, removal of (Anaes.)
(See para T8.32 of explanatory notes to this Category)
Fee: $156.30	Benefit: 75% = $117.25	
32220	
Insertion of an artificial bowel sphincter for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed (Anaes.) (Assist.)
(See para T8.33 of explanatory notes to this Category)
Fee: $903.90	Benefit: 75% = $677.95	85% = $829.40	
32221	
Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed (Anaes.) (Assist.)
(See para T8.33 of explanatory notes to this Category)
Fee: $903.90	Benefit: 75% = $677.95	85% = $829.40	

OPERATIONS	VASCULAR	
	SUBGROUP 3 - VASCULAR	
	VARICOSE VEINS	
32500	
VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections of sclerosant using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg (excluding after-care) - to a maximum of 6 treatments in a 12 month period (Anaes.)
(See para T8.34 of explanatory notes to this Category)
Fee: $109.80	Benefit: 75% = $82.35	85% = $93.35
Extended Medicare Safety Net Cap: $119.30	
EMSN
32501	
VARICOSE VEINS where varicosity measures 2.5mm or greater in diameter, multiple injections of sclerosant using continuous compression techniques, including associated consultation - 1 or both legs - not being a service associated with any other varicose vein operation on the same leg, (excluding after-care) where it can be demonstrated that truncal reflux in the long or short saphenous veins has been excluded by duplex examination - and that a 7th or subsequent treatment (including any treatments to which item 32500 applies) is indicated in a 12 month period
(See para T8.34 of explanatory notes to this Category)
Fee: $109.80	Benefit: 75% = $82.35	85% = $93.35
Extended Medicare Safety Net Cap: $87.85	
EMSN
32504	
VARICOSE VEINS, multiple excision of tributaries, with or without division of 1 or more perforating veins - 1 leg - not being a service associated with a service to which item 32507, 32508, 32511, 32514 or 32517 applies on the same leg (Anaes.)
(See para T8.34 of explanatory notes to this Category)
Fee: $267.65	Benefit: 75% = $200.75	85% = $227.55
Extended Medicare Safety Net Cap: $214.15	
EMSN
32507	
VARICOSE VEINS, sub-fascial surgical exploration of one or more incompetent perforating veins - 1 leg - not being a service associated with a service to which item 32508, 32511, 32514 or 32517 applies on the same leg (Anaes.) (Assist.)
(See para T8.34 of explanatory notes to this Category)
Fee: $533.60	Benefit: 75% = $400.20	85% = $459.10
Extended Medicare Safety Net Cap: $426.90	
32508	
VARICOSE VEINS, complete dissection at the sapheno-femoral OR sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)
(See para T8.34 of explanatory notes to this Category)
Fee: $533.60	Benefit: 75% = $400.20	
32511	
VARICOSE VEINS, complete dissection at the sapheno-femoral AND sapheno-popliteal junction - 1 leg - with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time on the same leg, including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)
(See para T8.34 of explanatory notes to this Category)
Fee: $793.30	Benefit: 75% = $595.00	
32514	
VARICOSE VEINS, ligation of the long or short saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in the same territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)
(See para T8.34 of explanatory notes to this Category)
Fee: $926.80	Benefit: 75% = $695.10	
32517	
VARICOSE VEINS, ligation of the long and short saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in either territory - 1 leg - including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)
(See para T8.34 of explanatory notes to this Category)
Fee: $1,193.40	Benefit: 75% = $895.05	
Fee
32520	
VARICOSE VEINS, abolition of venous reflux by occlusion of a primary or recurrent great (long) OR small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) but not including radiofrequency diathermy or radiofrequency ablation, not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 of the general medical services table. (Anaes.)
(See para T8.35 of explanatory notes to this Category)
Fee: $533.60	Benefit: 75% = $400.20	85% = $459.10	

OPERATIONS	VASCULAR	
Fee
32522	
VARICOSE VEINS, abolition of venous reflux by occlusion of a primary or recurrent great (long) AND small (short) saphenous vein of one leg (and major tributaries of saphenous veins as necessary), using a laser probe introduced by an endovenous catheter, including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both) but not including radiofrequency diathermy or radiofrequency ablation, not provided on the same occasion as a service described in any of items 32500, 32501, 32504 or 32507 of the general medical services table. (Anaes.)
(See para T8.35 of explanatory notes to this Category)
Fee: $793.30	Benefit: 75% = $595.00	85% = $718.80	
	BYPASS OR ANASTOMOSIS FOR OCCLUSIVE ARTERIAL DISEASE	
32700	
ARTERY OF NECK, bypass using vein or synthetic material (Anaes.) (Assist.)
Fee: $1,436.30	Benefit: 75% = $1,077.25	
32703	
INTERNAL CAROTID ARTERY, transection and reanastomosis of, or resection of small length and reanastomosis of - with or without endarterectomy (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
32708	
AORTIC BYPASS for occlusive disease using a straight non-bifurcated graft (Anaes.) (Assist.)
Fee: $1,421.35	Benefit: 75% = $1,066.05	
32710	
AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or both anastomoses to the iliac arteries (Anaes.) (Assist.)
Fee: $1,579.30	Benefit: 75% = $1,184.50	
32711	
AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or both anastomoses to the common femoral or profunda femoris arteries (Anaes.) (Assist.)
Fee: $1,737.25	Benefit: 75% = $1,302.95	
32712	
ILIO-FEMORAL BYPASS GRAFTING (Anaes.) (Assist.)
Fee: $1,255.80	Benefit: 75% = $941.85	
32715	
AXILLARY or SUBCLAVIAN TO FEMORAL BYPASS GRAFTING to 1 or both FEMORAL ARTERIES (Anaes.) (Assist.)
Fee: $1,255.80	Benefit: 75% = $941.85	
32718	
FEMORO-FEMORAL OR ILIO-FEMORAL CROSS-OVER BYPASS GRAFTING (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
32721	
RENAL ARTERY, bypass grafting to (Anaes.) (Assist.)
Fee: $1,887.35	Benefit: 75% = $1,415.55	
32724	
RENAL ARTERIES (both), bypass grafting to (Anaes.) (Assist.)
Fee: $2,143.10	Benefit: 75% = $1,607.35	
32730	
MESENTERIC VESSEL (single), bypass grafting to (Anaes.) (Assist.)
Fee: $1,624.30	Benefit: 75% = $1,218.25	
32733	
MESENTERIC VESSELS (multiple), bypass grafting to (Anaes.) (Assist.)
Fee: $1,887.35	Benefit: 75% = $1,415.55	
32736	
INFERIOR MESENTERIC ARTERY, operation on, when performed in conjunction with another intra-abdominal vascular operation (Anaes.) (Assist.)
Fee: $413.55	Benefit: 75% = $310.20	
32739	
FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (Anaes.) (Assist.)
Fee: $1,293.40	Benefit: 75% = $970.05	
32742	
FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (Anaes.) (Assist.)
Fee: $1,481.50	Benefit: 75% = $1,111.15	
32745	
FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery (Anaes.) (Assist.)
Fee: $1,691.95	Benefit: 75% = $1,269.00	
32748	
FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5cms of the ankle joint (Anaes.) (Assist.)
Fee: $1,834.80	Benefit: 75% = $1,376.10	

OPERATIONS	VASCULAR	
32751	
FEMORAL ARTERY BYPASS GRAFTING using synthetic graft, with lower anastomosis above or below the knee (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
32754	
FEMORAL ARTERY BYPASS GRAFTING, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at 1 or both anastomoses (Anaes.) (Assist.)
Fee: $1,481.50	Benefit: 75% = $1,111.15	
32757	
FEMORAL ARTERY SEQUENTIAL BYPASS GRAFTING, (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than 1 artery - each additional artery revascularised beyond a femoral bypass (Anaes.) (Assist.)
Fee: $413.55	Benefit: 75% = $310.20	
32760	
VEIN, HARVESTING OF, FROM LEG OR ARM for bypass or replacement graft when not performed on the limb which is the subject of the bypass or graft - each vein (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	
32763	
ARTERIAL BYPASS GRAFTING, using vein or synthetic material, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
32766	
ARTERIAL OR VENOUS ANASTOMOSIS, not being a service to which another item in this Sub-group applies, as an independent procedure (Anaes.) (Assist.)
Fee: $789.65	Benefit: 75% = $592.25	
32769	
ARTERIAL OR VENOUS ANASTOMOSIS not being a service to which another item in this Sub-group applies, when performed in combination with another vascular operation (including graft to graft anastomosis) (Anaes.) (Assist.)
Fee: $273.65	Benefit: 75% = $205.25	
	BYPASS, REPLACEMENT, LIGATION OF ANEURYSMS	
33050	
BYPASS GRAFTING to replace a popliteal aneurysm using vein, including harvesting vein (when it is the ipsilateral long saphenous vein) (Anaes.) (Assist.)
Fee: $1,455.30	Benefit: 75% = $1,091.50	
33055	
BYPASS GRAFTING to replace a popliteal aneurysm using a synthetic graft (Anaes.) (Assist.)
Fee: $1,167.05	Benefit: 75% = $875.30	
33070	
ANEURYSM IN THE EXTREMITIES, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
Fee: $842.00	Benefit: 75% = $631.50	85% = $767.50	
33075	
ANEURYSM IN THE NECK, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
Fee: $1,071.05	Benefit: 75% = $803.30	
33080	
INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
Fee: $1,307.45	Benefit: 75% = $980.60	
33100	
ANEURYSM OF COMMON OR INTERNAL CAROTID ARTERY, OR BOTH, replacement by graft of vein or synthetic material (Anaes.) (Assist.)
Fee: $1,436.30	Benefit: 75% = $1,077.25	85% = $1,361.80	
33103	
THORACIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
Fee: $2,015.30	Benefit: 75% = $1,511.50	
33109	
THORACO-ABDOMINAL ANEURYSM, replacement by graft including re-implantation of arteries (Anaes.) (Assist.)
Fee: $2,436.50	Benefit: 75% = $1,827.40	85% = $2,362.00	
33112	
SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft including re-implantation of arteries (Anaes.) (Assist.)
Fee: $2,113.10	Benefit: 75% = $1,584.85	
33115	
INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft, not being a service associated with a service to which item 33116 applies (Anaes.) (Assist.)
Fee: $1,421.35	Benefit: 75% = $1,066.05	

OPERATIONS	VASCULAR	
33116	
INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft using endovascular repair procedure, excluding associated radiological services (Anaes.) (Assist.)
Fee: $1,399.00	Benefit: 75% = $1,049.25	85% = $1,324.50	
33118	
INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) not being a service associated with a service to which item 33119 applies (Anaes.) (Assist.)
Fee: $1,579.30	Benefit: 75% = $1,184.50	
33119	
INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to one or both iliac arteries using endovascular repair procedure, excluding associated radiological services (Anaes.) (Assist.)
Fee: $1,554.55	Benefit: 75% = $1,165.95	85% = $1,480.05	
33121	
INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to 1 or both femoral arteries (with or without excision or bypass of common iliac aneurysms) (Anaes.) (Assist.)
Fee: $1,737.25	Benefit: 75% = $1,302.95	
33124	
ANEURYSM OF ILIAC ARTERY (common, external or internal), replacement by graft - unilateral (Anaes.) (Assist.)
Fee: $1,210.80	Benefit: 75% = $908.10	
33127	
ANEURYSMS OF ILIAC ARTERIES (common, external or internal), replacement by graft - bilateral (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	85% = $1,512.25	
33130	
ANEURYSM OF VISCERAL ARTERY, excision and repair by direct anastomosis or replacement by graft (Anaes.) (Assist.)
Fee: $1,383.65	Benefit: 75% = $1,037.75	
33133	
ANEURYSM OF VISCERAL ARTERY, dissection and ligation of arteries without restoration of continuity (Anaes.) (Assist.)
Fee: $1,037.65	Benefit: 75% = $778.25	
33136	
FALSE ANEURYSM, repair of, at aortic anastomosis following previous aortic surgery (Anaes.) (Assist.)
Fee: $2,616.75	Benefit: 75% = $1,962.60	
33139	
FALSE ANEURYSM, repair of, in iliac artery and restoration of arterial continuity (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
33142	
FALSE ANEURYSM, repair of, in femoral artery and restoration of arterial continuity (Anaes.) (Assist.)
Fee: $1,481.50	Benefit: 75% = $1,111.15	85% = $1,407.00	
33145	
RUPTURED THORACIC AORTIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
Fee: $2,549.20	Benefit: 75% = $1,911.90	
33148	
RUPTURED THORACO-ABDOMINAL AORTIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
Fee: $3,165.80	Benefit: 75% = $2,374.35	
33151	
RUPTURED SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
Fee: $3,007.90	Benefit: 75% = $2,255.95	
33154	
RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft (Anaes.) (Assist.)
Fee: $2,225.90	Benefit: 75% = $1,669.45	
33157	
RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (Anaes.) (Assist.)
Fee: $2,481.50	Benefit: 75% = $1,861.15	
33160	
RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to 1 or both femoral arteries (Anaes.) (Assist.)
Fee: $2,481.50	Benefit: 75% = $1,861.15	
33163	
RUPTURED ILIAC ARTERY ANEURYSM, replacement by graft (Anaes.) (Assist.)
Fee: $2,105.70	Benefit: 75% = $1,579.30	
33166	
RUPTURED ANEURYSM OF VISCERAL ARTERY, replacement by anastomosis or graft (Anaes.) (Assist.)
Fee: $2,105.70	Benefit: 75% = $1,579.30	85% = $2,031.20	
33169	
RUPTURED ANEURYSM OF VISCERAL ARTERY, simple ligation of (Anaes.) (Assist.)
Fee: $1,639.35	Benefit: 75% = $1,229.55	

OPERATIONS	VASCULAR	
33172	
ANEURYSM OF MAJOR ARTERY, replacement by graft, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
Fee: $1,278.35	Benefit: 75% = $958.80	
33175	
RUPTURED ANEURYSM IN THE EXTREMITIES, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
Fee: $1,178.10	Benefit: 75% = $883.60	
33178	
RUPTURED ANEURYSM IN THE NECK, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
Fee: $1,498.20	Benefit: 75% = $1,123.65	
33181	
RUPTURED INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
Fee: $1,831.70	Benefit: 75% = $1,373.80	
	ENDARTERECTOMY AND ARTERIAL PATCH	
33500	
ARTERY OR ARTERIES OF NECK, endarterectomy of, including closure by suture (where endarterectomy of 1 or more arteries is undertaken through 1 arteriotomy incision) (Anaes.) (Assist.)
Fee: $1,135.40	Benefit: 75% = $851.55	
33506	
INNOMINATE OR SUBCLAVIAN ARTERY, endarterectomy of, including closure by suture (Anaes.) (Assist.)
Fee: $1,270.90	Benefit: 75% = $953.20	
33509	
AORTIC ENDARTERECTOMY, including closure by suture, not being a service associated with another procedure on the aorta (Anaes.) (Assist.)
Fee: $1,421.35	Benefit: 75% = $1,066.05	
33512	
AORTO-ILIAC ENDARTERECTOMY (1 or both iliac arteries), including closure by suture not being a service associated with a service to which item 33515 applies (Anaes.) (Assist.)
Fee: $1,579.30	Benefit: 75% = $1,184.50	
33515	
AORTO-FEMORAL ENDARTERECTOMY (1 or both femoral arteries) or BILATERAL ILIO-FEMORAL ENDARTERECTOMY, including closure by suture, not being a service associated with a service to which item 33512 applies (Anaes.) (Assist.)
Fee: $1,737.25	Benefit: 75% = $1,302.95	
33518	
ILIAC ENDARTERECTOMY, including closure by suture, not being a service associated with another procedure on the iliac artery (Anaes.) (Assist.)
Fee: $1,270.90	Benefit: 75% = $953.20	85% = $1,196.40	
33521	
ILIO-FEMORAL ENDARTERECTOMY (1 side), including closure by suture (Anaes.) (Assist.)
Fee: $1,376.10	Benefit: 75% = $1,032.10	
33524	
RENAL ARTERY, endarterectomy of (Anaes.) (Assist.)
Fee: $1,624.30	Benefit: 75% = $1,218.25	
33527	
RENAL ARTERIES (both), endarterectomy of (Anaes.) (Assist.)
Fee: $1,887.35	Benefit: 75% = $1,415.55	
33530	
COELIAC OR SUPERIOR MESENTERIC ARTERY, endarterectomy of (Anaes.) (Assist.)
Fee: $1,624.30	Benefit: 75% = $1,218.25	
33533	
COELIAC AND SUPERIOR MESENTERIC ARTERY, endarterectomy of (Anaes.) (Assist.)
Fee: $1,887.35	Benefit: 75% = $1,415.55	
33536	
INFERIOR MESENTERIC ARTERY, endarterectomy of, not being a service associated with a service to which another item in this Sub-group applies (Anaes.) (Assist.)
Fee: $1,346.10	Benefit: 75% = $1,009.60	
33539	
ARTERY OF EXTREMITIES, endarterectomy of, including closure by suture (Anaes.) (Assist.)
Fee: $970.05	Benefit: 75% = $727.55	
33542	
EXTENDED DEEP FEMORAL ENDARTERECTOMY where the endarterectomy is at least 7cms long (Anaes.) (Assist.)
Fee: $1,383.65	Benefit: 75% = $1,037.75	

OPERATIONS	VASCULAR	
33545	
ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material where patch is less than 3cm long (Anaes.) (Assist.)
(See para T8.38 of explanatory notes to this Category)
Fee: $273.65	Benefit: 75% = $205.25	
33548	
ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material where patch is 3cm long or greater (Anaes.) (Assist.)
(See para T8.38 of explanatory notes to this Category)
Fee: $556.60	Benefit: 75% = $417.45	
33551	
VEIN, harvesting of from leg or arm for patch when not performed through same incision as operation (Anaes.) (Assist.)
(See para T8.38 of explanatory notes to this Category)
Fee: $273.65	Benefit: 75% = $205.25	
33554	
ENDARTERECTOMY, in conjunction with an arterial bypass operation to prepare the site for anastomosis - each site (Anaes.) (Assist.)
Fee: $272.40	Benefit: 75% = $204.30	
	EMBOLECTOMY, THROMBECTOMY AND VASCULAR TRAUMA	
33800	
EMBOLUS, removal of, from artery of neck (Anaes.) (Assist.)
Fee: $1,180.60	Benefit: 75% = $885.45	85% = $1,106.10	
33803	
EMBOLECTOMY or THROMBECTOMY, by abdominal approach, of an artery or bypass graft of trunk (Anaes.) (Assist.)
Fee: $1,128.05	Benefit: 75% = $846.05	
33806	
EMBOLECTOMY OR THROMBECTOMY, including the infusion of thrombolytic or other agents, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (Anaes.) (Assist.)
(See para T8.39 of explanatory notes to this Category)
Fee: $812.15	Benefit: 75% = $609.15	85% = $737.65	
33810	
INFERIOR VENA CAVA OR ILIAC VEIN, closed thrombectomy by catheter via the femoral vein (Anaes.) (Assist.)
Fee: $592.45	Benefit: 75% = $444.35	85% = $517.95	
33811	
INFERIOR VENA CAVA OR ILIAC VEIN, open removal of thrombus or tumour (Anaes.) (Assist.)
Fee: $1,763.80	Benefit: 75% = $1,322.85	
33812	
THROMBUS, removal of, from femoral or other similar large vein (Anaes.) (Assist.)
Fee: $932.45	Benefit: 75% = $699.35	85% = $857.95	
33815	
MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by lateral suture (Anaes.) (Assist.)
Fee: $857.30	Benefit: 75% = $643.00	
33818	
MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes.) (Assist.)
Fee: $1,000.15	Benefit: 75% = $750.15	
33821	
MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes.) (Assist.)
Fee: $1,143.00	Benefit: 75% = $857.25	
33824	
MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by lateral suture (Anaes.) (Assist.)
Fee: $1,090.35	Benefit: 75% = $817.80	
33827	
MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes.) (Assist.)
Fee: $1,278.35	Benefit: 75% = $958.80	
33830	
MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes.) (Assist.)
Fee: $1,466.30	Benefit: 75% = $1,099.75	
33833	
MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by lateral suture (Anaes.) (Assist.)
Fee: $1,331.15	Benefit: 75% = $998.40	

OPERATIONS	VASCULAR	
33836	
MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by direct anastomosis (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
33839	
MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by means of interposition graft (Anaes.) (Assist.)
Fee: $1,857.40	Benefit: 75% = $1,393.05	
33842	
ARTERY OF NECK, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (Anaes.) (Assist.)
Fee: $917.40	Benefit: 75% = $688.05	
33845	
LAPAROTOMY for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (Anaes.) (Assist.)
Fee: $639.20	Benefit: 75% = $479.40	
33848	
EXTREMITY, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (Anaes.) (Assist.)
Fee: $639.20	Benefit: 75% = $479.40	
	LIGATION, EXCISION, ELECTIVE REPAIR, DECOMPRESSION OF VESSELS	
34100	
MAJOR ARTERY OF NECK, elective ligation or exploration of, not being a service associated with any other vascular procedure (Anaes.) (Assist.)
Fee: $707.00	Benefit: 75% = $530.25	
34103	
GREAT ARTERY OR GREAT VEIN (including subclavian, axillary, iliac, femoral or popliteal), ligation of, or exploration of, not being a service associated with any other vascular procedure except those services to which items 32508, 32511, 32514 or 32517 apply (Anaes.) (Assist.)
Fee: $413.55	Benefit: 75% = $310.20	
EMSN
34106	
ARTERY OR VEIN (including brachial, radial, ulnar or tibial), ligation of, by elective operation, or exploration of, not being a service associated with any other vascular procedure except those services to which items 32508, 32511, 32514 or 32517 apply (Anaes.) (Assist.)
Fee: $291.70	Benefit: 75% = $218.80	85% = $247.95
Extended Medicare Safety Net Cap: $233.40	
34109	
TEMPORAL ARTERY, biopsy of (Anaes.) (Assist.)
Fee: $338.35	Benefit: 75% = $253.80	85% = $287.60	
34112	
ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and ligation (Anaes.) (Assist.)
Fee: $857.30	Benefit: 75% = $643.00	
34115	
ARTERIO-VENOUS FISTULA OF THE NECK, dissection and ligation (Anaes.) (Assist.)
Fee: $970.05	Benefit: 75% = $727.55	
34118	
ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and ligation (Anaes.) (Assist.)
Fee: $1,383.65	Benefit: 75% = $1,037.75	85% = $1,309.15	
34121	
ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)
Fee: $1,105.35	Benefit: 75% = $829.05	
34124	
ARTERIO-VENOUS FISTULA OF THE NECK, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)
Fee: $1,210.80	Benefit: 75% = $908.10	
34127	
ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
34130	
SURGICALLY CREATED ARTERIO-VENOUS FISTULA OF AN EXTREMITY, closure of (Anaes.) (Assist.)
Fee: $496.30	Benefit: 75% = $372.25	85% = $421.90	
34133	
SCALENOTOMY (Anaes.) (Assist.)
Fee: $556.60	Benefit: 75% = $417.45	
34136	
FIRST RIB, resection of portion of (Anaes.) (Assist.)
Fee: $894.75	Benefit: 75% = $671.10	

OPERATIONS	VASCULAR	
34139	
CERVICAL RIB, removal of, or other operation for removal of thoracic outlet compression, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
Fee: $894.75	Benefit: 75% = $671.10	
34142	
COELIAC ARTERY, decompression of, for coeliac artery compression syndrome, as an independent procedure (Anaes.) (Assist.)
Fee: $1,105.35	Benefit: 75% = $829.05	
34145	
POPLITEAL ARTERY, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (Anaes.) (Assist.)
Fee: $804.65	Benefit: 75% = $603.50	
34148	
CAROTID ASSOCIATED TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is 4cm or less in maximum diameter (Anaes.) (Assist.)
Fee: $1,436.30	Benefit: 75% = $1,077.25	
34151	
CAROTID ASSOCIATED TUMOUR, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter (Anaes.) (Assist.)
Fee: $1,962.65	Benefit: 75% = $1,472.00	
34154	
RECURRENT CAROTID ASSOCIATED TUMOUR, resection of, with or without repair or replacement of portion of internal or common carotid arteries (Anaes.) (Assist.)
Fee: $2,338.75	Benefit: 75% = $1,754.10	85% = $2,264.25	
34157	
NECK, excision of infected bypass graft, including closure of vessel or vessels (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
34160	
AORTO-DUODENAL FISTULA, repair of, by suture of aorta and repair of duodenum (Anaes.) (Assist.)
Fee: $2,225.90	Benefit: 75% = $1,669.45	
34163	
AORTO-DUODENAL FISTULA, repair of, by insertion of aortic graft and repair of duodenum (Anaes.) (Assist.)
Fee: $2,857.55	Benefit: 75% = $2,143.20	
34166	
AORTO-DUODENAL FISTULA, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo-bifemoral grafting (Anaes.) (Assist.)
Fee: $2,857.55	Benefit: 75% = $2,143.20	
34169	
INFECTED BYPASS GRAFT FROM TRUNK, excision of, including closure of arteries (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
34172	
INFECTED AXILLO-FEMORAL OR FEMORO-FEMORAL GRAFT, excision of, including closure of arteries (Anaes.) (Assist.)
Fee: $1,293.40	Benefit: 75% = $970.05	
34175	
INFECTED BYPASS GRAFT FROM EXTREMITIES, excision of including closure of arteries (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
	OPERATIONS FOR VASCULAR ACCESS	
34500	
ARTERIOVENOUS SHUNT, EXTERNAL, insertion of (Anaes.) (Assist.)
Fee: $308.40	Benefit: 75% = $231.30	85% = $262.15	
34503	
ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, in conjunction with another venous or arterial operation (Anaes.) (Assist.)
Fee: $413.55	Benefit: 75% = $310.20	
34506	
ARTERIOVENOUS SHUNT, EXTERNAL, removal of (Anaes.) (Assist.)
Fee: $210.45	Benefit: 75% = $157.85	
34509	
ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, not in conjunction  with another venous or arterial operation (Anaes.) (Assist.)
Fee: $977.55	Benefit: 75% = $733.20	
34512	
ARTERIOVENOUS ACCESS DEVICE, insertion of (Anaes.) (Assist.)
Fee: $1,075.40	Benefit: 75% = $806.55	
34515	
ARTERIOVENOUS ACCESS DEVICE, thrombectomy of (Anaes.) (Assist.)
Fee: $767.00	Benefit: 75% = $575.25	

OPERATIONS	VASCULAR	
34518	
STENOSIS OF ARTERIOVENOUS FISTULA OR PROSTHETIC ARTERIOVENOUS ACCESS DEVICE, correction of (Anaes.) (Assist.)
Fee: $1,285.75	Benefit: 75% = $964.35	
34521	
INTRA-ABDOMINAL ARTERY OR VEIN, cannulation of, for infusion chemotherapy, by open operation (excluding aftercare) (Anaes.) (Assist.)
Fee: $789.95	Benefit: 75% = $592.50	
34524	
ARTERIAL CANNULATION for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after-care) (Anaes.) (Assist.)
Fee: $413.55	Benefit: 75% = $310.20	
34527	
CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterisation (Anaes.)
Fee: $551.60	Benefit: 75% = $413.70	85% = $477.10	
34528	
CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device (Anaes.)
Fee: $272.40	Benefit: 75% = $204.30	85% = $231.55	
34530	
HICKMAN OR BROVIAC CATHETER, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital or approved day-hospital (Anaes.)
Fee: $204.25	Benefit: 75% = $153.20	85% = $173.65	
34533	
ISOLATED LIMB PERFUSION, including cannulation of artery and vein at commencement of procedure, regional perfusion for chemotherapy, or other therapy, repair of arteriotomy and venotomy at conclusion of procedure (excluding aftercare) (Anaes.) (Assist.)
Fee: $1,240.65	Benefit: 75% = $930.50	85% = $1,166.15	
34538	
CENTRAL VEIN CATHERTERISATION by percutaneous technique, using subcutaneous tunnelled cuffed catheter or similar device, for the administration of haemodialysis or parenteral nutrition (Anaes.)
Fee: $272.40	Benefit: 75% = $204.30	85% = $231.55	
34539	
TUNNELLED CUFFED CATHETER, OR SIMILAR DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital (Anaes.)
Fee: $204.25	Benefit: 75% = $153.20	85% = $173.65	
	COMPLEX VENOUS OPERATIONS	
34800	
INFERIOR VENA CAVA, plication, ligation, or application of caval clip (Anaes.) (Assist.)
Fee: $812.15	Benefit: 75% = $609.15	85% = $737.65	
34803	
INFERIOR VENA CAVA, reconstruction of or bypass by vein or synthetic material (Anaes.) (Assist.)
Fee: $1,789.85	Benefit: 75% = $1,342.40	
34806	
CROSS LEG BYPASS GRAFTING, saphenous to iliac or femoral vein (Anaes.) (Assist.)
Fee: $970.05	Benefit: 75% = $727.55	
34809	
SAPHENOUS VEIN ANASTOMOSIS to femoral or popliteal vein for femoral vein bypass (Anaes.) (Assist.)
Fee: $970.05	Benefit: 75% = $727.55	
34812	
VENOUS STENOSIS OR OCCLUSION, vein bypass for, using vein or synthetic material, not being a service associated with a service to which item 34806 or 34809 applies (Anaes.) (Assist.)
Fee: $1,173.05	Benefit: 75% = $879.80	
34815	
VEIN STENOSIS, patch angioplasty for, (excluding vein graft stenosis)-using vein or synthetic material (Anaes.) (Assist.)
(See para T8.38 of explanatory notes to this Category)
Fee: $970.05	Benefit: 75% = $727.55	
34818	
VENOUS VALVE, plication or repair to restore valve competency (Anaes.) (Assist.)
Fee: $1,067.80	Benefit: 75% = $800.85	
34821	
VEIN TRANSPLANT to restore valvular function (Anaes.) (Assist.)
Fee: $1,451.45	Benefit: 75% = $1,088.60	85% = $1,376.95	

OPERATIONS	VASCULAR	
34824	
EXTERNAL STENT, application of, to restore venous valve competency to superficial vein - 1 stent (Anaes.) (Assist.)
Fee: $496.30	Benefit: 75% = $372.25	
34827	
EXTERNAL STENTS, application of, to restore venous valve competency to superficial vein or veins - more than 1 stent (Anaes.) (Assist.)
Fee: $601.65	Benefit: 75% = $451.25	
34830	
EXTERNAL STENT, application of, to restore venous valve competency to deep vein (1 stent) (Anaes.) (Assist.)
Fee: $707.00	Benefit: 75% = $530.25	85% = $632.50	
34833	
EXTERNAL STENTS, application of, to restore venous valve competency to deep vein or veins (more than 1 stent) (Anaes.) (Assist.)
Fee: $917.40	Benefit: 75% = $688.05	
	SYMPATHECTOMY	
35000	
LUMBAR SYMPATHECTOMY (Anaes.) (Assist.)
Fee: $707.00	Benefit: 75% = $530.25	85% = $632.50	
35003	
CERVICAL OR UPPER THORACIC SYMPATHECTOMY by any surgical approach (Anaes.) (Assist.)
Fee: $917.40	Benefit: 75% = $688.05	
35006	
CERVICAL OR UPPER THORACIC SYMPATHECTOMY, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (Anaes.) (Assist.)
Fee: $1,150.55	Benefit: 75% = $862.95	
35009	
LUMBAR SYMPATHECTOMY, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (Anaes.) (Assist.)
Fee: $894.75	Benefit: 75% = $671.10	
35012	
SACRAL or PRE-SACRAL SYMPATHECTOMY (Anaes.) (Assist.)
Fee: $707.00	Benefit: 75% = $530.25	
	DEBRIDEMENT AND AMPUTATIONS FOR VASCULAR DISEASE	
35100	
ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone (Anaes.) (Assist.)
Fee: $368.55	Benefit: 75% = $276.45	
35103	
ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (Anaes.)
Fee: $234.55	Benefit: 75% = $175.95	85% = $199.40	
	MISCELLANEOUS VASCULAR PROCEDURES	
35200	
OPERATIVE ARTERIOGRAPHY OR VENOGRAPHY, 1 or more of, performed during the course of an operative procedure on an artery or vein, 1 site (Anaes.)
Fee: $171.50	Benefit: 75% = $128.65	
35202	
MAJOR ARTERIES OR VEINS IN THE NECK, ABDOMEN OR EXTREMITIES, access to, as part of RE-OPERATION after prior surgery on these vessels (Anaes.) (Assist.)
Fee: $817.10	Benefit: 75% = $612.85	
	ENDOVASCULAR INTERVENTIONAL PROCEDURES	
35300	
TRANSLUMINAL BALLOON ANGIOPLASTY of 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $515.35	Benefit: 75% = $386.55	85% = $440.85	
35303	
TRANSLUMINAL BALLOON ANGIOPLASTY of aortic arch branches, aortic visceral branches, or more than 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $660.80	Benefit: 75% = $495.60	85% = $586.30	

OPERATIONS	VASCULAR	
35306	
TRANSLUMINAL STENT INSERTION including associated balloon dilatation for 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $609.90	Benefit: 75% = $457.45	85% = $535.40	
35307	
TRANSLUMINAL STENT INSERTION, 1 or more stents (not drug-eluting), with or without associated balloon dilatation, for 1 carotid artery, percutaneous (not direct), with or without the use of an embolic protection device, in patients who:
-	meet the indications for carotid endarterectomy; and
-	have medical or surgical comorbidities that would make them at high risk of perioperative complications from carotid endarterectomy,
excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.40 of explanatory notes to this Category)
Fee: $1,121.15	Benefit: 75% = $840.90	
35309	
TRANSLUMINAL STENT INSERTION including associated balloon dilatation for visceral arteries or veins, or more than 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $762.35	Benefit: 75% = $571.80	85% = $687.85	
35312	
PERIPHERAL ARTERIAL ATHERECTOMY including associated balloon dilatation of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $864.05	Benefit: 75% = $648.05	
35315	
PERIPHERAL LASER ANGIOPLASTY including associated balloon dilatation of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $864.05	Benefit: 75% = $648.05	
35317	
PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY CONTINUOUS INFUSION, using percutaneous approach, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35319 or 35320 applies and not being a service associated with photodynamic therapy with verteporfin) (Anaes.) (Assist.)
(See para T8.41 of explanatory notes to this Category)
Fee: $355.80	Benefit: 75% = $266.85	85% = $302.45	
35319	
PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY PULSE SPRAY TECHNIQUE, using percutaneous approach, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35317 or 35320 applies and not being a service associated with photodynamic therapy with verteporfin) (Anaes.) (Assist.)
Fee: $637.80	Benefit: 75% = $478.35	85% = $563.30	
35320	
PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with administration of thrombolytic or chemotherapeutic agents, BY OPEN EXPOSURE, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which another item in Subgroup 11 of Group T1 or items 35317 or 35319 applies and not being a service associated with photodynamic therapy with verteporfin) (Anaes.) (Assist.)
Fee: $856.70	Benefit: 75% = $642.55	85% = $782.20	
35321	
PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION to administer agents to occlude arteries, veins or arterio-venous fistulae or to arrest haemorrhage, (but not for the treatment of uterine fibroids or varicose veins) percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.)
(See para T8.42 of explanatory notes to this Category)
Fee: $813.30	Benefit: 75% = $610.00	85% = $738.80	
35324	
ANGIOSCOPY not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $304.95	Benefit: 75% = $228.75	
35327	
ANGIOSCOPY combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $408.70	Benefit: 75% = $306.55	
35330	
INSERTION of INFERIOR VENA CAVAL FILTER, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $515.35	Benefit: 75% = $386.55	85% = $440.85	

OPERATIONS	VASCULAR	
35331	
RETRIEVAL OF INFERIOR VENA CAVAL FILTER, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (Anaes.)
Fee: $592.45	Benefit: 75% = $444.35	
35360	
Retrieval of foreign body in PULMONARY ARTERY, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare 

(foreign body does not include an instrument inserted for the purpose of a service being rendered) (Anaes.) (Assist.)
Fee: $828.20	Benefit: 75% = $621.15	
35361	
Retrieval of foreign body in RIGHT ATRIUM, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare

(foreign body does not include an instrument inserted for the purpose of a service being rendered) (Anaes.) (Assist.)
Fee: $710.30	Benefit: 75% = $532.75	
35362	
Retrieval of foreign body in INFERIOR VENA CAVA or AORTA, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare

(foreign body does not include an instrument inserted for the purpose of a service being rendered) (Anaes.) (Assist.)
Fee: $592.45	Benefit: 75% = $444.35	
35363	
Retrieval of foreign body in PERIPHERAL VEIN or PERIPHERAL ARTERY, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare

(foreign body does not include an instrument inserted for the purpose of a service being rendered) (Anaes.) (Assist.)
Fee: $474.65	Benefit: 75% = $356.00	
	INTERVENTIONAL RADIOLOGY PROCEDURES	
35404	
DOSIMETRY, HANDLING AND INJECTION OF SIR-SPHERES for selective internal radiation therapy of hepatic metastases which are secondary to colorectal cancer and are not suitable for resection or ablation, used in combination with systemic chemotherapy using 5-fluorouracil (5FU) and leucovorin, not being a service to which item 35317, 35319, 35320 or 35321 applies
The procedure must be performed by a specialist or consultant physician recognised in the specialties of nuclear medicine or radiation oncology on an admitted patient in a hospital. To be claimed once in the patient's lifetime only.
(See para T8.43 of explanatory notes to this Category)
Fee: $346.60	Benefit: 75% = $259.95	
35406	
Trans-femoral catheterisation of the hepatic artery to administer SIR-Spheres to embolise the microvasculature of hepatic metastases which are secondary to colorectal cancer and are not suitable for resection or ablation, for selective internal radiation therapy used in combination with systemic chemotherapy using 5-fluorouracil (5FU) and leucovorin, not being a service to which item 35317, 35319, 35320 or 35321 applies
excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.43 of explanatory notes to this Category)
Fee: $813.30	Benefit: 75% = $610.00	
35408	
Catheterisation of the hepatic artery via a permanently implanted hepatic artery port to administer SIR-Spheres to embolise the microvasculature of hepatic metastases which are secondary to colorectal cancer and are not suitable for resection or ablation, for selective internal radiation therapy used in combination with systemic chemotherapy using 5-fluorouracil (5FU) and leucovorin, not being a service to which item 35317, 35319, 35320 or 35321 applies
excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.43 of explanatory notes to this Category)
Fee: $610.10	Benefit: 75% = $457.60	
35410	
UTERINE ARTERY CATHETERISATION with percutaneous administration of occlusive agents, for the treatment of symptomatic uterine fibroids in a patient who has been referred for uterine artery embolisation by a specialist gynaecologist, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.36 of explanatory notes to this Category)
Fee: $813.30	Benefit: 75% = $610.00	85% = $738.80	
35412	
Intracranial aneurysm, ruptured or unruptured, endovascular occlusion with detachable coils, and assisted coiling if performed, with parent artery preservation, not for use with liquid embolics only, including intra-operative imaging, but in association with pre-operative diagnostic imaging items 60009 and either 60072, 60075 or 60078, including aftercare (Anaes.) (Assist.)
(See para T8.37 of explanatory notes to this Category)
Fee: $2,857.55	Benefit: 75% = $2,143.20	85% = $2,783.05	

OPERATIONS	GYNAECOLOGICAL	
	SUBGROUP 4 - GYNAECOLOGICAL	
35500	
GYNAECOLOGICAL EXAMINATION UNDER ANAESTHESIA, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $81.30	Benefit: 75% = $61.00	85% = $69.15	
35502	
INTRAUTERINE DEVICE, INTRODUCTION OF, for the control of idiopathic menorrhagia, AND ENDOMETRIAL BIOPSY to exclude endometrial pathology, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $80.15	Benefit: 75% = $60.15	85% = $68.15	
35503	
INTRAUTERINE CONTRACEPTIVE DEVICE, INTRODUCTION OF, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $53.55	Benefit: 75% = $40.20	85% = $45.55	
35506	
INTRAUTERINE CONTRACEPTIVE DEVICE, REMOVAL OF UNDER GENERAL ANAESTHESIA, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $53.70	Benefit: 75% = $40.30	85% = $45.65	
35507	
VULVAL OR VAGINAL WARTS, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is less than or equal to 45 minutes - not being a service associated with a service to which item 32177 or 32180 applies (Anaes.)
Fee: $174.45	Benefit: 75% = $130.85	85% = $148.30	
35508	
VULVAL OR VAGINAL WARTS, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is greater than 45 minutes - not being a service associated with a service to which item 32177 or 32180 applies (Anaes.) (Assist.)
Fee: $256.95	Benefit: 75% = $192.75	85% = $218.45	
35509	
HYMENECTOMY (Anaes.)
Fee: $89.45	Benefit: 75% = $67.10	85% = $76.05	
35512 G
35513 S	
BARTHOLIN'S CYST, excision of (Anaes.)
Fee: $179.40	Benefit: 75% = $134.55	85% = $152.50
Fee: $221.70	Benefit: 75% = $166.30	85% = $188.45	
35516 G
35517 S	
BARTHOLIN'S CYST OR GLAND, marsupialisation of (Anaes.)
Fee: $116.35	Benefit: 75% = $87.30	85% = $98.90
Fee: $146.00	Benefit: 75% = $109.50	85% = $124.10	
35518	
OVARIAN CYST ASPIRATION, for cysts of at least 4cm in diameter in premenopausal women and at least 2cm in diameter in postmenopausal women, by abdominal or vaginal route, using interventional imaging techniques and not associated with services provided for assisted reproductive techniques (Anaes.)
Fee: $207.85	Benefit: 75% = $155.90	85% = $176.70	
35520	
BARTHOLIN'S ABSCESS, incision of (Anaes.)
Fee: $58.30	Benefit: 75% = $43.75	85% = $49.60	
35523	
URETHRA OR URETHRAL CARUNCLE, cauterisation of (Anaes.)
Fee: $58.30	Benefit: 75% = $43.75	85% = $49.60	
35526 G
35527 S	
URETHRAL CARUNCLE, excision of (Anaes.)
Fee: $116.35	Benefit: 75% = $87.30	85% = $98.90
Fee: $146.00	Benefit: 75% = $109.50	85% = $124.10	
35530	
CLITORIS, amputation of, where medically indicated (Anaes.) (Assist.)
Fee: $269.85	Benefit: 75% = $202.40	
EMSN
35533	
VULVOPLASTY or LABIOPLASTY, where medically indicated, not being a service associated with a service to which item 35536 applies (Anaes.)
Fee: $349.85	Benefit: 75% = $262.40	85% = $297.40
Extended Medicare Safety Net Cap: $279.90	
35536	
VULVA, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures (Anaes.) (Assist.)
Fee: $348.45	Benefit: 75% = $261.35	85% = $296.20	

OPERATIONS	GYNAECOLOGICAL	
35539	
COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies  1 anatomical site (Anaes.)
Fee: $272.95	Benefit: 75% = $204.75	85% = $232.05	
35542	
COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for previously confirmed intraepithelial neoplastic  changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies  2 or more anatomical sites (Anaes.) (Assist.)
Fee: $319.60	Benefit: 75% = $239.70	85% = $271.70	
35545	
COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for condylomata, unsuccessfully treated by other methods (Anaes.)
Fee: $183.60	Benefit: 75% = $137.70	85% = $156.10	
35548	
VULVECTOMY, radical, for malignancy (Anaes.) (Assist.)
Fee: $834.05	Benefit: 75% = $625.55	
35551	
PELVIC LYMPH GLANDS, excision of (radical) (Anaes.) (Assist.)
Fee: $683.90	Benefit: 75% = $512.95	
35554	
VAGINA, DILATATION OF, as an independent procedure including any associated consultation (Anaes.)
Fee: $43.50	Benefit: 75% = $32.65	85% = $37.00	
35557	
VAGINA, removal of simple tumour (including Gartner duct cyst) (Anaes.)
Fee: $214.50	Benefit: 75% = $160.90	85% = $182.35	
35560	
VAGINA, partial or complete removal of (Anaes.) (Assist.)
Fee: $683.90	Benefit: 75% = $512.95	
35561	
VAGINECTOMY, radical, for proven invasive malignancy - 1 surgeon (Anaes.) (Assist.)
Fee: $1,379.50	Benefit: 75% = $1,034.65	
35562	
VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - abdominal surgeon (including aftercare) (Anaes.) (Assist.)
Fee: $1,132.60	Benefit: 75% = $849.45	
35564	
VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - perineal surgeon (Assist.)
Fee: $522.85	Benefit: 75% = $392.15	
35565	
VAGINAL RECONSTRUCTION for congenital absence, gynatresia or urogenital sinus (Anaes.) (Assist.)
Fee: $683.90	Benefit: 75% = $512.95	
35566	
VAGINAL SEPTUM, excision of, for correction of double vagina (Anaes.) (Assist.)
Fee: $397.25	Benefit: 75% = $297.95	
35568	
SACROSPINOUS COLPOPEXY FOR MANAGEMENT OF UPPER VAGINAL PROLAPSE (Anaes.) (Assist.)
Fee: $624.60	Benefit: 75% = $468.45	
35569	
PLASTIC REPAIR TO ENLARGE VAGINAL ORIFICE (Anaes.)
Fee: $160.85	Benefit: 75% = $120.65	85% = $136.75	
35570	
ANTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach (involving repair of urethrocoele and cystocoele) with or without mesh, not being a service associated with a service to which item 35573, 35577 or 35578 applies (Anaes.) (Assist.)
Fee: $553.85	Benefit: 75% = $415.40	
35571	
POSTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach (involving one or more of the following; repair of perineum, rectocoele or enterocoele) with or without mesh, not being a service associated with a service to which item 35573, 35577 or 35578 applies (Anaes.) (Assist.)
Fee: $553.85	Benefit: 75% = $415.40	
35572	
COLPOTOMY  not being a service to which another item in this Group applies (Anaes.)
Fee: $123.80	Benefit: 75% = $92.85	
35573	
ANTERIOR AND POSTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach (involving both anterior and posterior compartment defects) with or without mesh, not being a service associated with a service to which item  35577 or 35578 applies (Anaes.) (Assist.)
Fee: $830.90	Benefit: 75% = $623.20	
35577	
MANCHESTER (DONALD FOTHERGILL) OPERATION for genital prolapse, with or without mesh (Anaes.) (Assist.)
Fee: $674.50	Benefit: 75% = $505.90	

OPERATIONS	GYNAECOLOGICAL	
35578	
LE FORT OPERATION for genital prolapse, not being a service associated with a service to which another item in this Subgroup applies (Anaes.) (Assist.)
Fee: $674.50	Benefit: 75% = $505.90	
35595	
LAPAROSCOPIC OR ABDOMINAL PELVIC FLOOR REPAIR INCORPORATING THE FIXATION OF THE UTEROSACRAL AND CARDINAL LIGAMENTS TO RECTOVAGINAL AND PUBOCERVICAL FASCIA for symptomatic upper vaginal vault prolapse (Anaes.) (Assist.)
Fee: $1,155.00	Benefit: 75% = $866.25	
35596	
FISTULA BETWEEN GENITAL AND URINARY OR ALIMENTARY TRACTS, repair of, not being a service to which item 37029, 37333 or 37336 applies (Anaes.) (Assist.)
Fee: $683.90	Benefit: 75% = $512.95	
35597	
SACRAL COLPOPEXY, laparoscopic or open procedure where graft or mesh secured to vault, anterior and posterior compartment and to sacrum for correction of symptomatic upper vaginal vault prolapse (Anaes.) (Assist.)
Fee: $1,473.20	Benefit: 75% = $1,104.90	
35599	
STRESS INCONTINENCE, sling operation for, with or without mesh or tape, not being a service associated with a service to which item 30405 applies (Anaes.) (Assist.)
Fee: $674.50	Benefit: 75% = $505.90	
35602	
STRESS INCONTINENCE, combined synchronous ABDOMINOVAGINAL operation for; abdominal procedure, with or without mesh, (including aftercare), not being a service associated with a service to which item 30405 applies (Anaes.) (Assist.)
Fee: $674.50	Benefit: 75% = $505.90	
35605	
STRESS INCONTINENCE, combined synchronous ABDOMINOVAGINAL operation for; vaginal procedure, with or without mesh, (including aftercare), not being a service associated with a service to which item 30405 applies (Assist.)
Fee: $365.95	Benefit: 75% = $274.50	85% = $311.10	
35608	
CERVIX, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (Anaes.)
Fee: $64.00	Benefit: 75% = $48.00	85% = $54.40	
35611	
CERVIX, removal of polyp or polypi, with or without dilatation of cervix, not being a service associated with a service to which item 35608 applies (Anaes.)
Fee: $64.00	Benefit: 75% = $48.00	85% = $54.40	
35612	
CERVIX, RESIDUAL STUMP, removal of, by abdominal approach (Anaes.) (Assist.)
Fee: $506.00	Benefit: 75% = $379.50	85% = $431.50	
35613	
CERVIX, RESIDUAL STUMP, removal of, by vaginal approach (Anaes.) (Assist.)
Fee: $404.80	Benefit: 75% = $303.60	
35614	
EXAMINATION OF LOWER FEMALE GENITAL TRACT by a Hinselmanntype colposcope in a patient with a previous abnormal cervical smear or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner (Anaes.)
(See para T8.45 of explanatory notes to this Category)
Fee: $63.90	Benefit: 75% = $47.95	85% = $54.35	
35615	
VULVA, biopsy of, when performed in conjunction with a service to which item 35614 applies
Fee: $53.70	Benefit: 75% = $40.30	85% = $45.65	
35616	
ENDOMETRIUM, endoscopic examination of and ablation of, by microwave or thermal balloon or radiofrequency electrosurgery, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage (Anaes.)
Fee: $449.60	Benefit: 75% = $337.20	
35617 G
35618 S	
CERVIX, cone biopsy, amputation or repair of, not being a service to which item 35577 or 35578 applies (Anaes.)
Fee: $173.70	Benefit: 75% = $130.30	85% = $147.65
Fee: $218.00	Benefit: 75% = $163.50	85% = $185.30	
35620	
ENDOMETRIAL BIOPSY where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (Anaes.)
Fee: $53.35	Benefit: 75% = $40.05	85% = $45.35	

OPERATIONS	GYNAECOLOGICAL	
35622	
ENDOMETRIUM, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies (Anaes.)
Fee: $602.45	Benefit: 75% = $451.85	
35623	
HYSTEROSCOPIC RESECTION of myoma, or myoma and uterine septum resection (where both are performed), followed by endometrial ablation by laser or diathermy (Anaes.)
Fee: $819.25	Benefit: 75% = $614.45	
35626	
HYSTEROSCOPY, including biopsy, performed by a specialist in the practice of his or her specialty where the patient is referred to him or her for the investigation of suspected intrauterine pathology (with or without local anaesthetic), not being a service associated with a service to which item 35627 or 35630 applies
(See para T8.46 of explanatory notes to this Category)
Fee: $82.80	Benefit: 75% = $62.10	85% = $70.40	
35627	
HYSTEROSCOPY with dilatation of the cervix performed in the operating theatre of a hospital - not being a service associated with a service to which item 35626 or 35630 applies (Anaes.)
Fee: $107.15	Benefit: 75% = $80.40	
35630	
HYSTEROSCOPY, with endometrial biopsy, performed in the operating theatre of a hospital - not being a service associated with a service to which item 35626 or 35627 applies (Anaes.)
Fee: $183.00	Benefit: 75% = $137.25	85% = $155.55	
35633	
HYSTEROSCOPY with uterine adhesiolysis or polypectomy or tubal catheterisation (including for insertion of device for sterilisation) or removal of IUD which cannot be removed by other means, 1 or more of (Anaes.)
Fee: $218.00	Benefit: 75% = $163.50	85% = $185.30	
35634	
HYSTEROSCOPIC RESECTION of uterine septum followed by endometrial ablation by laser or diathermy (Anaes.)
Fee: $685.70	Benefit: 75% = $514.30	85% = $611.20	
35635	
HYSTEROSCOPY involving resection of the uterine septum (Anaes.)
Fee: $299.45	Benefit: 75% = $224.60	
35636	
HYSTEROSCOPY, involving resection of myoma, or resection of myoma and uterine septum (where both are performed) (Anaes.)
Fee: $433.00	Benefit: 75% = $324.75	
35637	
LAPAROSCOPY, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or similar procedure - 1 or more procedures with or without biopsy - not being a service associated with any other laparoscopic procedure or hysterectomy (Anaes.) (Assist.)
Fee: $406.65	Benefit: 75% = $305.00	
35638	
COMPLICATED OPERATIVE LAPAROSCOPY, including use of laser when required, for 1 or more of the following procedures; oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than 1 hours operating time, or division of utero-sacral ligaments for significant dysmenorrhoea - not being a service associated with any other intraperitoneal or retroperitoneal procedure except item 30393 (Anaes.) (Assist.)
Fee: $711.50	Benefit: 75% = $533.65	
35639 G
35640 S	
UTERUS, CURETTAGE OF, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital, including procedures to which item 35626, 35627 or 35630 applies, where performed (Anaes.)
(See para T8.47 of explanatory notes to this Category)
Fee: $134.90	Benefit: 75% = $101.20
Fee: $183.00	Benefit: 75% = $137.25	
35641	
ENDOMETRIOSIS LEVEL 4 OR 5, LAPAROSCOPIC RESECTION OF, involving any two of the following procedures, resection of the pelvic side wall including dissection of endometriosis or scar tissue from the ureter, resection of the Pouch of Douglas, resection of an ovarian endometrioma greater than 2 cms in diameter, dissection of bowel from uterus from the level of the endocervical junction or above: where the operating time exceeds 90 minutes (Anaes.) (Assist.)
Fee: $1,242.65	Benefit: 75% = $932.00	
35643	
EVACUATION OF THE CONTENTS OF THE GRAVID UTERUS BY CURETTAGE OR SUCTION CURETTAGE not being a service to which item 35639/35640 applies, including procedures to which item 35626, 35627 or 35630 applies, where performed (Anaes.)
Fee: $218.00	Benefit: 75% = $163.50	85% = $185.30	

OPERATIONS	GYNAECOLOGICAL	
35644	
CERVIX, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35639, 35640 or 35647 applies (Anaes.)
(See para T8.48 of explanatory notes to this Category)
Fee: $203.65	Benefit: 75% = $152.75	85% = $173.15	
35645	
CERVIX, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in conjunction with ablative therapy of additional areas of intraepithelial change in 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35648 applies (Anaes.)
(See para T8.48 of explanatory notes to this Category)
Fee: $318.70	Benefit: 75% = $239.05	85% = $270.90	
35646	
CERVIX, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix, where performed in the operating theatre of a hospital (Anaes.)
(See para T8.48 of explanatory notes to this Category)
Fee: $203.65	Benefit: 75% = $152.75	85% = $173.15	
35647	
CERVIX, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35644 applies (Anaes.)
(See para T8.48 of explanatory notes to this Category)
Fee: $203.65	Benefit: 75% = $152.75	85% = $173.15	
35648	
CERVIX, large loop excision diathermy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in conjunction with ablative treatment of additional areas of intraepithelial change of 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35645 applies (Anaes.)
(See para T8.48 of explanatory notes to this Category)
Fee: $318.70	Benefit: 75% = $239.05	85% = $270.90	
35649	
HYSTEROTOMY or UTERINE MYOMECTOMY, abdominal (Anaes.) (Assist.)
Fee: $536.00	Benefit: 75% = $402.00	
35653	
HYSTERECTOMY, ABDOMINAL, SUBTOTAL or TOTAL, with or without removal of uterine adnexae (Anaes.) (Assist.)
Fee: $674.70	Benefit: 75% = $506.05	
35657	
HYSTERECTOMY, VAGINAL, with or without uterine curettage, not being a service to which item 35673 applies

NOTE:  Strict legal requirements apply in relation to sterilisation procedures on minors.  Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law.  Observe the explanatory note before submitting a claim. (Anaes.) (Assist.)
(See para T8.49 of explanatory notes to this Category)
Fee: $674.70	Benefit: 75% = $506.05	
35658	
UTERUS (at least equivalent in size to a 10 week gravid uterus), debulking of, prior to vaginal removal at hysterectomy (Anaes.) (Assist.)
(See para T8.50 of explanatory notes to this Category)
Fee: $416.05	Benefit: 75% = $312.05	
35661	
HYSTERECTOMY, ABDOMINAL, requiring extensive retroperitoneal dissection, with or without exposure of 1 or both ureters, for the management of severe endometriosis, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of the ovaries (Anaes.) (Assist.)
Fee: $871.30	Benefit: 75% = $653.50	
35664	
RADICAL HYSTERECTOMY with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (Anaes.) (Assist.)
Fee: $1,452.20	Benefit: 75% = $1,089.15	
35667	
RADICAL HYSTERECTOMY without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (Anaes.) (Assist.)
Fee: $1,234.25	Benefit: 75% = $925.70	
35670	
HYSTERECTOMY, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (Anaes.) (Assist.)
Fee: $1,016.30	Benefit: 75% = $762.25	

OPERATIONS	GYNAECOLOGICAL	
35673	
HYSTERECTOMY, VAGINAL (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or both sides (Anaes.) (Assist.)
Fee: $757.80	Benefit: 75% = $568.35	
35674	
ULTRASOUND GUIDED NEEDLING and injection of ectopic pregnancy
Fee: $207.85	Benefit: 75% = $155.90	85% = $176.70	
35676 G
35677 S	
ECTOPIC PREGNANCY, removal of (Anaes.) (Assist.)
Fee: $425.00	Benefit: 75% = $318.75
Fee: $536.00	Benefit: 75% = $402.00	
35678	
ECTOPIC PREGNANCY, laparoscopic removal of (Anaes.) (Assist.)
Fee: $646.25	Benefit: 75% = $484.70	
35680	
BICORNUATE UTERUS, plastic reconstruction for (Anaes.) (Assist.)
Fee: $582.05	Benefit: 75% = $436.55	85% = $507.55	
35683 G
35684 S	
UTERUS, SUSPENSION OR FIXATION OF, as an independent procedure (Anaes.) (Assist.)
Fee: $351.30	Benefit: 75% = $263.50
Fee: $471.15	Benefit: 75% = $353.40	
35687 G
35688 S	
STERILISATION BY TRANSECTION OR RESECTION OF FALLOPIAN TUBES, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method.

NOTE:  Strict legal requirements apply in relation to sterilisation procedures on minors.  Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law.  Observe the explanatory note before submitting a claim. (Anaes.) (Assist.)
(See para T8.49 of explanatory notes to this Category)
Fee: $325.20	Benefit: 75% = $243.90
Fee: $397.25	Benefit: 75% = $297.95	
35691	
STERILISATION BY INTERRUPTION OF FALLOPIAN TUBES, when performed in conjunction with Caesarean section 

NOTE:  Strict legal requirements apply in relation to sterilisation procedures on minors.  Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law.  Observe the explantory note before submitting a claim. (Anaes.) (Assist.)
(See para T8.49 of explanatory notes to this Category)
Fee: $158.70	Benefit: 75% = $119.05	
35694	
TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, 1 or more procedures (Anaes.) (Assist.)
Fee: $637.70	Benefit: 75% = $478.30	
35697	
MICROSURGICAL TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, 1 or more procedures (Anaes.) (Assist.)
Fee: $946.20	Benefit: 75% = $709.65	
35700	
FALLOPIAN TUBES, unilateral microsurgical anastomosis of, using operating microscope (Anaes.) (Assist.)
Fee: $730.05	Benefit: 75% = $547.55	
35703	
HYDROTUBATION OF FALLOPIAN TUBES as a nonrepetitive procedure not being a service associated with a service to which another item in this Sub-group applies (Anaes.)
Fee: $67.50	Benefit: 75% = $50.65	85% = $57.40	
35706	
RUBIN TEST FOR PATENCY OF FALLOPIAN TUBES (Anaes.)
Fee: $67.50	Benefit: 75% = $50.65	85% = $57.40	
35709	
FALLOPIAN TUBES, hydrotubation of, as a repetitive postoperative procedure (Anaes.)
Fee: $43.50	Benefit: 75% = $32.65	85% = $37.00	
35710	
FALLOPOSCOPY, unilateral or bilateral, including hysteroscopy and tubal catheterization (Anaes.) (Assist.)
Fee: $463.30	Benefit: 75% = $347.50	

OPERATIONS	UROLOGICAL	
35712 G
35713 S	
LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGOOOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - 1 such procedure, not being a service associated with hysterectomy (Anaes.) (Assist.)
Fee: $362.15	Benefit: 75% = $271.65
Fee: $452.85	Benefit: 75% = $339.65	
35716 G
35717 S	
LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGOOOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - 2 or more such procedures, unilateral or bilateral, not being a service associated with hysterectomy (Anaes.) (Assist.)
Fee: $434.35	Benefit: 75% = $325.80
Fee: $545.30	Benefit: 75% = $409.00	
35720	
RADICAL OR DEBULKING OPERATION for advanced gynaecological malignancy, with or without omentectomy (Anaes.) (Assist.)
(See para T8.60 of explanatory notes to this Category)
Fee: $674.50	Benefit: 75% = $505.90	
35723	
RETROPERITONEAL LYMPH NODE BIOPSIES from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (Anaes.) (Assist.)
Fee: $483.10	Benefit: 75% = $362.35	
35726	
INFRACOLIC OMENTECTOMY with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (Anaes.) (Assist.)
Fee: $483.10	Benefit: 75% = $362.35	
35729	
OVARIAN TRANSPOSITION out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy (Anaes.)
Fee: $217.80	Benefit: 75% = $163.35	
35750	
LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, including any associated laparoscopy (Anaes.) (Assist.)
Fee: $784.60	Benefit: 75% = $588.45	
35753	
LAPAROSCOPICALLY ASSISTED HYSTERECTOMY with one or more of the following procedures:  salpingectomy, oophorectomy, excision of ovarian cyst or treatment of moderate endometriosis, one or both sides, including any associated laparoscopy (Anaes.) (Assist.)
Fee: $867.60	Benefit: 75% = $650.70	
35754	
LAPAROSCOPICALLY ASSISTED HYSTERECTOMY which requires dissection of endometriosis, or other pathology, from the ureter, one or both sides, including any associated laparoscopy, including when performed with one or more of the following procedures:  salpingectomy, oophorectomy, excision of ovarian cyst, or treatment of endometriosis, not being a service to which item 35641 applies (Anaes.) (Assist.)
Fee: $1,091.90	Benefit: 75% = $818.95	
35756	
LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, when procedure is completed by open hysterectomy, including any associated laparoscopy (Anaes.) (Assist.)
Fee: $784.60	Benefit: 75% = $588.45	
35759	
Procedure for the control of POST OPERATIVE HAEMORRHAGE following gynaecological surgery, under general anaesthesia, utilising a vaginal or abdominal and vaginal approach where no other procedure is performed (Anaes.) (Assist.)
Fee: $563.30	Benefit: 75% = $422.50	
	SUBGROUP 5 - UROLOGICAL	
	GENERAL	
36500	
ADRENAL GLAND, excision of  partial or total (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
36502	
PELVIC LYMPHADENECTOMY, open or laparoscopic, or both, unilateral or bilateral (Anaes.) (Assist.)
Fee: $683.90	Benefit: 75% = $512.95	
36503	
RENAL TRANSPLANT (not being a service to which item 36506 or 36509 applies) (Anaes.) (Assist.)
Fee: $1,391.15	Benefit: 75% = $1,043.40	
36506	
RENAL TRANSPLANT, performed by vascular surgeon and urologist operating together  vascular anastomosis including aftercare (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	

OPERATIONS	UROLOGICAL	
36509	
RENAL TRANSPLANT, performed by vascular surgeon and urologist operating together  ureterovesical anastomosis including aftercare (Assist.)
Fee: $782.95	Benefit: 75% = $587.25	
36516	
NEPHRECTOMY, complete (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
36519	
NEPHRECTOMY, complete, complicated by previous surgery on the same kidney (Anaes.) (Assist.)
Fee: $1,291.10	Benefit: 75% = $968.35	
36522	
NEPHRECTOMY, partial (Anaes.) (Assist.)
Fee: $1,107.95	Benefit: 75% = $831.00	
36525	
NEPHRECTOMY, partial, complicated by previous surgery on the same kidney (Anaes.) (Assist.)
Fee: $1,574.45	Benefit: 75% = $1,180.85	
36526	
NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10cms in diameter, where performed if malignancy is clinically suspected but not confirmed by histopathological examination (Anaes.) (Assist.)
(See para T8.51 of explanatory notes to this Category)
Fee: $1,291.10	Benefit: 75% = $968.35	85% = $1,216.60	
36527	
NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour 10cms or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney, where performed if malignancy is clinically suspected but not confirmed by histopathological examination (Anaes.) (Assist.)
(See para T8.51 of explanatory notes to this Category)
Fee: $1,593.40	Benefit: 75% = $1,195.05	85% = $1,518.90	
36528	
NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cms in diameter (Anaes.) (Assist.)
Fee: $1,291.10	Benefit: 75% = $968.35	
36529	
NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour 10 cms or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney (Anaes.) (Assist.)
Fee: $1,593.40	Benefit: 75% = $1,195.05	
36531	
NEPHROURETERECTOMY, complete, including associated bladder repair and any associated endoscopic procedures (Anaes.) (Assist.)
Fee: $1,157.85	Benefit: 75% = $868.40	
36532	
NEPHRO-URETERECTOMY, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures (Anaes.) (Assist.)
Fee: $1,661.85	Benefit: 75% = $1,246.40	
36533	
NEPHRO-URETERECTOMY, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, complicated by previous open or laparoscopic surgery on the same kidney or ureter (Anaes.) (Assist.)
Fee: $1,964.15	Benefit: 75% = $1,473.15	
36537	
KIDNEY OR PERINEPHRIC AREA, EXPLORATION OF, with or without drainage of, by open exposure, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
Fee: $691.40	Benefit: 75% = $518.55	
36540	
NEPHROLITHOTOMY OR PYELOLITHOTOMY, or both, through the same skin incision, for 1 or 2 stones (Anaes.) (Assist.)
Fee: $1,107.95	Benefit: 75% = $831.00	85% = $1,033.45	
36543	
NEPHROLITHOTOMY OR PYELOLITHOTOMY, or both, extended, for staghorn stone or 3 or more stones, including 1 or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (Anaes.) (Assist.)
Fee: $1,291.10	Benefit: 75% = $968.35	85% = $1,216.60	
36546	
EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) to urinary tract and posttreatment care for 3 days, including pretreatment consultation, unilateral (Anaes.)
Fee: $691.40	Benefit: 75% = $518.55	85% = $616.90	
36549	
URETEROLITHOTOMY (Anaes.) (Assist.)
Fee: $833.10	Benefit: 75% = $624.85	

OPERATIONS	UROLOGICAL	
36552	
NEPHROSTOMY or pyelostomy, open, as an independent procedure (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
36558	
RENAL CYST OR CYSTS, excision or unroofing of (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	85% = $575.30	
36561	
RENAL BIOPSY (closed) (Anaes.)
Fee: $172.50	Benefit: 75% = $129.40	85% = $146.65	
36564	
PYELOPLASTY, (plastic reconstruction of the pelvi-ureteric junction) by open exposure, laparoscopy or laparoscopic assisted techniques (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
36567	
PYELOPLASTY in a kidney that is congenitally abnormal in addition to the presence of PUJ obstruction, or in a solitary kidney, by open exposure (Anaes.) (Assist.)
Fee: $1,016.30	Benefit: 75% = $762.25	
36570	
PYELOPLASTY, complicated by previous surgery on the same kidney, by open exposure (Anaes.) (Assist.)
Fee: $1,291.10	Benefit: 75% = $968.35	
36573	
DIVIDED URETER, repair of (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
36576	
KIDNEY, exposure and exploration of, including repair or nephrectomy, for trauma, not being a service associated with any other procedure performed on the kidney, renal pelvis or renal pedicle (Anaes.) (Assist.)
Fee: $1,157.85	Benefit: 75% = $868.40	
36579	
URETERECTOMY, COMPLETE OR PARTIAL, with or without associated bladder repair, not being a service associated with a service to which item 37000 applies (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
36585	
URETER, transplantation of, into skin (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
36588	
URETER, reimplantation into bladder (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
36591	
URETER, reimplantation into bladder with psoas hitch or Boari flap or both (Anaes.) (Assist.)
Fee: $1,107.95	Benefit: 75% = $831.00	
36594	
URETER, transplantation of, into intestine (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
36597	
URETER, transplantation of, into another ureter (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
36600	
URETER, transplantation of, into isolated intestinal segment, unilateral (Anaes.) (Assist.)
Fee: $1,107.95	Benefit: 75% = $831.00	85% = $1,033.45	
36603	
URETERS, transplantation of, into isolated intestinal segment, bilateral (Anaes.) (Assist.)
Fee: $1,291.10	Benefit: 75% = $968.35	
36604	
URETERIC STENT, passage of through percutaneous nephrostomy tube, using interventional imaging techniques (Anaes.)
Fee: $267.65	Benefit: 75% = $200.75	85% = $227.55	
36605	
URETERIC STENT, insertion of, with removal of calculus from:
	(a) the pelvicalyceal system; or
	(b) ureter; or
	(c) the pelvicalyceal system and ureter;
through a nephrostomy tube using interventional imaging techniques (Anaes.)
Fee: $690.70	Benefit: 75% = $518.05	
36606	
INTESTINAL URINARY RESERVOIR, continent, formation of, including formation of nonreturn valves and implantation of ureters (1 or both) into reservoir (Anaes.) (Assist.)
Fee: $2,315.80	Benefit: 75% = $1,736.85	

OPERATIONS	UROLOGICAL	
36607	
URETERIC STENT insertion of, with baloon dilatation of:
	(a) the pelvicalyceal system; or
	(b) ureter; or
	(c) the pelvicalyceal system and ureter;
through a nephrostomy tube using interventional imaging techniques (Anaes.)
Fee: $690.70	Benefit: 75% = $518.05	
36608	
URETERIC STENT, exchange of, percutaneously through either the ileal conduit or bladder, using interventional imaging techniques, not being a service associated with a service to which items 36811 to 36854 apply (Anaes.)
Fee: $267.65	Benefit: 75% = $200.75	
36609	
INTESTINAL URINARY CONDUIT OR URETEROSTOMY, revision of (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
36612	
URETER, exploration of, with or without drainage of, as an independent procedure (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	
36615	
URETEROLYSIS, with or without repositioning of the ureter, for obstruction of the ureter, evident either radiologically or by proximal ureteric dilatation at operation, secondary to retroperitoneal fibrosis, or similar condition (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
36618	
REDUCTION URETEROPLASTY (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	
36621	
CLOSURE OF CUTANEOUS URETEROSTOMY (Anaes.) (Assist.)
Fee: $464.50	Benefit: 75% = $348.40	
36624	
NEPHROSTOMY, percutaneous, using interventional imaging techniques (Anaes.) (Assist.)
Fee: $558.10	Benefit: 75% = $418.60	85% = $483.60	
36627	
NEPHROSCOPY, percutaneous, with or without any 1 or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639, 36642, 36645 or 36648 applies (Anaes.)
Fee: $691.40	Benefit: 75% = $518.55	
36630	
NEPHROSCOPY, BEING A SERVICE TO WHICH ITEM 36627 APPLIES, WHERE, after a substantial portion of the procedure has been performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION DUE TO BLEEDING (Anaes.) (Assist.)
Fee: $341.50	Benefit: 75% = $256.15	
36633	
NEPHROSCOPY, percutaneous, with incision of any 1 or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	85% = $667.00	
36636	
NEPHROSCOPY, percutaneous, with incision of any 1 or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies (Anaes.) (Assist.)
Fee: $399.90	Benefit: 75% = $299.95	
36639	
NEPHROSCOPY, percutaneous, with destruction and extraction of 1 or 2 stones using ultrasound or electrohydraulic shock waves or lasers (not being a service to which item 36645 or 36648 applies) (Anaes.)
Fee: $833.10	Benefit: 75% = $624.85	
36642	
NEPHROSCOPY, BEING A SERVICE TO WHICH ITEM 36639 APPLIES, WHERE, after a substantial portion of the procedure has been performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION DUE TO BLEEDING (Anaes.) (Assist.)
Fee: $416.45	Benefit: 75% = $312.35	
36645	
NEPHROSCOPY, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes.) (Assist.)
Fee: $1,066.30	Benefit: 75% = $799.75	
36648	
NEPHROSCOPY, being a service to which item 36645 applies, WHERE, after a substantial portion of the procedure has been performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION (Anaes.) (Assist.)
Fee: $949.60	Benefit: 75% = $712.20	

OPERATIONS	UROLOGICAL	
36649	
NEPHROSTOMY DRAINAGE TUBE, exchange of - but not including imaging (Anaes.) (Assist.)
Fee: $267.65	Benefit: 75% = $200.75	85% = $227.55	
36650	
NEPHROSTOMY TUBE, removal of, if the ureter has been stented with a double J ureteric stent and that stent is left in place, using interventional imaging techniques (Anaes.)
Fee: $149.70	Benefit: 75% = $112.30	
36652	
PYELOSCOPY, retrograde, of one collecting system, with or without any one or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	
36654	
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces, not being a service associated with a service to which item 36656 applies to a procedure performed in the same collecting system (Assist.)
Fee: $833.10	Benefit: 75% = $624.85	
36656	
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or calyces, with or without extraction of fragments, not being a service associated with a service to which item 36654 applies to a procedure performed in the same collecting system (Anaes.) (Assist.)
Fee: $1,066.30	Benefit: 75% = $799.75	
Fee
36658	
SACRAL NERVE STIMULATION for refractory urinary incontinence or urge retention, removal of pulse generator and leads
(See para T8.52 of explanatory notes to this Category)
Fee: $526.40	Benefit: 75% = $394.80	85% = $451.90	
Fee
36660	
SACRAL NERVE STIMULATION for refractory urinary incontinence or urge retention, removal and replacement of pulse generator
(See para T8.52 of explanatory notes to this Category)
Fee: $255.45	Benefit: 75% = $191.60	85% = $217.15	
Fee
36662	
SACRAL NERVE STIMULATION for refractory urinary incontinence or urge retention, removal and replacement of leads
(See para T8.52 of explanatory notes to this Category)
Fee: $610.30	Benefit: 75% = $457.75	85% = $535.80	
	OPERATIONS ON BLADDER	
36663	
Sacral nerve lead(s), percutaneous placement using fluoroscopic guidance (or open placement) and intraoperative test stimulation, to manage: 
	a) detrusor overactivity; or
	b) non obstructive urinary retention
that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older.  (Anaes.)
Fee: $660.95	Benefit: 75% = $495.75	
36664	
Sacral nerve lead(s), percutaneous surgical repositioning of, using fluoroscopic guidance (or open surgical repositioning) and intraoperative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of:
	a) detrusor overactivity; or
	b) non obstructive urinary retention 
that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older, not being a service to which item 36663 applies  (Anaes.)
Fee: $593.55	Benefit: 75% = $445.20	
36665	
Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention – each day
Fee: $125.40	Benefit: 75% = $94.05	85% = $106.60	
36666	
Pulse generator, subcutaneous placement of, and placement and connection of extension wire(s) to sacral nerve electrode(s), for the management of 
	a) detrusor overactivity; or
	b) non obstructive urinary retention 
that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older. (Anaes.)
Fee: $334.00	Benefit: 75% = $250.50	

OPERATIONS	UROLOGICAL	
36667	
Sacral nerve lead(s), removal of, if the lead was inserted to manage:
	a) detrusor overactivity; or
	b) non obstructive urinary retention
that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older.
  (Anaes.)
Fee: $156.30	Benefit: 75% = $117.25	
36668	
Pulse generator, removal of, if the pulse generator was inserted to manage:
	a) detrusor overactivity; or
	b) non obstructive urinary retention
that has been refractory to at least 12 months medical and conservative treatment in a patient 18 years of age or older.
  (Anaes.)
Fee: $156.30	Benefit: 75% = $117.25	
36800	
BLADDER, catheterisation of, where no other procedure is performed (Anaes.)
Fee: $27.60	Benefit: 75% = $20.70	85% = $23.50	
36803	
URETEROSCOPY, of one ureter, with or without any one or more of; cystoscopy, ureteric meatotomy or ureteric dilatation, not being a service associated with a service to which item 36652, 36654, 36656,  36806, 36809, 36812, 36824, 36848 or 36857 applies (Anaes.) (Assist.)
(See para T8.54 of explanatory notes to this Category)
Fee: $466.35	Benefit: 75% = $349.80	85% = $396.40	
36806	
URETEROSCOPY, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus one or more of extraction of stone from the ureter, or biopsy or diathermy of the ureter, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36809, 36824, 36848 or 36857 applies to a procedure performed on the same ureter (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	
36809	
URETEROSCOPY, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, PLUS destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy, or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824, 36848 or 36857 applies to a procedure performed on the same ureter (Anaes.) (Assist.)
Fee: $833.10	Benefit: 75% = $624.85	
36811	
CYSTOSCOPY with insertion of urethral prosthesis (Anaes.)
Fee: $323.40	Benefit: 75% = $242.55	85% = $274.90	
36812	
CYSTOSCOPY with urethroscopy with or without urethral dilatation, not being a service associated with any other urological endoscopic procedure on the lower urinary tract except a service to which item 37327 applies (Anaes.)
Fee: $166.70	Benefit: 75% = $125.05	85% = $141.70	
36815	
CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not being a service associated with a service to which item 30189 applies (Anaes.)
(See para T8.9 of explanatory notes to this Category)
Fee: $237.90	Benefit: 75% = $178.45	85% = $202.25	
36818	
CYSTOSCOPY with ureteric catheterisation including fluoroscopic imaging of the upper urinary tract, unilateral or bilateral, not being a service associated with a service to which item 36824 or 36830 applies (Anaes.) (Assist.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15	
36821	
CYSTOSCOPY with 1 or more of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or renal pelvis, unilateral, not being a service associated with a service to which item 36824 or 36830 applies (Anaes.) (Assist.)
Fee: $323.20	Benefit: 75% = $242.40	85% = $274.75	
36824	
CYSTOSCOPY, with ureteric catheterisation, unilateral or bilateral, not being a service associated with a service to which item 36818 or 36821 applies (Anaes.)
Fee: $213.15	Benefit: 75% = $159.90	85% = $181.20	
36825	
CYSTOSCOPY, with endoscopic incision of pelviureteric junction or ureteric stricture, including removal or replacement of ureteric stent, not being a service associated with a service to which item 36818, 36821, 36824, 36830 or 36833 applies (Anaes.) (Assist.)
Fee: $581.30	Benefit: 75% = $436.00	
36827	
CYSTOSCOPY, with controlled hydrodilatation of the bladder (Anaes.)
Fee: $229.85	Benefit: 75% = $172.40	85% = $195.40	

OPERATIONS	UROLOGICAL	
36830	
CYSTOSCOPY, with ureteric meatotomy (Anaes.)
Fee: $203.25	Benefit: 75% = $152.45	
36833	
CYSTOSCOPY, with removal of ureteric stent or other foreign body (Anaes.) (Assist.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15	
36836	
CYSTOSCOPY, with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203, 37206 or 37215 applies (Anaes.)
Fee: $229.85	Benefit: 75% = $172.40	85% = $195.40	
36840	
CYSTOSCOPY, with resection, diathermy or visual laser destruction of bladder tumour or other lesion of the bladder, not being a service to which item 36845 applies (Anaes.)
Fee: $323.20	Benefit: 75% = $242.40	85% = $274.75	
36842	
CYSTOSCOPY, with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not being a service associated with a service to which item 36812, 36827 to 36863, 37203 or 37206 apply (Anaes.) (Assist.)
Fee: $325.20	Benefit: 75% = $243.90	
36845	
CYSTOSCOPY, with diathermy, resection or visual laser destruction of multiple tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2cm in diameter (Anaes.)
Fee: $691.40	Benefit: 75% = $518.55	85% = $616.90	
36848	
CYSTOSCOPY, with resection of ureterocele (Anaes.)
Fee: $229.85	Benefit: 75% = $172.40	
36851	
CYSTOSCOPY, with injection into bladder wall (Anaes.)
Fee: $229.85	Benefit: 75% = $172.40	
36854	
CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.)
Fee: $466.35	Benefit: 75% = $349.80	
36857	
ENDOSCOPIC MANIPULATION OR EXTRACTION of ureteric calculus (Anaes.)
Fee: $366.45	Benefit: 75% = $274.85	
36860	
ENDOSCOPIC EXAMINATION of intestinal conduit or reservoir (Anaes.)
Fee: $166.70	Benefit: 75% = $125.05	85% = $141.70	
36863	
LITHOLAPAXY, with or without cystoscopy (Anaes.) (Assist.)
Fee: $466.35	Benefit: 75% = $349.80	
37000	
BLADDER, partial excision of (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
37004	
BLADDER, repair of rupture (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	
37008	
CYSTOSTOMY OR CYSTOTOMY, suprapubic, not being a service to which item 37011 applies and not being a service associated with other open bladder procedure (Anaes.)
Fee: $416.45	Benefit: 75% = $312.35	85% = $354.00	
37011	
SUPRAPUBIC STAB CYSTOTOMY, not being a service associated with a service to which items 37200 to 37221 apply (Anaes.)
Fee: $93.35	Benefit: 75% = $70.05	85% = $79.35	
37014	
BLADDER, total excision of (Anaes.) (Assist.)
Fee: $1,066.30	Benefit: 75% = $799.75	
37020	
BLADDER DIVERTICULUM, excision or obliteration of (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
37023	
VESICAL FISTULA, cutaneous, operation for (Anaes.)
Fee: $416.45	Benefit: 75% = $312.35	
37026	
CUTANEOUS VESICOSTOMY, establishment of (Anaes.) (Assist.)
Fee: $416.45	Benefit: 75% = $312.35	

OPERATIONS	UROLOGICAL	
37029	
VESICOVAGINAL FISTULA, closure of, by abdominal approach (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
37038	
VESICOINTESTINAL FISTULA, closure of, excluding bowel resection (Anaes.) (Assist.)
Fee: $691.75	Benefit: 75% = $518.85	
37041	
BLADDER ASPIRATION by needle
Fee: $46.60	Benefit: 75% = $34.95	85% = $39.65	
37042	
BLADDER STRESS INCONTINENCE, sling procedure for, using autologous fascial sling, including harvesting of sling, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies (Anaes.) (Assist.)
Fee: $911.30	Benefit: 75% = $683.50	
37043	
BLADDER STRESS INCONTINENCE, Stamey or similar type needle colposuspension, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies (Anaes.) (Assist.)
Fee: $674.50	Benefit: 75% = $505.90	
37044	
BLADDER STRESS INCONTINENCE, suprapubic procedure for, eg Burch colposuspension, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies (Anaes.) (Assist.)
Fee: $691.75	Benefit: 75% = $518.85	
37045	
MITROFANOFF CONTINENT VALVE, formation of (Anaes.) (Assist.)
Fee: $1,428.75	Benefit: 75% = $1,071.60	
37047	
BLADDER ENLARGEMENT using intestine (Anaes.) (Assist.)
Fee: $1,666.05	Benefit: 75% = $1,249.55	
37050	
BLADDER EXSTROPHY CLOSURE, not involving sphincter reconstruction (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
37053	
BLADDER TRANSECTION AND RE-ANASTOMOSIS TO TRIGONE (Anaes.) (Assist.)
Fee: $856.70	Benefit: 75% = $642.55	
	OPERATIONS ON PROSTATE	
37200	
PROSTATECTOMY, open (Anaes.) (Assist.)
Fee: $1,016.30	Benefit: 75% = $762.25	
37201	
PROSTATE, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is, prostatectomy using diathermy or cold punch) and including services to which item 36854, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies (Anaes.)
(See para T8.56 of explanatory notes to this Category)
Fee: $828.85	Benefit: 75% = $621.65	
37202	
PROSTATE, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is prostatectomy using diathermy or cold punch) and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207 which had to be discontinued for medical reasons (Anaes.)
(See para T8.56 of explanatory notes to this Category)
Fee: $416.05	Benefit: 75% = $312.05	85% = $353.65	
37203	
PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37207, 37208, 37303, 37321 or 37324 applies (Anaes.)
Fee: $1,042.15	Benefit: 75% = $781.65	
37206	
PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207 or which had to be discontinued for medical reasons (Anaes.)
Fee: $558.10	Benefit: 75% = $418.60	
37207	
PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854,  37201, 37202, 37203, 37206, 37321 or 37324 applies (Anaes.)
Fee: $866.45	Benefit: 75% = $649.85	

OPERATIONS	UROLOGICAL	
37208	
PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by items 37201, 37203 or 37207 or which had to be discontinued for medical reasons (Anaes.)
Fee: $416.05	Benefit: 75% = $312.05	
37209	
PROSTATE, and/or SEMINAL VESICLE/AMPULLA OF VAS, unilateral or bilateral, total excision of, not being a service associated with a service to which item number 37210 or 37211 applies (Anaes.) (Assist.)
Fee: $1,291.10	Benefit: 75% = $968.35	
37210	
PROSTATECTOMY, radical, involving total excision of the prostate, sparing of nerves around the bladder and bladder neck reconstruction, not being a service associated with a service to which item 35551, 36502 or 37375 applies (Anaes.) (Assist.)
Fee: $1,593.40	Benefit: 75% = $1,195.05	
37211	
PROSTATECTOMY, radical, involving total excision of the prostate, sparing of nerves around the bladder and bladder neck reconstruction, with pelvic lymphadenectomy, not being a service associated with a service to which item 35551, 36502 or 37375 applies (Anaes.) (Assist.)
Fee: $1,935.20	Benefit: 75% = $1,451.40	
37212	
PROSTATE, open perineal biopsy or open drainage of abscess (Anaes.) (Assist.)
Fee: $276.60	Benefit: 75% = $207.45	
37215	
PROSTATE, biopsy of, endoscopic, with or without cystoscopy (Anaes.) (Assist.)
Fee: $416.45	Benefit: 75% = $312.35	85% = $354.00	
37217	
Prostate, implantation of gold fiducial markers into the prostate gland or prostate surgical bed (Anaes.)
(See para T8.57 of explanatory notes to this Category)
Fee: $138.30	Benefit: 75% = $103.75	85% = $117.60	
37218	
PROSTATE, needle biopsy of, or injection into, excluding for insertion of radiopaque markers (Anaes.)
Fee: $138.30	Benefit: 75% = $103.75	85% = $117.60	
37219	
PROSTATE, needle biopsy of, using prostatic ultrasound techniques and obtaining 1 or more prostatic specimens, being a service associated with a service to which item 55600 or 55603 applies (Anaes.) (Assist.)
Fee: $280.85	Benefit: 75% = $210.65	85% = $238.75	
37220	
PROSTATE, radioactive seed implantation of, urological component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate), with a Gleason score of less than or equal to 7 and a prostate specific antigen (PSA) of less than or equal to 10ng/ml at the time of diagnosis.  The procedure must be performed by a urologist at an approved site in association with a radiation oncologist, and be associated with a service to which item 55603 applies. (Anaes.)
(See para T8.58 of explanatory notes to this Category)
Fee: $1,044.20	Benefit: 75% = $783.15	
37221	
PROSTATIC ABSCESS, endoscopic drainage of (Anaes.) (Assist.)
Fee: $466.35	Benefit: 75% = $349.80	
37223	
PROSTATIC COIL, insertion of, under ultrasound control (Anaes.)
Fee: $206.25	Benefit: 75% = $154.70	
37224	
PROSTATE, diathermy or visual laser destruction of lesion of, not being a service associated with a service to which item 37201, 37202, 37203, 37206, 37207, 37208 or 37215 applies (Anaes.)
Fee: $323.20	Benefit: 75% = $242.40	85% = $274.75	
37227	
PROSTATE, transperineal insertion of catheters into, for high dose rate brachytherapy using ultrasound guidance including any associated cystoscopy. The procedure must be performed at an approved site in association with a radiation oncologist, and be associated with a service to which item 15331 or 15332 applies. (Anaes.)
(See para T8.59 of explanatory notes to this Category)
Fee: $565.85	Benefit: 75% = $424.40	85% = $491.35	
37230	
PROSTATE, high-energy transurethral microwave thermotherapy of, with or without cystoscopy and with or without urethroscopy and including services to which item 36854, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies (Anaes.)
Fee: $1,042.15	Benefit: 75% = $781.65	85% = $967.65	
37233	
PROSTATE, high-energy transurethral microwave thermotherapy of, with or without cystoscopy and with or without urethroscopy and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203, 37207, 37230 which had to be discontinued for medical reasons (Anaes.)
Fee: $558.10	Benefit: 75% = $418.60	85% = $483.60	

OPERATIONS	UROLOGICAL	
	OPERATIONS ON URETHRA, PENIS OR SCROTUM	
37300	
URETHRAL SOUNDS, passage of, as an independent procedure (Anaes.)
Fee: $46.60	Benefit: 75% = $34.95	85% = $39.65	
37303	
URETHRAL STRICTURE, dilatation of (Anaes.)
Fee: $74.05	Benefit: 75% = $55.55	85% = $62.95	
37306	
URETHRA, repair of rupture of distal section (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	
37309	
URETHRA, repair of rupture of prostatic or membranous segment (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
37315	
URETHROSCOPY, as an independent procedure (Anaes.)
Fee: $138.30	Benefit: 75% = $103.75	85% = $117.60	
37318	
URETHROSCOPY with any 1 or more of - biopsy, diathermy, visual laser destruction of stone or removal of foreign body or stone (Anaes.) (Assist.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15	
37321	
URETHRAL MEATOTOMY, EXTERNAL (Anaes.)
Fee: $93.35	Benefit: 75% = $70.05	85% = $79.35	
37324	
URETHROTOMY OR URETHROSTOMY, internal or external (Anaes.)
Fee: $229.85	Benefit: 75% = $172.40	
37327	
URETHROTOMY, optical, for urethral stricture (Anaes.) (Assist.)
Fee: $323.20	Benefit: 75% = $242.40	
37330	
URETHRECTOMY, partial or complete, for removal of tumour (Anaes.) (Assist.)
Fee: $649.80	Benefit: 75% = $487.35	
37333	
URETHROVAGINAL FISTULA, closure of (Anaes.) (Assist.)
Fee: $558.10	Benefit: 75% = $418.60	
37336	
URETHRORECTAL FISTULA, closure of (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
37339	
PERIURETHRAL OR TRANSURETHRAL INJECTION of materials for the treatment of urinary incontinence, including cystoscopy and urethroscopy (Anaes.)
Fee: $239.85	Benefit: 75% = $179.90	85% = $203.90	
37340	
URETHRAL SLING, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence, vaginal approach, not being a service associated with a service to which item number 37341 applies (Anaes.) (Assist.)
Fee: $425.00	Benefit: 75% = $318.75	
37341	
URETHRAL SLING, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence, suprapubic or combined suprapubic/vaginal approach, not being a service associated with a service to which item number 37340 applies (Anaes.) (Assist.)
Fee: $911.30	Benefit: 75% = $683.50	
37342	
URETHROPLASTY  single stage operation (Anaes.) (Assist.)
Fee: $833.10	Benefit: 75% = $624.85	
37343	
URETHROPLASTY, single stage operation, transpubic approach via separate incisions above and below the symphysis pubis, excluding laparotomy, symphysectomy and suprapubic cystotomy, with or without re-routing of the urethra around the crura (Anaes.) (Assist.)
Fee: $1,391.15	Benefit: 75% = $1,043.40	
37345	
URETHROPLASTY  2 stage operation  first stage (Anaes.) (Assist.)
Fee: $691.40	Benefit: 75% = $518.55	
37348	
URETHROPLASTY  2 stage operation  second stage (Anaes.) (Assist.)
Fee: $691.40	Benefit: 75% = $518.55	

OPERATIONS	UROLOGICAL	
37351	
URETHROPLASTY, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $276.60	Benefit: 75% = $207.45	
37354	
HYPOSPADIAS, meatotomy and hemicircumcision (Anaes.) (Assist.)
Fee: $323.20	Benefit: 75% = $242.40	
37369	
URETHRA, excision of prolapse of (Anaes.)
Fee: $186.60	Benefit: 75% = $139.95	
37372	
URETHRAL DIVERTICULUM, excision of (Anaes.) (Assist.)
Fee: $466.35	Benefit: 75% = $349.80	
37375	
URETHRAL SPHINCTER, reconstruction by bladder tubularisation technique or similar procedure (Anaes.) (Assist.)
Fee: $1,157.85	Benefit: 75% = $868.40	
37381	
ARTIFICIAL URINARY SPHINCTER, insertion of cuff, perineal approach (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
37384	
ARTIFICIAL URINARY SPHINCTER, insertion of cuff, abdominal approach (Anaes.) (Assist.)
Fee: $1,157.85	Benefit: 75% = $868.40	
37387	
ARTIFICIAL URINARY SPHINCTER, insertion of pressure regulating balloon and pump (Anaes.) (Assist.)
Fee: $323.20	Benefit: 75% = $242.40	
37390	
ARTIFICIAL URINARY SPHINCTER, revision or removal of, with or without replacement (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
37393	
PRIAPISM, decompression by glanular stab cavernosospongiosum shunt or penile aspiration with or without lavage (Anaes.)
Fee: $229.85	Benefit: 75% = $172.40	85% = $195.40	
37396	
PRIAPISM, shunt operation for, not being a service to which item 37393 applies (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	
37402	
PENIS, partial amputation of (Anaes.) (Assist.)
Fee: $466.35	Benefit: 75% = $349.80	
37405	
PENIS, complete or radical amputation of (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
37408	
PENIS, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (Anaes.) (Assist.)
Fee: $466.35	Benefit: 75% = $349.80	
37411	
PENIS, repair of avulsion (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	85% = $850.20	
37415	
PENIS, injection of, for the investigation and treatment of impotence - 2 services only in a period of 36 consecutive months
Fee: $46.60	Benefit: 75% = $34.95	85% = $39.65	
37417	
PENIS, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (Anaes.) (Assist.)
Fee: $558.10	Benefit: 75% = $418.60	
37418	
PENIS, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting, involving mobilization of the urethra (Anaes.) (Assist.)
Fee: $741.50	Benefit: 75% = $556.15	85% = $667.00	
37420	
PENIS, surgery to inhibit rapid penile drainage causing impotence, by ligation of veins deep to Buck's fascia including 1 or more deep cavernosal veins with or without pharmacological erection test (Anaes.) (Assist.)
Fee: $366.45	Benefit: 75% = $274.85	
37423	
PENIS, lengthening by translocation of corpora (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
37426	
PENIS, artificial erection device, insertion of, into 1 or both corpora (Anaes.) (Assist.)
Fee: $974.55	Benefit: 75% = $730.95	
37429	
PENIS, artificial erection device, insertion of pump and pressure regulating reservoir (Anaes.) (Assist.)
Fee: $323.20	Benefit: 75% = $242.40	

OPERATIONS	UROLOGICAL	
37432	
PENIS, artificial erection device, complete or partial revision or removal of components, with or without replacement (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
37435	
PENIS, frenuloplasty as an independent procedure (Anaes.)
Fee: $93.35	Benefit: 75% = $70.05	85% = $79.35	
37438	
SCROTUM, partial excision of (Anaes.) (Assist.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15	
37444	
URETEROLITHOTOMY COMPLICATED BY PREVIOUS SURGERY at the same site of the same ureter (Anaes.) (Assist.)
Fee: $999.65	Benefit: 75% = $749.75	85% = $925.15	
	OPERATIONS ON TESTES, VASA OR SEMINAL VESICLES	
37601	
SPERMATOCELE OR EPIDIDYMAL CYST, excision of, 1 or more of, on 1 side (Anaes.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15	
37604	
EXPLORATION OF SCROTAL CONTENTS, with or without fixation and with or without biopsy, unilateral, not being a service associated with sperm harvesting for IVF (Anaes.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15	
37605	
TRANSCUTANEOUS SPERM RETRIEVAL, unilateral, from either the testis or the epididymis, for the purposes of  INTRACYTOPLASMIC SPERM INJECTION, in a man with male factor infertility, excluding a service to which item 13218 applies. (Anaes.)
(See para T8.61 of explanatory notes to this Category)
Fee: $373.45	Benefit: 75% = $280.10	85% = $317.45	
37606	
OPEN SURGICAL SPERM RETRIEVAL, unilateral, including the exploration of scrotal contents, with our without biopsy, for the purposes of  INTRACYTOPLASMIC SPERM INJECTION, in a man with male factor infertility, performed in a hospital, excluding a service to which item  13218 or 37604 applies. (Anaes.)
(See para T8.62 of explanatory notes to this Category)
Fee: $554.55	Benefit: 75% = $415.95	85% = $480.05	
37607	
RETROPERITONEAL LYMPH NODE DISSECTION, unilateral, not being a service associated with a service to which item 36528 applies (Anaes.) (Assist.)
Fee: $924.70	Benefit: 75% = $693.55	
37610	
RETROPERITONEAL LYMPH NODE DISSECTION, unilateral, not being a service associated with a service to which item 36528 applies, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (Anaes.) (Assist.)
Fee: $1,391.15	Benefit: 75% = $1,043.40	
37613	
EPIDIDYMECTOMY (Anaes.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15	
37616	
VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope, not being a service associated with sperm harvesting for IVF (Anaes.) (Assist.)
Fee: $691.40	Benefit: 75% = $518.55	
EMSN
37619	
VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, not being a service associated with sperm harvesting for IVF (Anaes.) (Assist.)
Fee: $276.60	Benefit: 75% = $207.45	85% = $235.15
Extended Medicare Safety Net Cap: $221.30	
37622 G
37623 S	
VASOTOMY OR VASECTOMY, unilateral or bilateral 

NOTE:  Strict legal requirements apply in relation to sterilisation procedures on minors.  Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law.  Observe the explanatory note before submitting a claim. (Anaes.)
(See para T8.49 of explanatory notes to this Category)
Fee: $193.20	Benefit: 75% = $144.90	85% = $164.25
Fee: $229.85	Benefit: 75% = $172.40	85% = $195.40	
	PAEDIATRIC GENITURINARY SURGERY	
37800	
PATENT URACHUS, excision of (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	

OPERATIONS	CARDIO-THORACIC	
37803	
UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37806 applies (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
37806	
UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for (Anaes.) (Assist.)
Fee: $602.25	Benefit: 75% = $451.70	85% = $527.75	
37809	
UNDESCENDED TESTIS, revision orchidopexy for (Anaes.) (Assist.)
Fee: $602.25	Benefit: 75% = $451.70	
37812	
IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37803 to 37809 applies (Anaes.) (Assist.)
Fee: $556.00	Benefit: 75% = $417.00	
37815	
HYPOSPADIAS, examination under anaesthesia with erection test (Anaes.)
Fee: $92.75	Benefit: 75% = $69.60	
37818	
HYPOSPADIAS, glanuloplasty incorporating meatal advancement (Anaes.) (Assist.)
Fee: $491.45	Benefit: 75% = $368.60	85% = $417.75	
37821	
HYPOSPADIAS, distal, 1 stage repair (Anaes.) (Assist.)
Fee: $833.10	Benefit: 75% = $624.85	
37824	
HYPOSPADIAS, proximal, 1 stage repair (Anaes.) (Assist.)
Fee: $1,158.30	Benefit: 75% = $868.75	
37827	
HYPOSPADIAS, staged repair, first stage (Anaes.) (Assist.)
Fee: $533.60	Benefit: 75% = $400.20	
37830	
HYPOSPADIAS, staged repair, second stage (Anaes.) (Assist.)
Fee: $691.40	Benefit: 75% = $518.55	85% = $616.90	
37833	
HYPOSPADIAS, repair of post operative urethral fistula (Anaes.) (Assist.)
Fee: $329.95	Benefit: 75% = $247.50	
37836	
EPISPADIAS, staged repair, first stage (Anaes.) (Assist.)
Fee: $695.00	Benefit: 75% = $521.25	
37839	
EPISPADIAS, staged repair, second stage (Anaes.) (Assist.)
Fee: $787.60	Benefit: 75% = $590.70	
37842	
EXSTROPHY OF BLADDER OR EPISPADIAS, secondary repair with bladder neck tightening, with or without ureteric reimplantation (Anaes.) (Assist.)
Fee: $1,529.10	Benefit: 75% = $1,146.85	
37845	
AMBIGUOUS GENITALIA WITH UROGENITAL SINUS, reduction clitoroplasty, with or without endoscopy (Anaes.) (Assist.)
Fee: $695.00	Benefit: 75% = $521.25	
37848	
AMBIGUOUS GENITALIA WITH UROGENITAL SINUS, reduction clitoroplasty with endoscopy and vaginoplasty (Anaes.) (Assist.)
Fee: $1,251.05	Benefit: 75% = $938.30	
37851	
CONGENITAL ADRENAL HYPERPLASIA, mixed gonadal dysgenesis or similar condition, vaginoplasty for, with or without endoscopy (Anaes.) (Assist.)
Fee: $926.80	Benefit: 75% = $695.10	
37854	
URETHRAL VALVE, destruction of, including cystoscopy and urethroscopy (Anaes.) (Assist.)
Fee: $366.45	Benefit: 75% = $274.85	
	SUBGROUP 6 - CARDIO-THORACIC	
	CARDIOLOGY PROCEDURES	
38200	
RIGHT HEART CATHETERISATION, with any one or more of the following: fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection or exercise stress test (Anaes.)
Fee: $445.40	Benefit: 75% = $334.05	85% = $378.60	

OPERATIONS	CARDIO-THORACIC	
38203	
LEFT HEART CATHETERISATION by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture with any one or more of the following: fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test (Anaes.)
Fee: $531.55	Benefit: 75% = $398.70	85% = $457.05	
38206	
RIGHT HEART CATHETERISATION WITH LEFT HEART CATHETERISATION via the right heart or by any other procedure with any one or more of the following: fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test (Anaes.)
Fee: $642.65	Benefit: 75% = $482.00	85% = $568.15	
38209	
CARDIAC ELECTROPHYSIOLOGICAL STUDY  up to and including 3 catheter investigation of any 1 or more of  syncope, atrioventricular conduction, sinus node function or simple ventricular tachycardia studies, not being a service associated with a service to which item 38212 or 38213 applies (Anaes.)
(See para T8.63 of explanatory notes to this Category)
Fee: $825.15	Benefit: 75% = $618.90	85% = $750.65	
38212	
CARDIAC ELECTROPHYSIOLOGICAL STUDY  4 or more catheter supraventricular tachycardia investigation; or complex tachycardia inductions, or multiple catheter mapping, or acute intravenous antiarrhythmic drug testing with pre and post drug inductions; or catheter ablation to intentionally induce complete AV block; or intraoperative mapping; or electrophysiological services during defibrillator implantation  not being a service associated with a service to which item 38209 or 38213 applies (Anaes.)
(See para T8.63 of explanatory notes to this Category)
Fee: $1,372.45	Benefit: 75% = $1,029.35	85% = $1,297.95	
38213	
CARDIAC ELECTROPHYSIOLOGICAL STUDY, for follow-up testing of implanted defibrillator - not being a service associated with a service to which item 38209 or 38212 applies (Anaes.)
Fee: $408.70	Benefit: 75% = $306.55	85% = $347.40	
38215	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries, not being a service associated with a service to which item 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $354.90	Benefit: 75% = $266.20	85% = $301.70	
38218	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography, not being a service associated with a service to which item 38215, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $532.25	Benefit: 75% = $399.20	85% = $457.75	
38220	
SELECTIVE CORONARY GRAFT ANGIOGRAPHY placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $177.40	Benefit: 75% = $133.05	85% = $150.80	
38222	
SELECTIVE CORONARY GRAFT ANGIOGRAPHY, placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $354.90	Benefit: 75% = $266.20	85% = $301.70	
38225	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries and placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $532.35	Benefit: 75% = $399.30	85% = $457.85	
38228	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $709.90	Benefit: 75% = $532.45	85% = $635.40	

OPERATIONS	CARDIO-THORACIC	
38231	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material into the native coronary arteries and placement of catheter(s) and injection of opaque material into the free coronary graft(s) attached to the aorta (irrespective of the number of grafts), and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38234, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $887.25	Benefit: 75% = $665.45	85% = $812.75	
38234	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38237, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $709.75	Benefit: 75% = $532.35	85% = $635.25	
38237	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38240 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $887.20	Benefit: 75% = $665.40	85% = $812.70	
38240	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of catheter(s) and injection of opaque material into free coronary graft(s) attached to the aorta (irrespective of the number of grafts) and placement of catheter(s) and injection of opaque material into direct internal mammary artery graft(s) to one or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237 or 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $1,064.60	Benefit: 75% = $798.45	85% = $990.10	
38241	
USE OF A CORONARY PRESSURE WIRE during selective coronary angiography to measure fractional flow reserve (FFR) and coronary flow reserve (CFR) in one or more intermediate coronary artery or graft lesions (stenosis of 30-70%), to determine whether revascularisation should be performed where previous stress testing has either not been performed or the results are inconlclusive (Anaes.)
Fee: $469.70	Benefit: 75% = $352.30	85% = $399.25	
38243	
PLACEMENT OF CATHETER(S) and injection of opaque material into any coronary vessel(s) or graft(s) prior to any coronary interventional procedure, not being a service associated with a service to which item 38246 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $443.60	Benefit: 75% = $332.70	85% = $377.10	
38246	
SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography followed by placement of catheters prior to any coronary interventional procedure, not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38243 applies (Anaes.)
(See para T8.55 of explanatory notes to this Category)
Fee: $887.20	Benefit: 75% = $665.40	85% = $812.70	
38256	
TEMPORARY TRANSVENOUS PACEMAKING ELECTRODE, insertion of (Anaes.)
Fee: $267.25	Benefit: 75% = $200.45	85% = $227.20	
38270	
BALLOON VALVULOPLASTY OR ISOLATED ATRIAL SEPTOSTOMY, including cardiac catheterisations before and after balloon dilatation (Anaes.) (Assist.)
Fee: $912.30	Benefit: 75% = $684.25	85% = $837.80	
38272	
ATRIAL SEPTAL DEFECT closure, with septal occluder or other similar device, by transcatheter approach (Anaes.) (Assist.)
Fee: $912.30	Benefit: 75% = $684.25	85% = $837.80	
38275	
MYOCARDIAL BIOPSY, by cardiac catheterisation (Anaes.)
Fee: $298.20	Benefit: 75% = $223.65	85% = $253.50	

OPERATIONS	CARDIO-THORACIC	
38285	
IMPLANTABLE ECG LOOP RECORDER, insertion of, for diagnosis of primary disorder in patients with recurrent unexplained syncope where:
	-	a diagnosis has not been achieved through all other available cardiac investigations; and
	-	a neurogenic cause is not suspected; and
	-	it has been determined that the patient does not have structural heart disease associated with a high risk of sudden cardiac death.
including initial programming and testing, as an admitted patient in an approved hospital (Anaes.)
(See para T8.64 of explanatory notes to this Category)
Fee: $192.90	Benefit: 75% = $144.70	85% = $164.00	
38286	
IMPLANTABLE ECG LOOP RECORDER, removal of, as an admitted patient in an approved hospital (Anaes.)
Fee: $173.75	Benefit: 75% = $130.35	85% = $147.70	
	CATHETER BASED ARRHYTHMIA ABLATION	
38287	
ABLATION OF ARRHYTHMIA CIRCUIT OR FOCUS or isolation procedure involving 1 atrial chamber (Anaes.) (Assist.)
Fee: $2,098.45	Benefit: 75% = $1,573.85	85% = $2,023.95	
38290	
ABLATION OF ARRHYTHMIA CIRCUITS OR FOCI, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation (Anaes.) (Assist.)
Fee: $2,671.95	Benefit: 75% = $2,004.00	
38293	
VENTRICULAR ARRHYTHMIA with mapping and ablation, including all associated electrophysiological studies performed on the same day (Anaes.) (Assist.)
Fee: $2,868.05	Benefit: 75% = $2,151.05	85% = $2,793.55	
	ENDOVASCULAR INTERVENTIONAL PROCEDURES	
38300	
TRANSLUMINAL BALLOON ANGIOPLASTY of 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
Fee: $515.35	Benefit: 75% = $386.55	85% = $440.85	
38303	
TRANSLUMINAL BALLOON ANGIOPLASTY of more than 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation and excluding aftercare (Anaes.) (Assist.)
Fee: $660.80	Benefit: 75% = $495.60	85% = $586.30	
38306	
TRANSLUMINAL INSERTION OF STENT OR STENTS into 1 occlusional site, including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.65 of explanatory notes to this Category)
Fee: $762.35	Benefit: 75% = $571.80	85% = $687.85	
38309	
PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 1 coronary artery, including balloon angioplasty with no stent insertion, where:
-	no lesion of the coronary artery has been stented; and
-	each lesion of the coronary artery is complex and heavily calcified; and
-	balloon angioplasty with or without stenting is not suitable;
excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.44 of explanatory notes to this Category)
Fee: $885.45	Benefit: 75% = $664.10	85% = $810.95	
38312	
PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 1 coronary artery, including balloon angioplasty with insertion of 1 or more stents, where:
-	no lesion of the coronary artery has been stented; and
-	each lesion of the coronary artery is complex and heavily calcified; and
-	balloon angioplasty with or without stenting is not suitable;
excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.44 of explanatory notes to this Category)
Fee: $1,132.35	Benefit: 75% = $849.30	85% = $1,057.85	

OPERATIONS	CARDIO-THORACIC	
38315	
PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of more than 1 coronary artery, including balloon angioplasty with no stent insertion, where:
-	no lesion of the coronary arteries has been stented; and
-	each lesion of the coronary arteries is complex and heavily calcified; and
-	balloon angioplasty with or without stenting is not suitable;
excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.44 of explanatory notes to this Category)
Fee: $1,215.85	Benefit: 75% = $911.90	85% = $1,141.35	
38318	
PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of more than 1 coronary artery, including balloon angioplasty, with insertion of 1 or more stents, where:
-	no lesion of the coronary arteries has been stented; and
-	each lesion of the coronary arteries is complex and heavily calcified; and
-	balloon angioplasty with or without stenting is not suitable,
excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
(See para T8.44 of explanatory notes to this Category)
Fee: $1,586.35	Benefit: 75% = $1,189.80	85% = $1,511.85	
	MISCELLANEOUS CARDIAC PROCEDURES	
38350	
SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion, removal or replacement of, including cardiac electrophysiological services where used for pacemaker implantation (Anaes.)
(See para T8.63 of explanatory notes to this Category)
Fee: $638.65	Benefit: 75% = $479.00	
38353	
PERMANENT CARDIAC PACEMAKER, insertion, removal or replacement of, not for cardiac resynchronisation therapy, including cardiac electrophysiological services where used for pacemaker implantation (Anaes.)
(See para T8.63 of explanatory notes to this Category)
Fee: $255.45	Benefit: 75% = $191.60	
38356	
DUAL CHAMBER PERMANENT TRANSVENOUS ELECTRODES, insertion, removal or replacement of, including cardiac electrophysiological services where used for pacemaker implantation (Anaes.)
(See para T8.63 of explanatory notes to this Category)
Fee: $837.35	Benefit: 75% = $628.05	
38358	
Extraction of chronically implanted transvenous pacing or defibrillator lead or leads, by percutaneous method where the leads have been in situ for greater than six months and require removal with locking stylets, snares and/or extraction sheaths in a facility where cardiac surgery is available, in association with item 61109 or 60509 (Anaes.) (Assist.)
(See para T8.67 of explanatory notes to this Category)
Fee: $2,868.05	Benefit: 75% = $2,151.05	
38359	
PERICARDIUM, paracentesis of (excluding aftercare) (Anaes.)
Fee: $133.55	Benefit: 75% = $100.20	85% = $113.55	
38362	
INTRA-AORTIC BALLOON PUMP, percutaneous insertion of (Anaes.)
Fee: $384.95	Benefit: 75% = $288.75	85% = $327.25	
38365	
PERMANENT CARDIAC SYNCRONISATION DEVICE, insertion, removal or replacement of, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy and who meet all of the following criteria:
-	sinus rhythm
-	a left ventricular ejection fraction of less than or equal to 35%
-	a QRS duration greater than or equal to 120ms. (Anaes.)
(See para T8.66 of explanatory notes to this Category)
Fee: $255.45	Benefit: 75% = $191.60	
38368	
PERMANENT TRANSVENOUS LEFT VENTRICULAR ELECTRODE, insertion, removal or replacement of through the coronary sinus, for the purpose of cardiac resynchronisation therapy, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy and who meet all of the following criteria:
-	sinus rhythm
-	a left ventricular ejection fraction of less than or equal to 35%
-	a QRS duration greater than or equal to 120ms.
Where the service includes right heart catheterisation and any associated venogram of left ventricular veins. Not being a service associated with a service to which items 38200 and 35200 apply (Anaes.)
(See para T8.66 of explanatory notes to this Category)
Fee: $1,224.60	Benefit: 75% = $918.45	

OPERATIONS	CARDIO-THORACIC	
38371	
PERMANENT CARDIAC SYNCHRONISATION DEVICE CAPABLE OF DEFIBRILLATION, insertion, removal or replacement of, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy who meet all of the following criteria:
	- sinus rhythm
	- a left ventricular ejection fraction of less than or equal to 35%
	- a QRS duration greater than or equal to 120ms. (Anaes.)
(See para T8.68 of explanatory notes to this Category)
Fee: $287.85	Benefit: 75% = $215.90	85% = $244.70	
38384	
AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrodes for, primary prevention of sudden cardiac death in:

	- patients with a left ventricular ejection fraction of less than or equal to 30% at least one month after a myocardial infarct when the patient has received optimised medical therapy; or

	- patients with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% when the patient has received optimised medical therapy.

Not being a service associated  with a service to which item 38213 applies (Anaes.) (Assist.)
Fee: $1,052.65	Benefit: 75% = $789.50	85% = $978.15	
38387	
AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of for, primary prevention of sudden cardiac death in:

	- patients with a left ventricular ejection fraction of less than or equal to 30% at least one month after a myocardial infarct when the patient has received optimised medical therapy; or

	- patients with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% when the patient has received optimised medical therapy.

Not being a service associated  with a service to which item 38213 applies, not for defibrillators capable of cardiac resynchronisation therapy (Anaes.) (Assist.)
Fee: $287.85	Benefit: 75% = $215.90	85% = $244.70	
38390	
AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of transvenous endocardial defibrillation electrodes for - not for patients with heart failure or as primary prevention for tachycardia arrhythmias. Not being a service associated  with a service to which item 38213 applies (Anaes.) (Assist.)
Fee: $1,052.65	Benefit: 75% = $789.50	85% = $978.15	
38393	
AUTOMATIC DEFIBRILLATOR GENERATOR, insertion or replacement of for - not for patients with heart failure or as primary  prevention for tachycardia arrhythmias. Not being a service associated with a service to which item 38213 applies. (Anaes.) (Assist.)
Fee: $287.85	Benefit: 75% = $215.90	85% = $244.70	
	THORACIC SURGERY	
38415	
EMPYEMA, radical operation for, involving resection of rib (Anaes.) (Assist.)
Fee: $399.35	Benefit: 75% = $299.55	85% = $339.45	
38418	
THORACOTOMY, exploratory, with or without biopsy (Anaes.) (Assist.)
Fee: $958.40	Benefit: 75% = $718.80	
38421	
THORACOTOMY, with pulmonary decortication (Anaes.) (Assist.)
Fee: $1,532.00	Benefit: 75% = $1,149.00	
38424	
THORACOTOMY, with pleurectomy or pleurodesis, OR ENUCLEATION OF HYDATID cysts (Anaes.) (Assist.)
Fee: $958.40	Benefit: 75% = $718.80	
38427	
THORACOPLASTY (complete) - 3 or more ribs (Anaes.) (Assist.)
Fee: $1,183.40	Benefit: 75% = $887.55	
38430	
THORACOPLASTY (in stages)  each stage (Anaes.) (Assist.)
Fee: $609.90	Benefit: 75% = $457.45	
38436	
THORACOSCOPY, with or without division of pleural adhesions, including insertion of intercostal catheter where necessary, with or without biopsy (Anaes.)
Fee: $249.75	Benefit: 75% = $187.35	

OPERATIONS	CARDIO-THORACIC	
38438	
PNEUMONECTOMY or LOBECTOMY or SEGMENTECTOMY not being a service associated with a service to which Item 38418 applies (Anaes.) (Assist.)
Fee: $1,532.00	Benefit: 75% = $1,149.00	
38440	
LUNG, wedge resection of (Anaes.) (Assist.)
Fee: $1,147.20	Benefit: 75% = $860.40	
38441	
RADICAL LOBECTOMY or PNEUMONECTOMY including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (Anaes.) (Assist.)
Fee: $1,815.20	Benefit: 75% = $1,361.40	
38446	
THORACOTOMY or STERNOTOMY, for removal of thymus or mediastinal tumour (Anaes.) (Assist.)
Fee: $1,183.40	Benefit: 75% = $887.55	
38447	
PERICARDIECTOMY via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (Anaes.) (Assist.)
Fee: $1,532.00	Benefit: 75% = $1,149.00	
38448	
MEDIASTINUM, cervical exploration of, with or without biopsy (Anaes.) (Assist.)
Fee: $363.05	Benefit: 75% = $272.30	
38449	
PERICARDIECTOMY via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (Anaes.) (Assist.)
Fee: $2,143.20	Benefit: 75% = $1,607.40	
38450	
PERICARDIUM, transthoracic open surgical drainage of (Anaes.) (Assist.)
Fee: $856.65	Benefit: 75% = $642.50	
38452	
PERICARDIUM, sub-xyphoid drainage of (Anaes.) (Assist.)
Fee: $573.70	Benefit: 75% = $430.30	
38453	
TRACHEAL excision and repair without cardiopulmonary bypass (Anaes.) (Assist.)
Fee: $1,720.90	Benefit: 75% = $1,290.70	
38455	
TRACHEAL EXCISION AND REPAIR OF, with cardiopulmonary bypass (Anaes.) (Assist.)
Fee: $2,327.70	Benefit: 75% = $1,745.80	
38456	
INTRATHORACIC OPERATION on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than 1 of those organs, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $1,532.00	Benefit: 75% = $1,149.00	
38457	
PECTUS EXCAVATUM or PECTUS CARINATUM, repair or radical correction of (Anaes.) (Assist.)
Fee: $1,430.25	Benefit: 75% = $1,072.70	
38458	
PECTUS EXCAVATUM, repair of, with implantation of subcutaneous prosthesis (Anaes.) (Assist.)
Fee: $762.35	Benefit: 75% = $571.80	
38460	
STERNAL WIRE OR WIRES, removal of (Anaes.)
Fee: $275.40	Benefit: 75% = $206.55	
38462	
STERNOTOMY WOUND, debridement of, not involving reopening of the mediastinum (Anaes.)
Fee: $326.45	Benefit: 75% = $244.85	
38464	
STERNOTOMY WOUND, debridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (Anaes.)
Fee: $354.80	Benefit: 75% = $266.10	
38466	
STERNUM, reoperation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (Anaes.) (Assist.)
Fee: $958.00	Benefit: 75% = $718.50	
38468	
STERNUM AND MEDIASTINUM, reoperation for infection of, involving muscle advancement flaps or greater omentum (Anaes.) (Assist.)
Fee: $1,476.15	Benefit: 75% = $1,107.15	
38469	
STERNUM AND MEDIASTINUM, reoperation for infection of, involving muscle advancement flaps and greater omentum (Anaes.) (Assist.)
Fee: $1,720.90	Benefit: 75% = $1,290.70	

OPERATIONS	CARDIO-THORACIC	
	CARDIAC SURGERY PROCEDURES	
38470	
PERMANENT MYOCARDIAL ELECTRODE, insertion of, by thoracotomy or sternotomy (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $958.40	Benefit: 75% = $718.80	
38473	
PERMANENT PACEMAKER ELECTRODE, insertion by open surgical approach (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $573.70	Benefit: 75% = $430.30	
	VALVULAR PROCEDURES	
38475	
VALVE ANNULOPLASTY without insertion of ring, not being a service associated with a service to which item 38480 or 38481 applies (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $831.75	Benefit: 75% = $623.85	
38477	
VALVE ANNULOPLASTY with insertion of ring not being a service to which item 38478 applies (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,003.35	Benefit: 75% = $1,502.55	
38478	
VALVE ANNULOPLASTY with insertion of ring performed in conjunction with item 38480 or 38481 (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $970.40	Benefit: 75% = $727.80	
38480	
VALVE REPAIR, 1 leaflet (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,003.35	Benefit: 75% = $1,502.55	
38481	
VALVE REPAIR, 2 or more leaflets (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,280.65	Benefit: 75% = $1,710.50	
38483	
AORTIC VALVE LEAFLET OR LEAFLETS, decalcification of, not being a service to which item 38475, 38477, 38480, 38481, 38488 or 38489 applies (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,720.90	Benefit: 75% = $1,290.70	
38485	
MITRAL ANNULUS, reconstruction of, after decalcification, when performed in association with valve surgery (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $817.10	Benefit: 75% = $612.85	
38487	
MITRAL VALVE, open valvotomy of (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,720.90	Benefit: 75% = $1,290.70	
38488	
VALVE REPLACEMENT with BIOPROSTHESIS OR MECHANICAL PROSTHESIS (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,909.60	Benefit: 75% = $1,432.20	
38489	
VALVE REPLACEMENT with allograft (subcoronary or cylindrical implant), or unstented xenograft (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,271.05	Benefit: 75% = $1,703.30	
38490	
SUB-VALVULAR STRUCTURES, reconstruction and re-implantation of, associated with mitral and tricuspid valve replacement (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $554.55	Benefit: 75% = $415.95	
38493	
OPERATIVE MANAGEMENT of acute infective endocarditis, in association with heart valve surgery (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,957.60	Benefit: 75% = $1,468.20	

OPERATIONS	CARDIO-THORACIC	
	SURGERY FOR ISCHAEMIC HEART DISEASE	
38496	
ARTERY HARVESTING (other than internal mammary), for coronary artery bypass (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $623.95	Benefit: 75% = $468.00	
38497	
CORONARY ARTERY BYPASS with cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, not being a service asociated with a service to which items 38498, 38500, 38501, 38503 or 38504 apply (Anaes.) (Assist.)
(See para T8.70 and T8.71 of explanatory notes to this Category)
Fee: $2,047.60	Benefit: 75% = $1,535.70	
38498	
CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38500, 38501, 38503, 38504 or 38600 apply (Anaes.) (Assist.)
(See para T8.70 and T8.71 of explanatory notes to this Category)
Fee: $2,047.60	Benefit: 75% = $1,535.70	
38500	
CORONARY ARTERY BYPASS with cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, not being a service associated with a service to which items 38497, 38498, 38501, 38503 or 38504 apply (Anaes.) (Assist.)
(See para T8.70 and T8.71 of explanatory notes to this Category)
Fee: $2,200.00	Benefit: 75% = $1,650.00	
38501	
CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38498, 38500, 38503,  38504 or 38600 apply (Anaes.) (Assist.)
(See para T8.70 and T8.71 of explanatory notes to this Category)
Fee: $2,200.00	Benefit: 75% = $1,650.00	
38503	
CORONARY ARTERY BYPASS with cardiopulmonary bypass, using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, not being a service associated with a service to which items 38497, 38498, 38500, 38501 or 38504 apply (Anaes.) (Assist.)
(See para T8.70 and T8.71 of explanatory notes to this Category)
Fee: $2,388.70	Benefit: 75% = $1,791.55	
38504	
CORONARY ARTERY BYPASS with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, either via a median sternotomy or other minimally invasive technique and where a stand-by perfusionist is present, not being a service associated with a service to which items 38497, 38498, 38500, 38501, 38503 or 38600 apply (Anaes.) (Assist.)
(See para T8.70 and T8.71 of explanatory notes to this Category)
Fee: $2,388.70	Benefit: 75% = $1,791.55	
38505	
CORONARY ENDARTERECTOMY, by open operation, including repair with 1 or more patch grafts, each vessel (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $277.25	Benefit: 75% = $207.95	
38506	
LEFT VENTRICULAR ANEURYSM, plication of (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,626.25	Benefit: 75% = $1,219.70	
38507	
LEFT VENTRICULAR ANEURYSM resection with primary repair (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,909.20	Benefit: 75% = $1,431.90	
38508	
LEFT VENTRICULAR ANEURYSM resection with patch reconstruction of the left ventricle (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,388.70	Benefit: 75% = $1,791.55	
38509	
ISCHAEMIC VENTRICULAR SEPTAL RUPTURE, repair of (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,388.70	Benefit: 75% = $1,791.55	

OPERATIONS	CARDIO-THORACIC	
	ARRHYTHMIA SURGERY	
38512	
DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,098.45	Benefit: 75% = $1,573.85	
38515	
DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,671.95	Benefit: 75% = $2,004.00	
38518	
VENTRICULAR ARRHYTHMIA with mapping and muscle ablation, with or without aneurysmeotomy (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,868.05	Benefit: 75% = $2,151.05	
	PROCEDURES ON THORACIC AORTA	
38550	
ASCENDING THORACIC AORTA, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,146.15	Benefit: 75% = $1,609.65	
38553	
ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,719.75	Benefit: 75% = $2,039.85	
38556	
ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $3,104.70	Benefit: 75% = $2,328.55	
38559	
AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,531.00	Benefit: 75% = $1,898.25	
38562	
AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $3,104.70	Benefit: 75% = $2,328.55	
38565	
AORTIC ARCH and ASCENDING THORACIC AORTA, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $3,482.25	Benefit: 75% = $2,611.70	
38568	
DESCENDING THORACIC AORTA, repair or replacement of, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endvascular means (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,862.95	Benefit: 75% = $1,397.25	
38571	
DESCENDING THORACIC AORTA, repair or replacement of, using shunt or cardiopulmonary bypass (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,051.75	Benefit: 75% = $1,538.85	
38572	
OPERATIVE MANAGEMENT OF ACUTE RUPTURE OR DISSECTION, in conjunction with procedures on the thoracic aorta (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,987.05	Benefit: 75% = $1,490.30	
38577	
CANNULATION FOR, and supervision and monitoring of, the administration of retrograde cerebral perfusion during deep hypothermic arrest (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $554.55	Benefit: 75% = $415.95	

OPERATIONS	CARDIO-THORACIC	
	TECHNIQUES FOR PRESERVATION OF ARRESTED HEART	
38588	
CANNULATION of the coronary sinus for, and supervision of, the retrograde administration of blood or crystalloid for cardioplegia, including pressure monitoring (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $416.05	Benefit: 75% = $312.05	
	CIRCULATORY SUPPORT PROCEDURES	
38600	
CENTRAL CANNULATION for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,532.00	Benefit: 75% = $1,149.00	
38603	
PERIPHERAL CANNULATION for cardiopulmonary bypass excluding post-operative management (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $958.40	Benefit: 75% = $718.80	
38609	
INTRA-AORTIC BALLOON PUMP, insertion of, by arteriotomy (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $479.15	Benefit: 75% = $359.40	
38612	
INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by direct suture (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $537.10	Benefit: 75% = $402.85	85% = $462.60	
38613	
INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by patch graft (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $674.05	Benefit: 75% = $505.55	
38615	
LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, insertion of (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,532.00	Benefit: 75% = $1,149.00	
38618	
LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, insertion of (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,909.60	Benefit: 75% = $1,432.20	
38621	
LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $762.35	Benefit: 75% = $571.80	
38624	
LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $856.65	Benefit: 75% = $642.50	
38627	
EXTRA-CORPOREAL MEMBRANE OXYGENATION, BYPASS OR VENTRICULAR ASSIST DEVICE CANNULAE, adjustment and re-positioning of, by open operation, in patients supported by these devices (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $669.60	Benefit: 75% = $502.20	
	RE-OPERATION	
38637	
PATENT DISEASED coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $554.55	Benefit: 75% = $415.95	
38640	
RE-OPERATION via median sternotomy, for any procedure, including any divisions of adhesions where the time taken to divide the adhesions is 45 minutes or less (Anaes.) (Assist.)
(See para T8.70 and T8.72 of explanatory notes to this Category)
Fee: $958.40	Benefit: 75% = $718.80	

OPERATIONS	CARDIO-THORACIC	
	MISCELLANEOUS CARDIOTHORACIC SURGICAL PROCEDURES	
38643	
THORACOTOMY OR STERNOTOMY involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,067.40	Benefit: 75% = $800.55	
38647	
THORACOTOMY OR STERNOTOMY involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38650	
MYOMECTOMY or MYOTOMY for hypertrophic obstructive cardiomyopathy (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,909.60	Benefit: 75% = $1,432.20	
38653	
OPEN HEART SURGERY, not being a service to which another item in this Group applies (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,909.60	Benefit: 75% = $1,432.20	
38654	
PERMANENT LEFT VENTRICULAR ELECTRODE, insertion, removal or replacement of via open thoracotomy, for the purpose of cardiac resynchronisation therapy, for patients who have moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy and who meet all of the following criteria:
-	sinus rhythm
-	a left ventricular ejection fraction of less than or equal to 35%
-	a QRS duration greater than or equal to 120ms. (Anaes.) (Assist.)
(See para T8.66 and T8.70 of explanatory notes to this Category)
Fee: $1,224.60	Benefit: 75% = $918.45	
38656	
THORACOTOMY or median sternotomy for post-operative bleeding (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $958.40	Benefit: 75% = $718.80	
	CARDIAC TUMOURS	
38670	
CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,909.20	Benefit: 75% = $1,431.90	
38673	
CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,148.85	Benefit: 75% = $1,611.65	
38677	
CARDIAC TUMOUR arising from ventricular myocardium, partial thickness excision of (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,010.35	Benefit: 75% = $1,507.80	
38680	
CARDIAC TUMOUR arising from ventricular myocardium, full thickness excision of including repair or reconstruction (Anaes.) (Assist.)
Fee: $2,384.55	Benefit: 75% = $1,788.45	85% = $2,310.05	
	CONGENITAL CARDIAC SURGERY	
38700	
PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,067.40	Benefit: 75% = $800.55	
38703	
PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,924.10	Benefit: 75% = $1,443.10	

OPERATIONS	CARDIO-THORACIC	
38706	
AORTA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,822.40	Benefit: 75% = $1,366.80	
38709	
AORTA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38712	
AORTIC INTERRUPTION, repair of, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,563.15	Benefit: 75% = $1,922.40	
38715	
MAIN PULMONARY ARTERY, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,706.30	Benefit: 75% = $1,279.75	
38718	
MAIN PULMONARY ARTERY, banding, debanding or repair of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38721	
VENA CAVA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,495.80	Benefit: 75% = $1,121.85	
38724	
VENA CAVA, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38727	
INTRATHORACIC VESSELS, anastomosis or repair of, without cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,495.80	Benefit: 75% = $1,121.85	
38730	
INTRATHORACIC VESSELS, anastomosis or repair of, with cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease (Anaes.) (Assist.)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38733	
SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,495.80	Benefit: 75% = $1,121.85	
38736	
SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38739	
ATRIAL SEPTECTOMY, with or without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,924.10	Benefit: 75% = $1,443.10	
38742	
ATRIAL SEPTAL DEFECT, closure by open exposure direct suture or patch, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $1,924.10	Benefit: 75% = $1,443.10	
38745	
INTRA-ATRIAL BAFFLE, insertion of, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38748	
VENTRICULAR SEPTECTOMY, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	

OPERATIONS	CARDIO-THORACIC	
38751	
VENTRICULAR SEPTAL DEFECT, closure by direct suture or patch, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38754	
INTRAVENTRICULAR BAFFLE OR CONDUIT, insertion of, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,671.95	Benefit: 75% = $2,004.00	
38757	
EXTRACARDIAC CONDUIT, insertion of, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38760	
EXTRACARDIAC CONDUIT, replacement of, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38763	
VENTRICULAR MYECTOMY, for relief of ventricular obstruction, right or left, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
38766	
VENTRICULAR AUGMENTATION, right or left, for congenital heart disease (Anaes.) (Assist.)
(See para T8.70 of explanatory notes to this Category)
Fee: $2,134.50	Benefit: 75% = $1,600.90	
	MISCELLANEOUS PROCEDURES ON THE CHEST	
38800	
THORACIC CAVITY, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38803 applies
Fee: $38.50	Benefit: 75% = $28.90	85% = $32.75	
38803	
THORACIC CAVITY, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample
Fee: $76.90	Benefit: 75% = $57.70	85% = $65.40	
38806	
INTERCOSTAL DRAIN, insertion of, not involving resection of rib (excluding aftercare) (Anaes.)
Fee: $133.55	Benefit: 75% = $100.20	85% = $113.55	
38809	
INTERCOSTAL DRAIN, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) (Anaes.)
Fee: $164.55	Benefit: 75% = $123.45	85% = $139.90	
38812	
PERCUTANEOUS NEEDLE BIOPSY of lung (Anaes.)
Fee: $209.15	Benefit: 75% = $156.90	85% = $177.80	
	SUBGROUP 7 - NEUROSURGICAL	
	GENERAL	
39000	
LUMBAR PUNCTURE (Anaes.)
Fee: $75.30	Benefit: 75% = $56.50	85% = $64.05	
39003	
CISTERNAL PUNCTURE (Anaes.)
Fee: $85.65	Benefit: 75% = $64.25	85% = $72.85	
39006	
VENTRICULAR PUNCTURE (not including burr-hole) (Anaes.)
Fee: $159.40	Benefit: 75% = $119.55	85% = $135.50	
39009	
SUBDURAL HAEMORRHAGE, tap for, each tap (Anaes.)
Fee: $59.35	Benefit: 75% = $44.55	
39012	
BURR-HOLE, single, preparatory to ventricular puncture or for inspection purpose - not being a service to which another item applies (Anaes.)
Fee: $237.60	Benefit: 75% = $178.20	
39013	
INJECTION UNDER IMAGE INTENSIFICATION with 1 or more of contrast media, local anaesthetic or corticosteroid into 1 or more zygo-apophyseal or costo-transverse joints or 1 or more primary posterior rami of spinal nerves (Anaes.)
Fee: $109.15	Benefit: 75% = $81.90	85% = $92.80	

OPERATIONS	NEUROSURGICAL	
39015	
VENTRICULAR RESERVOIR, EXTERNAL VENTRICULAR DRAIN or INTRACRANIAL PRESSURE MONITORING DEVICE, insertion of - including burr-hole (excluding after-care) (Anaes.) (Assist.)
Fee: $376.00	Benefit: 75% = $282.00	
39018	
CEREBROSPINAL FLUID reservoir, insertion of (Anaes.) (Assist.)
Fee: $376.00	Benefit: 75% = $282.00	
	PAIN RELIEF	
39100	
INJECTION OF PRIMARY BRANCH OF TRIGEMINAL NERVE with alcohol, cortisone, phenol, or similar substance (Anaes.)
Fee: $237.60	Benefit: 75% = $178.20	85% = $202.00	
39106	
NEURECTOMY, INTRACRANIAL, for trigeminal neuralgia (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
39109	
TRIGEMINAL GANGLIOTOMY by radiofrequency, balloon or glycerol (Anaes.)
Fee: $443.70	Benefit: 75% = $332.80	85% = $377.15	
39112	
CRANIAL NERVE, intracranial decompression of, using microsurgical techniques (Anaes.) (Assist.)
Fee: $1,541.50	Benefit: 75% = $1,156.15	
39115	
PERCUTANEOUS NEUROTOMY of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) (Anaes.)
Fee: $75.30	Benefit: 75% = $56.50	85% = $64.05	
39118	
PERCUTANEOUS NEUROTOMY for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (Anaes.) (Assist.)
Fee: $297.85	Benefit: 75% = $223.40	85% = $253.20	
39121	
PERCUTANEOUS CORDOTOMY (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25	
39124	
CORDOTOMY OR MYELOTOMY, partial or total laminectomy for, or operation for dorsal root entry zone (Drez) lesion (Anaes.) (Assist.)
Fee: $1,616.80	Benefit: 75% = $1,212.60	
39125	
Intrathecal or epidural SPINAL CATHETER insertion or replacement of, and connection to a subcutaneous implanted infusion pump, for the management of chronic intractable pain (Anaes.) (Assist.)
Fee: $298.05	Benefit: 75% = $223.55	
39126	
INFUSION PUMP, subcutaneous implantation or replacement of, and connection of the pump to an intrathecal or epidural catheter, and filling of reservoir with a therapeutic agent or agents, with or without programming the pump, for the management of chronic intractable pain (Anaes.) (Assist.)
Fee: $361.90	Benefit: 75% = $271.45	
39127	
SUBCUTANEOUS RESERVOIR AND SPINAL CATHETER, insertion of, for the management of chronic intractable pain (Anaes.)
Fee: $473.65	Benefit: 75% = $355.25	
39128	
INFUSION PUMP, subcutaneous implantation of, AND intrathecal or epidural SPINAL CATHETER insertion of, and connection of pump to catheter, and filling of reservoir with a therapeutic agent or agents, with or without programming the pump, for the management of chronic intractable pain (Anaes.) (Assist.)
Fee: $659.95	Benefit: 75% = $495.00	
39130	
EPIDURAL LEAD, percutaneous placement of, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, to a maximum of 4 leads (Anaes.)
Fee: $674.15	Benefit: 75% = $505.65	
39131	
ELECTRODES, epidural or peripheral nerve, management of patient and adjustment or reprogramming of neurostimulator by a medical practitioner, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris - each day
Fee: $127.80	Benefit: 75% = $95.85	85% = $108.65	
39133	
Removal of subcutaneously IMPLANTED INFUSION PUMP OR removal or repositioning of intrathecal or epidural SPINAL CATHETER, for the management of chronic intractable pain (Anaes.)
Fee: $159.40	Benefit: 75% = $119.55	

OPERATIONS	NEUROSURGICAL	
39134	
NEUROSTIMULATOR or RECEIVER, subcutaneous placement of, including placement and connection of extension wires to epidural or peripheral nerve electrodes, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris (Anaes.) (Assist.)
Fee: $340.60	Benefit: 75% = $255.45	
39135	
NEUROSTIMULATOR or RECEIVER, that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital (Anaes.)
Fee: $159.40	Benefit: 75% = $119.55	85% = $135.50	
39136	
LEAD, epidural or peripheral nerve that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital (Anaes.)
Fee: $159.40	Benefit: 75% = $119.55	
39137	
LEAD, epidural or peripheral nerve that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, surgical repositioning to correct displacement or unsatisfactory positioning, including intraoperative test stimulation, not being a service to which item 39130, 39138 or 39139 applies (Anaes.)
Fee: $605.35	Benefit: 75% = $454.05	
39138	
PERIPHERAL NERVE LEAD, surgical placement of, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, to a maximum of 4 leads (Anaes.) (Assist.)
Fee: $674.15	Benefit: 75% = $505.65	
39139	
EPIDURAL LEAD, surgical placement of one or more by partial or total laminectomy, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris (Anaes.) (Assist.)
Fee: $905.10	Benefit: 75% = $678.85	
39140	
EPIDURAL CATHETER, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions (Anaes.)
Fee: $292.85	Benefit: 75% = $219.65	85% = $248.95	
	PERIPHERAL NERVES	
39300	
CUTANEOUS NERVE (including digital nerve), primary repair of, using microsurgical techniques (Anaes.) (Assist.)
Fee: $353.35	Benefit: 75% = $265.05	
39303	
CUTANEOUS NERVE (including digital nerve), secondary repair of, using microsurgical techniques (Anaes.) (Assist.)
Fee: $466.10	Benefit: 75% = $349.60	
39306	
NERVE TRUNK, primary repair of, using microsurgical techniques (Anaes.) (Assist.)
Fee: $676.80	Benefit: 75% = $507.60	
39309	
NERVE TRUNK, secondary repair of, using microsurgical techniques (Anaes.) (Assist.)
Fee: $714.35	Benefit: 75% = $535.80	
39312	
NERVE TRUNK, (interfascicular), neurolysis of, using microsurgical techniques (Anaes.) (Assist.)
Fee: $398.55	Benefit: 75% = $298.95	
39315	
NERVE TRUNK, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.)
Fee: $1,030.20	Benefit: 75% = $772.65	
39318	
CUTANEOUS NERVE (including digital nerve), nerve graft to, using microsurgical techniques (Anaes.) (Assist.)
Fee: $639.20	Benefit: 75% = $479.40	
39321	
NERVE, transposition of (Anaes.) (Assist.)
Fee: $473.65	Benefit: 75% = $355.25	
39323	
PERCUTANEOUS NEUROTOMY by cryotherapy or radiofrequency lesion generator, not being a service to which another item applies (Anaes.) (Assist.)
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
39324	
NEURECTOMY, NEUROTOMY or removal of tumour from superficial peripheral nerve, by open operation (Anaes.) (Assist.)
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
39327	
NEURECTOMY, NEUROTOMY or removal of tumour from deep peripheral or cranial nerve, by open operation, not being a service to which item 41575, 41576, 41578 or 41579 applies (Anaes.) (Assist.)
Fee: $473.75	Benefit: 75% = $355.35	85% = $402.70	

OPERATIONS	NEUROSURGICAL	
39330	
NEUROLYSIS by open operation without transposition, not being a service associated with a service to which item 39312 applies (Anaes.) (Assist.)
Fee: $276.80	Benefit: 75% = $207.60	
39331	
CARPAL TUNNEL RELEASE (division of transverse carpal ligament), by any method (Anaes.)
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
39333	
BRACHIAL PLEXUS, exploration of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $398.55	Benefit: 75% = $298.95	85% = $338.80	
	CRANIAL NERVES	
39500	
VESTIBULAR NERVE, section of, via posterior fossa (Anaes.) (Assist.)
Fee: $1,270.90	Benefit: 75% = $953.20	
39503	
FACIO-HYPOGLOSSAL nerve or FACIO-ACCESSORY nerve, anastomosis of (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	
	CRANIO-CEREBRAL INJURIES	
39600	
INTRACRANIAL HAEMORRHAGE, burr-hole craniotomy for - including burr-holes (Anaes.) (Assist.)
Fee: $473.65	Benefit: 75% = $355.25	
39603	
INTRACRANIAL HAEMORRHAGE, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (Anaes.) (Assist.)
Fee: $1,195.70	Benefit: 75% = $896.80	
39606	
FRACTURED SKULL, depressed or comminuted, operation for (Anaes.) (Assist.)
Fee: $797.10	Benefit: 75% = $597.85	
39609	
FRACTURED SKULL, compound, without dural penetration, operation for (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	
39612	
FRACTURED SKULL, compound, depressed or complicated, with dural penetration and brain laceration, operation for (Anaes.) (Assist.)
Fee: $1,120.45	Benefit: 75% = $840.35	
39615	
FRACTURED SKULL with rhinorrhoea or otorrhoea, cranioplasty and repair of (Anaes.) (Assist.)
Fee: $1,195.70	Benefit: 75% = $896.80	
	SKULL BASE SURGERY	
39640	
TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving craniotomy, radical excision of the skull base, and dural repair (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $3,031.65	Benefit: 75% = $2,273.75	
39642	
TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension (intracranial procedure) (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $3,187.25	Benefit: 75% = $2,390.45	
39646	
TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, involving frontal craniotomy with lateral rhinotomy and radical clearance of paranasal sinus and orbital fossa extensions, with intracranial decompression of the optic nerve, (intracranial procedure) (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $3,653.60	Benefit: 75% = $2,740.20	
39650	
TUMOUR INVOLVING MIDDLE CRANIAL FOSSA AND INFRA-TEMPORAL FOSSA, removal of, craniotomy and radical or sub-total radical excision, with division and reconstruction of zygomatic arch, (intracranial procedure) (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $2,642.95	Benefit: 75% = $1,982.25	
39653	
PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical or sub-total radical excision (intracranial procedure), not being a service to which item 39654 or 39656 applies (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $4,703.15	Benefit: 75% = $3,527.40	

OPERATIONS	NEUROSURGICAL	
39654	
PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical or sub-total radical excision, (intracranial procedure), conjoint surgery, principal surgeon (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $3,420.50	Benefit: 75% = $2,565.40	
39656	
PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and infratentorial approaches for radical or sub-total radical excision, (intracranial procedure) conjoint surgery, co-surgeon (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $2,565.30	Benefit: 75% = $1,924.00	
39658	
TUMOUR INVOLVING THE CLIVUS, radical or sub-total radical excision of, involving transoral or transmaxillary approach (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $3,031.65	Benefit: 75% = $2,273.75	
39660	
TUMOUR OR VASCULAR LESION OF CAVERNOUS SINUS, radical excision of, involving craniotomy with or without intracranial carotid artery exposure (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $3,031.65	Benefit: 75% = $2,273.75	
39662	
TUMOUR OR VASCULAR LESION OF FORAMEN MAGNUM, radical excision of, via transcondylar or far lateral suboccipital approach (Anaes.) (Assist.)
(See para T8.73 of explanatory notes to this Category)
Fee: $3,031.65	Benefit: 75% = $2,273.75	
	INTRA-CRANIAL NEOPLASMS	
39700	
SKULL TUMOUR, benign or malignant, excision of, excluding cranioplasty (Anaes.) (Assist.)
Fee: $556.60	Benefit: 75% = $417.45	
39703	
INTRACRANIAL tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (Anaes.) (Assist.)
Fee: $519.00	Benefit: 75% = $389.25	
39706	
INTRACRANIAL tumour, biopsy or decompression of via osteoplastic flap OR biopsy and decompression of via osteoplastic flap (Anaes.) (Assist.)
Fee: $1,112.85	Benefit: 75% = $834.65	
39709	
CRANIOTOMY for removal of glioma, metastatic carcinoma or any other tumour in cerebrum, cerebellum or brain stem - not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
39712	
CRANIOTOMY FOR REMOVAL OF MENINGIOMA, pinealoma, cranio-pharyngioma, intraventricular tumour or any other intracranial tumour, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
Fee: $2,865.00	Benefit: 75% = $2,148.75	
39715	
PITUITARY TUMOUR, removal of, by transcranial or transphenoidal approach (Anaes.) (Assist.)
Fee: $1,985.30	Benefit: 75% = $1,489.00	
39718	
ARACHNOIDAL CYST, craniotomy for (Anaes.) (Assist.)
Fee: $872.30	Benefit: 75% = $654.25	
39721	
CRANIOTOMY, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (Anaes.) (Assist.)
Fee: $797.10	Benefit: 75% = $597.85	
	CEREBROVASCULAR DISEASE	
39800	
ANEURYSM, clipping or reinforcement of sac (Anaes.) (Assist.)
Fee: $2,857.55	Benefit: 75% = $2,143.20	
39803	
INTRACRANIAL ARTERIOVENOUS MALFORMATION, excision of (Anaes.) (Assist.)
Fee: $2,857.55	Benefit: 75% = $2,143.20	
39806	
ANEURYSM, or arteriovenous malformation, intracranial proximal artery clipping of (Anaes.) (Assist.)
Fee: $1,285.75	Benefit: 75% = $964.35	
39812	
INTRACRANIAL ANEURYSM or arteriovenous fistula, ligation of cervical vessel or vessels (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	

OPERATIONS	NEUROSURGICAL	
39815	
CAROTID-CAVERNOUS FISTULA, obliteration of - combined cervical and intracranial procedure (Anaes.) (Assist.)
Fee: $1,827.25	Benefit: 75% = $1,370.45	85% = $1,752.75	
39818	
EXTRACRANIAL TO INTRACRANIAL BYPASS using superficial temporal artery (Anaes.) (Assist.)
Fee: $1,827.25	Benefit: 75% = $1,370.45	
39821	
EXTRACRANIAL TO INTRACRANIAL BYPASS using saphenous vein graft (Anaes.) (Assist.)
Fee: $2,169.75	Benefit: 75% = $1,627.35	
	INFECTION	
39900	
INTRACRANIAL INFECTION, drainage of, via burr-hole - including burr-hole (Anaes.) (Assist.)
Fee: $519.00	Benefit: 75% = $389.25	
39903	
INTRACRANIAL ABSCESS, excision of (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
39906	
OSTEOMYELITIS OF SKULL or removal of infected bone flap, craniectomy for (Anaes.) (Assist.)
Fee: $797.10	Benefit: 75% = $597.85	
	CEREBROSPINAL FLUID CIRCULATION DISORDERS	
40000	
VENTRICULO-CISTERNOSTOMY (Torkildsen's operation) (Anaes.) (Assist.)
Fee: $917.40	Benefit: 75% = $688.05	
40003	
CRANIAL OR CISTERNAL SHUNT DIVERSION, insertion of (Anaes.) (Assist.)
Fee: $917.40	Benefit: 75% = $688.05	
40006	
LUMBAR SHUNT DIVERSION, insertion of (Anaes.) (Assist.)
Fee: $721.95	Benefit: 75% = $541.50	
40009	
CRANIAL, CISTERNAL OR LUMBAR SHUNT, revision or removal of (Anaes.) (Assist.)
Fee: $526.40	Benefit: 75% = $394.80	
40012	
THIRD VENTRICULOSTOMY (open or endoscopic) with or without endoscopic septum pellucidotomy (Anaes.) (Assist.)
Fee: $1,030.20	Benefit: 75% = $772.65	
40015	
SUBTEMPORAL DECOMPRESSION (Anaes.) (Assist.)
Fee: $638.65	Benefit: 75% = $479.00	
40018	
LUMBAR CEREBROSPINAL FLUID DRAIN, insertion of (Anaes.)
Fee: $159.40	Benefit: 75% = $119.55	85% = $135.50	
	CONGENITAL DISORDERS	
40100	
MENINGOCELE, excision and closure of (Anaes.) (Assist.)
Fee: $691.75	Benefit: 75% = $518.85	
40103	
MYELOMENINGOCELE, excision and closure of, including skin flaps or Z plasty where performed (Anaes.) (Assist.)
Fee: $1,015.25	Benefit: 75% = $761.45	
40106	
ARNOLD-CHIARI MALFORMATION, decompression of (Anaes.) (Assist.)
Fee: $1,030.20	Benefit: 75% = $772.65	
40109	
ENCEPHALOCOELE, excision and closure of (Anaes.) (Assist.)
Fee: $1,112.85	Benefit: 75% = $834.65	
40112	
TETHERED CORD, release of, including lipomeningocele or diastematomyelia (Anaes.) (Assist.)
Fee: $1,428.75	Benefit: 75% = $1,071.60	
40115	
CRANIOSTENOSIS, operation for - single suture (Anaes.) (Assist.)
Fee: $721.95	Benefit: 75% = $541.50	
40118	
CRANIOSTENOSIS, operation for - more than 1 suture (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	

OPERATIONS	NEUROSURGICAL	
	SPINAL DISORDERS	
40300	
INTERVERTEBRAL DISC OR DISCS, partial or total laminectomy for removal of (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	
40301	
INTERVERTEBRAL DISC OR DISCS, microsurgical partial or total discectomy of (Anaes.) (Assist.)
Fee: $958.00	Benefit: 75% = $718.50	
40303	
RECURRENT DISC LESION OR SPINAL STENOSIS, or both, partial or total laminectomy for - 1 level (Anaes.) (Assist.)
Fee: $1,090.35	Benefit: 75% = $817.80	
40306	
SPINAL STENOSIS, partial or total laminectomy for, involving more than 1 vertebral interspace (disc level) (Anaes.) (Assist.)
Fee: $1,436.30	Benefit: 75% = $1,077.25	
40309	
EEXTRADURAL TUMOUR OR ABSCESS, partial or total laminectomy for (Anaes.) (Assist.)
Fee: $1,090.35	Benefit: 75% = $817.80	
40312	
INTRADURAL LESION, partial or total laminectomy for, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $1,466.30	Benefit: 75% = $1,099.75	
40315	
CRANIOCERVICAL JUNCTION LESION, transoral approach for (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
40316	
ODONTOID screw fixation (Anaes.) (Assist.)
Fee: $2,079.75	Benefit: 75% = $1,559.85	
40318	
INTRAMEDULLARY TUMOUR OR ARTERIOVENOUS MALFORMATION, partial or total laminectomy and radical excision of (Anaes.) (Assist.)
Fee: $1,985.30	Benefit: 75% = $1,489.00	
40321	
POSTERIOR SPINAL FUSION, not being a service to which items 40324 and 40327 apply (Anaes.) (Assist.)
Fee: $1,090.35	Benefit: 75% = $817.80	
40324	
PARTIAL OR TOTAL LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together – laminectomy, including aftercare (Anaes.) (Assist.)
Fee: $639.20	Benefit: 75% = $479.40	
40327	
PARTIAL OR TOTAL LAMINECTOMY FOLLOWED BY POSTERIOR FUSION, performed by neurosurgeon and orthopaedic surgeon operating together – posterior fusion, including aftercare (Assist.)
Fee: $639.20	Benefit: 75% = $479.40	
40330	
SPINAL RHIZOLYSIS involving exposure of spinal nerve roots – for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels – with or without partial or total laminectomy (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	
40331	
CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, without fusion, 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	
40332	
CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, including anterior fusion, 1 level, not being a service to which item 40330 applies (Anaes.) (Assist.)
Fee: $1,558.30	Benefit: 75% = $1,168.75	
40333	
CERVICAL PARTIAL OR TOTAL DISCECTOMY (ANTERIOR), without fusion (Anaes.) (Assist.)
Fee: $797.10	Benefit: 75% = $597.85	
40334	
CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, without fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)
Fee: $1,053.90	Benefit: 75% = $790.45	
40335	
CERVICAL DECOMPRESSION of spinal cord with or without involvement of nerve roots, including anterior fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)
Fee: $1,935.60	Benefit: 75% = $1,451.70	

OPERATIONS	NEUROSURGICAL	
40336	
INTRADISCAL INJECTION OF CHYMOPAPAIN (DISCASE) - 1 disc (Anaes.) (Assist.)
(See para T8.74 of explanatory notes to this Category)
Fee: $315.90	Benefit: 75% = $236.95	
40339	
HYDROMYELIA, plugging of obex for, with or without duroplasty (Anaes.) (Assist.)
Fee: $1,586.75	Benefit: 75% = $1,190.10	
40342	
HYDROMYELIA, craniotomy and partial or total laminectomy for, with cavity packing and CSF shunt (Anaes.) (Assist.)
Fee: $1,466.30	Benefit: 75% = $1,099.75	
40345	
THORACIC DECOMPRESSION of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy (Anaes.) (Assist.)
Fee: $1,365.00	Benefit: 75% = $1,023.75	
40348	
THORACIC DECOMPRESSION of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure (Anaes.) (Assist.)
Fee: $1,733.10	Benefit: 75% = $1,299.85	
40351	
THORACO-LUMBAR or high lumbar anterior decompression of spinal cord, not including stabilisation procedure (Anaes.) (Assist.)
Fee: $1,733.10	Benefit: 75% = $1,299.85	
	SKULL RECONSTRUCTION	
40600	
CRANIOPLASTY, reconstructive (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	
	EPILEPSY	
40700	
CORPUS CALLOSUM, anterior section of, for epilepsy (Anaes.) (Assist.)
Fee: $1,744.65	Benefit: 75% = $1,308.50	
40703	
CORTICECTOMY, TOPECTOMY or PARTIAL LOBECTOMY for epilepsy (Anaes.) (Assist.)
Fee: $1,466.30	Benefit: 75% = $1,099.75	
40706	
HEMISPHERECTOMY for intractable epilepsy (Anaes.) (Assist.)
Fee: $2,143.10	Benefit: 75% = $1,607.35	85% = $2,068.60	
40709	
BURR-HOLE PLACEMENT of intracranial depth or surface electrodes (Anaes.) (Assist.)
Fee: $519.00	Benefit: 75% = $389.25	
40712	
INTRACRANIAL ELECTRODE PLACEMENT via craniotomy (Anaes.) (Assist.)
Fee: $1,045.20	Benefit: 75% = $783.90	
	STEREOTACTIC PROCEDURES	
40800	
STEREOTACTIC ANATOMICAL LOCALISATION, as an independent procedure (Anaes.) (Assist.)
Fee: $638.65	Benefit: 75% = $479.00	85% = $564.15	
40801	
FUNCTIONAL STEREOTACTIC procedure including computer assisted anatomical localisation, physiological localisation, and lesion production in the basal ganglia, brain stem or deep white matter tracts, not being a service associated with deep brain stimulation for Parkinson's disease, essential tremor or dystonia (Anaes.) (Assist.)
Fee: $1,745.80	Benefit: 75% = $1,309.35	
40803	
INTRACRANIAL STEREOTACTIC PROCEDURE BY ANY METHOD, not being a service to which item 40800 or 40801 applies (Anaes.) (Assist.)
Fee: $1,195.70	Benefit: 75% = $896.80	85% = $1,121.20	
40850	
DEEP BRAIN STIMULATION (unilateral) functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes for the treatment of: 

Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability (Anaes.) (Assist.)
Fee: $2,264.45	Benefit: 75% = $1,698.35	

OPERATIONS	NEUROSURGICAL	
40851	
DEEP BRAIN STIMULATION (bilateral) functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes for the treatment of:

Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability. (Anaes.) (Assist.)
Fee: $3,963.00	Benefit: 75% = $2,972.25	
40852	
DEEP BRAIN STIMULATION (unilateral) subcutaneous placement of neurostimulator receiver or pulse generator for the treatment of:

Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability. (Anaes.) (Assist.)
Fee: $340.60	Benefit: 75% = $255.45	
40854	
DEEP BRAIN STIMULATION (unilateral) revision or removal of brain electrode for the treatment of:

Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability. (Anaes.)
Fee: $526.40	Benefit: 75% = $394.80	
40856	
DEEP BRAIN STIMULATION (unilateral) removal or replacement of neurostimulator receiver or pulse generator for the treatment of: 

Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability. (Anaes.)
Fee: $255.45	Benefit: 75% = $191.60	
40858	
DEEP BRAIN STIMULATION (unilateral) placement, removal or replacement of extension lead  for the treatment of:
 
Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability. (Anaes.)
Fee: $526.40	Benefit: 75% = $394.80	
40860	
DEEP BRAIN STIMULATION (unilateral) target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire for the treatment of:

Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability. (Anaes.)
Fee: $2,022.70	Benefit: 75% = $1,517.05	
40862	
DEEP BRAIN STIMULATION (unilateral) electronic analysis and programming of neurostimulator pulse generator for the treatment of:
 
Parkinson’s disease where the patient’s response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; or
Essential tremor or dystonia where the patient’s symptoms cause severe disability. (Anaes.)
Fee: $189.70	Benefit: 75% = $142.30	85% = $161.25	
	MISCELLANEOUS	
40903	
NEUROENDOSCOPY, for inspection of an intraventricular lesion, with or without biopsy including burr hole (Anaes.) (Assist.)
Fee: $554.55	Benefit: 75% = $415.95	
40905	
CRANIOTOMY, performed in association with items 45767, 45776, 45782 and 45785 for the correction of craniofacial abnormalities (Anaes.)
Fee: $601.70	Benefit: 75% = $451.30	85% = $527.20	

OPERATIONS	EAR, NOSE AND THROAT	
	SUBGROUP 8 - EAR, NOSE AND THROAT	
41500	
EAR, foreign body (other than ventilating tube) in, removal of, other than by simple syringing (Anaes.)
(See para T8.75 of explanatory notes to this Category)
Fee: $82.50	Benefit: 75% = $61.90	85% = $70.15	
41503	
EAR, foreign body in, removal of, involving incision of external auditory canal (Anaes.)
Fee: $238.80	Benefit: 75% = $179.10	85% = $203.00	
41506	
AURAL POLYP, removal of (Anaes.)
Fee: $144.00	Benefit: 75% = $108.00	85% = $122.40	
41509	
EXTERNAL AUDITORY MEATUS, surgical removal of keratosis obturans from, not being a service to which another item in this Group applies (Anaes.)
Fee: $162.95	Benefit: 75% = $122.25	85% = $138.55	
41512	
MEATOPLASTY involving removal of cartilage or bone or both cartilage and bone, not being a service to which item 41515 applies (Anaes.) (Assist.)
Fee: $585.90	Benefit: 75% = $439.45	
41515	
MEATOPLASTY involving removal of cartilage or bone or both cartilage and bone, being a service associated with a service to which item 41530, 41548, 41557, 41560 or 41563 applies (Anaes.) (Assist.)
(See para T8.76 of explanatory notes to this Category)
Fee: $384.55	Benefit: 75% = $288.45	
41518	
EXTERNAL AUDITORY MEATUS, removal of EXOSTOSES IN (Anaes.) (Assist.)
Fee: $928.75	Benefit: 75% = $696.60	
41521	
Correction of AUDITORY CANAL STENOSIS, including meatoplasty, with or without grafting (Anaes.) (Assist.)
Fee: $988.85	Benefit: 75% = $741.65	
41524	
RECONSTRUCTION OF EXTERNAL AUDITORY CANAL, being a service associated with a service to which items 41557, 41560 and 41563 apply (Anaes.) (Assist.)
(See para T8.77 of explanatory notes to this Category)
Fee: $285.70	Benefit: 75% = $214.30	
41527	
MYRINGOPLASTY, transcanal approach (Rosen incision) (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	
41530	
MYRINGOPLASTY, postaural or endaural approach with or without mastoid inspection (Anaes.)
Fee: $957.30	Benefit: 75% = $718.00	
41533	
ATTICOTOMY without reconstruction of the bony defect, with or without myringoplasty (Anaes.) (Assist.)
Fee: $1,144.30	Benefit: 75% = $858.25	
41536	
ATTICOTOMY with reconstruction of the bony defect, with or without myringoplasty (Anaes.) (Assist.)
Fee: $1,281.70	Benefit: 75% = $961.30	
41539	
OSSICULAR CHAIN RECONSTRUCTION (Anaes.) (Assist.)
Fee: $1,089.90	Benefit: 75% = $817.45	
41542	
OSSICULAR CHAIN RECONSTRUCTION AND MYRINGOPLASTY (Anaes.) (Assist.)
Fee: $1,194.25	Benefit: 75% = $895.70	
41545	
MASTOIDECTOMY (CORTICAL) (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
41548	
OBLITERATION OF THE MASTOID CAVITY (Anaes.) (Assist.)
Fee: $691.75	Benefit: 75% = $518.85	
41551	
MASTOIDECTOMY, intact wall technique, with myringoplasty (Anaes.) (Assist.)
Fee: $1,593.05	Benefit: 75% = $1,194.80	
41554	
MASTOIDECTOMY, intact wall technique, with myringoplasty and ossicular chain reconstruction (Anaes.) (Assist.)
Fee: $1,876.95	Benefit: 75% = $1,407.75	

OPERATIONS	EAR, NOSE AND THROAT	
41557	
MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL) (Anaes.) (Assist.)
Fee: $1,089.90	Benefit: 75% = $817.45	
41560	
MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL) AND MYRINGOPLASTY (Anaes.)
Fee: $1,194.25	Benefit: 75% = $895.70	
41563	
MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL), MYRINGOPLASTY AND OSSICULAR CHAIN RECONSTRUCTION (Anaes.) (Assist.)
Fee: $1,478.40	Benefit: 75% = $1,108.80	
41564	
MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL), OBLITERATION OF THE MASTOID CAVITY, BLIND SAC CLOSURE OF EXTERNAL AUDITORY CANAL AND OBLITERATION OF EUSTACHIAN TUBE (Anaes.) (Assist.)
Fee: $1,911.80	Benefit: 75% = $1,433.85	
41566	
REVISION OF MASTOIDECTOMY (radical, modified radical or intact wall), including myringoplasty (Anaes.) (Assist.)
Fee: $1,089.90	Benefit: 75% = $817.45	
41569	
DECOMPRESSION OF FACIAL NERVE in its mastoid portion (Anaes.) (Assist.)
Fee: $1,194.25	Benefit: 75% = $895.70	
41572	
LABYRINTHOTOMY OR DESTRUCTION OF LABYRINTH (Anaes.) (Assist.)
Fee: $1,033.20	Benefit: 75% = $774.90	
41575	
CEREBELLO  PONTINE ANGLE TUMOUR, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach  transmastoid, translabyrinthine or retromastoid procedure (including aftercare) (Anaes.) (Assist.)
Fee: $2,435.70	Benefit: 75% = $1,826.80	
41576	
CEREBELLO - PONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach - intracranial procedure (including aftercare) not being a service to which item 41578 or 41579 applies (Anaes.) (Assist.)
Fee: $3,653.60	Benefit: 75% = $2,740.20	
41578	
CEREBELLO  PONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $2,435.70	Benefit: 75% = $1,826.80	
41579	
CEREBELLO-PONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, co-surgeon (Assist.)
Fee: $1,826.75	Benefit: 75% = $1,370.10	
41581	
TUMOUR INVOLVING INFRA-TEMPORAL FOSSA, removal of, involving craniotomy and radical excision of (Anaes.) (Assist.)
Fee: $2,801.55	Benefit: 75% = $2,101.20	
41584	
PARTIAL TEMPORAL BONE RESECTION for removal of tumour involving mastoidectomy with or without decompression of facial nerve (Anaes.) (Assist.)
Fee: $1,922.65	Benefit: 75% = $1,442.00	
41587	
TOTAL TEMPORAL BONE RESECTION for removal of tumour (Anaes.) (Assist.)
Fee: $2,618.60	Benefit: 75% = $1,963.95	
41590	
ENDOLYMPHATIC SAC, TRANSMASTOID DECOMPRESSION with or without drainage of (Anaes.) (Assist.)
Fee: $1,194.25	Benefit: 75% = $895.70	
41593	
TRANSLABYRINTHINE VESTIBULAR NERVE SECTION (Anaes.) (Assist.)
Fee: $1,556.50	Benefit: 75% = $1,167.40	
41596	
RETROLABYRINTHINE VESTIBULAR NERVE SECTION or COCHLEAR NERVE SECTION, or BOTH (Anaes.) (Assist.)
Fee: $1,739.50	Benefit: 75% = $1,304.65	
41599	
INTERNAL AUDITORY MEATUS, exploration by middle cranial fossa approach with cranial nerve decompression (Anaes.) (Assist.)
Fee: $1,739.50	Benefit: 75% = $1,304.65	

OPERATIONS	EAR, NOSE AND THROAT	
41603	
OSSEO-INTEGRATION PROCEDURE – implantation of titanium fixture for use with implantable bone conduction hearing system device, in patients:
-	With a permanent or long term hearing loss; and
-	Unable to utilise conventional air or bone conduction hearing aid for medical or audiological reasons; and
-	With bone conduction thresholds that accord to recognised criteria for the implantable bone conduction hearing device being inserted.
Not being a service associated with a service to which items 41554, 45794 or 45797 (Anaes.)
Fee: $503.85	Benefit: 75% = $377.90	85% = $429.35	
41604	
OSSEO-INTEGRATION PROCEDURE – fixation of transcutaneous abutment implantation of titanium fixture for use with implantable bone conduction hearing system device, in patients:
-	With a permanent or long term hearing loss; and
-	Unable to utilise conventional air or bone conduction hearing aid for medical or audiological reasons; and
-	With bone conduction thresholds that accord to recognised criteria for the implantable bone conduction hearing device being inserted.
Not being a service associated with a service to which items 41554, 45794 or 45797 (Anaes.)
Fee: $186.50	Benefit: 75% = $139.90	85% = $158.55	
41608	
STAPEDECTOMY (Anaes.) (Assist.)
Fee: $1,089.90	Benefit: 75% = $817.45	
41611	
STAPES MOBILISATION (Anaes.) (Assist.)
Fee: $701.30	Benefit: 75% = $526.00	
41614	
ROUND WINDOW SURGERY including repair of cochleotomy (Anaes.) (Assist.)
Fee: $1,089.90	Benefit: 75% = $817.45	85% = $1,015.40	
41615	
OVAL WINDOW SURGERY, including repair of fistula, not being a service associated with a service to which any other item in this Group applies (Anaes.) (Assist.)
Fee: $1,089.90	Benefit: 75% = $817.45	85% = $1,015.40	
41617	
COCHLEAR IMPLANT, insertion of, including mastoidectomy (Anaes.) (Assist.)
Fee: $1,895.20	Benefit: 75% = $1,421.40	
41620	
GLOMUS TUMOUR, transtympanic removal of (Anaes.) (Assist.)
Fee: $824.55	Benefit: 75% = $618.45	
41623	
GLOMUS TUMOUR, transmastoid removal of, including mastoidectomy (Anaes.) (Assist.)
Fee: $1,194.25	Benefit: 75% = $895.70	
41626	
ABSCESS OR INFLAMMATION OF MIDDLE EAR, operation for (excluding aftercare) (Anaes.)
Fee: $144.00	Benefit: 75% = $108.00	85% = $122.40	
41629	
MIDDLE EAR, EXPLORATION OF (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
41632	
MIDDLE EAR, insertion of tube for DRAINAGE OF (including myringotomy) (Anaes.)
Fee: $238.80	Benefit: 75% = $179.10	85% = $203.00	
41635	
CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, 1 or more, with or without myringoplasty (Anaes.) (Assist.)
Fee: $1,144.30	Benefit: 75% = $858.25	85% = $1,069.80	
41638	
CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, 1 or more, with or without myringoplasty with ossicular chain reconstruction (Anaes.) (Assist.)
Fee: $1,428.35	Benefit: 75% = $1,071.30	
41641	
PERFORATION OF TYMPANUM, cauterisation or diathermy of (Anaes.)
Fee: $47.45	Benefit: 75% = $35.60	85% = $40.35	
41644	
EXCISION OF RIM OF EARDRUM PERFORATION, not being a service associated with myringoplasty (Anaes.)
Fee: $142.80	Benefit: 75% = $107.10	85% = $121.40	
41647	
EAR TOILET requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (Anaes.)
Fee: $109.90	Benefit: 75% = $82.45	85% = $93.45	

OPERATIONS	EAR, NOSE AND THROAT	
41650	
TYMPANIC MEMBRANE, microinspection of 1 or both ears under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $109.90	Benefit: 75% = $82.45	85% = $93.45	
41653	
EXAMINATION OF NASAL CAVITY or POSTNASAL SPACE, or NASAL CAVITY AND POSTNASAL SPACE, UNDER GENERAL ANAESTHESIA, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $71.95	Benefit: 75% = $54.00	85% = $61.20	
41656	
NASAL HAEMORRHAGE, POSTERIOR, ARREST OF, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding aftercare) (Anaes.)
Fee: $122.85	Benefit: 75% = $92.15	85% = $104.45	
41659	
NOSE, removal of FOREIGN BODY IN, other than by simple probing (Anaes.)
Fee: $77.55	Benefit: 75% = $58.20	85% = $65.95	
41662	
NASAL POLYP OR POLYPI (SIMPLE), removal of
(See para T8.78 of explanatory notes to this Category)
Fee: $82.50	Benefit: 75% = $61.90	85% = $70.15	
41665 G
41668 S	
NASAL POLYP OR POLYPI (requiring admission to hospital), removal of (Anaes.)
(See para T8.78 of explanatory notes to this Category)
Fee: $172.50	Benefit: 75% = $129.40
Fee: $219.95	Benefit: 75% = $165.00	
41671	
NASAL SEPTUM, SEPTOPLASTY, SUBMUCOUS RESECTION or closure of septal perforation (Anaes.)
Fee: $483.25	Benefit: 75% = $362.45	
41672	
NASAL SEPTUM, reconstruction of (Anaes.) (Assist.)
Fee: $602.85	Benefit: 75% = $452.15	
41674	
CAUTERISATION (other than by chemical means) OR CAUTERISATION by chemical means when performed under general anaesthesia OR DIATHERMY OF SEPTUM, TURBINATES OR PHARYNX - 1 or more of these procedures (including any consultation on the same occasion) not being a service associated with any other operation on the nose (Anaes.)
Fee: $100.50	Benefit: 75% = $75.40	85% = $85.45	
41677	
NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.)
Fee: $90.00	Benefit: 75% = $67.50	85% = $76.50	
41680	
CRYOTHERAPY TO NOSE in the treatment of nasal haemorrhage (Anaes.)
Fee: $162.95	Benefit: 75% = $122.25	85% = $138.55	
41683	
DIVISION OF NASAL ADHESIONS, with or without stenting not being a service associated with any other operation on the nose and not performed during the postoperative period of a nasal operation (Anaes.)
Fee: $117.20	Benefit: 75% = $87.90	85% = $99.65	
41686	
DISLOCATION OF TURBINATE OR TURBINATES, 1 or both sides, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $71.95	Benefit: 75% = $54.00	85% = $61.20	
41689	
TURBINECTOMY or turbinectomies, partial or total, unilateral (Anaes.)
Fee: $136.50	Benefit: 75% = $102.40	
41692	
TURBINATES, submucous resection of, unilateral (Anaes.)
Fee: $178.05	Benefit: 75% = $133.55	
41695	
TURBINATES, cryotherapy to (Anaes.)
Fee: $100.00	Benefit: 75% = $75.00	85% = $85.00	
41698	
MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF (Anaes.)
Fee: $32.55	Benefit: 75% = $24.45	85% = $27.70	
41701	
MAXILLARY ANTRUM, proof puncture and lavage of, under general anaesthesia (requiring admission to hospital) not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $91.90	Benefit: 75% = $68.95	

OPERATIONS	EAR, NOSE AND THROAT	
41704	
MAXILLARY ANTRUM, LAVAGE OF  each attendance at which the procedure is performed, including any associated consultation (Anaes.)
Fee: $36.30	Benefit: 75% = $27.25	85% = $30.90	
41707	
MAXILLARY ARTERY, transantral ligation of (Anaes.) (Assist.)
Fee: $448.55	Benefit: 75% = $336.45	
41710	
ANTROSTOMY (RADICAL) (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
41713	
ANTROSTOMY (RADICAL) with transantral ethmoidectomy or transantral vidian neurectomy (Anaes.) (Assist.)
Fee: $606.50	Benefit: 75% = $454.90	
41716	
ANTRUM, intranasal operation on, or removal of foreign body from (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	
41719	
ANTRUM, drainage of, through tooth socket (Anaes.)
Fee: $117.55	Benefit: 75% = $88.20	85% = $99.95	
41722	
OROANTRAL FISTULA, plastic closure of (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	85% = $513.10	
41725	
ETHMOIDAL ARTERY OR ARTERIES, transorbital ligation of (unilateral) (Anaes.) (Assist.)
Fee: $448.55	Benefit: 75% = $336.45	
41728	
LATERAL RHINOTOMY with removal of tumour (Anaes.) (Assist.)
Fee: $897.30	Benefit: 75% = $673.00	
41729	
DERMOID OF NOSE, excision of, with intranasal extension (Anaes.) (Assist.)
Fee: $568.65	Benefit: 75% = $426.50	
41731	
FRONTONASAL ETHMOIDECTOMY by external approach with or without sphenoidectomy (Anaes.) (Assist.)
Fee: $777.10	Benefit: 75% = $582.85	
41734	
RADICAL FRONTOETHMOIDECTOMY with osteoplastic flap (Anaes.) (Assist.)
Fee: $1,014.05	Benefit: 75% = $760.55	
41737	
FRONTAL SINUS, OR ETHMOIDAL SINUSES ON THE ONE SIDE, intranasal operation on (Anaes.) (Assist.)
Fee: $483.25	Benefit: 75% = $362.45	
41740	
FRONTAL SINUS, catheterisation of (Anaes.)
Fee: $58.80	Benefit: 75% = $44.10	
41743	
FRONTAL SINUS, trephine of (Anaes.) (Assist.)
Fee: $337.45	Benefit: 75% = $253.10	
41746	
FRONTAL SINUS, radical obliteration of (Anaes.) (Assist.)
Fee: $777.10	Benefit: 75% = $582.85	85% = $702.60	
41749	
ETHMOIDAL SINUSES, external operation on (Anaes.) (Assist.)
Fee: $606.50	Benefit: 75% = $454.90	
41752	
SPHENOIDAL SINUS, intranasal operation on (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	
41755	
EUSTACHIAN TUBE, catheterisation of (Anaes.)
Fee: $46.50	Benefit: 75% = $34.90	85% = $39.55	
41758	
DIVISION OF PHARYNGEAL ADHESIONS (Anaes.)
Fee: $117.55	Benefit: 75% = $88.20	85% = $99.95	
41761	
POSTNASAL SPACE, direct examination of, with or without biopsy (Anaes.)
Fee: $122.85	Benefit: 75% = $92.15	85% = $104.45	
41764	
NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX and LARYNX, one or more of these procedures, unilateral or bilateral examination (Anaes.)
Fee: $122.85	Benefit: 75% = $92.15	85% = $104.45	

OPERATIONS	EAR, NOSE AND THROAT	
41767	
NASOPHARYNGEAL ANGIOFIBROMA, removal of (Anaes.) (Assist.)
Fee: $737.00	Benefit: 75% = $552.75	85% = $662.50	
41770	
PHARYNGEAL POUCH, removal of, with or without cricopharyngeal myotomy (Anaes.) (Assist.)
Fee: $701.30	Benefit: 75% = $526.00	
41773	
PHARYNGEAL POUCH, ENDOSCOPIC RESECTION OF (Dohlman's operation) (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	
41776	
CRICOPHARYNGEAL MYOTOMY with or without inversion of pharyngeal pouch (Anaes.) (Assist.)
Fee: $585.90	Benefit: 75% = $439.45	
41779	
PHARYNGOTOMY (lateral), with or without total excision of tongue (Anaes.) (Assist.)
Fee: $701.30	Benefit: 75% = $526.00	
41782	
PARTIAL PHARYNGECTOMY via PHARYNGOTOMY (Anaes.) (Assist.)
Fee: $952.10	Benefit: 75% = $714.10	85% = $877.60	
41785	
PARTIAL PHARYNGECTOMY via PHARYNGOTOMY with partial or total glossectomy (Anaes.) (Assist.)
Fee: $1,181.15	Benefit: 75% = $885.90	
41786	
UVULOPALATOPHARYNGOPLASTY, with or without tonsillectomy, by any means (Anaes.) (Assist.)
Fee: $737.00	Benefit: 75% = $552.75	
41787	
UVULECTOMY AND PARTIAL PALATECTOMY WITH LASER INCISION OF THE PALATE, with or without tonsillectomy, 1 or more stages, including any revision procedures within 12 months (Anaes.) (Assist.)
Fee: $568.65	Benefit: 75% = $426.50	85% = $494.15	
41788 G
41789 S	
TONSILS OR TONSILS AND ADENOIDS, removal of, in a person aged LESS THAN 12 YEARS (Anaes.)
Fee: $219.95	Benefit: 75% = $165.00
Fee: $295.70	Benefit: 75% = $221.80	
41792 G
41793 S	
TONSILS OR TONSILS AND ADENOIDS, removal of, in a person 12 YEARS OF AGE OR OVER (Anaes.)
Fee: $276.80	Benefit: 75% = $207.60
Fee: $371.50	Benefit: 75% = $278.65	
41796 G
41797 S	
TONSILS OR TONSILS AND ADENOIDS, ARREST OF HAEMORRHAGE requiring general anaesthesia, following removal of (Anaes.)
Fee: $113.70	Benefit: 75% = $85.30
Fee: $144.00	Benefit: 75% = $108.00	
41800 G
41801 S	
ADENOIDS, removal of (Anaes.)
Fee: $117.55	Benefit: 75% = $88.20
Fee: $162.95	Benefit: 75% = $122.25	
41804	
LINGUAL TONSIL OR LATERAL PHARYNGEAL BANDS, removal of (Anaes.)
Fee: $90.00	Benefit: 75% = $67.50	
41807	
PERITONSILLAR ABSCESS (quinsy), incision of (Anaes.)
Fee: $70.10	Benefit: 75% = $52.60	85% = $59.60	
41810	
UVULOTOMY or UVULECTOMY (Anaes.)
Fee: $35.60	Benefit: 75% = $26.70	85% = $30.30	
41813	
VALLECULAR OR PHARYNGEAL CYSTS, removal of (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
41816	
OESOPHAGOSCOPY (with rigid oesophagoscope) (Anaes.)
Fee: $185.60	Benefit: 75% = $139.20	85% = $157.80	
41819	
DILATATION OF STRICTURE OF UPPER GASTRO-INTESTINAL TRACT using bougie or balloon over endoscopically inserted guidewire, including endoscopy with flexible or rigid endoscope (Anaes.)
Fee: $348.95	Benefit: 75% = $261.75	85% = $296.65	

OPERATIONS	EAR, NOSE AND THROAT	
41820	
DILATATION OF STRICTURE OF UPPER GASTRO-INTESTINAL TRACT using bougie or balloon over endoscopically inserted guidewire, including endoscopy with flexible or rigid endoscope, where the use of imaging intensification is clinically indicated (Anaes.)
Fee: $418.75	Benefit: 75% = $314.10	85% = $355.95	
41822	
OESOPHAGOSCOPY (with rigid oesophagoscope), with biopsy (Anaes.)
Fee: $238.80	Benefit: 75% = $179.10	
41825	
OESOPHAGOSCOPY (with rigid oesophagoscope), with removal of foreign body (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
41828	
OESOPHAGEAL STRICTURE, dilatation of, without oesophagoscopy (Anaes.)
Fee: $52.20	Benefit: 75% = $39.15	85% = $44.40	
41831	
OESOPHAGUS, endoscopic pneumatic dilatation of (Anaes.) (Assist.)
Fee: $357.00	Benefit: 75% = $267.75	85% = $303.45	
41832	
OESOPHAGUS, balloon dilatation of, using interventional imaging techniques (Anaes.)
Fee: $228.50	Benefit: 75% = $171.40	85% = $194.25	
41834	
LARYNGECTOMY (TOTAL) (Anaes.) (Assist.)
Fee: $1,289.15	Benefit: 75% = $966.90	
41837	
VERTICAL HEMILARYNGECTOMY including tracheostomy (Anaes.) (Assist.)
Fee: $1,236.05	Benefit: 75% = $927.05	
41840	
SUPRAGLOTTIC LARYNGECTOMY including tracheostomy (Anaes.) (Assist.)
Fee: $1,519.80	Benefit: 75% = $1,139.85	
41843	
LARYNGOPHARYNGECTOMY or PRIMARY RESTORATION OF ALIMENTARY CONTINUITY after laryngopharyngectomy USING STOMACH OR BOWEL (Anaes.) (Assist.)
Fee: $1,336.45	Benefit: 75% = $1,002.35	
41846	
LARYNX, direct examination of the supraglottic, glottic and subglottic regions, not being a service associated with any other procedure on the larynx or with the administration of a general anaesthetic (Anaes.)
(See para T8.79 of explanatory notes to this Category)
Fee: $185.60	Benefit: 75% = $139.20	85% = $157.80	
41849	
LARYNX, direct examination of, with biopsy (Anaes.) (Assist.)
Fee: $272.90	Benefit: 75% = $204.70	
41852	
LARYNX, direct examination of, WITH REMOVAL OF TUMOUR (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	
41855	
MICROLARYNGOSCOPY (Anaes.) (Assist.)
Fee: $288.20	Benefit: 75% = $216.15	
41858	
MICROLARYNGOSCOPY with removal of juvenile papillomata (Anaes.) (Assist.)
(See para T8.80 of explanatory notes to this Category)
Fee: $494.15	Benefit: 75% = $370.65	
41861	
MICROLARYNGOSCOPY with removal of benign lesions of the larynx by laser surgery (Anaes.) (Assist.)
Fee: $604.30	Benefit: 75% = $453.25	
41864	
MICROLARYNGOSCOPY WITH REMOVAL OF TUMOUR (Anaes.) (Assist.)
Fee: $407.50	Benefit: 75% = $305.65	
41867	
MICROLARYNGOSCOPY with arytenoidectomy (Anaes.) (Assist.)
Fee: $613.40	Benefit: 75% = $460.05	
41868	
LARYNGEAL WEB, division of, using microlarygoscopic techniques (Anaes.)
Fee: $388.70	Benefit: 75% = $291.55	
41870	
INJECTION OF VOCAL CORD BY TEFLON, FAT, COLLAGEN OR GELFOAM (Anaes.) (Assist.)
Fee: $454.85	Benefit: 75% = $341.15	

OPERATIONS	OPHTHALMOLOGY	
41873	
LARYNX, FRACTURED, operation for (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	85% = $513.10	
41876	
LARYNX, external operation on, OR LARYNGOFISSURE with or without cordectomy (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	85% = $513.10	
41879	
LARYNGOPLASTY or TRACHEOPLASTY, including tracheostomy (Anaes.) (Assist.)
Fee: $952.10	Benefit: 75% = $714.10	
41880	
TRACHEOSTOMY by a percutaneous technique using sequential dilatation or partial splitting method to allow insertion of a cuffed tracheostomy tube (Anaes.)
Fee: $254.15	Benefit: 75% = $190.65	
41881	
TRACHEOSTOMY by open exposure of the trachea, including separation of the strap muscles or division of the thyroid isthmus, where performed (Anaes.) (Assist.)
Fee: $401.75	Benefit: 75% = $301.35	
41884	
CRICOTHYROSTOMY by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.)
Fee: $91.05	Benefit: 75% = $68.30	
41885	
TRACHE-OESOPHAGEAL FISTULA, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (Anaes.) (Assist.)
Fee: $287.90	Benefit: 75% = $215.95	85% = $244.75	
41886	
TRACHEA, removal of foreign body in (Anaes.)
Fee: $178.05	Benefit: 75% = $133.55	85% = $151.35	
41889	
BRONCHOSCOPY, as an independent procedure (Anaes.)
Fee: $178.05	Benefit: 75% = $133.55	85% = $151.35	
41892	
BRONCHOSCOPY with 1 or more endobronchial biopsies or other diagnostic or therapeutic procedures (Anaes.)
Fee: $235.05	Benefit: 75% = $176.30	85% = $199.80	
41895	
BRONCHUS, removal of foreign body in (Anaes.) (Assist.)
Fee: $367.75	Benefit: 75% = $275.85	
41898	
FIBREOPTIC BRONCHOSCOPY with 1 or more transbronchial lung biopsies, with or without bronchial or bronchoalveolar lavage, with or without the use of interventional imaging (Anaes.) (Assist.)
Fee: $256.95	Benefit: 75% = $192.75	85% = $218.45	
41901	
ENDOSCOPIC LASER RESECTION OF ENDOBRONCHIAL TUMOURS for relief of obstruction including any associated endoscopic procedures (Anaes.) (Assist.)
Fee: $604.30	Benefit: 75% = $453.25	
41904	
BRONCHOSCOPY with dilatation of tracheal stricture (Anaes.)
Fee: $246.50	Benefit: 75% = $184.90	85% = $209.55	
41905	
TRACHEA OR BRONCHUS, dilatation of stricture and endoscopic insertion of stent (Anaes.) (Assist.)
Fee: $453.35	Benefit: 75% = $340.05	
41907	
NASAL SEPTUM BUTTON, insertion of (Anaes.)
Fee: $122.85	Benefit: 75% = $92.15	85% = $104.45	
41910	
DUCT OF MAJOR SALIVARY GLAND, transposition of (Anaes.) (Assist.)
Fee: $390.25	Benefit: 75% = $292.70	
	SUBGROUP 9 - OPHTHALMOLOGY	
42503	
OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $102.50	Benefit: 75% = $76.90	
42506	
EYE, ENUCLEATION OF, with or without sphere implant (Anaes.) (Assist.)
Fee: $481.25	Benefit: 75% = $360.95	85% = $409.10	
42509	
EYE, ENUCLEATION OF, with insertion of integrated implant (Anaes.) (Assist.)
Fee: $609.05	Benefit: 75% = $456.80	

OPERATIONS	OPHTHALMOLOGY	
42510	
EYE, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant (Anaes.) (Assist.)
Fee: $702.05	Benefit: 75% = $526.55	
42512	
GLOBE, EVISCERATION OF (Anaes.) (Assist.)
Fee: $481.25	Benefit: 75% = $360.95	85% = $409.10	
42515	
GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.)
Fee: $609.05	Benefit: 75% = $456.80	
42518	
ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.)
Fee: $353.35	Benefit: 75% = $265.05	
42521	
ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Anaes.) (Assist.)
Fee: $1,203.20	Benefit: 75% = $902.40	
42524	
ORBIT, SKIN GRAFT TO, as a delayed procedure (Anaes.)
Fee: $204.60	Benefit: 75% = $153.45	85% = $173.95	
42527	
CONTRACTED SOCKET, RECONSTRUCTION INCLUDING MUCOUS MEMBRANE GRAFTING AND STENT MOULD (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	
42530	
ORBIT, EXPLORATION with or without biopsy, requiring REMOVAL OF BONE (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	
42533	
ORBIT, EXPLORATION OF, with drainage or biopsy not requiring removal of bone (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	
42536	
ORBIT, EXENTERATION OF, with or without skin graft and with or without temporalis muscle transplant (Anaes.) (Assist.)
Fee: $834.60	Benefit: 75% = $625.95	
42539	
ORBIT, EXPLORATION OF, with removal of tumour or foreign body, requiring removal of bone (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	
42542	
ORBIT, exploration of anterior aspect with removal of tumour or foreign body (Anaes.) (Assist.)
Fee: $503.85	Benefit: 75% = $377.90	
42543	
ORBIT, exploration of retrobulbar aspect with removal of tumour or foreign body (Anaes.) (Assist.)
Fee: $883.85	Benefit: 75% = $662.90	
42545	
ORBIT, decompression of, for dysthyroid eye disease, by fenestration  of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Anaes.) (Assist.)
Fee: $1,278.35	Benefit: 75% = $958.80	
42548	
OPTIC NERVE MENINGES, incision of (Anaes.) (Assist.)
Fee: $759.40	Benefit: 75% = $569.55	
Amend
42551	
EYE, PENETRATING WOUND OR RUPTURE OF, not involving intraocular structures repair involving suture of cornea or sclera, or both, not being a service to which item 42632 applies  (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25	
Amend
42554	
EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration or prolapse of uveal tissue repair  (Anaes.) (Assist.)
Fee: $737.00	Benefit: 75% = $552.75	
Amend
42557	
EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration of lens or vitreous repair  (Anaes.) (Assist.)
Fee: $1,030.20	Benefit: 75% = $772.65	
Amend
42563	
INTRAOCULAR FOREIGN BODY, removal from anterior segment  (Anaes.) (Assist.)
Fee: $519.00	Benefit: 75% = $389.25	85% = $444.50	
Amend
42569	
INTRAOCULAR FOREIGN BODY, removal from posterior segment (Anaes.) (Assist.)
Fee: $1,030.20	Benefit: 75% = $772.65	

OPERATIONS	OPHTHALMOLOGY	
42572	
ORBITAL ABSCESS OR CYST, drainage of (Anaes.)
Fee: $117.35	Benefit: 75% = $88.05	85% = $99.75	
42573	
DERMOID, periorbital, excision of (Anaes.)
Fee: $227.45	Benefit: 75% = $170.60	85% = $193.35	
42574	
DERMOID, orbital, excision of (Anaes.) (Assist.)
Fee: $483.25	Benefit: 75% = $362.45	85% = $410.80	
42575	
TARSAL CYST, extirpation of (Anaes.)
Fee: $82.75	Benefit: 75% = $62.10	85% = $70.35	
42581	
ECTROPION OR ENTROPION, tarsal cauterisation of (Anaes.)
Fee: $117.35	Benefit: 75% = $88.05	85% = $99.75	
42584	
TARSORRHAPHY (Anaes.) (Assist.)
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
42587	
TRICHIASIS, treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.)
Fee: $51.95	Benefit: 75% = $39.00	85% = $44.20	
EMSN
42590	
CANTHOPLASTY, medial or lateral (Anaes.) (Assist.)
Fee: $338.35	Benefit: 75% = $253.80	85% = $287.60
Extended Medicare Safety Net Cap: $270.70	
42593	
LACRIMAL GLAND, excision of palpebral lobe (Anaes.)
Fee: $204.60	Benefit: 75% = $153.45	
42596	
LACRIMAL SAC, excision of, or operation on (Anaes.) (Assist.)
Fee: $503.85	Benefit: 75% = $377.90	85% = $429.35	
42599	
LACRIMAL CANALICULAR SYSTEM, establishment of patency by closed operation using silicone tubes or similar, 1 eye (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25	
42602	
LACRIMAL CANALICULAR SYSTEM, establishment of patency by open operation, 1 eye (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25	
42605	
LACRIMAL CANALICULUS, immediate repair of (Anaes.) (Assist.)
Fee: $466.10	Benefit: 75% = $349.60	85% = $396.20	
42608	
LACRIMAL DRAINAGE by insertion of glass tube, as an independent procedure (Anaes.) (Assist.)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
42610	
NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, unilateral, with or without lavage - under general anaesthesia (Anaes.)
Fee: $96.25	Benefit: 75% = $72.20	85% = $81.85	
42611	
NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, bilateral, with or without lavage - under general anaesthesia (Anaes.)
Fee: $144.35	Benefit: 75% = $108.30	85% = $122.70	
42614	
NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare)
Fee: $48.30	Benefit: 75% = $36.25	85% = $41.10	
42615	
NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare)
Fee: $72.25	Benefit: 75% = $54.20	85% = $61.45	
42617	
PUNCTUM SNIP operation (Anaes.)
Fee: $136.95	Benefit: 75% = $102.75	85% = $116.45	
42620	
PUNCTUM, occlusion of, by use of a plug (Anaes.)
Fee: $52.65	Benefit: 75% = $39.50	85% = $44.80	

OPERATIONS	OPHTHALMOLOGY	
42621	
PUNCTUM, temporary occlusion of, by use of electrical cautery (Anaes.)
Fee: $52.65	Benefit: 75% = $39.50	85% = $44.80	
42622	
PUNCTUM, permanent occlusion of, by use of electrical cautery (Anaes.)
Fee: $82.75	Benefit: 75% = $62.10	85% = $70.35	
42623	
DACRYOCYSTORHINOSTOMY (Anaes.) (Assist.)
Fee: $699.45	Benefit: 75% = $524.60	
42626	
DACRYOCYSTORHINOSTOMY where a previous dacryocystorhinostomy has been performed (Anaes.) (Assist.)
Fee: $1,128.05	Benefit: 75% = $846.05	85% = $1,053.55	
42629	
CONJUNCTIVORHINOSTOMY including dacryocystorhinostomy and fashioning of conjunctival flaps (Anaes.) (Assist.)
Fee: $849.70	Benefit: 75% = $637.30	
42632	
CONJUNCTIVAL PERITOMY OR REPAIR OF CORNEAL LACERATION by conjunctival flap (Anaes.)
Fee: $117.35	Benefit: 75% = $88.05	85% = $99.75	
42635	
CORNEAL PERFORATIONS, sealing of, with tissue adhesive (Anaes.) (Assist.)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
42638	
CONJUNCTIVAL GRAFT OVER CORNEA (Anaes.) (Assist.)
Fee: $376.00	Benefit: 75% = $282.00	85% = $319.60	
42641	
AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft (Anaes.) (Assist.)
Fee: $488.75	Benefit: 75% = $366.60	85% = $415.45	
Amend
42644	
CORNEA OR SCLERA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) (Anaes.)
(See para T8.81 of explanatory notes to this Category)
Fee: $72.15	Benefit: 75% = $54.15	85% = $61.35	
42647	
CORNEAL SCARS, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies (Anaes.)
Fee: $204.60	Benefit: 75% = $153.45	85% = $173.95	
42650	
CORNEA, epithelial debridement for corneal ulcer or corneal erosion (excluding aftercare) (Anaes.)
Fee: $72.15	Benefit: 75% = $54.15	85% = $61.35	
42651	
CORNEA, epithelial debridement for eliminating band keratopathy (Anaes.)
Fee: $160.80	Benefit: 75% = $120.60	85% = $136.70	
42653	
CORNEA, transplantation of, full thickness (Anaes.) (Assist.)
Fee: $1,338.45	Benefit: 75% = $1,003.85	
42656	
CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.)
Fee: $1,669.45	Benefit: 75% = $1,252.10	
42659	
CORNEA, transplantation of, superficial or lamellar (Anaes.) (Assist.)
Fee: $902.30	Benefit: 75% = $676.75	85% = $827.80	
42662	
SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.)
Fee: $902.30	Benefit: 75% = $676.75	
42665	
SCLERA, transplantation of, superficial or lamellar, including collection of donor material (Anaes.) (Assist.)
Fee: $601.65	Benefit: 75% = $451.25	85% = $527.15	
42667	
RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation
Fee: $141.95	Benefit: 75% = $106.50	85% = $120.70	
42668	
CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.)
Fee: $75.30	Benefit: 75% = $56.50	85% = $64.05	

OPERATIONS	OPHTHALMOLOGY	
42672	
CORNEAL INCISONS, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (Anaes.) (Assist.)
(See para T8.82 of explanatory notes to this Category)
Fee: $902.30	Benefit: 75% = $676.75	85% = $827.80	
42673	
ADDITIONAL CORNEAL INCISIONS, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (Anaes.) (Assist.)
Fee: $451.10	Benefit: 75% = $338.35	85% = $383.45	
42676	
CONJUNCTIVA, biopsy of, as an independent procedure
Fee: $115.70	Benefit: 75% = $86.80	85% = $98.35	
42677	
CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS  each attendance at which treatment is given including any associated consultation (Anaes.)
Fee: $60.95	Benefit: 75% = $45.75	85% = $51.85	
42680	
CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
42683	
CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.)
Fee: $120.35	Benefit: 75% = $90.30	
42686	
PTERYGIUM, removal of (Anaes.)
Fee: $273.65	Benefit: 75% = $205.25	85% = $232.65	
42689	
PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.)
Fee: $117.35	Benefit: 75% = $88.05	85% = $99.75	
42692	
LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.)
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
42695	
LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.)
Fee: $451.10	Benefit: 75% = $338.35	85% = $383.45	
Fee
42698	
LENS EXTRACTION, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)
(See para T8.83 of explanatory notes to this Category)
Fee: $594.75	Benefit: 75% = $446.10	85% = $520.25	
Amend
Fee
42701	
INTRAOCULAR LENS, insertion of, excluding surgery performed for the correction of refractive error  except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)
(See para T8.83 of explanatory notes to this Category)
Fee: $331.70	Benefit: 75% = $248.80	85% = $281.95	
Amend
Fee
42702	
LENS EXTRACTION AND INSERTION OF INTRAOCULAR LENS, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)
Fee: $760.65	Benefit: 75% = $570.50	85% = $686.15
Extended Medicare Safety Net Cap: $108.45	
Amend
42703	
INTRAOCULAR LENS or IRIS PROSTHESIS insertion of, into the posterior chamber with fixation to the iris or sclera (Anaes.) (Assist.)
Fee: $572.05	Benefit: 75% = $429.05	85% = $497.55	
Amend
42704	
INTRAOCULAR LENS, REMOVAL or REPOSITIONING of by open operation, not being a service associated with a service to which item 42701 applies  (Anaes.)
Fee: $466.10	Benefit: 75% = $349.60	85% = $396.20	
Amend
42707	
INTRAOCULAR LENS, REMOVAL of and REPLACEMENT with a different lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye  (Anaes.)
Fee: $797.10	Benefit: 75% = $597.85	85% = $722.60	
Amend
42710	
INTRAOCULAR LENS, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (Anaes.) (Assist.)
Fee: $902.30	Benefit: 75% = $676.75	85% = $827.80	

OPERATIONS	OPHTHALMOLOGY	
Amend
42713	
IRIS SUTURING, McCannell technique or similar, for fixation of intraocular lens or repair of iris defect (Anaes.) (Assist.)
Fee: $376.00	Benefit: 75% = $282.00	85% = $319.60	
42716	
CATARACT, JUVENILE, removal of, including subsequent needlings (Anaes.) (Assist.)
Fee: $1,195.70	Benefit: 75% = $896.80	85% = $1,121.20	
Amend
42719	
REMOVAL OF VITREOUS, and/or CAPSULAR or LENS MATERIAL, via a limbal approach,  not being a service associated with a service to which item 42698, 42702, 42716, 42725 or 42731 applies (Anaes.) (Assist.)
Fee: $519.00	Benefit: 75% = $389.25	85% = $444.50	
Amend
42725	
VITRECTOMY via pars plana sclerotomies including the removal of vitreous, division of bands or removal of epiretinal membranes (Anaes.) (Assist.)
Fee: $1,338.45	Benefit: 75% = $1,003.85	
Amend
42731	
LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.)
Fee: $1,519.00	Benefit: 75% = $1,139.25	
42734	
CAPSULOTOMY, other than by laser (Anaes.) (Assist.)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
42737	
NEEDLING OF POSTERIOR CAPSULE (Anaes.) (Assist.)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
EMSN
42738	
PARACENTESIS OF ANTERIOR CHAMBER OR VITREOUS CAVITY, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, 1 or more of, as an independent procedure.
(See para T8.127 of explanatory notes to this Category)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65
Extended Medicare Safety Net Cap: $240.60	
EMSN
42739	
PARACENTESIS OF ANTERIOR CHAMBER OR VITREOUS CAVITY, or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes, 1 or more of, as an independent procedure, for a patient requiring anaesthetic services. (Anaes.)
(See para T8.127 of explanatory notes to this Category)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65
Extended Medicare Safety Net Cap: $240.60	
EMSN
42740	
INTRAVITREAL INJECTION OF THERAPEUTIC SUBSTANCES, or the removal of vitreous humour for diagnostic purposes, 1 or more of, as a procedure associated with other intraocular surgery. (Anaes.)
(See para T8.127 of explanatory notes to this Category)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65
Extended Medicare Safety Net Cap: $240.60	
42741	
Posterior juxtascleral depot injection of a therapeutic substance, for the treatment of subfoveal choroidal neovascularisation due to age-related macular degeneration, 1 or more of (Anaes.)
(See para T8.84 of explanatory notes to this Category)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
42743	
ANTERIOR CHAMBER, IRRIGATION OF BLOOD FROM, as an independent procedure (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25	
42744	
NEEDLING FOR DRAINAGE OF ENCYSTED BLEB, following trabeculectomy (Anaes.)
Fee: $300.55	Benefit: 75% = $225.45	85% = $255.50	
Amend
42746	
GLAUCOMA, filtering operation for, where conservative therapies have failed, are likely to fail, or are contraindicated  (Anaes.) (Assist.)
Fee: $955.00	Benefit: 75% = $716.25	
42749	
GLAUCOMA, filtering operation for, where previous filtering operation has been performed (Anaes.) (Assist.)
Fee: $1,195.70	Benefit: 75% = $896.80	
Amend
42752	
GLAUCOMA, insertion of drainage device incorporating an extraocular reservoir for, such as a Molteno device (Anaes.) (Assist.)
(See para T8.86 of explanatory notes to this Category)
Fee: $1,338.45	Benefit: 75% = $1,003.85	
Amend
42755	
GLAUCOMA, removal of drainage device incorporating an extraocular reservoir for, such as a Molteno device  (Anaes.)
Fee: $165.45	Benefit: 75% = $124.10	85% = $140.65	

OPERATIONS	OPHTHALMOLOGY	
42758	
GONIOTOMY (Anaes.) (Assist.)
Fee: $699.45	Benefit: 75% = $524.60	
42761	
DIVISION OF ANTERIOR OR POSTERIOR SYNECHIAE, as an independent procedure, other than by laser (Anaes.) (Assist.)
Fee: $519.00	Benefit: 75% = $389.25	85% = $444.50	
42764	
IRIDECTOMY (including excision of tumour of iris) OR IRIDOTOMY, as an independent procedure, other than by laser (Anaes.) (Assist.)
Fee: $519.00	Benefit: 75% = $389.25	85% = $444.50	
42767	
TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.)
Fee: $1,090.35	Benefit: 75% = $817.80	
42770	
CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)
(See para T8.85 of explanatory notes to this Category)
Fee: $294.80	Benefit: 75% = $221.10	85% = $250.60	
Amend
42773	
DETACHED RETINA, pneumatic retinopexy for, not being a service associated with a service to which item 42776 applies  (Anaes.) (Assist.)
Fee: $902.30	Benefit: 75% = $676.75	85% = $827.80	
42776	
DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.)
Fee: $1,338.45	Benefit: 75% = $1,003.85	
Amend
42779	
DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.)
Fee: $1,669.45	Benefit: 75% = $1,252.10	
Amend
42782	
LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.)
(See para T8.87 of explanatory notes to this Category)
Fee: $451.10	Benefit: 75% = $338.35	85% = $383.45	
Amend
42783	
LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye – where it can be demonstrated that a 5th or subsequent treatment to that eye (including any treatments to which item 42782 applies) is indicated in a 2 year period (Anaes.) (Assist.)
(See para T8.87 of explanatory notes to this Category)
Fee: $451.10	Benefit: 75% = $338.35	85% = $383.45	
42785	
LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)
(See para T8.88 of explanatory notes to this Category)
Fee: $353.35	Benefit: 75% = $265.05	85% = $300.35	
42786	
LASER IRIDOTOMY - each treatment episode to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42785 applies) is indicated in a 2 year period (Anaes.) (Assist.)
(See para T8.88 of explanatory notes to this Category)
Fee: $353.35	Benefit: 75% = $265.05	85% = $300.35	
42788	
LASER CAPSULOTOMY - each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)
(See para T8.89 of explanatory notes to this Category)
Fee: $353.35	Benefit: 75% = $265.05	85% = $300.35	
42789	
LASER CAPSULOTOMY - each treatment episode to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42788 applies) is indicated in a 2 year period (Anaes.) (Assist.)
(See para T8.89 of explanatory notes to this Category)
Fee: $353.35	Benefit: 75% = $265.05	85% = $300.35	
42791	
LASER VITREOLYSIS OR CORTICOLYSIS OF LENS MATERIAL OR FIBRINOLYSIS -each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)
(See para T8.90 of explanatory notes to this Category)
Fee: $353.35	Benefit: 75% = $265.05	85% = $300.35	

OPERATIONS	OPHTHALMOLOGY	
42792	
LASER VITREOLYSIS OR CORTICOLYSIS OF LENS MATERIAL OR FIBRINOLYSIS - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42791 applies) is indicated in a 2 year period (Anaes.) (Assist.)
(See para T8.90 of explanatory notes to this Category)
Fee: $353.35	Benefit: 75% = $265.05	85% = $300.35	
42794	
DIVISION OF SUTURE BY LASER following trabeculoplasty, each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)
(See para T8.91 of explanatory notes to this Category)
Fee: $67.65	Benefit: 75% = $50.75	85% = $57.55	
42797	
LASER COAGULATION OF CORNEAL OR SCLERAL BLOOD VESSELS - each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.)
(See para T8.92 of explanatory notes to this Category)
Fee: $67.65	Benefit: 75% = $50.75	85% = $57.55	
42801	
EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.)
Fee: $1,049.70	Benefit: 75% = $787.30	
42802	
EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (Anaes.) (Assist.)
Fee: $524.70	Benefit: 75% = $393.55	
42805	
TANTALUM MARKERS, surgical insertion to the sclera to localise the tumour base to assist in planning of radiotherapy of choroidal melanomas, 1 or more (Anaes.) (Assist.)
Fee: $586.50	Benefit: 75% = $439.90	85% = $512.00	
42806	
IRIS TUMOUR, laser photocoagulation of (Anaes.) (Assist.)
Fee: $353.35	Benefit: 75% = $265.05	85% = $300.35	
42807	
PHOTOMYDRIASIS, laser
Fee: $355.80	Benefit: 75% = $266.85	85% = $302.45	
42808	
PHOTOIRIDOSYNERESIS, laser
Fee: $355.80	Benefit: 75% = $266.85	85% = $302.45	
42809	
RETINA, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.)
Fee: $451.10	Benefit: 75% = $338.35	85% = $383.45	
42810	
PHOTOTHERAPEUTIC KERATECTOMY, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.)
Fee: $567.70	Benefit: 75% = $425.80	85% = $493.20	
42811	
TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and retinal tumours or vascular malformations (Anaes.)
Fee: $451.10	Benefit: 75% = $338.35	85% = $383.45	
Amend
42812	
Removal of scleral buckling material, from an eye having undergone previous scleral buckling surgery (Anaes.)
Fee: $165.45	Benefit: 75% = $124.10	85% = $140.65	
Amend
42815	
VITREOUS CAVITY, removal of silicone oil or other liquid vitreous substitutes from, during a procedure other than that in which the vitreous substitute is inserted (Anaes.) (Assist.)
Fee: $631.75	Benefit: 75% = $473.85	
Amend
42818	
RETINA, CRYOTHERAPY TO, as an independent procedure, or when performed in conjunction with item 42809 or 42770 (Anaes.)
Fee: $586.50	Benefit: 75% = $439.90	85% = $512.00	
42821	
OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours (Anaes.)
Fee: $90.35	Benefit: 75% = $67.80	85% = $76.80	
42824	
RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an independent procedure
Fee: $69.90	Benefit: 75% = $52.45	85% = $59.45	
42833	
SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.)
Fee: $586.50	Benefit: 75% = $439.90	

OPERATIONS	OSTEOMYELITIS	
42836	
SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.)
Fee: $729.45	Benefit: 75% = $547.10	
42839	
SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 OR MORE MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.)
Fee: $699.45	Benefit: 75% = $524.60	
42842	
SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 or MORE MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.)
Fee: $872.30	Benefit: 75% = $654.25	
42845	
READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.)
(See para T8.93 of explanatory notes to this Category)
Fee: $189.40	Benefit: 75% = $142.05	85% = $161.00	
42848	
SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over (Anaes.) (Assist.)
Fee: $699.45	Benefit: 75% = $524.60	
42851	
SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.)
Fee: $872.30	Benefit: 75% = $654.25	
42854	
RUPTURED MEDIAL PALPEBRAL LIGAMENT or ruptured EXTRAOCULAR MUSCLE, repair of (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	85% = $345.15	
42857	
RESUTURING OF WOUND FOLLOWING INTRAOCULAR PROCEDURES with or without excision of prolapsed iris (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	85% = $345.15	
42860	
EYELID (upper or lower), scleral or Goretex or other non-autogenous graft to, with recession of the lid retractors (Anaes.) (Assist.)
Fee: $902.30	Benefit: 75% = $676.75	85% = $827.80	
42863	
EYELID, recession of (Anaes.) (Assist.)
Fee: $774.55	Benefit: 75% = $580.95	85% = $700.05	
42866	
ENTROPION or TARSAL ECTROPION, repair of, by tightening, shortening or repair of inferior retractors by open operation across the entire width of the eyelid (Anaes.) (Assist.)
Fee: $751.85	Benefit: 75% = $563.90	85% = $677.35	
42869	
EYELID closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.)
Fee: $549.00	Benefit: 75% = $411.75	85% = $474.50	
42872	
EYEBROW, elevation of, for paretic states (Anaes.)
Fee: $240.70	Benefit: 75% = $180.55	85% = $204.60	
Fee
43021	
Photodynamic therapy, one eye, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation.
Fee: $455.05	Benefit: 75% = $341.30	85% = $386.80	
Fee
43022	
Photodynamic therapy, both eyes, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation.
Fee: $546.15	Benefit: 75% = $409.65	85% = $471.65	
Fee
43023	
Infusion of Verteporfin for discontinued photodynamic therapy, where a session of therapy which would have been provided under item 43021 or 43022 has been discontinued on medical grounds.
Fee: $88.50	Benefit: 75% = $66.40	85% = $75.25	

OPERATIONS	OSTEOMYELITIS	
	SUBGROUP 10 - OPERATIONS FOR OSTEOMYELITIS	
	ACUTE	
43500	
OPERATION ON PHALANX (Anaes.)
Fee: $123.35	Benefit: 75% = $92.55	
43503	
OPERATION ON STERNUM, CLAVICLE, RIB, ULNA, RADIUS, CARPUS, TIBIA, FIBULA, TARSUS, SKULL, MANDIBLE OR MAXILLA (other than alveolar margins)  1 BONE (Anaes.)
Fee: $204.70	Benefit: 75% = $153.55	
43506	
OPERATION ON HUMERUS OR FEMUR  1 BONE (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
43509	
OPERATION ON SPINE OR PELVIC BONES  1 BONE (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
	CHRONIC	
43512	
OPERATION ON SCAPULA, STERNUM, CLAVICLE, RIB, ULNA, RADIUS, METACARPUS, CARPUS, PHALANX, TIBIA, FIBULA, METATARSUS, TARSUS, MANDIBLE OR MAXILLA (other than alveolar margins)  1 BONE or ANY COMBINATION OF ADJOINING BONES (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
43515	
OPERATION ON HUMERUS OR FEMUR  1 BONE (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	85% = $302.90	
43518	
OPERATION ON SPINE OR PELVIC BONES  1 BONE (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	
43521	
OPERATION ON SKULL (Anaes.) (Assist.)
Fee: $464.50	Benefit: 75% = $348.40	
43524	
OPERATION ON ANY COMBINATION OF ADJOINING BONES, being bones referred to in item 43515, 43518 or 43521 (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	85% = $513.10	
	SUBGROUP 11 - PAEDIATRIC	
	SURGERY IN NEONATE OR YOUNG CHILD	
43801	
INTESTINAL MALROTATION with or without volvulus, laparotomy for, not involving bowel resection (Anaes.) (Assist.)
Fee: $957.30	Benefit: 75% = $718.00	
43804	
INTESTINAL MALROTATION with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (Anaes.) (Assist.)
Fee: $1,019.25	Benefit: 75% = $764.45	
43807	
DUODENAL ATRESIA or STENOSIS, duodenoduodenostomy or duodenojejunostomy for (Anaes.) (Assist.)
Fee: $1,112.00	Benefit: 75% = $834.00	
43810	
JEJUNAL ATRESIA, bowel resection and anastomosis for, with or without tapering (Anaes.) (Assist.)
Fee: $1,297.35	Benefit: 75% = $973.05	
43813	
MECONIUM ILEUS, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intesinal perforation with or without meconium peritonitis (Anaes.) (Assist.)
Fee: $1,297.35	Benefit: 75% = $973.05	
43816	
ILEAL ATRESIA, COLONIC ATRESIA OR MECONIUM ILEUS not being a service associated with a service to which item 43813 applies, laparotomy for (Anaes.) (Assist.)
Fee: $1,204.60	Benefit: 75% = $903.45	
43819	
HIRSCHSPRUNG'S DISEASE, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes.) (Assist.)
Fee: $972.95	Benefit: 75% = $729.75	
43822	
ANORECTAL MALFORMATION, laparotomy and colostomy for (Anaes.) (Assist.)
Fee: $972.95	Benefit: 75% = $729.75	

OPERATIONS	PAEDIATRIC	
43825	
NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a service to which any other item in this Subgroup applies (Anaes.) (Assist.)
Fee: $1,112.00	Benefit: 75% = $834.00	
43828	
ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes.) (Assist.)
Fee: $1,228.55	Benefit: 75% = $921.45	
43831	
ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no definitive procedure is possible, laparotomy for (Anaes.) (Assist.)
Fee: $957.30	Benefit: 75% = $718.00	
43834	
BOWEL RESECTION for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes.) (Assist.)
Fee: $1,112.00	Benefit: 75% = $834.00	
43837	
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (Anaes.) (Assist.)
Fee: $1,389.90	Benefit: 75% = $1,042.45	
43840	
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes.) (Assist.)
Fee: $1,204.60	Benefit: 75% = $903.45	
43843	
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes.) (Assist.)
Fee: $1,853.35	Benefit: 75% = $1,390.05	
43846	
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams (Anaes.) (Assist.)
Fee: $1,992.30	Benefit: 75% = $1,494.25	
43849	
OESOPHAGEAL ATRESIA, gastrostomy for (Anaes.) (Assist.)
Fee: $509.65	Benefit: 75% = $382.25	
43852	
OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.)
Fee: $1,621.55	Benefit: 75% = $1,216.20	85% = $1,547.05	
43855	
OESOPHAGEAL ATRESIA, delayed primary anastomosis for (Anaes.) (Assist.)
Fee: $1,714.35	Benefit: 75% = $1,285.80	
43858	
OESOPHAGEAL ATRESIA, cervical oesophagostomy for (Anaes.) (Assist.)
Fee: $602.25	Benefit: 75% = $451.70	85% = $527.75	
43861	
CONGENITAL CYSTADENOMATOID MALFORMATION OR CONGENITAL LOBAR EMPHYSEMA, thoracotomy and lung resection for (Anaes.) (Assist.)
Fee: $1,668.05	Benefit: 75% = $1,251.05	
43864	
GASTROSCHISIS, operation for (Anaes.) (Assist.)
Fee: $1,251.05	Benefit: 75% = $938.30	
43867	
GASTROSCHISIS, secondary operation for, with removal of silo and closure of abdominal wall (Anaes.) (Assist.)
Fee: $695.00	Benefit: 75% = $521.25	
43870	
EXOMPHALOS containing small bowel only, operation for (Anaes.) (Assist.)
Fee: $972.95	Benefit: 75% = $729.75	
43873	
EXOMPHALOS containing small bowel and other viscera, operation for (Anaes.) (Assist.)
Fee: $1,297.35	Benefit: 75% = $973.05	
43876	
SACROCOCCYGEAL TERATOMA, excision of, by posterior approach (Anaes.) (Assist.)
Fee: $1,112.00	Benefit: 75% = $834.00	
43879	
SACROCOCCYGEAL TERATOMA, excision of, by combined posterior and abdominal approach (Anaes.) (Assist.)
Fee: $1,297.35	Benefit: 75% = $973.05	

OPERATIONS	PAEDIATRIC	
43882	
CLOACAL EXSTROPHY, operation for (Anaes.) (Assist.)
Fee: $1,668.05	Benefit: 75% = $1,251.05	85% = $1,593.55	
	THORACIC SURGERY	
43900	
TRACHEO-OESOPHAGEAL FISTULA without atresia, division and repair of (Anaes.) (Assist.)
Fee: $1,112.00	Benefit: 75% = $834.00	
43903	
OESOPHAGEAL ATRESIA or CORROSIVE OESOPHAGEAL STRICTURE, oesophageal replacement for, utilizing gastric tube, jejunum or colon (Anaes.) (Assist.)
Fee: $1,853.35	Benefit: 75% = $1,390.05	
43906	
OESOPHAGUS, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes.) (Assist.)
Fee: $1,621.55	Benefit: 75% = $1,216.20	
43909	
TRACHEOMALACIA, aortopexy for (Anaes.) (Assist.)
Fee: $1,621.55	Benefit: 75% = $1,216.20	
43912	
THORACOTOMY and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (Anaes.) (Assist.)
Fee: $1,532.00	Benefit: 75% = $1,149.00	
43915	
EVENTRATION, plication of diaphragm for (Anaes.) (Assist.)
Fee: $1,158.30	Benefit: 75% = $868.75	85% = $1,083.80	
	ABDOMINAL SURGERY	
43930	
HYPERTROPHIC PYLORIC STENOSIS, pyloromyotomy for (Anaes.) (Assist.)
Fee: $445.40	Benefit: 75% = $334.05	
43933	
IDIOPATHIC INTUSSUSCEPTION, laparotomy and manipulative reduction of (Anaes.) (Assist.)
Fee: $521.40	Benefit: 75% = $391.05	
43936	
INTUSSUSCEPTION, laparotomy and resection with anastomosis (Anaes.) (Assist.)
Fee: $972.95	Benefit: 75% = $729.75	
43939	
VENTRAL HERNIA following neonatal closure of exomphalos or gastroschisis, repair of (Anaes.) (Assist.)
Fee: $741.30	Benefit: 75% = $556.00	
43942	
ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of (Anaes.)
Fee: $231.70	Benefit: 75% = $173.80	85% = $196.95	
43945	
PATENT VITELLO INTESTINAL DUCT, excision of (Anaes.) (Assist.)
Fee: $972.95	Benefit: 75% = $729.75	
43948	
UMBILICAL GRANULOMA, excision of, under general anaesthesia (Anaes.)
Fee: $139.10	Benefit: 75% = $104.35	85% = $118.25	
43951	
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes.) (Assist.)
Fee: $871.30	Benefit: 75% = $653.50	
43954	
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes.) (Assist.)
Fee: $1,065.75	Benefit: 75% = $799.35	
43957	
GASTRO-OESOPHAGEAL REFLUX, LAPAROTOMY AND FUNDOPLICATION for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes.) (Assist.)
Fee: $1,158.30	Benefit: 75% = $868.75	
43960	
ANORECTAL MALFORMATION, perineal anoplasty of (Anaes.) (Assist.)
Fee: $407.50	Benefit: 75% = $305.65	
43963	
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of (Anaes.) (Assist.)
Fee: $1,621.55	Benefit: 75% = $1,216.20	

OPERATIONS	PAEDIATRIC	
43966	
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of, with laparotomy (Anaes.) (Assist.)
Fee: $1,853.35	Benefit: 75% = $1,390.05	
43969	
PERSISTENT CLOACA, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes.) (Assist.)
Fee: $2,548.35	Benefit: 75% = $1,911.30	
43972	
CHOLEDOCHAL CYST, resection of, with 1 duct anastomosis (Anaes.) (Assist.)
Fee: $1,853.35	Benefit: 75% = $1,390.05	
43975	
CHOLEDOCHAL CYST, resection of, with 2 duct anastomoses (Anaes.) (Assist.)
Fee: $2,177.70	Benefit: 75% = $1,633.30	
43978	
BILIARY ATRESIA, portoenterostomy for (Anaes.) (Assist.)
Fee: $1,853.35	Benefit: 75% = $1,390.05	
43981	
NEPHROBLASTOMA, NEUROBLASTOMA OR OTHER MALIGNANT TUMOUR, laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes.) (Assist.)
Fee: $509.65	Benefit: 75% = $382.25	
43984	
NEPHROBLASTOMA, radical nephrectomy for (Anaes.) (Assist.)
Fee: $1,297.35	Benefit: 75% = $973.05	
43987	
NEUROBLASTOMA, radical excision of (Anaes.) (Assist.)
Fee: $1,436.40	Benefit: 75% = $1,077.30	
43990	
HIRSCHSPRUNG'S DISEASE, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon (Anaes.) (Assist.)
Fee: $1,760.75	Benefit: 75% = $1,320.60	
43993	
HIRSCHSPRUNG'S DISEASE, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends into descending or transverse colon with or without resiting of stoma (Anaes.) (Assist.)
Fee: $1,899.65	Benefit: 75% = $1,424.75	85% = $1,825.15	
43996	
HIRSCHPRUNG'S DISEASE, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolic anastomosis (Anaes.) (Assist.)
Fee: $2,131.35	Benefit: 75% = $1,598.55	85% = $2,056.85	
43999	
HIRSCHSPRUNG'S DISEASE, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)
Fee: $266.55	Benefit: 75% = $199.95	
44102	
RECTUM, examination of, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
Fee: $256.95	Benefit: 75% = $192.75	
44105	
RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, under general anaesthesia (Anaes.)
Fee: $45.10	Benefit: 75% = $33.85	85% = $38.35	
44108	
INGUINAL HERNIA repair at age less than 3 months (Anaes.) (Assist.)
Fee: $491.45	Benefit: 75% = $368.60	
44111	
OBSTRUCTED OR STRANGULATED INGUINAL HERNIA, repair of, at age less than 3 months, including orchidopexy when performed (Anaes.) (Assist.)
Fee: $575.65	Benefit: 75% = $431.75	85% = $501.15	
44114	
INGUINAL HERNIA repair at age less than 3 months when orchidopexy also required (Anaes.) (Assist.)
Fee: $575.65	Benefit: 75% = $431.75	
	MISCELLANEOUS SURGERY	
44130	
LYMPHADENECTOMY, for atypical mycobacterial infection or other granulomatous disease (Anaes.) (Assist.)
Fee: $463.30	Benefit: 75% = $347.50	85% = $393.85	
44133	
TORTICOLLIS, open division of sternomastoid muscle for (Anaes.) (Assist.)
Fee: $367.75	Benefit: 75% = $275.85	

OPERATIONS	AMPUTATIONS	
44136	
INGROWN TOE NAIL, operation for, under general anaesthesia (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
	SUBGROUP 12 - AMPUTATIONS	
44325	
HAND, MIDCARPAL OR TRANSMETACARPAL, amputation of (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	85% = $251.35	
44328	
HAND, FOREARM OR THROUGH ARM, amputation of (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
44331	
AMPUTATION AT SHOULDER (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	
44334	
INTERSCAPULOTHORACIC AMPUTATION (Anaes.) (Assist.)
Fee: $1,194.25	Benefit: 75% = $895.70	85% = $1,119.75	
44338	
1 DIGIT of foot, amputation of (Anaes.)
Fee: $144.00	Benefit: 75% = $108.00	85% = $122.40	
44342	
2 DIGITS of 1 foot, amputation of (Anaes.)
Fee: $219.95	Benefit: 75% = $165.00	
44346	
3 DIGITS of 1 foot, amputation of (Anaes.) (Assist.)
Fee: $254.00	Benefit: 75% = $190.50	
44350	
4 DIGITS of 1 foot, amputation of (Anaes.) (Assist.)
Fee: $288.20	Benefit: 75% = $216.15	85% = $245.00	
44354	
5 DIGITS of 1 foot, amputation of (Anaes.) (Assist.)
Fee: $329.80	Benefit: 75% = $247.35	
44358	
TOE, including metatarsal or part of metatarsal  each toe , amputation of (Anaes.)
Fee: $183.90	Benefit: 75% = $137.95	
44359	
ONE OR MORE TOES OF ONE FOOT, amputation of, including if performed, excision of 1 or more metatarsal bones of the foot, performed for diabetic or other microvascular disease, excluding aftercare (Anaes.) (Assist.)
Fee: $263.95	Benefit: 75% = $198.00	
44361	
FOOT AT ANKLE (Syme, Pirogoff types), amputation of (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	
44364	
FOOT, MIDTARSAL OR TRANSMETATARSAL, amputation of (Anaes.) (Assist.)
Fee: $295.70	Benefit: 75% = $221.80	
44367	
AMPUTATION THROUGH THIGH, AT KNEE OR BELOW KNEE (Anaes.) (Assist.)
Fee: $521.95	Benefit: 75% = $391.50	
44370	
AMPUTATION AT HIP (Anaes.) (Assist.)
Fee: $720.20	Benefit: 75% = $540.15	
44373	
HINDQUARTER, amputation of (Anaes.) (Assist.)
Fee: $1,478.40	Benefit: 75% = $1,108.80	85% = $1,403.90	
44376	
AMPUTATION STUMP, reamputation of, to provide adequate skin and muscle cover (Assist.)
Derived Fee: 75% of the original amputation fee	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
	SUBGROUP 13 - PLASTIC AND RECONSTRUCTIVE SURGERY	
	GENERAL	
45000	
METICULOUS REPAIR DESIGNED TO OBTAIN MAXIMUM
 FUNCTIONAL RESULTS INCLUDING THE
 PREPARATION OF THE DEFECT REQUIRING REPAIR

(Note: See Explanatory notes to this Category for definition of "Local skin flap")

SINGLE STAGE LOCAL MUSCLE FLAP REPAIR, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (Anaes.)
Fee: $541.35	Benefit: 75% = $406.05	85% = $466.85	
EMSN
45003	
SINGLE STAGE LOCAL MYOCUTANEOUS FLAP REPAIR to 1 defect, simple and small (Anaes.)
Fee: $601.65	Benefit: 75% = $451.25	85% = $527.15
Extended Medicare Safety Net Cap: $481.35	
45006	
SINGLE STAGE LARGE MYOCUTANEOUS FLAP REPAIR to 1 defect, (pectoralis major, latissimus dorsi, or similar large muscle) (Anaes.) (Assist.)
Fee: $1,037.65	Benefit: 75% = $778.25	
45009	
SINGLE STAGE LOCAL muscle flap repair to 1 defect, simple and small (Anaes.) (Assist.)
Fee: $379.05	Benefit: 75% = $284.30	
45012	
SINGLE STAGE LARGE MUSCLE FLAP REPAIR to 1 defect, (pectoralis major, gastrocnemius, gracilis or similar large muscle) (Anaes.) (Assist.)
Fee: $635.00	Benefit: 75% = $476.25	
45015	
MUSCLE OR MYOCUTANEOUS FLAP, delay of (Anaes.)
Fee: $300.75	Benefit: 75% = $225.60	
45018	
DERMIS, DERMOFAT OR FASCIA GRAFT (excluding transfer of fat by injection) (Anaes.) (Assist.)
Fee: $473.65	Benefit: 75% = $355.25	85% = $402.65	
45019	
FULL FACE CHEMICAL PEEL for severely sun-damaged skin, where it can be demonstrated that the damage affects 75% of the facial skin surface area involving photodamage (dermatoheliosis) typically consisting of solar keratoses, solar lentigines, freckling, yellowing and leathering of the skin, where at least medium depth peeling agents are used, performed in the operating theatre of a hospital by a specialist in the practice of his or her specialty - 1 session only in a 12 month period (Anaes.)
(See para T8.94 of explanatory notes to this Category)
Fee: $396.70	Benefit: 75% = $297.55	
45020	
FULL FACE CHEMICAL PEEL for severe chloasma or melasma refractory to all other treatments, where it can be demonstrated that the chloasma or melasma affects 75% of the facial skin surface area involving diffuse pigmentation visible at a distance of 4 metres, where at least medium depth peeling agents are used, performed in the operating theatre of a hospital by a specialist in the practice of his or her specialty - 1 session only in a 12 month period (Anaes.)
(See para T8.94 of explanatory notes to this Category)
Fee: $396.70	Benefit: 75% = $297.55	85% = $337.20	
45021	
ABRASIVE THERAPY for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area (Anaes.)
(See para T8.95 of explanatory notes to this Category)
Fee: $177.35	Benefit: 75% = $133.05	85% = $150.75	
45024	
ABRASIVE THERAPY for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area (Anaes.)
(See para T8.95 of explanatory notes to this Category)
Fee: $398.55	Benefit: 75% = $298.95	85% = $338.80	
EMSN
45025	
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area (Anaes.)
(See para T8.95 of explanatory notes to this Category)
Fee: $177.35	Benefit: 75% = $133.05	85% = $150.75
Extended Medicare Safety Net Cap: $141.90	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
EMSN
45026	
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area (Anaes.)
(See para T8.95 of explanatory notes to this Category)
Fee: $398.55	Benefit: 75% = $298.95	85% = $338.80
Extended Medicare Safety Net Cap: $318.85	
45027	
ANGIOMA, cauterisation of or injection into, where undertaken in the operating theatre of a hospital (Anaes.)
Fee: $120.35	Benefit: 75% = $90.30	85% = $102.30	
45030	
ANGIOMA (haemangioma or lymphangioma or both) of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of (Anaes.)
Fee: $129.25	Benefit: 75% = $96.95	85% = $109.90	
45033	
ANGIOMA, (haemangioma or lymphangioma or both), large or involving deeper tissue including facial muscle or breast, excision and suture of (Anaes.)
Fee: $240.70	Benefit: 75% = $180.55	85% = $204.60	
45035	
ANGIOMA (haemangioma or lymphangioma or both), large and deep, involving muscles or nerves, excision of (Anaes.) (Assist.)
Fee: $702.05	Benefit: 75% = $526.55	
45036	
ANGIOMA (haemangioma or lymphangioma or both) of neck, deep, excision of (Anaes.) (Assist.)
Fee: $1,128.05	Benefit: 75% = $846.05	
45039	
ARTERIOVENOUS MALFORMATION (3 centimetres or less) of superficial tissue, excision of (Anaes.)
Fee: $240.70	Benefit: 75% = $180.55	85% = $204.60	
45042	
ARTERIOVENOUS MALFORMATION, (greater than 3 centimetres), excision of (Anaes.) (Assist.)
Fee: $308.40	Benefit: 75% = $231.30	85% = $262.15	
45045	
ARTERIOVENOUS MALFORMATION on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.)
Fee: $308.40	Benefit: 75% = $231.30	85% = $262.15	
45048	
LYMPHOEDEMATOUS tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (Anaes.) (Assist.)
Fee: $774.55	Benefit: 75% = $580.95	
45051	
CONTOUR RECONSTRUCTION for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation (Anaes.) (Assist.)
(See para T8.96 of explanatory notes to this Category)
Fee: $473.75	Benefit: 75% = $355.35	
45054	
LIMB OR CHEST, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (Anaes.) (Assist.)
(See para T8.97 of explanatory notes to this Category)
Fee: $246.10	Benefit: 75% = $184.60	
	SKIN FLAP SURGERY	
EMSN
45200	
		(Note: See Explanatory notes to this Category for definition of "Local skin flap")

SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, simple and small, excluding flap for male pattern baldness and excluding H-flap or double advancement flap (Anaes.)
(See para T8.98 of explanatory notes to this Category)
Fee: $284.35	Benefit: 75% = $213.30	85% = $241.70
Extended Medicare Safety Net Cap: $227.50	
EMSN
45203	
SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness and excluding H-flap or double advancement flap (Anaes.) (Assist.)
(See para T8.98 of explanatory notes to this Category)
Fee: $406.05	Benefit: 75% = $304.55	85% = $345.15
Extended Medicare Safety Net Cap: $324.85	
EMSN
45206	
SINGLE STAGE LOCAL FLAP where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, and excluding H-flap or double advancement flap (Anaes.)
(See para T8.98 of explanatory notes to this Category)
Fee: $383.55	Benefit: 75% = $287.70	85% = $326.05
Extended Medicare Safety Net Cap: $306.85	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45207	
H-FLAP OR DOUBLE ADVANCEMENT FLAP where indicated to repair 1 defect, on eyelid, eyebrow or forehead (Anaes.)
Fee: $383.55	Benefit: 75% = $287.70	85% = $326.05	
45209	
DIRECT FLAP REPAIR (cross arm, abdominal or similar), first stage (Anaes.) (Assist.)
Fee: $473.75	Benefit: 75% = $355.35	85% = $402.70	
45212	
DIRECT FLAP REPAIR (cross arm, abdominal or similar), second stage (Anaes.)
Fee: $235.05	Benefit: 75% = $176.30	85% = $199.80	
45215	
DIRECT FLAP REPAIR, cross leg, first stage (Anaes.) (Assist.)
Fee: $1,014.05	Benefit: 75% = $760.55	
45218	
DIRECT FLAP REPAIR, cross leg, second stage (Anaes.) (Assist.)
Fee: $454.85	Benefit: 75% = $341.15	
45221	
DIRECT FLAP REPAIR, small (cross finger or similar), first stage (Anaes.)
Fee: $261.55	Benefit: 75% = $196.20	85% = $222.35	
45224	
DIRECT FLAP REPAIR, small (cross finger or similar), second stage (Anaes.)
Fee: $117.55	Benefit: 75% = $88.20	85% = $99.95	
45227	
INDIRECT FLAP OR TUBED PEDICLE, formation of (Anaes.) (Assist.)
Fee: $445.40	Benefit: 75% = $334.05	85% = $378.60	
45230	
DIRECT OR INDIRECT FLAP OR TUBED PEDICLE, delay of (Anaes.)
Fee: $222.75	Benefit: 75% = $167.10	85% = $189.35	
45233	
INDIRECT FLAP OR TUBED PEDICLE, preparation of intermediate or final site and attachment to the site (Anaes.) (Assist.)
Fee: $473.75	Benefit: 75% = $355.35	85% = $402.70	
45236	
INDIRECT FLAP OR TUBED PEDICLE, spreading of pedicle, as a separate procedure (Anaes.)
Fee: $371.50	Benefit: 75% = $278.65	
45239	
DIRECT, INDIRECT OR LOCAL FLAP, revision of, by incision and suture, not being a service to which item 45240 applies (Anaes.)
Fee: $261.55	Benefit: 75% = $196.20	85% = $222.35	
45240	
DIRECT, INDIRECT OR LOCAL FLAP, revision of, by liposuction, not being a service to which item 45239, 45497, 45498 or 45499 applies (Anaes.)
Fee: $261.55	Benefit: 75% = $196.20	85% = $222.35	
	FREE GRAFTS	
45400	
FREE GRAFTING (split skin) of a granulating area, small (Anaes.)
Fee: $204.70	Benefit: 75% = $153.55	85% = $174.00	
45403	
FREE GRAFTING (split skin) of a granulating area, extensive (Anaes.) (Assist.)
Fee: $407.50	Benefit: 75% = $305.65	85% = $346.40	
45406	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving not more than 3 per cent of total body surface (Anaes.) (Assist.)
(See para T8.99 of explanatory notes to this Category)
Fee: $451.10	Benefit: 75% = $338.35	85% = $383.45	
45409	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 3 per cent or more but less than 6 per cent of total body surface (Anaes.) (Assist.)
(See para T8.99 of explanatory notes to this Category)
Fee: $601.65	Benefit: 75% = $451.25	
45412	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 6 per cent or more but less than 9 per cent of total body surface (Anaes.) (Assist.)
(See para T8.99 of explanatory notes to this Category)
Fee: $827.30	Benefit: 75% = $620.50	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45415	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 9 per cent or more but less than 12 per cent of total body surface (Anaes.) (Assist.)
(See para T8.99 of explanatory notes to this Category)
Fee: $902.30	Benefit: 75% = $676.75	
45418	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 12 per cent or more but less than 15 per cent of total body surface (Anaes.) (Assist.)
(See para T8.99 of explanatory notes to this Category)
Fee: $977.55	Benefit: 75% = $733.20	
45439	
FREE GRAFTING (split skin) to 1 defect, including elective dissection, small (Anaes.)
Fee: $284.35	Benefit: 75% = $213.30	85% = $241.70	
45442	
FREE GRAFTING (split skin) to 1 defect, including elective dissection, extensive (Anaes.) (Assist.)
Fee: $586.50	Benefit: 75% = $439.90	85% = $512.00	
45445	
FREE GRAFTING (split skin) as inlay graft to 1 defect including elective dissection using a mould (including insertion of, and removal of mould) (Anaes.) (Assist.)
Fee: $556.60	Benefit: 75% = $417.45	85% = $482.10	
45448	
FREE GRAFTING (split skin) to 1 defect, including elective dissection on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not being a service to which item 45442 or 45445 applies (Anaes.)
Fee: $376.00	Benefit: 75% = $282.00	85% = $319.60	
45451	
FREE GRAFTING (full thickness), to 1 defect, excluding grafts for male pattern baldness (Anaes.) (Assist.)
Fee: $473.75	Benefit: 75% = $355.35	85% = $402.70	
45460	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 15 percent or more but less than 20 percent of total body surface - one surgeon (Anaes.) (Assist.)
Fee: $1,253.30	Benefit: 75% = $940.00	
45461	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 15 percent or more but less than 20 percent of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $893.25	Benefit: 75% = $669.95	
45462	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 15 percent or more but less than 20 percent of total body surface - conjoint surgery, co- surgeon (Assist.)
Fee: $674.05	Benefit: 75% = $505.55	
45464	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 20 percent or more but less than 30 percent of total body surface - one surgeon (Anaes.) (Assist.)
Fee: $1,913.10	Benefit: 75% = $1,434.85	
45465	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 20 percent or more but less than 30 percent of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $1,363.00	Benefit: 75% = $1,022.25	85% = $1,288.50	
45466	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 20 percent or more but less than 30 percent of total body surface - conjoint surgery, co-surgeon (Assist.)
Fee: $1,027.95	Benefit: 75% = $771.00	85% = $953.45	
45468	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 30 percent or more but less than 40 percent of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $1,832.65	Benefit: 75% = $1,374.50	
45469	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 30 percent or more but less than 40 percent of total body surface - conjoint surgery, co-surgeon (Assist.)
Fee: $1,382.70	Benefit: 75% = $1,037.05	85% = $1,308.20	
45471	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 40 percent or more but less than 50 percent of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $2,303.65	Benefit: 75% = $1,727.75	85% = $2,229.15	
45472	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 40 percent or more but less than 50 percent of total body surface - conjoint surgery, co-surgeon (Assist.)
Fee: $1,737.60	Benefit: 75% = $1,303.20	85% = $1,663.10	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45474	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 50 percent or more but less than 60 percent of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $2,773.30	Benefit: 75% = $2,080.00	85% = $2,698.80	
45475	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 50 percent or more but less than 60 percent of total body surface - conjoint surgery, co-surgeon (Assist.)
Fee: $2,092.45	Benefit: 75% = $1,569.35	85% = $2,017.95	
45477	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 60 percent or more but less than 70 percent of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $3,243.00	Benefit: 75% = $2,432.25	85% = $3,168.50	
45478	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 60 percent or more but less than 70 percent of total body surface - conjoint surgery, co-surgeon (Assist.)
Fee: $2,446.05	Benefit: 75% = $1,834.55	85% = $2,371.55	
45480	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 70 percent or more but less than 80 percent of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $3,712.60	Benefit: 75% = $2,784.45	85% = $3,638.10	
45481	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 70 percent or more but less than 80 percent of total body surface - conjoint surgery, co-surgeon (Assist.)
Fee: $2,801.10	Benefit: 75% = $2,100.85	85% = $2,726.60	
45483	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 80 percent or more of total body surface - conjoint surgery, principal surgeon (Anaes.) (Assist.)
Fee: $4,229.95	Benefit: 75% = $3,172.50	85% = $4,155.45	
45484	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 80 percent or more of total body surface - conjoint surgery, co-surgeon (Assist.)
Fee: $3,191.50	Benefit: 75% = $2,393.65	85% = $3,117.00	
45485	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - upper eyelid, nose, lip, ear or palm of the hand (Anaes.) (Assist.)
Fee: $527.70	Benefit: 75% = $395.80	
45486	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - forehead, cheek, anterior aspect of the neck, chin, plantar aspect of the foot, heel or genitalia (Anaes.) (Assist.)
Fee: $451.10	Benefit: 75% = $338.35	
45487	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - whole of toe (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	85% = $345.15	
45488	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 1 digit of the hand (Anaes.) (Assist.)
Fee: $451.10	Benefit: 75% = $338.35	
45489	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 2 digits of the hand (Anaes.) (Assist.)
Fee: $676.80	Benefit: 75% = $507.60	85% = $602.30	
45490	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 3 digits of the hand (Anaes.) (Assist.)
Fee: $902.50	Benefit: 75% = $676.90	
45491	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 4 digits of the hand (Anaes.) (Assist.)
Fee: $1,128.05	Benefit: 75% = $846.05	
45492	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 5 digits of the hand (Anaes.) (Assist.)
Fee: $1,353.60	Benefit: 75% = $1,015.20	
45493	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - portion of digit of hand (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	
45494	
FREE GRAFTING (split skin) to burns, including excision of burnt tissue - whole of face (excluding ears) (Anaes.) (Assist.)
Fee: $1,638.70	Benefit: 75% = $1,229.05	85% = $1,564.20	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
	OTHER GRAFTS AND MISCELLANEOUS PROCEDURES	
45496	
FLAP, free tissue transfer using microvascular techniques - revision of, by open operation (Anaes.)
Fee: $416.05	Benefit: 75% = $312.05	
45497	
FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - complete revision of, by liposuction (Anaes.)
Fee: $324.95	Benefit: 75% = $243.75	
45498	
FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - staged revision of, by liposuction - first stage (Anaes.)
Fee: $261.55	Benefit: 75% = $196.20	
45499	
FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - staged revision of, by liposuction - second stage (Anaes.)
Fee: $195.00	Benefit: 75% = $146.25	
45500	
MICROVASCULAR REPAIR using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (Anaes.) (Assist.)
Fee: $1,090.35	Benefit: 75% = $817.80	
45501	
MICROVASCULAR ANASTOMOSIS of artery using microsurgical techniques, for re-implantation of limb or digit (Anaes.) (Assist.)
Fee: $1,774.70	Benefit: 75% = $1,331.05	
45502	
MICROVASCULAR ANASTOMOSIS of vein using microsurgical techniques, for re-implantation of limb or digit (Anaes.) (Assist.)
Fee: $1,774.70	Benefit: 75% = $1,331.05	
45503	
MICRO-ARTERIAL OR MICRO-VENOUS GRAFT using microsurgical techniques (Anaes.) (Assist.)
Fee: $2,030.35	Benefit: 75% = $1,522.80	
45504	
MICROVASCULAR ANASTOMOSIS of artery using microsurgical techniques, for free transfer of tissue including setting in of free flap (Anaes.) (Assist.)
Fee: $1,774.70	Benefit: 75% = $1,331.05	
45505	
MICROVASCULAR ANASTOMOSIS of vein using microsurgical techniques, for free transfer of tissue including setting in of free flap (Anaes.) (Assist.)
Fee: $1,774.70	Benefit: 75% = $1,331.05	
45506	
SCAR, of face or neck, not more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital, or where performed by a specialist in the practice of his or her specialty (Anaes.)
(See para T8.100 of explanatory notes to this Category)
Fee: $219.95	Benefit: 75% = $165.00	85% = $187.00	
45512	
SCAR, of face or neck, more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital, or where performed by a specialist in the practice of his or her specialty (Anaes.)
(See para T8.100 of explanatory notes to this Category)
Fee: $295.70	Benefit: 75% = $221.80	85% = $251.35	
45515	
SCAR, other than on face or neck, not more than 7 cms in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or where performed by a specialist in the practice of his or her specialty (Anaes.)
(See para T8.100 of explanatory notes to this Category)
Fee: $186.50	Benefit: 75% = $139.90	85% = $158.55	
45518	
SCAR, other than on face or neck, more than 7 cms in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital, or where performed by a specialist in the practice of his or her speciality (Anaes.)
(See para T8.100 of explanatory notes to this Category)
Fee: $225.70	Benefit: 75% = $169.30	85% = $191.85	
45519	
EXTENSIVE BURN SCARS OF SKIN (more than 1 percent of body surface area), excision of, for correction of scar contracture (Anaes.) (Assist.)
Fee: $429.05	Benefit: 75% = $321.80	
45520	
REDUCTION MAMMAPLASTY (unilateral) with surgical repositioning of nipple (Anaes.) (Assist.)
Fee: $900.45	Benefit: 75% = $675.35	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45522	
REDUCTION MAMMAPLASTY (unilateral) without surgical repositioning of nipple, excluding the treatment of gynaecomastia (Anaes.) (Assist.)
(See para T8.101 of explanatory notes to this Category)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25	
45524	
MAMMAPLASTY, AUGMENTATION, for significant breast asymmetry where the augmentation is limited to 1 breast (Anaes.) (Assist.)
(See para T8.102 of explanatory notes to this Category)
Fee: $741.65	Benefit: 75% = $556.25	
45527	
MAMMAPLASTY, AUGMENTATION, (unilateral), following mastectomy (Anaes.) (Assist.)
(See para T8.102 of explanatory notes to this Category)
Fee: $741.65	Benefit: 75% = $556.25	
45528	
MAMMAPLASTY, AUGMENTATION, bilateral, not being a service to which Item 45527 applies, where it can be demonstrated that surgery is indicated because of malformation of breast tissue (excluding hypomastia), disease or trauma of the breast (other than trauma resulting from previous elective cosmetic surgery) (Anaes.) (Assist.)
(See para T8.102 of explanatory notes to this Category)
Fee: $1,112.35	Benefit: 75% = $834.30	
45530	
BREAST RECONSTRUCTION (unilateral) using a latissimus dorsi or other large muscle or myocutaneous flap, including repair of secondary skin defect, if required, excluding repair of muscular aponeurotic layer, not being a service associated with a service to which items 30165, 30168, 30171, 30174 or 30177 applies (Anaes.) (Assist.)
(See para T8.103 of explanatory notes to this Category)
Fee: $1,099.40	Benefit: 75% = $824.55	
45533	
BREAST RECONSTRUCTION using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure (Anaes.) (Assist.)
Fee: $1,245.10	Benefit: 75% = $933.85	
45536	
BREAST RECONSTRUCTION using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure (Anaes.) (Assist.)
Fee: $457.85	Benefit: 75% = $343.40	
45539	
BREAST RECONSTRUCTION (unilateral), following mastectomy, using tissue expansion - insertion of tissue expansion unit and all attendances for subsequent expansion injections (Anaes.) (Assist.)
Fee: $1,071.20	Benefit: 75% = $803.40	
45542	
BREAST RECONSTRUCTION (unilateral), following mastectomy, using tissue expansion - removal of tissue expansion unit and insertion of permanent prosthesis (Anaes.) (Assist.)
Fee: $613.40	Benefit: 75% = $460.05	
EMSN
45545	
NIPPLE OR AREOLA or both, reconstruction of, by any surgical technique (Anaes.) (Assist.)
(See para T8.106 of explanatory notes to this Category)
Fee: $622.55	Benefit: 75% = $466.95	85% = $548.05
Extended Medicare Safety Net Cap: $498.05	
45546	
NIPPLE OR AREOLA or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple
(See para T8.106 of explanatory notes to this Category)
Fee: $197.85	Benefit: 75% = $148.40	85% = $168.20	
45548	
BREAST PROSTHESIS, removal of, as an independent procedure (Anaes.)
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
45551	
BREAST PROSTHESIS, removal of, with excision of fibrous capsule (Anaes.) (Assist.)
Fee: $443.70	Benefit: 75% = $332.80	
45552	
BREAST PROSTHESIS, removal of, with excision of fibrous capsule and replacement of prosthesis (Anaes.) (Assist.)
(See para T8.104 of explanatory notes to this Category)
Fee: $638.65	Benefit: 75% = $479.00	85% = $564.15	
45553	
BREAST PROSTHESIS, removal and replacement with another prosthesis, following medical complications (such as rupture, migration of prosthetic material, or capsule formation). (Anaes.) (Assist.)
(See para T8.104 of explanatory notes to this Category)
Fee: $638.65	Benefit: 75% = $479.00	85% = $564.15	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45554	
BREAST PROSTHESIS, removal and replacement with another prosthesis, following medical complications (such as rupture, migration of prosthetic material, or capsule formation), where new pocket is formed, including excision of fibrous capsule (Anaes.) (Assist.)
(See para T8.104 of explanatory notes to this Category)
Fee: $699.45	Benefit: 75% = $524.60	85% = $624.95	
45555	
SILICONE BREAST PROSTHESIS, removal of and replacement with prosthesis other than silicone gel prosthesis (Anaes.) (Assist.)
(See para T8.104 of explanatory notes to this Category)
Fee: $638.65	Benefit: 75% = $479.00	
45556	
BREAST PTOSIS, correction of (unilateral), to match the position of the contralateral breast (Anaes.) (Assist.)
(See para T8.105 of explanatory notes to this Category)
Fee: $766.05	Benefit: 75% = $574.55	85% = $691.55	
45557	
BREAST PTOSIS, correction of by mastopexy by any means (unilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years after the end of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove, not being a service associated with a service to which item 45522 applies (Anaes.) (Assist.)
(See para T8.105 of explanatory notes to this Category)
Fee: $766.05	Benefit: 75% = $574.55	
45558	
BREAST PTOSIS, correction of by mastopexy by any means (bilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years after the end of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove, not being a service associated with a service to which item 45522 applies (Anaes.) (Assist.)
(See para T8.105 of explanatory notes to this Category)
Fee: $1,148.95	Benefit: 75% = $861.75	
45559	
TUBEROUS, TUBULAR OR CONSTRICTED BREAST, where it can be demonstrated, correction of by simultaneous mastopexy and augmentation of (unilateral) (Anaes.) (Assist.)
(See para T8.105 of explanatory notes to this Category)
Fee: $1,136.80	Benefit: 75% = $852.60	85% = $1,062.30	
45560	
HAIR TRANSPLANTATION for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this Group applies (Anaes.)
Fee: $473.65	Benefit: 75% = $355.25	85% = $402.65
Extended Medicare Safety Net Cap: $162.65	
45561	
MICROVASCULAR ANASTOMOSIS of artery or vein using microsurgical techniques, for supercharging of pedicled flaps (Anaes.) (Assist.)
Fee: $1,774.70	Benefit: 75% = $1,331.05	
45562	
FREE TRANSFER OF TISSUE involving raising of tissue on vascular or neurovascular pedicle, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness (Anaes.) (Assist.)
Fee: $1,099.40	Benefit: 75% = $824.55	85% = $1,024.90	
45563	
NEUROVASCULAR ISLAND FLAP, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness (Anaes.) (Assist.)
Fee: $1,099.40	Benefit: 75% = $824.55	85% = $1,024.90	
45564	
FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of up to 2 of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, principal specialist surgeon (Anaes.) (Assist.)
Fee: $2,546.30	Benefit: 75% = $1,909.75	
45565	
FREE TRANSFER OF TISSUE reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of up to 2 of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies - conjoint surgery, conjoint specialist surgeon (Assist.)
Fee: $1,909.80	Benefit: 75% = $1,432.35	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45566	
TISSUE EXPANSION not being a service to which item 45539 or 45542 applies - insertion of tissue expansion unit and all attendances for subsequent expansion injections (Anaes.) (Assist.)
Fee: $1,071.20	Benefit: 75% = $803.40	
45568	
TISSUE EXPANDER, removal of, with complete excision of fibrous capsule (Anaes.) (Assist.)
Fee: $443.70	Benefit: 75% = $332.80	
45569	
CLOSURE OF ABDOMEN WITH RECONSTRUCTION OF UMBILICUS, with or without lipectomy, being a service associated with items 45562, 45564, 45565 or 45530 (Anaes.) (Assist.)
Fee: $677.60	Benefit: 75% = $508.20	
45570	
CLOSURE OF ABDOMEN, repair of musculoaponeurotic layer, being a service associated with item 45569 (Anaes.) (Assist.)
Fee: $914.95	Benefit: 75% = $686.25	85% = $840.45	
45572	
INTRA OPERATIVE TISSUE EXPANSION performed during an operation when combined with a service to which another item in Group T8 applies including expansion injections and excluding treatment of male pattern baldness (Anaes.)
Fee: $291.70	Benefit: 75% = $218.80	85% = $247.95	
45575	
FACIAL NERVE PARALYSIS, free fascia graft for (Anaes.) (Assist.)
Fee: $720.20	Benefit: 75% = $540.15	85% = $645.70	
45578	
FACIAL NERVE PARALYSIS, muscle transfer for (Anaes.) (Assist.)
Fee: $834.05	Benefit: 75% = $625.55	
45581	
FACIAL NERVE PALSY, excision of tissue for (Anaes.)
Fee: $276.80	Benefit: 75% = $207.60	85% = $235.30	
EMSN
45584	
LIPOSUCTION (suction assisted lipolysis) to 1 regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma (Anaes.)
(See para T8.107 of explanatory notes to this Category)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25
Extended Medicare Safety Net Cap: $505.40	
Amend
EMSN
45585	
LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a service associated with a service to which item 31521 or 31527 applies, where it can be demonstrated that the treatment is for Barraquer-Simon's Syndrome (pathological lipodystrophy of hips, buttocks, thighs, knees or lower legs), lymphoedema or macrodystrophia lipomatosa (Anaes.)
(See para T8.107 of explanatory notes to this Category)
Fee: $631.75	Benefit: 75% = $473.85	85% = $557.25
Extended Medicare Safety Net Cap: $505.40	
45586	
LIPOSUCTION (suction assisted lipolysis) for reduction of a buffalo hump, where it can be demonstrated that the buffalo hump is secondary to an endocrine disorder or pharmacological treatment of a medical condition (Anaes.)
(See para T8.107 of explanatory notes to this Category)
Fee: $631.75	Benefit: 75% = $473.85	
EMSN
45587	
MELOPLASTY for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to 1 side of the face (Anaes.) (Assist.)
(See para T8.108 of explanatory notes to this Category)
Fee: $890.85	Benefit: 75% = $668.15	85% = $816.35
Extended Medicare Safety Net Cap: $712.70	
45588	
MELOPLASTY, (excluding browlifts and chinlift platysmaplasties), bilateral where it can be demonstrated that surgery is indicated because of congenital conditions, disease or trauma (other than trauma resulting from previous elective cosmetic surgery) (Anaes.) (Assist.)
(See para T8.108 of explanatory notes to this Category)
Fee: $1,336.40	Benefit: 75% = $1,002.30	
45590	
ORBITAL CAVITY, reconstruction of a wall or floor, with or without foreign implant (Anaes.) (Assist.)
Fee: $483.25	Benefit: 75% = $362.45	
45593	
ORBITAL CAVITY, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.)
Fee: $567.65	Benefit: 75% = $425.75	
45596	
MAXILLA, total resection of (Anaes.) (Assist.)
Fee: $900.45	Benefit: 75% = $675.35	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45597	
MAXILLA, total resection of both maxillae (Anaes.) (Assist.)
Fee: $1,205.40	Benefit: 75% = $904.05	
45599	
MANDIBLE, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.)
Fee: $936.55	Benefit: 75% = $702.45	85% = $862.05	
45602	
MANDIBLE, including lower border, OR MAXILLA, sub-total resection of (Anaes.) (Assist.)
Fee: $699.45	Benefit: 75% = $524.60	
45605	
MANDIBLE OR MAXILLA, segmental resection of, for tumours or cysts (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	
45608	
MANDIBLE, hemimandibular reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (Anaes.) (Assist.)
Fee: $827.30	Benefit: 75% = $620.50	
45611	
MANDIBLE, condylectomy (Anaes.) (Assist.)
Fee: $473.75	Benefit: 75% = $355.35	
EMSN
45614	
EYELID, WHOLE THICKNESS RECONSTRUCTION OF other than by direct suture only (Anaes.) (Assist.)
Fee: $587.60	Benefit: 75% = $440.70	85% = $513.10
Extended Medicare Safety Net Cap: $470.10	
EMSN
45617	
UPPER EYELID, REDUCTION OF, for skin redundancy obscuring vision (as evidenced by upper eyelid skin resting on lashes on straight ahead gaze), herniation of orbital fat in exophthalmos, facial nerve palsy or posttraumatic scarring, or the restoration of symmetry of contralateral upper eyelid in respect of 1 of these conditions (Anaes.)
(See para T8.109 of explanatory notes to this Category)
Fee: $235.05	Benefit: 75% = $176.30	85% = $199.80
Extended Medicare Safety Net Cap: $188.05	
EMSN
45620	
LOWER EYELID, REDUCTION OF, for herniation of orbital fat in exophthalmos, facial nerve palsy or posttraumatic scarring, or, in respect of 1 of these conditions, the restoration of symmetry of the contralateral lower eyelid (Anaes.)
(See para T8.109 of explanatory notes to this Category)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15
Extended Medicare Safety Net Cap: $260.85	
EMSN
45623	
PTOSIS of eyelid (unilateral), correction of (Anaes.) (Assist.)
Fee: $723.05	Benefit: 75% = $542.30	85% = $648.55
Extended Medicare Safety Net Cap: $578.45	
EMSN
45624	
PTOSIS of eyelid, correction of, where previous ptosis surgery has been performed on that side (Anaes.) (Assist.)
Fee: $937.40	Benefit: 75% = $703.05	85% = $862.90
Extended Medicare Safety Net Cap: $749.95	
45625	
PTOSIS of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital (Anaes.)
Fee: $187.55	Benefit: 75% = $140.70	
45626	
ECTROPION OR ENTROPION, correction of (unilateral) (Anaes.)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
45629	
SYMBLEPHARON, grafting for (Anaes.) (Assist.)
Fee: $473.75	Benefit: 75% = $355.35	85% = $402.70	
EMSN
45632	
RHINOPLASTY, correction of lateral or alar cartilages (Anaes.)
Fee: $511.95	Benefit: 75% = $384.00	85% = $437.45
Extended Medicare Safety Net Cap: $409.60	
EMSN
45635	
RHINOPLASTY, correction of bony vault only (Anaes.)
Fee: $587.60	Benefit: 75% = $440.70	85% = $513.10
Extended Medicare Safety Net Cap: $470.10	
45638	
RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose, for correction of nasal obstruction or post-traumatic deformity (but not as a result of previous elective cosmetic surgery), or both (Anaes.)
(See para T8.110 of explanatory notes to this Category)
Fee: $1,014.05	Benefit: 75% = $760.55	85% = $939.55	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45639	
RHINOPLASTY, TOTAL, including correction of all bony and cartilaginous elements of the external nose, where it can be demonstrated that there is a need for correction of significant developmental deformity (Anaes.)
(See para T8.110 of explanatory notes to this Category)
Fee: $1,014.05	Benefit: 75% = $760.55	85% = $939.55	
45641	
RHINOPLASTY involving nasal or septal cartilage graft, or nasal bone graft, or nasal bone and nasal cartilage graft (Anaes.)
Fee: $1,082.90	Benefit: 75% = $812.20	85% = $1,008.40	
45644	
RHINOPLASTY involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft (Anaes.) (Assist.)
Fee: $1,279.45	Benefit: 75% = $959.60	85% = $1,204.95	
45645	
CHOANAL ATRESIA, repair of by puncture and dilatation (Anaes.)
Fee: $223.60	Benefit: 75% = $167.70	
45646	
CHOANAL ATRESIA - correction by open operation with bone removal (Anaes.) (Assist.)
Fee: $900.45	Benefit: 75% = $675.35	85% = $825.95	
45647	
FACE, contour restoration of 1 region, using autogenous bone or cartilage graft (not being a service to which item 45644 applies) (Anaes.) (Assist.)
(See para T8.111 of explanatory notes to this Category)
Fee: $1,279.45	Benefit: 75% = $959.60	
45650	
RHINOPLASTY, secondary revision of (Anaes.)
Fee: $147.80	Benefit: 75% = $110.85	85% = $125.65	
EMSN
45652	
RHINOPHYMA, carbon dioxide laser or erbium laser excision-ablation of (Anaes.)
Fee: $356.35	Benefit: 75% = $267.30	85% = $302.90
Extended Medicare Safety Net Cap: $285.10	
45653	
RHINOPHYMA, shaving of (Anaes.)
Fee: $356.35	Benefit: 75% = $267.30	85% = $302.90	
45656	
COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid (Anaes.) (Assist.)
Fee: $502.25	Benefit: 75% = $376.70	85% = $427.75	
EMSN
45659	
LOP EAR, BAT EAR OR SIMILAR DEFORMITY, correction of (Anaes.)
Fee: $521.25	Benefit: 75% = $390.95	85% = $446.75
Extended Medicare Safety Net Cap: $417.00	
45660	
EXTERNAL EAR, COMPLEX TOTAL RECONSTRUCTION OF, using multiple costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of his or her specialty (Anaes.) (Assist.)
Fee: $2,878.75	Benefit: 75% = $2,159.10	
45661	
EXTERNAL EAR, COMPLEX TOTAL RECONSTRUCTION OF, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and full thickness skin graft to cover cartilage (second stage) - performed by a specialist in the practice of his or her specialty (Anaes.) (Assist.)
Fee: $1,279.45	Benefit: 75% = $959.60	
45662	
CONGENITAL ATRESIA, reconstruction of external auditory canal (Anaes.) (Assist.)
Fee: $701.30	Benefit: 75% = $526.00	
45665	
LIP, EYELID OR EAR, FULL THICKNESS WEDGE EXCISION OF, with repair by direct sutures (Anaes.)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
45668	
VERMILIONECTOMY, by surgical excision (Anaes.)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
45669	
VERMILIONECTOMY, using carbon dioxide laser or erbium laser excision-ablation (Anaes.)
(See para T8.112 of explanatory notes to this Category)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
45671	
LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
Fee: $834.05	Benefit: 75% = $625.55	85% = $759.55	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45674	
LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or similar), second stage (Anaes.)
Fee: $242.55	Benefit: 75% = $181.95	85% = $206.20	
45675	
MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.)
Fee: $483.25	Benefit: 75% = $362.45	
45676	
MACROSTOMIA, operation for (Anaes.) (Assist.)
Fee: $575.30	Benefit: 75% = $431.50	
45677	
CLEFT LIP, unilateral  primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)
Fee: $541.35	Benefit: 75% = $406.05	
45680	
CLEFT LIP, unilateral - primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)
Fee: $676.80	Benefit: 75% = $507.60	
45683	
CLEFT LIP, bilateral - primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)
Fee: $751.85	Benefit: 75% = $563.90	
45686	
CLEFT LIP, bilateral - primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)
Fee: $887.50	Benefit: 75% = $665.65	
45689	
CLEFT LIP, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.)
Fee: $261.75	Benefit: 75% = $196.35	
45692	
CLEFT LIP, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
45695	
CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)
Fee: $488.75	Benefit: 75% = $366.60	
45698	
CLEFT LIP, primary columella lengthening procedure, bilateral (Anaes.)
Fee: $458.75	Benefit: 75% = $344.10	
45701	
CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
Fee: $827.30	Benefit: 75% = $620.50	
45704	
CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), second stage (Anaes.)
Fee: $300.75	Benefit: 75% = $225.60	85% = $255.65	
45707	
CLEFT PALATE, primary repair (Anaes.) (Assist.)
Fee: $781.95	Benefit: 75% = $586.50	
45710	
CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.)
Fee: $488.75	Benefit: 75% = $366.60	
45713	
CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.)
Fee: $556.60	Benefit: 75% = $417.45	
45714	
ORO-NASAL FISTULA, plastic closure of, including services to which item 45200, 45203 or 45239 applies (Anaes.) (Assist.)
Fee: $781.95	Benefit: 75% = $586.50	
45716	
VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.)
Fee: $781.95	Benefit: 75% = $586.50	
45720	
MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and excluding services to which item 47933or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $966.80	Benefit: 75% = $725.10	85% = $892.30	
45723	
MANDIBLE OR MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,090.35	Benefit: 75% = $817.80	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45726	
MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,232.05	Benefit: 75% = $924.05	
45729	
MANDIBLE OR MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,383.65	Benefit: 75% = $1,037.75	
45731	
MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,402.70	Benefit: 75% = $1,052.05	
45732	
MANDIBLE OR MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,579.20	Benefit: 75% = $1,184.40	
45735	
MANDIBLE AND MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,611.05	Benefit: 75% = $1,208.30	
45738	
MANDIBLE AND MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,812.40	Benefit: 75% = $1,359.30	
45741	
MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,772.30	Benefit: 75% = $1,329.25	
45744	
MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,992.70	Benefit: 75% = $1,494.55	
45747	
MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $1,933.55	Benefit: 75% = $1,450.20	85% = $1,859.05	
45752	
MANDIBLE AND MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
(See para T8.113 of explanatory notes to this Category)
Fee: $2,165.75	Benefit: 75% = $1,624.35	
45753	
MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III(Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
Fee: $2,178.60	Benefit: 75% = $1,633.95	85% = $2,104.10	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45754	
MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)
Fee: $2,611.60	Benefit: 75% = $1,958.70	
45755	
TEMPOROMANDIBULAR PARTIAL OR TOTAL MENISCECTOMY (Anaes.) (Assist.)
Fee: $367.75	Benefit: 75% = $275.85	85% = $312.60	
45758	
TEMPORO-MANDIBULAR JOINT, arthroplasty (Anaes.) (Assist.)
Fee: $658.05	Benefit: 75% = $493.55	
45761	
GENIOPLASTY, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
(See para T8.114 of explanatory notes to this Category)
Fee: $748.65	Benefit: 75% = $561.50	
45767	
HYPERTELORISM, correction of, intracranial (Anaes.) (Assist.)
Fee: $2,511.65	Benefit: 75% = $1,883.75	85% = $2,437.15	
45770	
HYPERTELORISM, correction of, subcranial (Anaes.) (Assist.)
Fee: $1,923.90	Benefit: 75% = $1,442.95	
45773	
TREACHER COLLINS SYNDROME, PERIORBITAL CORRECTION OF, with rib and iliac bone grafts (Anaes.) (Assist.)
Fee: $1,753.40	Benefit: 75% = $1,315.05	85% = $1,678.90	
45776	
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial (Anaes.) (Assist.)
Fee: $1,753.40	Benefit: 75% = $1,315.05	
45779	
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial (Anaes.) (Assist.)
Fee: $1,289.15	Benefit: 75% = $966.90	
45782	
FRONTOORBITAL ADVANCEMENT, UNILATERAL (Anaes.) (Assist.)
Fee: $985.70	Benefit: 75% = $739.30	85% = $911.20	
45785	
CRANIAL VAULT RECONSTRUCTION for oxycephaly, brachycephaly, turricephaly or similar condition  (bilateral frontoorbital advancement) (Anaes.) (Assist.)
Fee: $1,668.10	Benefit: 75% = $1,251.10	
45788	
GLENOID FOSSA, ZYGOMATIC ARCH AND TEMPORAL BONE, RECONSTRUCTION OF, (Obwegeser technique) (Anaes.) (Assist.)
Fee: $1,649.10	Benefit: 75% = $1,236.85	
45791	
ABSENT CONDYLE AND ASCENDING RAMUS in hemifacial microsomia, CONSTRUCTION OF, not including harvesting of graft material (Anaes.) (Assist.)
Fee: $890.85	Benefit: 75% = $668.15	
45794	
OSSEO-INTEGRATION PROCEDURE - extra-oral, implantation of titanium fixture, not for implantable bone conduction hearing system device (Anaes.)
Fee: $503.85	Benefit: 75% = $377.90	85% = $429.35	
45797	
OSSEO-INTEGRATION PROCEDURE, fixation of transcutaneous abutment, not for implantable bone conduction hearing system device (Anaes.)
Fee: $186.50	Benefit: 75% = $139.90	85% = $158.55	
	ORAL AND MAXILLOFACIAL SURGERY	
45799	
ASPIRATION BIOPSY of 1 or MORE JAW CYSTS as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day (Anaes.)
Fee: $29.45	Benefit: 75% = $22.10	85% = $25.05	
45801	
TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation),in the oral and maxillofacial region, up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 45803 applies (Anaes.)
(See para T8.115 of explanatory notes to this Category)
Fee: $126.90	Benefit: 75% = $95.20	85% = $107.90	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45803	
TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (Anaes.) (Assist.)
(See para T8.115 of explanatory notes to this Category)
Fee: $326.05	Benefit: 75% = $244.55	85% = $277.15	
45805	
TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.)
(See para T8.115 of explanatory notes to this Category)
Fee: $172.50	Benefit: 75% = $129.40	85% = $146.65	
45807	
TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue (Anaes.)
(See para T8.115 of explanatory notes to this Category)
Fee: $246.50	Benefit: 75% = $184.90	85% = $209.55	
45809	
TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
(See para T8.115 of explanatory notes to this Category)
Fee: $371.50	Benefit: 75% = $278.65	85% = $315.80	
45811	
TUMOUR, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (Anaes.) (Assist.)
(See para T8.115 of explanatory notes to this Category)
Fee: $502.25	Benefit: 75% = $376.70	85% = $427.75	
45813	
TUMOUR, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (Anaes.) (Assist.)
(See para T8.115 of explanatory notes to this Category)
Fee: $587.60	Benefit: 75% = $440.70	85% = $513.10	
45815	
OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for chronic osteomyelitis - 1 bone or in combination with adjoining bones (Anaes.) (Assist.)
Fee: $356.35	Benefit: 75% = $267.30	85% = $302.90	
45817	
OPERATION on SKULL for OSTEOMYELITIS (Anaes.) (Assist.)
Fee: $464.50	Benefit: 75% = $348.40	85% = $394.85	
45819	
OPERATION ON ANY COMBINATION OF ADJOINING BONES IN THE ORAL AND MAXILLOFACIAL REGION, being bones referred to in item 45817 (Anaes.) (Assist.)
Fee: $587.55	Benefit: 75% = $440.70	85% = $513.05	
45821	
BONE GROWTH STIMULATOR IN THE ORAL AND MAXILLOFACIAL REGION, insertion of (Anaes.) (Assist.)
Fee: $380.80	Benefit: 75% = $285.60	85% = $323.70	
45823	
ARCH BARS, 1 or more, which were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia where undertaken in the operating theatre of a hospital (Anaes.)
Fee: $108.90	Benefit: 75% = $81.70	85% = $92.60	
45825	
MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
Fee: $338.35	Benefit: 75% = $253.80	85% = $287.60	
45827	
MYLOHYOID RIDGE, reduction of (Anaes.) (Assist.)
Fee: $323.40	Benefit: 75% = $242.55	85% = $274.90	
45829	
MAXILLARY TUBEROSITY, reduction of (Anaes.)
Fee: $246.70	Benefit: 75% = $185.05	85% = $209.70	
45831	
PAPILLARY HYPERPLASIA OF THE PALATE, removal of - less than 5 lesions (Anaes.) (Assist.)
Fee: $323.40	Benefit: 75% = $242.55	85% = $274.90	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45833	
PAPILLARY HYPERPLASIA OF THE PALATE, removal of - 5 to 20 lesions (Anaes.) (Assist.)
Fee: $406.05	Benefit: 75% = $304.55	85% = $345.15	
45835	
PAPILLARY HYPERPLASIA OF THE PALATE, removal of - more than 20 lesions (Anaes.) (Assist.)
Fee: $503.85	Benefit: 75% = $377.90	85% = $429.35	
45837	
VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
Fee: $586.50	Benefit: 75% = $439.90	85% = $512.00	
45839	
FLOOR OF MOUTH LOWERING (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed - unilateral (Anaes.) (Assist.)
Fee: $586.50	Benefit: 75% = $439.90	85% = $512.00	
45841	
ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
Fee: $473.65	Benefit: 75% = $355.25	85% = $402.65	
45843	
ALVEOLAR RIDGE AUGMENTATION - unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (Anaes.) (Assist.)
Fee: $290.50	Benefit: 75% = $217.90	85% = $246.95	
45845	
OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
Fee: $503.85	Benefit: 75% = $377.90	85% = $429.35	
45847	
OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
Fee: $186.50	Benefit: 75% = $139.90	85% = $158.55	
45849	
MAXILLARY SINUS, BONE GRAFT to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) (Anaes.) (Assist.)
Fee: $580.90	Benefit: 75% = $435.70	85% = $506.40	
45851	
TEMPOROMANDIBULAR JOINT, manipulation of, performed in the operating theatre of a hospital, not being a service associated with a service to which another item in this Subgroup applies (Anaes.)
Fee: $142.95	Benefit: 75% = $107.25	85% = $121.55	
45853	
ABSENT CONDYLE and ASCENDING RAMUS in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.)
Fee: $890.85	Benefit: 75% = $668.15	85% = $816.35	
45855	
TEMPOROMANDIBULAR JOINT, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.)
Fee: $408.70	Benefit: 75% = $306.55	85% = $347.40	
45857	
TEMPOROMANDIBULAR JOINT, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions - 1 or more such procedure of that joint, not being a service associated with any other arthroscopic procedure of the temporomandibular joint (Anaes.) (Assist.)
Fee: $653.80	Benefit: 75% = $490.35	85% = $579.30	
45859	
TEMPOROMANDIBULAR JOINT, arthrotomy of, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	85% = $280.20	
45861	
TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.)
Fee: $872.30	Benefit: 75% = $654.25	85% = $797.80	
45863	
TEMPOROMANDIBULAR JOINT, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.)
Fee: $967.00	Benefit: 75% = $725.25	85% = $892.50	
45865	
ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.)
Fee: $290.50	Benefit: 75% = $217.90	85% = $246.95	

OPERATIONS	PLASTIC & RECONSTRUCTIVE	
45867	
TEMPOROMANDIBULAR JOINT, synovectomy of, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
Fee: $312.30	Benefit: 75% = $234.25	85% = $265.50	
45869	
TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without meniscus or capsular surgery, including partial or total meniscectomy when performed, with or without microsurgical techniques (Anaes.) (Assist.)
Fee: $1,188.20	Benefit: 75% = $891.15	85% = $1,113.70	
45871	
TEMPOROMANDIBULAR JOINT, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.)
Fee: $1,338.45	Benefit: 75% = $1,003.85	85% = $1,263.95	
45873	
TEMPOROMANDIBULAR JOINT, surgery of, involving procedures to which items 45863, 45867, 45869 and 45871 apply and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (Anaes.) (Assist.)
Fee: $1,504.05	Benefit: 75% = $1,128.05	85% = $1,429.55	
45875	
TEMPOROMANDIBULAR JOINT, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	85% = $400.10	
45877	
TEMPOROMANDIBULAR JOINT, arthrodesis of, with synovectomy if performed, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	85% = $400.10	
45879	
TEMPOROMANDIBULAR JOINT OR JOINTS, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.)
Fee: $312.30	Benefit: 75% = $234.25	85% = $265.50	
45882	
The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser.
Fee: $43.00	Benefit: 75% = $32.25	85% = $36.55	
45885	
Facial, mandibular or lingual artery or vein or artery and vein, ligation of, not being a service to which item 41707 applies (Anaes.) (Assist.)
Fee: $443.70	Benefit: 75% = $332.80	85% = $377.15	
45888	
FOREIGN BODY, in the oral and maxillofacial region, deep, removal of using interventional imaging techniques (Anaes.) (Assist.)
Fee: $413.55	Benefit: 75% = $310.20	85% = $351.55	
45891	
SINGLE-STAGE LOCAL FLAP where indicated, repair to 1 defect, using temporalis muscle (Anaes.) (Assist.)
Fee: $602.45	Benefit: 75% = $451.85	85% = $527.95	
45894	
FREE GRAFTING, in the oral and maxillofacial region, (mucosa or split skin) of a granulating area (Anaes.)
Fee: $204.70	Benefit: 75% = $153.55	85% = $174.00	
45897	
ALVEOLAR CLEFT (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (Anaes.) (Assist.)
Fee: $1,069.10	Benefit: 75% = $801.85	85% = $994.60	
45900	
MANDIBLE, fixation by intermaxillary wiring, excluding wiring for obesity
Fee: $241.15	Benefit: 75% = $180.90	85% = $205.00	
45939	
PERIPHERAL BRANCHES OF THE TRIGEMINAL NERVE, cryosurgery of, for pain relief (Anaes.) (Assist.)
Fee: $447.10	Benefit: 75% = $335.35	85% = $380.05	
45945	
MANDIBLE, treatment of a dislocation of, requiring open reduction (Anaes.)
Fee: $118.70	Benefit: 75% = $89.05	85% = $100.90	
45975	
MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting
(See para T8.116 of explanatory notes to this Category)
Fee: $129.20	Benefit: 75% = $96.90	85% = $109.85	
45978	
MANDIBLE, treatment of fracture of, not requiring splinting
(See para T8.116 of explanatory notes to this Category)
Fee: $157.85	Benefit: 75% = $118.40	85% = $134.20	

OPERATIONS	HAND SURGERY	
45981	
ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction
(See para T8.116 of explanatory notes to this Category)
Fee: $85.65	Benefit: 75% = $64.25	85% = $72.85	
45984	
MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves requiring open reduction not involving plate(s) (Anaes.) (Assist.)
(See para T8.116 of explanatory notes to this Category)
Fee: $616.65	Benefit: 75% = $462.50	85% = $542.15	
45987	
MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.)
(See para T8.116 of explanatory notes to this Category)
Fee: $616.65	Benefit: 75% = $462.50	85% = $542.15	
45990	
MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)
(See para T8.116 of explanatory notes to this Category)
Fee: $842.25	Benefit: 75% = $631.70	85% = $767.75	
45993	
MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)
(See para T8.116 of explanatory notes to this Category)
Fee: $842.25	Benefit: 75% = $631.70	85% = $767.75	
45996	
MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.)
(See para T8.116 of explanatory notes to this Category)
Fee: $238.80	Benefit: 75% = $179.10	85% = $203.00	
	SUBGROUP 14 - HAND SURGERY	
46300	
Note: Items 46300 to 46534 are restricted to surgery on the hand/s.

INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $338.40	Benefit: 75% = $253.80	
46303	
CARPOMETACARPAL JOINT, arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $376.10	Benefit: 75% = $282.10	
46306	
INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, interposition arthroplasty of and including tendon transfers or realignment on the 1 ray (Anaes.) (Assist.)
Fee: $526.50	Benefit: 75% = $394.90	
46307	
INTERPHALANGEAL JOINT OR METACARPOPHALANGEAL JOINT - volar plate arthroplasty for traumatic deformity including tendon transfers or realignment on the 1 ray (Anaes.) (Assist.)
Fee: $526.50	Benefit: 75% = $394.90	
46309	
INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 1 joint (Anaes.) (Assist.)
Fee: $526.50	Benefit: 75% = $394.90	
46312	
INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 2 joints (Anaes.) (Assist.)
Fee: $676.95	Benefit: 75% = $507.75	
46315	
INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 3 joints (Anaes.) (Assist.)
Fee: $902.55	Benefit: 75% = $676.95	
46318	
INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 4 joints (Anaes.) (Assist.)
Fee: $1,128.25	Benefit: 75% = $846.20	
46321	
INTERPHALANGEAL JOINT OR METACARPOPHALANGEAL JOINT, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 5 or more joints (Anaes.) (Assist.)
Fee: $1,353.90	Benefit: 75% = $1,015.45	85% = $1,279.40	

OPERATIONS	HAND SURGERY	
46324	
CARPAL BONE REPLACEMENT ARTHROPLASTY including associated tendon transfer or realignment when performed (Anaes.) (Assist.)
Fee: $807.35	Benefit: 75% = $605.55	
46325	
CARPAL BONE REPLACEMENT OR RESECTION ARTHROPLASTY using adjacent tendon or other soft tissue including associated tendon transfer or realignment when performed (Anaes.) (Assist.)
Fee: $842.50	Benefit: 75% = $631.90	
46327	
INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, arthrotomy of (Anaes.)
Fee: $203.15	Benefit: 75% = $152.40	85% = $172.70	
46330	
INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, ligamentous or capsular repair with or without arthrotomy (Anaes.) (Assist.)
Fee: $346.10	Benefit: 75% = $259.60	
46333	
INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, ligamentous repair of, using free tissue graft or implant (Anaes.) (Assist.)
Fee: $564.05	Benefit: 75% = $423.05	
46336	
INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, synovectomy, capsulectomy or debridement of, not being a service associated with any procedure related to that joint (Anaes.) (Assist.)
Fee: $263.30	Benefit: 75% = $197.50	85% = $223.85	
46339	
EXTENSOR TENDONS or FLEXOR TENDONS of hand or wrist, synovectomy of (Anaes.) (Assist.)
Fee: $466.20	Benefit: 75% = $349.65	85% = $396.30	
46342	
DISTAL RADIOULNAR JOINT or CARPOMETACARPAL JOINT OR JOINTS, synovectomy of (Anaes.) (Assist.)
Fee: $466.20	Benefit: 75% = $349.65	
46345	
DISTAL RADIOULNAR JOINT, reconstruction or stabilisation of, including fusion, or ligamentous arthroplasty and excision of distal ulna, when performed (Anaes.) (Assist.)
Fee: $564.05	Benefit: 75% = $423.05	
46348	
DIGIT, synovectomy of flexor tendon or tendons - 1 digit (Anaes.)
Fee: $244.45	Benefit: 75% = $183.35	85% = $207.80	
46351	
DIGIT, synovectomy of flexor tendon or tendons - 2 digits (Anaes.) (Assist.)
Fee: $364.80	Benefit: 75% = $273.60	
46354	
DIGIT, synovectomy of flexor tendon or tendons - 3 digits (Anaes.) (Assist.)
Fee: $488.85	Benefit: 75% = $366.65	
46357	
DIGIT, synovectomy of flexor tendon or tendons - 4 digits (Anaes.) (Assist.)
Fee: $609.20	Benefit: 75% = $456.90	85% = $534.70	
46360	
DIGIT, synovectomy of flexor tendon or tendons - 5 digits (Anaes.) (Assist.)
Fee: $733.35	Benefit: 75% = $550.05	
46363	
TENDON SHEATH OF HAND OR WRIST, open operation on, for STENOSING TENOVAGINITIS (Anaes.)
Fee: $210.60	Benefit: 75% = $157.95	85% = $179.05	
46366	
DUPUYTREN'S CONTRACTURE, subcutaneous fasciotomy for - each hand (Anaes.)
Fee: $127.90	Benefit: 75% = $95.95	85% = $108.75	
46369	
DUPUYTREN'S CONTRACTURE, palmar fasciectomy for - 1 hand (Anaes.)
Fee: $210.60	Benefit: 75% = $157.95	85% = $179.05	
46372	
DUPUYTREN'S CONTRACTURE, fasciectomy for, from 1 ray, including dissection of nerves - 1 hand (Anaes.) (Assist.)
Fee: $427.95	Benefit: 75% = $321.00	85% = $363.80	
46375	
DUPUYTREN'S CONTRACTURE, fasciectomy for, from 2 rays, including dissection of nerves - 1 hand (Anaes.) (Assist.)
Fee: $507.70	Benefit: 75% = $380.80	85% = $433.20	
46378	
DUPUYTREN'S CONTRACTURE, fasciectomy for, from 3 or more rays, including dissection of nerves - 1 hand (Anaes.) (Assist.)
Fee: $676.95	Benefit: 75% = $507.75	

OPERATIONS	HAND SURGERY	
46381	
INTER-PHALANGEAL JOINT, joint capsule release when performed in conjunction with operation for Dupuytren's Contracture - each procedure (Anaes.) (Assist.)
Fee: $300.80	Benefit: 75% = $225.60	
46384	
Z PLASTY (or similar local flap procedure) when performed in conjunction with operation for Dupuytren's Contracture - 1 such procedure (Anaes.) (Assist.)
Fee: $300.80	Benefit: 75% = $225.60	
46387	
DUPUYTREN'S CONTRACTURE, fasciectomy for, from 1 ray, including dissection of nerves - operation for recurrence in that ray (Anaes.) (Assist.)
Fee: $620.60	Benefit: 75% = $465.45	85% = $546.10	
46390	
DUPUYTREN'S CONTRACTURE, fasciectomy for, from 2 rays, including dissection of nerves - operation for recurrence in those rays (Anaes.) (Assist.)
Fee: $827.50	Benefit: 75% = $620.65	
46393	
DUPUYTREN'S CONTRACTURE, fasciectomy for, from 3 or more rays, including dissection of nerves - operation for recurrence in those rays (Anaes.) (Assist.)
Fee: $959.00	Benefit: 75% = $719.25	
46396	
PHALANX OR METACARPAL OF THE HAND, osteotomy or osteectomy of, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	85% = $280.20	
46399	
PHALANX OR METACARPAL OF THE HAND, osteotomy of, with internal fixation (Anaes.) (Assist.)
Fee: $517.80	Benefit: 75% = $388.35	
46402	
PHALANX or METACARPAL, bone grafting of, for pseudarthrosis (non-union), including obtaining of graft material (Anaes.) (Assist.)
Fee: $517.80	Benefit: 75% = $388.35	
46405	
PHALANX or METACARPAL, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft material (Anaes.) (Assist.)
Fee: $631.90	Benefit: 75% = $473.95	
46408	
TENDON, reconstruction of, by tendon graft (Anaes.) (Assist.)
Fee: $692.00	Benefit: 75% = $519.00	
46411	
FLEXOR TENDON PULLEY, reconstruction of, by graft (Anaes.) (Assist.)
Fee: $406.15	Benefit: 75% = $304.65	
46414	
ARTIFICIAL TENDON PROSTHESIS, INSERTION OF, in preparation for tendon grafting (Anaes.) (Assist.)
Fee: $526.40	Benefit: 75% = $394.80	85% = $451.90	
46417	
TENDON transfer for restoration of hand function, each transfer (Anaes.) (Assist.)
Fee: $488.85	Benefit: 75% = $366.65	
46420	
EXTENSOR TENDON OF HAND OR WRIST, primary repair of, each tendon (Anaes.)
Fee: $204.60	Benefit: 75% = $153.45	85% = $173.95	
46423	
EXTENSOR TENDON OF HAND OR WRIST, secondary repair of, each tendon (Anaes.) (Assist.)
Fee: $327.15	Benefit: 75% = $245.40	85% = $278.10	
46426	
FLEXOR TENDON OF HAND OR WRIST, primary repair of, proximal to A1 pulley, each tendon (Anaes.) (Assist.)
Fee: $338.40	Benefit: 75% = $253.80	
46429	
FLEXOR TENDON OF HAND OR WRIST, secondary repair of, proximal to A1 pulley, each tendon (Anaes.) (Assist.)
Fee: $413.65	Benefit: 75% = $310.25	85% = $351.65	
46432	
FLEXOR TENDON OF HAND, primary repair of, distal to A1 pulley, each tendon (Anaes.) (Assist.)
Fee: $451.35	Benefit: 75% = $338.55	
46435	
FLEXOR TENDON OF HAND, secondary repair of, distal to A1 pulley, each tendon (Anaes.) (Assist.)
Fee: $526.50	Benefit: 75% = $394.90	
46438	
MALLET FINGER, closed pin fixation of (Anaes.)
Fee: $135.45	Benefit: 75% = $101.60	85% = $115.15	

OPERATIONS	HAND SURGERY	
46441	
MALLET FINGER, open repair of, including pin fixation when performed (Anaes.) (Assist.)
Fee: $327.15	Benefit: 75% = $245.40	85% = $278.10	
46442	
MALLET FINGER with intra articular fracture involving more than one third of base of terminal phalanx - open reduction (Anaes.) (Assist.)
Fee: $280.85	Benefit: 75% = $210.65	
46444	
BOUTONNIERE DEFORMITY without joint contracture, reconstruction of (Anaes.) (Assist.)
Fee: $488.85	Benefit: 75% = $366.65	
46447	
BOUTONNIERE DEFORMITY with joint contracture, reconstruction of (Anaes.) (Assist.)
Fee: $609.20	Benefit: 75% = $456.90	
46450	
EXTENSOR TENDON, TENOLYSIS OF, following tendon injury, repair or graft (Anaes.)
Fee: $225.70	Benefit: 75% = $169.30	
46453	
FLEXOR TENDON, TENOLYSIS OF, following tendon injury, repair or graft (Anaes.) (Assist.)
Fee: $376.10	Benefit: 75% = $282.10	
46456	
FINGER, percutaneous tenotomy of (Anaes.)
Fee: $97.80	Benefit: 75% = $73.35	85% = $83.15	
46459	
OPERATION for OSTEOMYELITIS on distal phalanx (Anaes.)
Fee: $188.05	Benefit: 75% = $141.05	85% = $159.85	
46462	
OPERATION for OSTEOMYELITIS on middle or proximal phalanx, metacarpal or carpus (Anaes.) (Assist.)
Fee: $300.80	Benefit: 75% = $225.60	85% = $255.70	
46464	
AMPUTATION of a supernumerary complete digit (Anaes.)
Fee: $225.70	Benefit: 75% = $169.30	85% = $191.85	
46465	
AMPUTATION of SINGLE DIGIT, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.)
Fee: $225.70	Benefit: 75% = $169.30	85% = $191.85	
46468	
AMPUTATION of 2 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)
Fee: $394.90	Benefit: 75% = $296.20	
46471	
AMPUTATION of 3 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)
Fee: $564.05	Benefit: 75% = $423.05	85% = $489.55	
46474	
AMPUTATION of 4 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)
Fee: $733.35	Benefit: 75% = $550.05	
46477	
AMPUTATION of 5 DIGITS, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)
Fee: $902.55	Benefit: 75% = $676.95	
46480	
AMPUTATION of SINGLE DIGIT,  proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including metacarpal (Anaes.) (Assist.)
Fee: $376.10	Benefit: 75% = $282.10	85% = $319.70	
46483	
REVISION of AMPUTATION STUMP to provide adequate soft tissue cover (Anaes.) (Assist.)
Fee: $300.80	Benefit: 75% = $225.60	85% = $255.70	
46486	
NAIL BED, accurate reconstruction of nail bed laceration using magnification, undertaken in the operating theatre of a hospital (Anaes.)
Fee: $225.70	Benefit: 75% = $169.30	85% = $191.85	
46489	
NAIL BED, secondary exploration and accurate repair of nail bed deformity using magnification, undertaken in the operating theatre of a hospital (Anaes.) (Assist.)
Fee: $263.30	Benefit: 75% = $197.50	85% = $223.85	

OPERATIONS	HAND SURGERY	
46492	
CONTRACTURE OF DIGITS OF HAND, flexor or extensor, correction of, involving tissues deeper than skin and subcutaneous tissue (Anaes.) (Assist.)
Fee: $361.05	Benefit: 75% = $270.80	
46494	
GANGLION OF HAND, excision of, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $219.95	Benefit: 75% = $165.00	85% = $187.00	
46495	
GANGLION OR MUCOUS CYST OF DISTAL DIGIT, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.)
Fee: $203.15	Benefit: 75% = $152.40	85% = $172.70	
46498	
GANGLION OF FLEXOR TENDON SHEATH, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.)
Fee: $219.95	Benefit: 75% = $165.00	85% = $187.00	
46500	
GANGLION OF DORSAL WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)
Fee: $263.30	Benefit: 75% = $197.50	85% = $223.85	
46501	
GANGLION OF VOLAR WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)
Fee: $329.20	Benefit: 75% = $246.90	85% = $279.85	
46502	
RECURRENT GANGLION OF DORSAL WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)
Fee: $302.95	Benefit: 75% = $227.25	85% = $257.55	
46503	
RECURRENT GANGLION OF VOLAR WRIST JOINT, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)
Fee: $378.40	Benefit: 75% = $283.80	85% = $321.65	
46504	
NEUROVASCULAR ISLAND FLAP, for pulp innervation (Anaes.) (Assist.)
Fee: $1,105.55	Benefit: 75% = $829.20	85% = $1,031.05	
46507	
DIGIT OR RAY, transposition or transfer of, on vascular pedicle, complete procedure (Anaes.) (Assist.)
Fee: $1,286.20	Benefit: 75% = $964.65	
46510	
MACRODACTYLY, surgical reduction of enlarged elements - each digit (Anaes.) (Assist.)
Fee: $351.00	Benefit: 75% = $263.25	
46513	
DIGITAL NAIL OF FINGER OR THUMB, removal of, not being a service to which item 46516 applies (Anaes.)
Fee: $56.50	Benefit: 75% = $42.40	85% = $48.05	
46516	
DIGITAL NAIL OF FINGER OR THUMB, removal of, in the operating theatre of a hospital (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
46519	
MIDDLE PALMAR, THENAR OR HYPOTHENAR SPACES OF HAND, drainage of (excluding aftercare) (Anaes.)
Fee: $141.25	Benefit: 75% = $105.95	85% = $120.10	
46522	
FLEXOR TENDON SHEATH OF FINGER OR THUMB, open operation and drainage for infection (Anaes.) (Assist.)
Fee: $421.20	Benefit: 75% = $315.90	
46525	
PULP SPACE INFECTION, PARONYCHIA OF HAND, incision for, when performed in an operating theatre of a hospital, not being a service to which another item in this Group applies (excluding after-care) (Anaes.)
Fee: $56.50	Benefit: 75% = $42.40	85% = $48.05	
46528	
INGROWING NAIL OF FINGER OR THUMB, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
46531	
INGROWING NAIL OF FINGER OR THUMB, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes.)
Fee: $85.15	Benefit: 75% = $63.90	85% = $72.40	
46534	
NAIL PLATE INJURY OR DEFORMITY, radical excision of nail germinal matrix (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	

OPERATIONS	ORTHOPAEDIC	
	SUBGROUP 15 - ORTHOPAEDIC	
	TREATMENT OF DISLOCATIONS	
47000	
MANDIBLE, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $70.65	Benefit: 75% = $53.00	85% = $60.10	
47003	
CLAVICLE, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $84.80	Benefit: 75% = $63.60	85% = $72.10	
47006	
CLAVICLE, treatment of dislocation of, by open reduction (Anaes.)
Fee: $170.25	Benefit: 75% = $127.70	85% = $144.75	
47009	
SHOULDER, treatment of dislocation of, requiring general anaesthesia, not being a service to which item 47012 applies (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47012	
SHOULDER, treatment of dislocation of, requiring general anaesthesia, open reduction (Anaes.) (Assist.)
Fee: $338.85	Benefit: 75% = $254.15	
47015	
SHOULDER, treatment of dislocation of, not requiring general anaesthesia
Fee: $84.80	Benefit: 75% = $63.60	85% = $72.10	
47018	
ELBOW, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $197.60	Benefit: 75% = $148.20	85% = $168.00	
47021	
ELBOW, treatment of dislocation of, by open reduction (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	
47024	
RADIOULNAR JOINT, DISTAL or PROXIMAL, treatment of dislocation of, by closed reduction, not being a service associated with fracture or dislocation in the same region (Anaes.)
Fee: $197.60	Benefit: 75% = $148.20	85% = $168.00	
47027	
RADIOULNAR JOINT, DISTAL or PROXIMAL, treatment of dislocation of, by open reduction, not being a service associated with fracture or dislocation in the same region (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	
47030	
CARPUS, or CARPUS on RADIUS and ULNA, or CARPOMETACARPAL JOINT, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $197.60	Benefit: 75% = $148.20	85% = $168.00	
47033	
CARPUS, or CARPUS on RADIUS and ULNA, or CARPOMETACARPAL JOINT, treatment of dislocation of, by open reduction (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	85% = $224.10	
47036	
INTERPHALANGEAL JOINT, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $84.80	Benefit: 75% = $63.60	85% = $72.10	
47039	
INTERPHALANGEAL JOINT, treatment of dislocation of, by open reduction (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47042	
METACARPOPHALANGEAL JOINT, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47045	
METACARPOPHALANGEAL JOINT, treatment of dislocation of, by open reduction (Anaes.)
Fee: $150.75	Benefit: 75% = $113.10	85% = $128.15	
47048	
HIP, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $324.80	Benefit: 75% = $243.60	85% = $276.10	
47051	
HIP, treatment of dislocation of, by open reduction (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	
47054	
KNEE, treatment of dislocation of, by closed reduction (Anaes.) (Assist.)
Fee: $324.80	Benefit: 75% = $243.60	85% = $276.10	
47057	
PATELLA, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $127.00	Benefit: 75% = $95.25	85% = $107.95	

OPERATIONS	ORTHOPAEDIC	
47060	
PATELLA, treatment of dislocation of, by open reduction (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47063	
ANKLE or TARSUS, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $254.20	Benefit: 75% = $190.65	85% = $216.10	
47066	
ANKLE or TARSUS, treatment of dislocation of, by open reduction (Anaes.) (Assist.)
Fee: $338.85	Benefit: 75% = $254.15	
47069	
TOE, treatment of dislocation of, by closed reduction (Anaes.)
Fee: $70.65	Benefit: 75% = $53.00	85% = $60.10	
47072	
TOE, treatment of dislocation of, by open reduction (Anaes.)
Fee: $94.00	Benefit: 75% = $70.50	85% = $79.90	
	TREATMENT OF FRACTURES	
47300	
DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by closed reduction, including percutaneous fixation where used (Anaes.)
Fee: $84.80	Benefit: 75% = $63.60	85% = $72.10	
47303	
DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular fracture of, by closed reduction (Anaes.)
Fee: $98.90	Benefit: 75% = $74.20	85% = $84.10	
47306	
DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by open reduction (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47309	
DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular fracture of, by open reduction (Anaes.)
Fee: $141.25	Benefit: 75% = $105.95	85% = $120.10	
47312	
MIDDLE PHALANX of FINGER, treatment of fracture of, by closed reduction (Anaes.)
Fee: $127.00	Benefit: 75% = $95.25	85% = $107.95	
47315	
MIDDLE PHALANX of FINGER, treatment of intra-articular fracture of, by closed reduction (Anaes.)
Fee: $145.95	Benefit: 75% = $109.50	85% = $124.10	
47318	
MIDDLE PHALANX OF FINGER, treatment of fracture of, by open reduction (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47321	
MIDDLE PHALANX OF FINGER, treatment of intra-articular fracture of, by open reduction (Anaes.)
Fee: $211.75	Benefit: 75% = $158.85	
47324	
PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture of, by closed reduction (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47327	
PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intra-articular fracture of, by closed reduction (Anaes.)
Fee: $197.60	Benefit: 75% = $148.20	85% = $168.00	
47330	
PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture of, by open reduction (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47333	
PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intra-articular fracture of, by open operation (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	
47336	
METACARPAL, treatment of fracture of, by closed reduction (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47339	
METACARPAL, treatment of intra-articular fracture of, by closed reduction (Anaes.)
Fee: $197.60	Benefit: 75% = $148.20	85% = $168.00	
47342	
METACARPAL, treatment of fracture of, by open reduction (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47345	
METACARPAL, treatment of intra-articular fracture of, by open reduction (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	

OPERATIONS	ORTHOPAEDIC	
47348	
CARPUS (excluding scaphoid), treatment of fracture of, not being a service to which item 47351 applies (Anaes.)
Fee: $94.00	Benefit: 75% = $70.50	85% = $79.90	
47351	
CARPUS (excluding scaphoid), treatment of fracture of, by open reduction (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47354	
CARPAL SCAPHOID, treatment of fracture of, not being a service to which item 47357 applies (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47357	
CARPAL SCAPHOID, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	85% = $320.10	
47360	
RADIUS OR ULNA, distal end of, treatment of fracture of, by cast immobilisation, not being a service to which item 47363 or 47366 applies (Anaes.)
Fee: $131.85	Benefit: 75% = $98.90	85% = $112.10	
47363	
RADIUS OR ULNA, distal end of, treatment of fracture of, by closed reduction (Anaes.)
Fee: $197.60	Benefit: 75% = $148.20	85% = $168.00	
47366	
RADIUS OR ULNA, distal end of, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	85% = $224.10	
47369	
RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture of, by cast immobilisation, not being a service to which item 47372 or 47375 applies (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47372	
RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction (Anaes.)
Fee: $282.35	Benefit: 75% = $211.80	85% = $240.00	
47375	
RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture of, by open reduction (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
47378	
RADIUS OR ULNA, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47381, 47384, 47385 or 47386 applies (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47381	
RADIUS OR ULNA, shaft of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital (Anaes.)
Fee: $254.20	Benefit: 75% = $190.65	85% = $216.10	
47384	
RADIUS OR ULNA, shaft of, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $338.85	Benefit: 75% = $254.15	
47385	
RADIUS OR ULNA, shaft of, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital (Anaes.) (Assist.)
Fee: $291.75	Benefit: 75% = $218.85	85% = $248.00	
47386	
RADIUS OR ULNA, shaft of, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by open reduction or internal fixation (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	
47387	
RADIUS AND ULNA, shafts of, treatment of fracture of, by cast immobilisation, not being a service to which item 47390 or 47393 applies (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	85% = $232.05	
47390	
RADIUS AND ULNA, shafts of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital (Anaes.)
Fee: $409.55	Benefit: 75% = $307.20	
47393	
RADIUS AND ULNA, shafts of, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $546.00	Benefit: 75% = $409.50	
47396	
OLECRANON, treatment  of fracture of, not being a service to which item 47399 applies (Anaes.)
Fee: $188.20	Benefit: 75% = $141.15	85% = $160.00	

OPERATIONS	ORTHOPAEDIC	
47399	
OLECRANON, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
47402	
OLECRANON, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	85% = $240.00	
47405	
RADIUS, treatment of fracture of head or neck of, closed reduction of (Anaes.)
Fee: $188.20	Benefit: 75% = $141.15	85% = $160.00	
47408	
RADIUS, treatment of fracture of head or neck of, open reduction of, including internal fixation and excision where performed (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
47411	
HUMERUS, treatment of fracture of tuberosity of, not being a service to which item 47417 applies (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47414	
HUMERUS, treatment of fracture of tuberosity of, by open reduction (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47417	
HUMERUS, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	85% = $224.10	
47420	
HUMERUS, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (Anaes.) (Assist.)
Fee: $517.80	Benefit: 75% = $388.35	
47423	
HUMERUS, proximal, treatment of fracture of, not being a service to which item 47426, 47429 or 47432 applies (Anaes.)
Fee: $216.50	Benefit: 75% = $162.40	85% = $184.05	
47426	
HUMERUS, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital (Anaes.)
Fee: $324.80	Benefit: 75% = $243.60	85% = $276.10	
47429	
HUMERUS, proximal, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	
47432	
HUMERUS, proximal, treatment of intra-articular fracture of, by open reduction (Anaes.) (Assist.)
Fee: $541.30	Benefit: 75% = $406.00	
47435	
HUMERUS, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.)
Fee: $414.25	Benefit: 75% = $310.70	85% = $352.15	
47438	
HUMERUS, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (Anaes.) (Assist.)
Fee: $659.15	Benefit: 75% = $494.40	
47441	
HUMERUS, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (Anaes.) (Assist.)
Fee: $823.75	Benefit: 75% = $617.85	
47444	
HUMERUS, shaft of, treatment of fracture of, not being a service to which item 47447 or 47450 applies (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47447	
HUMERUS, shaft of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital (Anaes.)
Fee: $338.85	Benefit: 75% = $254.15	
47450	
HUMERUS, shaft of, treatment of fracture of, by internal or external fixation (Anaes.) (Assist.)
Fee: $451.95	Benefit: 75% = $339.00	
47451	
HUMERUS, shaft of, treatment of fracture of, by intramedullary fixation (Anaes.) (Assist.)
Fee: $544.80	Benefit: 75% = $408.60	
47453	
HUMERUS, distal, (supracondylar or condylar), treatment of fracture of, not being a service to which item 47456 or 47459 applies (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	85% = $224.10	
47456	
HUMERUS, distal (supracondylar or condylar), treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital (Anaes.)
Fee: $395.50	Benefit: 75% = $296.65	85% = $336.20	

OPERATIONS	ORTHOPAEDIC	
47459	
HUMERUS, distal (supracondylar or condylar), treatment of fracture of, by open reduction, undertaken in the operating theatre of a hospital (Anaes.) (Assist.)
Fee: $527.25	Benefit: 75% = $395.45	
47462	
CLAVICLE, treatment of fracture of, not being a service to which item 47465 applies (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47465	
CLAVICLE, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47466	
STERNUM, treatment of fracture of, not being a service to which item 47467 applies (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47467	
STERNUM, treatment of fracture of, by open reduction (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	
47468	
SCAPULA, neck or glenoid region of, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	85% = $368.05	
47471	
RIBS (1 or more), treatment of fracture of - each attendance
Fee: $43.00	Benefit: 75% = $32.25	85% = $36.55	
47474	
PELVIC RING, treatment of fracture of, not involving disruption of pelvic ring or acetabulum
Fee: $188.20	Benefit: 75% = $141.15	85% = $160.00	
47477	
PELVIC RING, treatment of fracture of, with disruption of pelvic ring or acetabulum
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47480	
PELVIC RING, treatment of fracture of, requiring traction (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	
47483	
PELVIC RING, treatment of fracture of, requiring control by external fixation (Anaes.) (Assist.)
Fee: $564.85	Benefit: 75% = $423.65	
47486	
PELVIC RING, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic symphysis (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	
47489	
PELVIC RING, treatment of fracture of, by open reduction and involving internal fixation of posterior segment (including sacro-iliac joint), with or without fixation of anterior segment (Anaes.) (Assist.)
Fee: $1,412.20	Benefit: 75% = $1,059.15	
47492	
ACETABULUM, treatment of fracture of, and associated dislocation of hip (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47495	
ACETABULUM, treatment of fracture of, and associated dislocation of hip, requiring traction (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	85% = $400.10	
47498	
ACETABULUM, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (Anaes.) (Assist.)
Fee: $706.05	Benefit: 75% = $529.55	
47501	
ACETABULUM, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	
47504	
ACETABULUM, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $1,412.20	Benefit: 75% = $1,059.15	85% = $1,337.70	
47507	
ACETABULUM, treatment of transverse fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $1,412.20	Benefit: 75% = $1,059.15	

OPERATIONS	ORTHOPAEDIC	
47510	
ACETABULUM, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair, and excluding services to which item 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $1,412.20	Benefit: 75% = $1,059.15	
47513	
SACRO-ILIAC JOINT DISRUPTION, treatment of, requiring internal fixation, being a service associated with a service to which items 47501 to 47510 apply (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
47516	
FEMUR, treatment of fracture of, by closed reduction or traction (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	85% = $368.05	
47519	
FEMUR, treatment of trochanteric or subcapital fracture of, by internal fixation (Anaes.) (Assist.)
Fee: $866.20	Benefit: 75% = $649.65	
47522	
FEMUR, treatment of subcapital fracture of, by hemi-arthroplasty (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
47525	
FEMUR, treatment of fracture of, for slipped capital femoral epiphysis (Anaes.) (Assist.)
Fee: $866.20	Benefit: 75% = $649.65	
47528	
FEMUR, treatment of fracture of, by internal fixation or external fixation (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
47531	
FEMUR, treatment of fracture of shaft, by intramedullary fixation and cross fixation (Anaes.) (Assist.)
Fee: $960.25	Benefit: 75% = $720.20	
47534	
FEMUR, condylar region of, treatment of intra-articular (T-shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of 1 or more osteochondral fragments (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
47537	
FEMUR, condylar region of, treatment of fracture of, requiring internal fixation of 1 or more osteochondral fragments, not being a service associated with a service to which item 47534 applies (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	85% = $368.05	
47540	
HIP SPICA OR SHOULDER SPICA, application of, as an independent procedure (Anaes.)
Fee: $216.50	Benefit: 75% = $162.40	85% = $184.05	
47543	
TIBIA, plateau of, treatment of medial or lateral fracture of, not being a service to which item 47546 or 47549 applies (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47546	
TIBIA, plateau of, treatment of medial or lateral fracture of, by closed reduction (Anaes.)
Fee: $338.85	Benefit: 75% = $254.15	85% = $288.05	
47549	
TIBIA, plateau of, treatment of medial or lateral fracture of, by open reduction (Anaes.) (Assist.)
Fee: $451.95	Benefit: 75% = $339.00	
47552	
TIBIA, plateau of, treatment of both medial and lateral fractures of, not being a service to which item 47555 or 47558 applies (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	85% = $320.10	
47555	
TIBIA, plateau of, treatment of both medial and lateral fractures of, by closed reduction (Anaes.)
Fee: $564.85	Benefit: 75% = $423.65	
47558	
TIBIA, plateau of, treatment of both medial and lateral fractures of, by open reduction (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
47561	
TIBIA, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47564, 47567, 47570 or 47573 applies (Anaes.)
Fee: $272.95	Benefit: 75% = $204.75	85% = $232.05	
47564	
TIBIA, shaft of, treatment of fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.)
Fee: $409.55	Benefit: 75% = $307.20	85% = $348.15	
47565	
TIBIA, shaft of, treatment of fracture of, by internal fixation or external fixation (Anaes.) (Assist.)
Fee: $712.40	Benefit: 75% = $534.30	

OPERATIONS	ORTHOPAEDIC	
47566	
TIBIA, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (Anaes.) (Assist.)
Fee: $908.05	Benefit: 75% = $681.05	
47567	
TIBIA, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.) (Assist.)
Fee: $475.35	Benefit: 75% = $356.55	85% = $404.05	
47570	
TIBIA, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture (Anaes.) (Assist.)
Fee: $546.00	Benefit: 75% = $409.50	85% = $471.50	
47573	
TIBIA, shaft of, treatment of intra-articular fracture of, by open reduction, with or without treatment of fibula fracture (Anaes.) (Assist.)
Fee: $682.55	Benefit: 75% = $511.95	
47576	
FIBULA, treatment of fracture of (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47579	
PATELLA, treatment of fracture of, not being a service to which item 47582 or 47585 applies (Anaes.)
Fee: $160.05	Benefit: 75% = $120.05	85% = $136.05	
47582	
PATELLA, treatment of fracture of, by excision of patella or pole with reattachment of tendon (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
47585	
PATELLA, treatment of fracture of, by internal fixation (Anaes.) (Assist.)
Fee: $423.75	Benefit: 75% = $317.85	
47588	
KNEE JOINT, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments (Anaes.) (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	
47591	
KNEE JOINT, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments (Anaes.) (Assist.)
Fee: $1,600.65	Benefit: 75% = $1,200.50	
47594	
ANKLE JOINT, treatment of fracture of, not being a service to which item 47597 applies (Anaes.)
Fee: $216.50	Benefit: 75% = $162.40	85% = $184.05	
47597	
ANKLE JOINT, treatment of fracture of, by closed reduction (Anaes.)
Fee: $324.80	Benefit: 75% = $243.60	85% = $276.10	
47600	
ANKLE JOINT, treatment of fracture of, by internal fixation of 1 of malleolus, fibula or diastasis (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	
47603	
ANKLE JOINT, treatment of fracture of, by internal fixation of more than 1 of malleolus, fibula or diastasis (Anaes.) (Assist.)
Fee: $564.85	Benefit: 75% = $423.65	
47606	
CALCANEUM OR TALUS, treatment of fracture of, not being a service to which item 47609, 47612, 47615 or 47618 applies, with or without dislocation (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47609	
CALCANEUM OR TALUS, treatment of fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.)
Fee: $353.05	Benefit: 75% = $264.80	85% = $300.10	
47612	
CALCANEUM OR TALUS, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.)
Fee: $409.55	Benefit: 75% = $307.20	85% = $348.15	
47615	
CALCANEUM OR TALUS, treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	85% = $400.10	
47618	
CALCANEUM OR TALUS, treatment of intra-articular fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)
Fee: $588.45	Benefit: 75% = $441.35	
47621	
TARSO-METATARSAL, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.)
Fee: $409.55	Benefit: 75% = $307.20	85% = $348.15	

OPERATIONS	ORTHOPAEDIC	
47624	
TARSO-METATARSAL, treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)
Fee: $564.85	Benefit: 75% = $423.65	
47627	
TARSUS (excluding calcaneum or talus), treatment of fracture of (Anaes.)
Fee: $160.05	Benefit: 75% = $120.05	85% = $136.05	
47630	
TARSUS (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)
Fee: $338.85	Benefit: 75% = $254.15	85% = $288.05	
47633	
METATARSAL, 1 of, treatment of fracture of (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47636	
METATARSAL, 1 of, treatment of fracture of, by closed reduction (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47639	
METATARSAL, 1 of, treatment of fracture of, by open reduction (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47642	
METATARSALS, 2 of, treatment of fracture of (Anaes.)
Fee: $150.75	Benefit: 75% = $113.10	85% = $128.15	
47645	
METATARSALS, 2 of, treatment of fracture of, by closed reduction (Anaes.)
Fee: $226.00	Benefit: 75% = $169.50	85% = $192.10	
47648	
METATARSALS, 2 of, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $301.05	Benefit: 75% = $225.80	
47651	
METATARSALS, 3 or more of, treatment of fracture of (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47654	
METATARSALS, 3 or more of, treatment of fracture of, by closed reduction (Anaes.) (Assist.)
Fee: $353.05	Benefit: 75% = $264.80	85% = $300.10	
47657	
METATARSALS, 3 or more of, treatment of fracture of, by open reduction (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	
47663	
PHALANX OF GREAT TOE, treatment of fracture of, by closed reduction (Anaes.)
Fee: $141.25	Benefit: 75% = $105.95	85% = $120.10	
47666	
PHALANX OF GREAT TOE, treatment of fracture of, by open reduction (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47672	
PHALANX OF TOE (other than great toe), 1 of, treatment of fracture of, by open reduction (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47678	
PHALANX OF TOE (other than great toe), more than 1 of, treatment of fracture of, by open reduction (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47681	
SPINE (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements - each attendance
Fee: $43.00	Benefit: 75% = $32.25	85% = $36.55	
47684	
SPINE, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, with immobilisation by calipers or halo (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	85% = $678.75	
47687	
SPINE, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, with immobilisation by calipers or halo, and including up to 14 days post-operative care (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	
47690	
SPINE, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, with immobilisation by calipers or halo, requiring reduction by closed manipulation (Anaes.) (Assist.)
Fee: $1,035.55	Benefit: 75% = $776.70	
47693	
SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, with immobilisation by calipers or halo, requiring reduction by closed manipulation, including up to 14 days post-operative care (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	

OPERATIONS	ORTHOPAEDIC	
47696	
SPINE, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	85% = $320.10	
47699	
SPINE, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, requiring open reduction with or without internal fixation (Anaes.) (Assist.)
Fee: $1,506.45	Benefit: 75% = $1,129.85	
47702	
SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, requiring open reduction with or without internal fixation, including up to 14 days post-operative care (Anaes.) (Assist.)
Fee: $1,882.95	Benefit: 75% = $1,412.25	
47703	
SKULL, treatment of fracture of, each attendance
Fee: $43.00	Benefit: 75% = $32.25	85% = $36.55	
47705	
SKULL CALIPERS, insertion of, as an independent procedure (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	
47708	
PLASTER JACKET, application of, as an independent procedure (Anaes.)
Fee: $216.50	Benefit: 75% = $162.40	85% = $184.05	
47711	
HALO, application of, as an independent procedure (Anaes.) (Assist.)
Fee: $320.15	Benefit: 75% = $240.15	
47714	
HALO, application of, in addition to spinal fusion for scoliosis, or other conditions (Anaes.)
Fee: $240.05	Benefit: 75% = $180.05	
47717	
HALO-THORACIC TRACTION - application of both halo and thoracic jacket (Anaes.) (Assist.)
Fee: $423.75	Benefit: 75% = $317.85	
47720	
HALO-FEMORAL TRACTION, as an independent procedure (Anaes.) (Assist.)
Fee: $423.75	Benefit: 75% = $317.85	85% = $360.20	
47723	
HALO-FEMORAL TRACTION, in conjunction with a major spine operation (Anaes.) (Assist.)
Fee: $423.75	Benefit: 75% = $317.85	85% = $360.20	
47726	
BONE GRAFT, harvesting of, via separate incision, in conjunction with another service - autogenous - small quantity (Anaes.)
Fee: $141.25	Benefit: 75% = $105.95	
47729	
BONE GRAFT, harvesting of, via separate incision, in conjunction with another service - autogenous - large quantity (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	
47732	
VASCULARISED PEDICLE BONE GRAFT, harvesting of, in conjunction with another service (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
47735	
NASAL BONES, treatment of fracture of, not being a service to which item 47738 or 47741 applies - each attendance
Fee: $43.05	Benefit: 75% = $32.30	85% = $36.60	
47738	
NASAL BONES, treatment of fracture of, by reduction (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47741	
NASAL BONES, treatment of fracture of, by open reduction involving osteotomies (Anaes.) (Assist.)
Fee: $480.35	Benefit: 75% = $360.30	
47753	
MAXILLA, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)
Fee: $406.65	Benefit: 75% = $305.00	
47756	
MANDIBLE, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)
Fee: $406.65	Benefit: 75% = $305.00	
47762	
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (Anaes.)
Fee: $238.80	Benefit: 75% = $179.10	85% = $203.00	

OPERATIONS	ORTHOPAEDIC	
47765	
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes.) (Assist.)
Fee: $392.10	Benefit: 75% = $294.10	
47768	
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes.) (Assist.)
Fee: $480.35	Benefit: 75% = $360.30	
47771	
ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes.) (Assist.)
Fee: $551.85	Benefit: 75% = $413.90	
47774	
MAXILLA, treatment of fracture of, requiring open operation (Anaes.) (Assist.)
Fee: $435.65	Benefit: 75% = $326.75	
47777	
MANDIBLE, treatment of fracture of, requiring open reduction (Anaes.) (Assist.)
Fee: $435.65	Benefit: 75% = $326.75	
47780	
MAXILLA, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)
Fee: $566.35	Benefit: 75% = $424.80	
47783	
MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)
Fee: $566.35	Benefit: 75% = $424.80	85% = $491.85	
47786	
MAXILLA, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)
Fee: $718.75	Benefit: 75% = $539.10	
47789	
MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)
Fee: $718.75	Benefit: 75% = $539.10	
	GENERAL	
47900	
BONE CYST, injection into or aspiration of (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47903	
EPICONDYLITIS, open operation for (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47904	
DIGITAL NAIL OF TOE, removal of, not being a service to which item 47906 applies (Anaes.)
Fee: $56.50	Benefit: 75% = $42.40	85% = $48.05	
47906	
DIGITAL NAIL OF TOE, removal of, in the operating theatre of a hospital (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	
47912	
PULP SPACE INFECTION, PARONYCHIA of FOOT, incision for, not being a service to which another item in this Group applies (excluding aftercare) (Anaes.)
Fee: $56.50	Benefit: 75% = $42.40	85% = $48.05	
47915	
INGROWING NAIL OF TOE, wedge resection for, with removal of segment of nail, ungual fold and portion of the nail bed (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
47916	
INGROWING NAIL OF TOE, partial resection of nail, with destruction of nail matrix by phenolisation, electrocautery, laser, sodium hydroxide or acid but not including excision of nail bed (Anaes.)
Fee: $85.15	Benefit: 75% = $63.90	85% = $72.40	
47918	
INGROWING TOENAIL, radical excision of nailbed (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
47920	
BONE GROWTH STIMULATOR, insertion of (Anaes.) (Assist.)
Fee: $380.80	Benefit: 75% = $285.60	
47921	
ORTHOPAEDIC PIN OR WIRE, insertion of, as an independent procedure (Anaes.)
Fee: $112.85	Benefit: 75% = $84.65	85% = $95.95	

OPERATIONS	ORTHOPAEDIC	
47924	
BURIED WIRE, PIN OR SCREW, 1 or more of, which were inserted for internal fixation purposes, removal of requiring incision and suture, not being a service to which item 47927 or 47930 applies - per bone (Anaes.)
Fee: $37.65	Benefit: 75% = $28.25	85% = $32.05	
47927	
BURIED WIRE, PIN OR SCREW, 1 or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital  - per bone (Anaes.)
Fee: $141.25	Benefit: 75% = $105.95	
47930	
PLATE, ROD OR NAIL AND ASSOCIATED WIRES, PINS OR SCREWS, 1 or more of, all of which were inserted for internal fixation purposes, removal of, not being a service associated with a service to which item 47924 or 47927 applies - per bone (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	
47933	
SMALL EXOSTOSIS (NOT MORE THAN 20MM OF GROWTH ABOVE BONE), excision of, or simple removal of bunion and any associated bursa, not being a service associated with a service for removal of bursa (Anaes.)
(See para T8.118 of explanatory notes to this Category)
Fee: $207.00	Benefit: 75% = $155.25	85% = $175.95	
47936	
LARGE EXOSTOSIS (GREATER THAN 20MM GROWTH ABOVE BONE), excision of (Anaes.) (Assist.)
(See para T8.118 of explanatory notes to this Category)
Fee: $254.20	Benefit: 75% = $190.65	
47948	
EXTERNAL FIXATION, removal of, in the operating theatre of a hospital (Anaes.)
Fee: $160.05	Benefit: 75% = $120.05	
47951	
EXTERNAL FIXATION, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.)
Fee: $188.20	Benefit: 75% = $141.15	85% = $160.00	
47954	
TENDON, repair of, as an independent procedure (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	85% = $320.10	
47957	
TENDON, large, lengthening of, as an independent procedure (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	
47960	
TENOTOMY, SUBCUTANEOUS, not being a service to which another item in this Group applies (Anaes.)
Fee: $131.85	Benefit: 75% = $98.90	85% = $112.10	
47963	
TENOTOMY, OPEN, with or without tenoplasty, not being a service to which another item in this Group applies (Anaes.)
Fee: $216.50	Benefit: 75% = $162.40	85% = $184.05	
47966	
TENDON OR LIGAMENT, TRANSFER, as an independent procedure (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	
47969	
TENOSYNOVECTOMY, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $263.60	Benefit: 75% = $197.70	
47972	
TENDON SHEATH, open operation for teno-vaginitis, not being a service to which another item in this Group applies (Anaes.)
Fee: $210.60	Benefit: 75% = $157.95	
47975	
FOREARM OR CALF, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (Anaes.) (Assist.)
Fee: $369.15	Benefit: 75% = $276.90	
47978	
FOREARM OR CALF, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (Anaes.)
Fee: $224.20	Benefit: 75% = $168.15	
47981	
FOREARM, CALF OR INTEROSSEOUS MUSCLE SPACE OF HAND, decompression fasciotomy of, not being a service to which another item applies (Anaes.)
Fee: $150.55	Benefit: 75% = $112.95	85% = $128.00	
47982	
FORAGE (Drill decompression), of NECK OR HEAD of FEMUR, or BOTH (Anaes.) (Assist.)
Fee: $364.90	Benefit: 75% = $273.70	

OPERATIONS	ORTHOPAEDIC	
	BONE GRAFTS	
48200	
FEMUR, bone graft to (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
48203	
FEMUR, bone graft to, with internal fixation (Anaes.) (Assist.)
Fee: $913.25	Benefit: 75% = $684.95	
48206	
TIBIA, bone graft to (Anaes.) (Assist.)
Fee: $565.45	Benefit: 75% = $424.10	
48209	
TIBIA, bone graft to, with internal fixation (Anaes.) (Assist.)
Fee: $724.95	Benefit: 75% = $543.75	
48212	
HUMERUS, bone graft to (Anaes.) (Assist.)
Fee: $565.45	Benefit: 75% = $424.10	
48215	
HUMERUS, bone graft to, with internal fixation (Anaes.) (Assist.)
Fee: $724.95	Benefit: 75% = $543.75	
48218	
RADIUS AND ULNA, bone graft to (Anaes.) (Assist.)
Fee: $565.45	Benefit: 75% = $424.10	
48221	
RADIUS AND ULNA, bone graft to, with internal fixation of 1 or both bones (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
48224	
RADIUS OR ULNA, bone graft to (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
48227	
RADIUS OR ULNA, bone graft to, with internal fixation of 1 or both bones (Anaes.) (Assist.)
Fee: $489.55	Benefit: 75% = $367.20	
48230	
SCAPHOID, bone graft to, for non-union (Anaes.) (Assist.)
Fee: $423.75	Benefit: 75% = $317.85	
48233	
SCAPHOID, bone graft to, for non-union, with internal fixation (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
48236	
SCAPHOID, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation (Anaes.) (Assist.)
Fee: $800.20	Benefit: 75% = $600.15	
48239	
BONE GRAFT, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $442.45	Benefit: 75% = $331.85	
48242	
BONE GRAFT, with internal fixation, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
	OSTEOTOMY AND OSTEECTOMY	
48400	
PHALANX, METATARSAL, ACCESSORY BONE OR SESAMOID BONE, osteotomy or osteectomy of, excluding services to which item 49848 or 49851 applies, any of items 49848, 49851, 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
48403	
PHALANX OR METATARSAL, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $517.80	Benefit: 75% = $388.35	
48406	
FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than acromion), RIB, TARSUS OR CARPUS, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
48409	
FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than Acromion), RIB, TARSUS OR CARPUS, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $517.80	Benefit: 75% = $388.35	
48412	
HUMERUS, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $630.65	Benefit: 75% = $473.00	

OPERATIONS	ORTHOPAEDIC	
48415	
HUMERUS, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $800.20	Benefit: 75% = $600.15	
48418	
TIBIA, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $630.65	Benefit: 75% = $473.00	85% = $556.15	
48421	
TIBIA, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $800.20	Benefit: 75% = $600.15	
48424	
FEMUR OR PELVIS, osteotomy or osteectomy of, excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
48427	
FEMUR OR PELVIS, osteotomy or osteectomy of, with internal fixation, and excluding services to which items 47933 or 47936 apply (Anaes.) (Assist.)
Fee: $913.25	Benefit: 75% = $684.95	
	EPIPHYSEODESIS	
48500	
FEMUR, epiphysiodesis of (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
48503	
TIBIA AND FIBULA, epiphysiodesis of (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
48506	
FEMUR, TIBIA AND FIBULA, epiphysiodesis of (Anaes.) (Assist.)
Fee: $489.55	Benefit: 75% = $367.20	
48509	
EPIPHYSIODESIS, staple arrest of hemiepiphysis (Anaes.)
Fee: $235.50	Benefit: 75% = $176.65	
48512	
EPIPHYSIOLYSIS, operation to prevent closure of plate (Anaes.) (Assist.)
Fee: $894.40	Benefit: 75% = $670.80	
	SPINE	
48600	
SPINE, MANIPULATION OF, performed in the operating theatre of a hospital (Anaes.)
Fee: $94.00	Benefit: 75% = $70.50	
48603	
SPINE, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital, not being a service associated with a service to which item 48600 or 50115 applies (Anaes.)
Fee: $141.25	Benefit: 75% = $105.95	85% = $120.10	
48606	
SCOLIOSIS or KYPHOSIS, spinal fusion for (without instrumentation) (Anaes.) (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	
48612	
SCOLIOSIS, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (Anaes.) (Assist.)
Fee: $2,447.85	Benefit: 75% = $1,835.90	
48613	
SCOLIOSIS OR KYPHOSIS, spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (Anaes.) (Assist.)
Fee: $3,481.80	Benefit: 75% = $2,611.35	
48615	
SCOLIOSIS, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (Anaes.) (Assist.)
Fee: $442.45	Benefit: 75% = $331.85	
48618	
SCOLIOSIS, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation (Anaes.) (Assist.)
Fee: $2,447.85	Benefit: 75% = $1,835.90	
48621	
SCOLIOSIS, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar) - not more than 4 levels (Anaes.) (Assist.)
Fee: $1,600.65	Benefit: 75% = $1,200.50	

OPERATIONS	ORTHOPAEDIC	
48624	
SCOLIOSIS, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels (Anaes.) (Assist.)
Fee: $1,977.20	Benefit: 75% = $1,482.90	
48627	
SCOLIOSIS, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (Anaes.) (Assist.)
Fee: $2,541.85	Benefit: 75% = $1,906.40	
48630	
SCOLIOSIS, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement (Anaes.) (Assist.)
Fee: $2,824.35	Benefit: 75% = $2,118.30	
48632	
SCOLIOSIS, congenital, vertebral resection and fusion for (Anaes.) (Assist.)
Fee: $1,561.30	Benefit: 75% = $1,171.00	
48636	
PERCUTANEOUS LUMBAR PARTIAL OR TOTAL DISCECTOMY, 1 or more levels, not being a service associated with intradiscal electrothermal annuloplasty (Anaes.) (Assist.)
(See para T8.119 of explanatory notes to this Category)
Fee: $809.55	Benefit: 75% = $607.20	85% = $735.05	
48639	
VERTEBRAL BODY, total or subtotal excision of, including bone grafting or other form of fixation (Anaes.) (Assist.)
Fee: $1,365.00	Benefit: 75% = $1,023.75	
48640	
VERTEBRAL BODY, disease of, excision and spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (Anaes.) (Assist.)
Fee: $3,481.80	Benefit: 75% = $2,611.35	
48642	
SPINE, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - 1 or 2 levels (Anaes.) (Assist.)
Fee: $800.20	Benefit: 75% = $600.15	
48645	
SPINE, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - more than 2 levels (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
48648	
SPINE, bone graft to, (postero-lateral fusion) - 1 or 2 levels (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
48651	
SPINE, bone graft to, (postero-lateral fusion) - more than 2 levels (Anaes.) (Assist.)
Fee: $1,506.45	Benefit: 75% = $1,129.85	
48654	
SPINAL FUSION (posterior interbody), with partial or total laminectomy, 1 level (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
48657	
SPINAL FUSION (posterior interbody), with partial or total laminectomy, more than 1 level (Anaes.) (Assist.)
Fee: $1,506.45	Benefit: 75% = $1,129.85	
48660	
SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level, not being a service associated with artificial intervertebral total disc replacement (Anaes.) (Assist.)
(See para T8.120 of explanatory notes to this Category)
Fee: $1,082.70	Benefit: 75% = $812.05	
48663	
SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (where an assisting surgeon performs the approach) - principal surgeon (Anaes.) (Assist.)
(See para T8.120 of explanatory notes to this Category)
Fee: $809.55	Benefit: 75% = $607.20	
48666	
SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (where an assisting surgeon performs the approach) - assisting surgeon (Assist.)
(See para T8.120 of explanatory notes to this Category)
Fee: $489.55	Benefit: 75% = $367.20	
48669	
SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level, not being a service associated with artificial intervertebral total disc replacement (Anaes.) (Assist.)
(See para T8.120 of explanatory notes to this Category)
Fee: $1,459.20	Benefit: 75% = $1,094.40	

OPERATIONS	ORTHOPAEDIC	
48672	
SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (where an assisting surgeon performs the approach) - principal surgeon (Anaes.) (Assist.)
(See para T8.120 of explanatory notes to this Category)
Fee: $1,092.25	Benefit: 75% = $819.20	
48675	
SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (where an assisting surgeon performs the approach) - assisting surgeon (Assist.)
(See para T8.120 of explanatory notes to this Category)
Fee: $659.15	Benefit: 75% = $494.40	
48678	
SPINE, simple internal fixation of, involving 1 or more of facetal screw, wire loop or similar, being a service associated with a service to which items 48642 to 48675 apply (Anaes.) (Assist.)
(See para T8.121 of explanatory notes to this Category)
Fee: $565.45	Benefit: 75% = $424.10	
48681	
SPINE, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies (Anaes.) (Assist.)
(See para T8.121 of explanatory notes to this Category)
Fee: $941.45	Benefit: 75% = $706.10	
48684	
SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels,  not being a service associated with artificial intervertebral total disc replacement (Anaes.) (Assist.)
(See para T8.121 of explanatory notes to this Category)
Fee: $941.45	Benefit: 75% = $706.10	
48687	
SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - 3 or 4 levels (Anaes.) (Assist.)
(See para T8.121 of explanatory notes to this Category)
Fee: $1,317.80	Benefit: 75% = $988.35	
48690	
SPINE, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - more than 4 levels (Anaes.) (Assist.)
(See para T8.121 of explanatory notes to this Category)
Fee: $1,506.45	Benefit: 75% = $1,129.85	
48691	
LUMBAR ARTIFICIAL INTERVERTEBRAL  TOTAL DISC REPLACEMENT including removal of disc, 1 level, in patients with single-level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who have failed conservative therapy, with fluoroscopy (Anaes.) (Assist.)
Fee: $1,793.65	Benefit: 75% = $1,345.25	85% = $1,719.15	
48692	
LUMBAR ARTIFICIAL INTERVERTEBRAL  TOTAL DISC REPLACEMENT including removal of disc, 1 level, in patients with single-level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who have failed conservative therapy, with fluoroscopy (where an assisting surgeon performs the approach) - principal surgeon (Anaes.) (Assist.)
Fee: $1,208.95	Benefit: 75% = $906.75	85% = $1,134.45	
48693	
LUMBAR ARTIFICIAL INTERVERTEBRAL  TOTAL DISC REPLACEMENT including removal of disc, 1 level, in patients with single-level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who have failed conservative therapy, (where an assisting surgeon performs the approach) - assisting surgeon (Anaes.) (Assist.)
Fee: $584.70	Benefit: 75% = $438.55	85% = $510.20	
New
48694	
Cervical artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: 
(a) has not had prior spinal surgery at the same cervical level; and 
(b) is skeletally mature; and 
(c) has symptomatic degenerative disc disease with radiculopathy; and 
(d) does not have vertebral osteoporosis; and 
(e) has failed conservative therapy; 
other than a service associated with item 40300 or 40301 (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	85% = $1,008.20	
	SHOULDER	
48900	
SHOULDER, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	85% = $240.00	

OPERATIONS	ORTHOPAEDIC	
48903	
SHOULDER, decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination (Anaes.) (Assist.)
Fee: $564.85	Benefit: 75% = $423.65	
48906	
SHOULDER, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both - not being a service associated with a service to which item 48900 applies (Anaes.) (Assist.)
Fee: $564.85	Benefit: 75% = $423.65	
48909	
SHOULDER, repair  of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination, not being a service associated with a service to which item 48903 applies (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
48912	
SHOULDER, arthrotomy of (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	85% = $280.20	
48915	
SHOULDER, hemi-arthroplasty of (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
48918	
SHOULDER, total replacement arthroplasty of, including any associated rotator cuff repair (Anaes.) (Assist.)
Fee: $1,506.45	Benefit: 75% = $1,129.85	
48921	
SHOULDER, total replacement arthroplasty, revision of (Anaes.) (Assist.)
Fee: $1,553.40	Benefit: 75% = $1,165.05	
48924	
SHOULDER, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (Anaes.) (Assist.)
Fee: $1,788.85	Benefit: 75% = $1,341.65	
48927	
SHOULDER prosthesis, removal of (Anaes.) (Assist.)
Fee: $367.05	Benefit: 75% = $275.30	
48930	
SHOULDER, stabilisation procedure for recurrent anterior or posterior dislocation (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
48933	
SHOULDER, stabilisation procedure for multi-directional instability, including anterior or posterior (or both) repair when performed (Anaes.) (Assist.)
Fee: $988.55	Benefit: 75% = $741.45	
48936	
SHOULDER, synovectomy of, as an independent procedure (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
48939	
SHOULDER, arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
48942	
SHOULDER, arthrodesis of, with synovectomy if performed, with removal of prosthesis, requiring bone grafting or internal fixation (Anaes.) (Assist.)
Fee: $1,412.20	Benefit: 75% = $1,059.15	
48945	
SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	
48948	
SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
48951	
SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes.) (Assist.)
Fee: $894.40	Benefit: 75% = $670.80	
48954	
SHOULDER, arthroscopic total synovectomy of, including release of contracture when performed - not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	

OPERATIONS	ORTHOPAEDIC	
48957	
SHOULDER, arthroscopic stabilisation of, for recurrent instability including labral repair or reattachment when performed - not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
48960	
SHOULDER, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate approach when performed - not being a service associated with any other procedure of the shoulder region (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	
	ELBOW	
49100	
ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
49103	
ELBOW, ligamentous stabilisation of (Anaes.) (Assist.)
Fee: $706.05	Benefit: 75% = $529.55	
49106	
ELBOW, arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	85% = $866.95	
49109	
ELBOW, total synovectomy of (Anaes.) (Assist.)
Fee: $706.05	Benefit: 75% = $529.55	
49112	
ELBOW, silastic or other replacement of radial head (Anaes.) (Assist.)
Fee: $706.05	Benefit: 75% = $529.55	
49115	
ELBOW, total joint replacement of (Anaes.) (Assist.)
Fee: $1,129.65	Benefit: 75% = $847.25	
49116	
ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,491.15	Benefit: 75% = $1,118.40	
49117	
ELBOW, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,789.35	Benefit: 75% = $1,342.05	
49118	
ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	
49121	
ELBOW, arthroscopic surgery involving any 1 or more of: drilling of defect, removal of loose body; release of contracture or adhesions; chondroplasty; or osteoplasty - not being a service associated with any other arthroscopic procedure of the elbow (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
	WRIST	
49200	
WRIST, arthrodesis of, with synovectomy if performed, with or without bone graft and internal fixation of the radiocarpal joint (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $818.95	Benefit: 75% = $614.25	
49203	
WRIST, limited arthrodesis of the intercarpal joint, with synovectomy if performed, with or without bone graft (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $611.90	Benefit: 75% = $458.95	
49206	
WRIST, proximal carpectomy of, including styloidectomy when performed (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $564.85	Benefit: 75% = $423.65	
49209	
WRIST, total replacement arthroplasty of (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $753.25	Benefit: 75% = $564.95	
49210	
WRIST, total replacement arthroplasty of, revision procedure, including removal of prosthesis (Anaes.) (Assist.)
Fee: $994.30	Benefit: 75% = $745.75	

OPERATIONS	ORTHOPAEDIC	
49211	
WRIST, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,193.15	Benefit: 75% = $894.90	
49212	
WRIST, arthrotomy of (Anaes.)
(See para T8.122 of explanatory notes to this Category)
Fee: $235.50	Benefit: 75% = $176.65	
49215	
WRIST, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $649.70	Benefit: 75% = $487.30	
49218	
WRIST, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy) - not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $272.95	Benefit: 75% = $204.75	
49221	
WRIST, arthroscopic surgery of, involving any 1 or more of: drilling of defect; removal of loose body; release of adhesions; local synovectomy; or debridement of one area - not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $611.90	Benefit: 75% = $458.95	
49224	
WRIST, arthroscopic debridement of 2 or more distinct areas; or osteoplasty including excision of the distal ulna; or total synovectomy, not being a service associated with any other arthroscopic procedure of the wrist (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $706.05	Benefit: 75% = $529.55	
49227	
WRIST, arthroscopic pinning of osteochondral fragment or stabilisation procedure for ligamentous disruption - not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes.) (Assist.)
(See para T8.122 of explanatory notes to this Category)
Fee: $706.05	Benefit: 75% = $529.55	
	HIP	
49300	
SACROILIAC JOINT  arthrodesis of (Anaes.) (Assist.)
Fee: $521.25	Benefit: 75% = $390.95	
49303	
HIP, arthrotomy of, including lavage, drainage or biopsy when performed (Anaes.) (Assist.)
Fee: $546.00	Benefit: 75% = $409.50	
49306	
HIP  arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
49309	
HIP, arthrectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement )) (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
49312	
HIP, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	
49315	
HIP, arthroplasty of, unipolar or bipolar (Anaes.) (Assist.)
Fee: $847.35	Benefit: 75% = $635.55	
49318	
HIP, total replacement arthroplasty of, including minor bone grafting (Anaes.) (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	
49319	
HIP, total replacement arthroplasty of, including associated minor grafting, if performed - bilateral (Anaes.) (Assist.)
Fee: $2,315.30	Benefit: 75% = $1,736.50	
49321	
HIP, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (Anaes.) (Assist.)
Fee: $1,600.65	Benefit: 75% = $1,200.50	
49324	
HIP, total replacement arthroplasty of, revision procedure including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,882.95	Benefit: 75% = $1,412.25	

OPERATIONS	ORTHOPAEDIC	
49327	
HIP, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (Anaes.) (Assist.)
Fee: $2,165.35	Benefit: 75% = $1,624.05	
49330	
HIP, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (Anaes.) (Assist.)
Fee: $2,165.35	Benefit: 75% = $1,624.05	
49333	
HIP, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft (Anaes.) (Assist.)
Fee: $2,447.85	Benefit: 75% = $1,835.90	
49336	
HIP, treatment of a fracture of the femur where revision total hip replacement is required as part of the treatment of the fracture (not including intra-operative fracture), being a service associated with a service to which items 49324 to 49333 apply (Anaes.) (Assist.)
Fee: $357.70	Benefit: 75% = $268.30	
49339	
HIP, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cm in length (Anaes.) (Assist.)
Fee: $2,777.30	Benefit: 75% = $2,083.00	
49342	
HIP, revision total replacement of, requiring anatomic specific allograft of acetabulum (Anaes.) (Assist.)
Fee: $2,777.30	Benefit: 75% = $2,083.00	
49345	
HIP, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (Anaes.) (Assist.)
Fee: $3,295.10	Benefit: 75% = $2,471.35	
49346	
HIP, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or acetabular shell (Anaes.) (Assist.)
Fee: $847.35	Benefit: 75% = $635.55	
49360	
HIP, diagnostic arthroscopy of, not being a service associated with any other arthroscopic procedure of the hip (Anaes.) (Assist.)
Fee: $343.95	Benefit: 75% = $258.00	
49363	
HIP, diagnostic arthroscopy of, with synovial biopsy, not being a service associated with any other arthroscopic procedure of the hip (Anaes.) (Assist.)
Fee: $414.20	Benefit: 75% = $310.65	85% = $352.10	
49366	
HIP, arthroscopic surgery of, not being a service associated with any other arthroscopic procedure of the hip (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
	KNEE	
49500	
KNEE, arthrotomy of, involving 1 or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
49503	
KNEE, partial or total meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral stabilisation or single transfer of ligament or tendon (not being a service to which another item in this Group applies) – any 1 procedure (Anaes.) (Assist.)
Fee: $489.55	Benefit: 75% = $367.20	
49506	
KNEE, partial or total meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral stabilisation or single transfer of ligament or tendon (not being a service to which another item in this Group applies) – any 2 or more procedures (Anaes.) (Assist.)
Fee: $734.40	Benefit: 75% = $550.80	
49509	
KNEE, total synovectomy or arthrodesis with synovectomy if performed (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
49512	
KNEE, arthrodesis of, with synovectomy if performed, with removal of prosthesis (Anaes.) (Assist.)
Fee: $1,082.70	Benefit: 75% = $812.05	
49515	
KNEE, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a 2 stage procedure (Anaes.) (Assist.)
Fee: $847.35	Benefit: 75% = $635.55	

OPERATIONS	ORTHOPAEDIC	
49517	
KNEE, hemiarthroplasty of (Anaes.) (Assist.)
Fee: $1,206.35	Benefit: 75% = $904.80	
49518	
KNEE, total replacement arthroplasty of (Anaes.) (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	
49519	
KNEE, total replacement arthroplasty of, including associated minor grafting, if performed - bilateral (Anaes.) (Assist.)
Fee: $2,315.30	Benefit: 75% = $1,736.50	
49521	
KNEE, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (Anaes.) (Assist.)
Fee: $1,600.65	Benefit: 75% = $1,200.50	
49524	
KNEE, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (Anaes.) (Assist.)
Fee: $1,882.95	Benefit: 75% = $1,412.25	
49527	
KNEE, total replacement arthroplasty of, revision procedure, including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,600.65	Benefit: 75% = $1,200.50	
49530	
KNEE, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,977.20	Benefit: 75% = $1,482.90	
49533	
KNEE, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and including removal of prosthesis (Anaes.) (Assist.)
Fee: $2,259.65	Benefit: 75% = $1,694.75	
49534	
KNEE, patello-femoral joint of, total replacement arthroplasty as a primary procedure (Anaes.) (Assist.)
Fee: $449.55	Benefit: 75% = $337.20	
49536	
KNEE, repair or reconstruction of, for chronic instability (open or arthroscopic, or both) involving either cruciate or collateral ligaments, including notchplasty when performed, not being a service associated with any other arthroscopic procedure of the knee (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	
49539	
KNEE, reconstructive surgery of cruciate ligament or ligaments (open or arthroscopic, or both), including notchplasty when performed and surgery to other internal derangements, not being a service to which another item in this Group applies or a service associated with any other arthroscopic procedure of the knee (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	
49542	
KNEE, reconstructive surgery to cruciate ligament or ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair, extracapsular procedure and debridement when performed, not being a service associated with any other arthroscopic procedure of the knee (Anaes.) (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	
49545	
KNEE, revision arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
49548	
KNEE, revision of patello-femoral stabilisation (Anaes.) (Assist.)
Fee: $941.45	Benefit: 75% = $706.10	
49551	
KNEE, revision of procedures to which item 49536, 49539 or 49542 applies (Anaes.) (Assist.)
Fee: $1,317.80	Benefit: 75% = $988.35	
49554	
KNEE, revision of total replacement of, by anatomic specific allograft of tibia or femur (Anaes.) (Assist.)
Fee: $1,882.95	Benefit: 75% = $1,412.25	
49557	
KNEE, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica) - not being a service associated with autologous chondrocyte implantation or matrix-induced autologous chondrocyte implantation or any other arthroscopic procedure of the knee region (Anaes.) (Assist.)
(See para T8.123 of explanatory notes to this Category)
Fee: $272.95	Benefit: 75% = $204.75	
49558	
KNEE, arthroscopic surgery of, involving 1 or more of: debridement, osteoplasty or chondroplasty - not associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	

OPERATIONS	ORTHOPAEDIC	
49559	
KNEE, arthroscopic surgery of, involving chondroplasty requiring multiple drilling or carbon fibre (or similar) implant; including any associated debridement or oestoplasty - not associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)
Fee: $408.70	Benefit: 75% = $306.55	
49560	
KNEE, arthroscopic surgery of, involving 1 or more of: partial or total meniscectomy, removal of loose body or lateral release – not being a service associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)
Fee: $551.60	Benefit: 75% = $413.70	
49561	
KNEE, ARTHROSCOPIC SURGERY OF, involving 1 or more of: partial or total meniscectomy, removal of loose body or lateral release; where the procedure includes associated debridement, osteoplasty or chondroplasty – not associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)
Fee: $674.00	Benefit: 75% = $505.50	
49562	
KNEE, ARTHROSCOPIC SURGERY OF, involving 1 or more of: partial or total meniscectomy, removal of loose body or lateral release; where the procedure includes chondroplasty requiring multiple drilling or carbon fibre (or similar) implant and associated debridement or osteoplasty – not associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)
Fee: $735.50	Benefit: 75% = $551.65	
49563	
KNEE, arthroscopic surgery of, involving 1 or more of: meniscus repair; osteochondral graft; or chondral graft (excluding autologous chondrocyte implantation or matrix-induced autologous chondrocyte implantation) –not associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)
(See para T8.123 of explanatory notes to this Category)
Fee: $796.70	Benefit: 75% = $597.55	
49564	
KNEE, patello-femoral stabilisation of, combined arthroscopic and open procedure, including lateral release, medial capsulorrhaphy and tendon transfer, not being a service associated with any other arthroscopic procedure of the knee (Anaes.) (Assist.)
Fee: $919.05	Benefit: 75% = $689.30	
49566	
KNEE, arthroscopic total synovectomy of, not being a service associated with any other arthroscopic procedure of the knee (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
49569	
KNEE, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
	ANKLE	
49700	
ANKLE, diagnostic arthroscopy of, including biopsy (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	
49703	
ANKLE, arthroscopic surgery of, not being a service associated with any other arthroscopic procedure of the ankle (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
49706	
ANKLE, arthrotomy of, involving 1 or more of: lavage, removal of loose body or division of contracture (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
49709	
ANKLE, ligamentous stabilisation of (Anaes.) (Assist.)
Fee: $706.05	Benefit: 75% = $529.55	
49712	
ANKLE, arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
49715	
ANKLE, total joint replacement of (Anaes.) (Assist.)
Fee: $1,129.65	Benefit: 75% = $847.25	
49716	
ANKLE, total replacement arthroplasty of, revision procedure, including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,491.15	Benefit: 75% = $1,118.40	
49717	
ANKLE, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis (Anaes.) (Assist.)
Fee: $1,789.35	Benefit: 75% = $1,342.05	
49718	
ANKLE, Achilles' tendon or other major tendon, repair of (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	

OPERATIONS	ORTHOPAEDIC	
49721	
ANKLE, Achilles' tendon rupture managed by non-operative treatment
Fee: $235.50	Benefit: 75% = $176.65	85% = $200.20	
49724	
ANKLE, Achilles' tendon, secondary repair or reconstruction of (Anaes.) (Assist.)
Fee: $659.15	Benefit: 75% = $494.40	
49727	
ANKLE, Achilles' tendon, operation for lengthening (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	
49728	
ANKLE, lengthening of the gastrocnemius aponeurosis and soleus fascia, for the correction of equinus deformity in children with cerebral palsy (Anaes.) (Assist.)
Fee: $564.70	Benefit: 75% = $423.55	
	FOOT	
49800	
FOOT, flexor or extensor tendon, primary repair of (Anaes.)
Fee: $131.85	Benefit: 75% = $98.90	85% = $112.10	
49803	
FOOT, flexor or extensor tendon, secondary repair of (Anaes.)
Fee: $169.50	Benefit: 75% = $127.15	85% = $144.10	
49806	
FOOT, subcutaneous tenotomy of, 1 or more tendons (Anaes.)
Fee: $131.85	Benefit: 75% = $98.90	85% = $112.10	
49809	
FOOT, open tenotomy of, with or without tenoplasty (Anaes.)
Fee: $216.50	Benefit: 75% = $162.40	
49812	
FOOT, tendon or ligament transplantation of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	
49815	
FOOT, triple arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
49818	
FOOT, excision of calcaneal spur (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	
49821	
FOOT, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) - unilateral (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	
49824	
FOOT, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) - bilateral (Anaes.) (Assist.)
Fee: $757.95	Benefit: 75% = $568.50	
49827	
FOOT, correction of hallux valgus by transfer of adductor hallucis tendon - unilateral (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	
49830	
FOOT, correction of hallux valgus by transfer of adductor hallucis tendon - bilateral (Anaes.) (Assist.)
Fee: $823.75	Benefit: 75% = $617.85	
49833	
FOOT, correction of hallux valgus by osteotomy of first metatarsal with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - unilateral (Anaes.) (Assist.)
Fee: $517.80	Benefit: 75% = $388.35	
49836	
FOOT, correction of hallux valgus by osteotomy of first metatarsal with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - bilateral (Anaes.) (Assist.)
Fee: $894.40	Benefit: 75% = $670.80	
49837	
FOOT, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - unilateral (Anaes.) (Assist.)
Fee: $647.25	Benefit: 75% = $485.45	
49838	
FOOT, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, with or without internal fixation and with or without excision of exostoses associated with the first metatarsophalangeal joint - bilateral (Anaes.) (Assist.)
Fee: $1,117.75	Benefit: 75% = $838.35	

OPERATIONS	ORTHOPAEDIC	
49839	
FOOT, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty - unilateral (Anaes.) (Assist.)
Fee: $517.80	Benefit: 75% = $388.35	
49842	
FOOT, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty - bilateral (Anaes.) (Assist.)
Fee: $894.40	Benefit: 75% = $670.80	
49845	
FOOT, arthrodesis of, first metatarso-phalangeal joint, with synovectomy if performed (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	
49848	
FOOT, correction of claw or hammer toe (Anaes.)
Fee: $160.05	Benefit: 75% = $120.05	85% = $136.05	
49851	
FOOT, correction of claw or hammer toe with internal fixation (Anaes.)
Fee: $207.00	Benefit: 75% = $155.25	
49854	
FOOT, radical plantar fasciotomy or fasciectomy of (Anaes.) (Assist.)
Fee: $376.55	Benefit: 75% = $282.45	
49857	
FOOT, metatarso-phalangeal joint replacement (Anaes.) (Assist.)
Fee: $348.35	Benefit: 75% = $261.30	
49860	
FOOT, synovectomy of metatarso-phalangeal joint, single joint (Anaes.) (Assist.)
Fee: $282.35	Benefit: 75% = $211.80	
49863	
FOOT, synovectomy of metatarso-phalangeal joint, 2 or more joints (Anaes.) (Assist.)
Fee: $423.75	Benefit: 75% = $317.85	
49866	
FOOT, neurectomy for plantar or digital neuritis (Morton's or Bett's syndrome) (Anaes.) (Assist.)
Fee: $301.05	Benefit: 75% = $225.80	
49878	
TALIPES EQUINOVARUS, calcaneo valgus or metatarus varus, treatment by cast, splint or manipulation - each attendance (Anaes.)
Fee: $56.50	Benefit: 75% = $42.40	85% = $48.05	
	OTHER JOINTS	
50100	
JOINT, diagnostic arthroscopy of (including biopsy), not being a service to which another item in this Group applies and not being a service associated with any other arthroscopic procedure (Anaes.) (Assist.)
Fee: $272.95	Benefit: 75% = $204.75	85% = $232.05	
50102	
JOINT, arthroscopic surgery of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
50103	
JOINT, arthrotomy of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $329.60	Benefit: 75% = $247.20	
50104	
JOINT, synovectomy of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $312.30	Benefit: 75% = $234.25	85% = $265.50	
50106	
JOINT, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	
50109	
JOINT, arthrodesis of, not being a service to which another item in this Group applies, with synovectomy if performed (Anaes.) (Assist.)
Fee: $470.70	Benefit: 75% = $353.05	
50112	
CICATRICIAL FLEXION OR EXTENSION CONTRACTION OF JOINT, correction of, involving tissues deeper than skin and subcutaneous tissue, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $361.05	Benefit: 75% = $270.80	
50115	
JOINT or JOINTS, manipulation of, performed in the operating theatre of a hospital, not being a service associated with a service to which another item in this Group applies (Anaes.)
Fee: $142.95	Benefit: 75% = $107.25	85% = $121.55	
50118	
SUBTALAR JOINT, arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
Fee: $432.95	Benefit: 75% = $324.75	

OPERATIONS	ORTHOPAEDIC	
50121	
GREATER TROCHANTER, transplantation of ileopsoas tendon to (Anaes.) (Assist.)
Fee: $847.35	Benefit: 75% = $635.55	
50127	
JOINT OR JOINTS, arthroplasty of, by any technique not being a service to which another item applies (Anaes.) (Assist.)
Fee: $702.50	Benefit: 75% = $526.90	
50130	
JOINT OR JOINTS, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.)
Fee: $312.30	Benefit: 75% = $234.25	
	MALIGNANT DISEASE	
50200	
AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR, biopsy of (not including aftercare) (Anaes.)
Fee: $188.20	Benefit: 75% = $141.15	85% = $160.00	
50201	
AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR, involving neurovascular structures, open biopsy of (not including aftercare) (Anaes.) (Assist.)
Fee: $329.50	Benefit: 75% = $247.15	
50203	
BONE OR MALIGNANT DEEP SOFT TISSUE TUMOUR, lesional or marginal excision of (Anaes.) (Assist.)
Fee: $414.25	Benefit: 75% = $310.70	85% = $352.15	
50206	
BONE TUMOUR, lesional or marginal excision of, combined with any 1 of: liquid nitrogen freezing, autograft, allograft or cementation (Anaes.) (Assist.)
Fee: $611.90	Benefit: 75% = $458.95	
50209	
BONE TUMOUR, lesional or marginal excision of, combined with any 2 or more of: liquid nitrogen freezing, autograft, allograft or cementation (Anaes.) (Assist.)
Fee: $753.25	Benefit: 75% = $564.95	
50212	
MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, without reconstruction (Anaes.) (Assist.)
Fee: $1,647.55	Benefit: 75% = $1,235.70	
50215	
MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, with intercalary reconstruction (prosthesis, allograft or autograft) (Anaes.) (Assist.)
Fee: $2,071.20	Benefit: 75% = $1,553.40	
50218	
MALIGNANT TUMOUR of LONG BONE, enbloc resection of, with replacement or arthrodesis of adjacent joint, with synovectomy if performed (Anaes.) (Assist.)
Fee: $2,730.30	Benefit: 75% = $2,047.75	
50221	
MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR of PELVIS, SACRUM or SPINE; or SCAPULA and SHOULDER, enbloc resection of (Anaes.) (Assist.)
Fee: $2,541.85	Benefit: 75% = $1,906.40	
50224	
MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR of PELVIS, SACRUM or SPINE; or SCAPULA and SHOULDER, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (Anaes.) (Assist.)
Fee: $2,824.35	Benefit: 75% = $2,118.30	85% = $2,749.85	
50227	
MALIGNANT BONE TUMOUR, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (Anaes.) (Assist.)
Fee: $3,295.10	Benefit: 75% = $2,471.35	
50230	
BENIGN TUMOUR, resection of, requiring anatomic specific allograft, with or without internal fixation (Anaes.) (Assist.)
Fee: $1,694.60	Benefit: 75% = $1,270.95	
50233	
MALIGNANT TUMOUR, amputation for, hemipelvectomy or interscapulo-thoracic (Anaes.) (Assist.)
Fee: $2,165.35	Benefit: 75% = $1,624.05	
50236	
MALIGNANT TUMOUR, amputation for, hip disarticulation, shoulder disarticulation or proximal third femur (Anaes.) (Assist.)
Fee: $1,694.60	Benefit: 75% = $1,270.95	
50239	
MALIGNANT TUMOUR, amputation for, not being a service to which another item in this Group applies (Anaes.) (Assist.)
Fee: $1,129.65	Benefit: 75% = $847.25	

OPERATIONS	ORTHOPAEDIC	
	LIMB LENGTHENING AND DEFORMITY CORRECTION	
50300	
JOINT DEFORMITY, slow correction of, using ring fixator or similar device, including all associated attendances - payable only once in any 12 month period (Anaes.) (Assist.)
Fee: $1,157.70	Benefit: 75% = $868.30	
50303	
LIMB LENGTHENING, 5cm or less, by gradual distraction, with application of an external fixator or intra-medullary device, in the operating theatre of a hospital - payable only once per limb in any 12 month period (Anaes.) (Assist.)
Fee: $1,580.60	Benefit: 75% = $1,185.45	
50306	
LIMB LENGTHENING , where the lengthening is bipolar, or bone transport is performed or where the fixator is extended to correct an adjacent joint deformity, or where the lengthening is greater than 5cm (Anaes.) (Assist.)
Fee: $2,467.90	Benefit: 75% = $1,850.95	85% = $2,393.40	
50309	
RING FIXATOR OR SIMILAR DEVICE, adjustment of, with or without insertion or removal of fixation pins, performed under general anaesthesia in the operating theatre of a hospital, not being a service to which item 50303 or 50306 applies (Anaes.) (Assist.)
Fee: $305.05	Benefit: 75% = $228.80	
50312	
ANKLE, synovectomy of, by arthroscopic or open means - not associated with any other arthroscopic procedure of the ankle (Anaes.) (Assist.)
Fee: $700.10	Benefit: 75% = $525.10	
50315	
TALIPES EQUINOVARUS, posterior release of (Anaes.) (Assist.)
Fee: $693.30	Benefit: 75% = $520.00	
50318	
TALIPES EQUINOVARUS, medial release of (Anaes.) (Assist.)
Fee: $693.30	Benefit: 75% = $520.00	
50321	
TALIPES EQUINOVARUS, combined postero-medial release of (Anaes.) (Assist.)
Fee: $928.85	Benefit: 75% = $696.65	
50324	
TALIPES EQUINOVARUS, combined postero-medial release of, revision procedure (Anaes.) (Assist.)
Fee: $1,324.15	Benefit: 75% = $993.15	
50327	
TALIPES EQUINOVARUS, bilateral procedures (Anaes.) (Assist.)
Fee: $1,615.15	Benefit: 75% = $1,211.40	
50330	
TALIPES EQUINOVARUS, or talus, vertical congenital - post operative manipulation and change of plaster, performed under general anaesthesia in the operating theatre of a hospital, not being a service to which item 50315, 50318, 50321, 50324 or 50327 applies (Anaes.)
Fee: $228.70	Benefit: 75% = $171.55	85% = $194.40	
50333	
TARSAL COALITION, excision of, with interposition of muscle, fat graft or similar graft (Anaes.) (Assist.)
Fee: $616.85	Benefit: 75% = $462.65	
50336	
TALUS, VERTICAL, CONGENITAL, combined anterior and posterior reconstruction (Anaes.) (Assist.)
Fee: $922.05	Benefit: 75% = $691.55	
50339	
FOOT AND ANKLE, tibialis anterior tendon (split or whole) transfer to lateral column (Anaes.) (Assist.)
Fee: $561.55	Benefit: 75% = $421.20	
50342	
FOOT AND ANKLE, tibialis or tibialis posterior tendon transfer, through the interosseous membrane to anterior or posterior aspect of foot (Anaes.) (Assist.)
Fee: $651.60	Benefit: 75% = $488.70	
50345	
HYPEREXTENSION DEFORMITY OF TOE, release incorporating V-Y plasty of skin, lengthening of extensor tendons and release of capsule contracture (Anaes.) (Assist.)
Fee: $346.65	Benefit: 75% = $260.00	
50348	
HIP, KNEE AND LEG PROCEDURES

KNEE, deformity of, post-operative manipulation and change of plaster, performed under general anaesthesia  in the operating theatre of a hospital (Anaes.)
Fee: $228.70	Benefit: 75% = $171.55	85% = $194.40	

OPERATIONS	ORTHOPAEDIC	
50349	
HIP, congenital dislocation of, treatment of, by closed reduction (Anaes.)
Fee: $320.15	Benefit: 75% = $240.15	85% = $272.15	
50351	
HIP, developmental dislocation of, open reduction of (Anaes.) (Assist.)
Fee: $1,597.25	Benefit: 75% = $1,197.95	85% = $1,522.75	
50352	
HIP, congenital dislocation of, treatment of, involving supervision of splint, harness or cast - each attendance (Anaes.)
Fee: $56.50	Benefit: 75% = $42.40	85% = $48.05	
50353	
HIP SPICA, initial application of, for congenital dislocation of hip (excluding aftercare) (Anaes.) (Assist.)
Fee: $354.80	Benefit: 75% = $266.10	
50354	
TIBIA, pseudarthrosis of, congenital, resection and internal fixation (Anaes.) (Assist.)
Fee: $1,310.15	Benefit: 75% = $982.65	85% = $1,235.65	
50357	
KNEE, LEG OR THIGH, rectus femoris tendon transfer, or medial or lateral hamstring tendon transfer (Anaes.) (Assist.)
Fee: $561.55	Benefit: 75% = $421.20	
50360	
KNEE, LEG OR THIGH, combined medial and lateral hamstring tendon transfer (Anaes.) (Assist.)
Fee: $651.60	Benefit: 75% = $488.70	
50363	
KNEE, contracture of, posterior release  involving multiple tendon lengthening or tenotomies, unilateral (Anaes.) (Assist.)
Fee: $499.05	Benefit: 75% = $374.30	
50366	
KNEE, contracture of, posterior release involving multiple tendon lengthening or tenotomies, bilateral (Anaes.) (Assist.)
Fee: $873.45	Benefit: 75% = $655.10	
50369	
KNEE, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with or without cruciate ligaments, unilateral (Anaes.) (Assist.)
Fee: $651.60	Benefit: 75% = $488.70	
50372	
KNEE, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with or without cruciate ligaments, bilateral (Anaes.) (Assist.)
Fee: $1,143.80	Benefit: 75% = $857.85	
50375	
HIP, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator nerve, unilateral (Anaes.) (Assist.)
Fee: $499.05	Benefit: 75% = $374.30	
50378	
HIP, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator nerve, bilateral (Anaes.) (Assist.)
Fee: $873.45	Benefit: 75% = $655.10	
50381	
HIP, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, unilateral (Anaes.) (Assist.)
Fee: $651.60	Benefit: 75% = $488.70	
50384	
HIP, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, bilateral (Anaes.) (Assist.)
Fee: $1,143.80	Benefit: 75% = $857.85	
50387	
HIP, iliopsoas tendon transfer to greater trochanter, or transfer of abdominal musculature to greater trochanter, or transfer of adductors to ischium (Anaes.) (Assist.)
Fee: $651.60	Benefit: 75% = $488.70	
50390	
PERTHES, CEREBRAL PALSY, or other neuromuscular conditions, affecting hips or knees, application of cast under general anaesthesia, performed in the operating theatre of a hospital (Anaes.)
Fee: $228.70	Benefit: 75% = $171.55	85% = $194.40	
50393	
PELVIS, bone graft or shelf procedures for acetabular dysplasia (Anaes.) (Assist.)
Fee: $845.60	Benefit: 75% = $634.20	
50394	
ACETABULAR DYSPLASIA, treatment of, by multiple peri-acetabular osteotomy, including internal fixation where performed (Anaes.) (Assist.)
Fee: $2,777.30	Benefit: 75% = $2,083.00	

OPERATIONS	ORTHOPAEDIC	
50396	
SHOULDER, ARM AND FOREARM PROCEDURES

HAND, congenital abnormalities or duplication of digits, amputation or splitting of phalanx or phalanges, with ligament or joint reconstruction (Anaes.) (Assist.)
Fee: $464.55	Benefit: 75% = $348.45	
50399	
FOREARM, RADIAL APLASIA OR DYSPLASIA (radial club hand), centralisation or radialisation of (Anaes.) (Assist.)
Fee: $922.05	Benefit: 75% = $691.55	
50402	
TORTICOLLIS, bipolar release of sternocleidomastoid muscle and associated soft tissue (Anaes.) (Assist.)
Fee: $422.95	Benefit: 75% = $317.25	
50405	
ELBOW, flexorplasty, or tendon transfer to restore elbow function (Anaes.) (Assist.)
Fee: $575.40	Benefit: 75% = $431.55	
50408	
SHOULDER, congenital or developmental dislocation, open reduction of (Anaes.) (Assist.)
Fee: $998.25	Benefit: 75% = $748.70	
50411	
AMPUTATIONS OR RECONSTRUCTIONS FOR CONGENITAL DEFORMITIES

LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion (Anaes.) (Assist.)
Fee: $1,310.15	Benefit: 75% = $982.65	85% = $1,235.65	
50414	
LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion and rotationplasty (Anaes.) (Assist.)
Fee: $1,767.60	Benefit: 75% = $1,325.70	85% = $1,693.10	
50417	
LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the tibia by reconstruction of the knee, involving transfer of fibula or tibia, and repair of quadriceps mechanism (Anaes.) (Assist.)
Fee: $1,310.15	Benefit: 75% = $982.65	85% = $1,235.65	
50420	
PATELLA, congenital dislocation of, reconstruction of the quadriceps (Anaes.) (Assist.)
Fee: $1,081.35	Benefit: 75% = $811.05	
50423	
TIBIA, FIBULA OR BOTH, congenital deficiency of, transfer of the fibula to tibia, with internal fixation (Anaes.) (Assist.)
Fee: $998.25	Benefit: 75% = $748.70	85% = $923.75	
50426	
TUMOROUS CONDITIONS

DIAPHYSEAL ACLASIA, removal of lesion or lesions from bone - 1 approach (Anaes.) (Assist.)
Fee: $464.55	Benefit: 75% = $348.45	
	SINGLE EVEN MULTILEVEL SURGERY FOR CHILDREN WITH CEREBRAL PALSY	
50450	
UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following:
-	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
-	Correction of muscle imbalance by tendon transfer/transfers.
-	Correction of femoral torsion by rotational osteotomy of the femur.
-	Correction of tibial torsion by rotational osteotomy of the tibia.
-	Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis, with synovectomy if performed, or os calcis lengthening.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $1,226.90	Benefit: 75% = $920.20	

OPERATIONS	ORTHOPAEDIC	
50451	
UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with hemiplegic cerebral palsy comprising three or more of the following:
(a)	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
(b)	Correction of muscle imbalance by tendon transfer/transfers.
(c)	Correction of femoral torsion by rotational osteotomy of the femur.
(d)	Correction of tibial torsion by rotational osteotomy of the tibia.
(e)	Correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis, with synovectomy if performed, or os calcis lengthening.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $1,226.90	Benefit: 75% = $920.20	
50455	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises:
-	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
-	Correction of muscle imbalance by tendon transfer/transfers.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $1,389.40	Benefit: 75% = $1,042.05	
50456	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises:
(a)	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
(b)	Correction of muscle imbalance by tendon transfer/transfers.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $1,389.40	Benefit: 75% = $1,042.05	
50460	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery and bilateral femoral osteotomies.
-	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
-	Correction of muscle imbalance by tendon transfer/transfers.
-	Correction of torsional abnormality of the femur by rotational osteotomy and internal fixation.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $2,074.45	Benefit: 75% = $1,555.85	
50461	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery and bilateral femoral osteotomies.
(a)	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
(b)	Correction of muscle imbalance by tendon transfer/transfers.
(c)	Correction of torsional abnormality of the femur by rotational osteotomy and internal fixation.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $2,074.45	Benefit: 75% = $1,555.85	
50465	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies.
-	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
-	Correction of muscle imbalance by tendon transfer/transfers.
-	Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.
-	Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $2,921.80	Benefit: 75% = $2,191.35	

OPERATIONS	ORTHOPAEDIC	
50466	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies.
(a)	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
(b)	Correction of muscle imbalance by tendon transfer/transfers.
(c)	Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.
(d)	Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $2,921.80	Benefit: 75% = $2,191.35	
50470	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation.
-	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
-	Correction of muscle imbalance by tendon transfer/transfers.
-	Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.
-	Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.
-	Correction of bilateral pes valgus by os calcis lengthening or subtalar fusion.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $3,705.55	Benefit: 75% = $2,779.20	
50471	
BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with cerebral palsy that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation.
(a)	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
(b)	Correction of muscle imbalance by tendon transfer/transfers.
(c)	Correction of abnormal torsion of the femur by rotational osteotomy with internal fixation.
(d)	Correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation.
(e)	Correction of bilateral pes valgus by os calcis lengthening or subtalar fusion.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $3,705.55	Benefit: 75% = $2,779.20	
50475	
SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy for the correction of crouch gait including:
-	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
-	Correction of muscle imbalance by tendon transfer/transfers.
-	Correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation.
-	Correction of patella alta and quadriceps insufficiency by patella tendon shortening/reconstruction.
-	Correction of tibial torsion by rotational osteotomy of the tibia with internal fixation.
-	Correction of foot instability by os calcis lengthening or subtalar fusion.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $4,275.85	Benefit: 75% = $3,206.90	
50476	
SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 years of age with diplegic cerebral palsy for the correction of crouch gait including:
(a)	Lengthening of one or more contracted muscle tendon units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening.
(b)	Correction of muscle imbalance by tendon transfer/transfers.
(c)	Correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation.
(d)	Correction of patella alta and quadriceps insufficiency by patella tendon shortening/reconstruction.
(e)	Correction of tibial torsion by rotational osteotomy of the tibia with internal fixation.
(f)	Correction of foot instability by os calcis lengthening or subtalar fusion.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $4,275.85	Benefit: 75% = $3,206.90	
	TREATMENT OF FRACTURES IN PAEDIATRIC PATIENTS	
50500	
RADIUS OR ULNA, distal end of, with open growth plate, treatment of fracture of, by closed reduction (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $276.65	Benefit: 75% = $207.50	85% = $235.20	

OPERATIONS	ORTHOPAEDIC	
50504	
RADIUS OR ULNA, distal end of, with open growth plate, treatment of fracture of, by open reduction (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $369.05	Benefit: 75% = $276.80	85% = $313.70	
50508	
RADIUS, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture, by closed reduction (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $395.25	Benefit: 75% = $296.45	85% = $336.00	
50512	
RADIUS, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture of, by open reduction (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $527.30	Benefit: 75% = $395.50	
50516	
RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $355.85	Benefit: 75% = $266.90	85% = $302.50	
50520	
RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, by open reduction (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $474.40	Benefit: 75% = $355.80	
50524	
RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $408.50	Benefit: 75% = $306.40	85% = $347.25	
50528	
RADIUS OR ULNA, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by reduction with or without internal fixation by open or percutaneous means (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $659.00	Benefit: 75% = $494.25	
50532	
RADIUS AND ULNA, shafts of, with open growth plates, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $573.40	Benefit: 75% = $430.05	
50536	
RADIUS AND ULNA, shafts of, with open growth plates, treatment of fracture of, by open reduction (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $764.40	Benefit: 75% = $573.30	
50540	
OLECRANON, with open growth plate, treatment of fracture of, by open reduction (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $527.30	Benefit: 75% = $395.50	
50544	
RADIUS, with open growth plate, treatment of fracture of head or neck of, by closed reduction of (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $263.60	Benefit: 75% = $197.70	85% = $224.10	
50548	
RADIUS, with open growth plate, treatment of fracture of head or neck of, by reduction with or without internal fixation by open or percutaneous means (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $527.30	Benefit: 75% = $395.50	
50552	
HUMERUS, proximal, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $454.75	Benefit: 75% = $341.10	85% = $386.55	
50556	
HUMERUS, proximal, with open growth plate, treatment of fracture of, by open reduction (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $606.20	Benefit: 75% = $454.65	

OPERATIONS	ORTHOPAEDIC	
50560	
HUMERUS, shaft of, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $474.40	Benefit: 75% = $355.80	
50564	
HUMERUS, shaft of, with open growth plate, treatment of fracture of, by internal or external fixation (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $632.65	Benefit: 75% = $474.50	
50568	
HUMERUS, with open growth plate, supracondylar or condylar, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital (Anaes.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $553.60	Benefit: 75% = $415.20	85% = $479.10	
50572	
HUMERUS, with open growth plate, supracondylar or condylar, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means, undertaken in the operating theatre of a hospital (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $738.10	Benefit: 75% = $553.60	
50576	
FEMUR, with open growth plate, treatment of fracture of, by closed reduction or traction (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $606.20	Benefit: 75% = $454.65	85% = $531.70	
50580	
TIBIA, with open growth plate, plateau or condyles, medial or lateral, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $632.65	Benefit: 75% = $474.50	
50584	
TIBIA, distal, with open growth plate, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $606.20	Benefit: 75% = $454.65	
50588	
TIBIA AND FIBULA, with open growth plates, treatment of fracture of, by internal fixation (Anaes.) (Assist.)
(See para T8.124 and T8.125 of explanatory notes to this Category)
Fee: $790.70	Benefit: 75% = $593.05	
	SPINE SURGERY FOR SCOLIOSIS AND KYPHOSIS IN PAEDIATRIC PATIENTS	
50600	
SCOLIOSIS OR KYPHOSIS, in a growing child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $434.70	Benefit: 75% = $326.05	85% = $369.50	
50604	
SCOLIOSIS or KYPHOSIS, in a child or adolescent, spinal fusion for (without instrumentation) (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $1,845.05	Benefit: 75% = $1,383.80	
50608	
SCOLIOSIS OR KYPHOSIS, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $3,426.95	Benefit: 75% = $2,570.25	
50612	
SCOLIOSIS OR KYPHOSIS, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $4,874.50	Benefit: 75% = $3,655.90	
50616	
SCOLIOSIS, in a child or adolescent, re-exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $619.35	Benefit: 75% = $464.55	
50620	
SCOLIOSIS, in a child or adolescent, revision of failed scoliosis surgery, involving more than 1 of osteotomy, fusion, removal of instrumentation or instrumentation, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $3,426.95	Benefit: 75% = $2,570.25	

OPERATIONS	ORTHOPAEDIC	
50624	
SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $3,426.95	Benefit: 75% = $2,570.25	
50628	
SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $4,233.20	Benefit: 75% = $3,174.90	
50632	
SCOLIOSIS OR KYPHOSIS, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $3,558.65	Benefit: 75% = $2,669.00	
50636	
SCOLIOSIS, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $3,954.10	Benefit: 75% = $2,965.60	
50640	
SCOLIOSIS, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $2,185.80	Benefit: 75% = $1,639.35	
50644	
SPINE, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $2,108.95	Benefit: 75% = $1,581.75	
	TREATMENT OF HIP DYSPLASIA OR DISLOCATION IN PAEDIATRIC PATIENTS	
50650	
HIP DYSPLASIA or DISLOCATION, in a child, examination, manipulation and arthrography of the hip under anaesthesia (Anaes.)
(See para T8.124 of explanatory notes to this Category)
Fee: $414.75	Benefit: 75% = $311.10	85% = $352.55	
50654	
HIP DYSPLASIA or DISLOCATION, in a child, application or reapplication of a hip spica, including examination of the hip (Anaes.) (Assist.)
(See para T8.124 of explanatory notes to this Category)
Fee: $496.65	Benefit: 75% = $372.50	
50658	
HIP DYSPLASIA or DISLOCATION, in a child, examination and manipulation of the hip under anaesthesia (Anaes.)
(See para T8.124 of explanatory notes to this Category)
Fee: $197.75	Benefit: 75% = $148.35	85% = $168.10	
	SUBGROUP 16 - RADIOFREQUENCY ABLATION	
50950	
NONRESECTABLE HEPATOCELLULAR CARCINOMA, destruction of, by percutaneous radiofrequency ablation, including any associated imaging services, not being a service associated with a service to which item 30419 or 50952 applies (Anaes.)
Fee: $817.10	Benefit: 75% = $612.85	85% = $742.60	
50952	
NONRESECTABLE HEPATOCELLULAR CARCINOMA, destruction of, by open or laparoscopic radiofrequency ablation, where a multi-disciplinary team has assessed that percutaneous radiofrequency ablation cannot be performed or is not practical because of one or more of the following clinical circumstances:
-	percutaneous access cannot be achieved;
-	vital organs/tissues are at risk of damage from the percutaneous RFA procedure; or
-	resection of one part of the liver is possible however there is at least one primary liver tumour in a non-resectable region of the liver which is suitable for radiofrequency ablation, including any associated imaging services, not being a service associated with a service to which item 30419 or 50950 applies (Anaes.)
(See para T8.126 of explanatory notes to this Category)
Fee: $817.10	Benefit: 75% = $612.85	85% = $742.60	

ASSISTANCE AT OPERATIONS	ASSISTANCE AT OPERATIONS	
	GROUP T9 - ASSISTANCE AT OPERATIONS	
Amend
51300	
Assistance at any operation identified by the word "Assist." for which the fee does not exceed $558.30 or at a series or combination of operations identified by the word "Assist." where the fee for the series or combination of operations identified by the word "Assist." does not exceed $558.30
(See para T9.1 and T9.2 of explanatory notes to this Category)
Fee: $86.30	Benefit: 75% = $64.75	85% = $73.40	
Amend
51303	
Assistance at any operation identified by the word "Assist." for which the fee exceeds $558.30 or at a series of operations identified by the word "Assist." for which the aggregate fee exceeds $558.30.
(See para T9.1 and T9.3 of explanatory notes to this Category)
Derived Fee: one fifth of the established fee for the operation or combination of operations	
51306	
Assistance at a delivery involving Caesarean section
(See para T9.1 of explanatory notes to this Category)
Fee: $124.65	Benefit: 75% = $93.50	85% = $106.00	
51309	
Assistance at a series or combination of operations which have been identified by the word "Assist." and assistance at a delivery involving Caesarean section
(See para T9.1 and T9.4 of explanatory notes to this Category)
Derived Fee: one fifth of the established fee for the operation or combination of operations (the fee for item 16520 being the Schedule fee for the Caesarean section component in the calculation of the established fee)	
51312	
Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615, 16627 and 16633
(See para T9.1 of explanatory notes to this Category)
Derived Fee: one fifth of the established fee for the procedure or combination of procedures	
Amend
51315	
Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42725, 42746, 42749, 42752, 42776 or 42779
(See para T9.1 of explanatory notes to this Category)
Fee: $272.40	Benefit: 75% = $204.30	85% = $231.55	
51318	
Assistance at cataract and intraocular lens surgery where patient has:
-	total loss of vision, including no potential for central vision, in the fellow eye; or
-	previous significant surgical complication in the fellow eye; or
-	pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre-existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan's syndrome, homocysteinuria or previous blunt trauma causing intraocular damage
(See para T9.1 and T9.5 of explanatory notes to this Category)
Fee: $179.75	Benefit: 75% = $134.85	85% = $152.80	

INDEX

A

Abbe flap, reconstruction of cleft lip	45701
    reconstruction of lip or eyelid	45671
Abdomen, burst, repair of	30403
    closure of and repair of musculoaponeurotic layer	45570
    closure of, in conjunction with free tissue transfer 
       or breast reconstruction	45569
abdominal aortic aneurysm, endovascular repair	33116,33119
Abdominal apron, wedge excision	30165,30168,30171
    aortic aneurysm, endovascular repair of	33116,33119
    musculature transfer to greater trochanter	50387
    paracentesis	30406
    viscera, operations involving laparotomy	30387
    wall vitello intestinal remnant, excision of	43942
Abdomino-perineal resection, rectum and anus	32039,32042,32045
       32046
Abdomino-vaginal op for stress incontinence	35602,35605
Abdominoplasty, Pitanguy type	30177
Abortion, threatened, treatment of	16505
Abrasive therapy	45021,45024
Abscess, anal, drainage of	32174,32175
    appendiceal, laparotomy for drainage	30394
    Bartholin's, incision of	35520
    breast, exploration and drainage	31551
    deep, percutaneous drainage	30224
    drainage tube, exchange of	30225
    extradural, laminectomy for	40309
    intra-orbital, drainage of	42572
    intracranial, excision of	39903
    ischio-rectal, drainage of	32174,32175
    laparotomy for drainage of	30394
    large, incision and drainage, with GA	30223
    liver, open abdominal drainage of	30431
    middle ear, operation for	41626
    pancreatic, laparotomy, external drainage	30575
    pelvic, laparotomy for drainage of	30394
    peritonsillar, incision of	41807
    prostate, drainage of	37212,37221
    retroperitoneal, drainage of	30402
    small, incision, drainage, without GA	30219
    subperiosteal	43500,43503,43506
       43509,43512,43515,43518,43521,43524
    subphrenic, laparotomy for drainage	30394
Accessory bone, osteotomy or osteectomy of	48400
Acetabular dysplasia, pelvis, bone graft/shelf 
       procedure	50393
Acetabulum, treatment of fracture of	47492,47495,47498
       47501,47504,47507,47510
Achilles' tendon, operation for lengthening	49727
    tendon, repair of	49718,49721,49724
Acoustic neuroma, removal of	41575,41576,41578
       41579
Adductors to ischium transfer	50387
Adenoids and tonsils, removal of	41788,41789,41792
       41793
    removal of	41800,41801
Adhesions, division of, via laparoscope	31450,31452,35637
    division of, with laparoscopy	30393
    division of, with laparotomy	30376,30378,30379
    liver, destruction of by cryotherapy	30419
    nasal, division of	41683
    pharyngeal, division of	41758
Administration of	16018
Adrenal gland, excision of	36500
    gland tumour, excision of	30324
    hyperplasia, congenital, vaginoplasty for	37851
Alcohol, injection of trigeminal nerve/s	39100
    retrobulbar injection of	42824
Alimentary continuity, primary restoration	41843
    obstruction, neonatal, laparotomy for	43825
Alopecia, hair transplantation for	45560
Alveolar ridge augmentation	45841,45843
Amnio-infusion	16621
Amniocentesis, diagnostic	16600
    therapeutic	16618
Amputation, limb, digit etc.	44325,44328,44331
       44334,44338,44342,44346,44350,44354,44358,44359
       44361,44364,44367,44370,44373,44376
    stump, reamputation of	44376
    stump, revision of	46483
Anaesthetic, Relative Value Guide	20100,20102,20104
       20120,20124,20140,20142-20148,20160,20162,20164
       20170,20172,20174,20176,20190,20192,20210,20212
       20214,20216,20220,20222,20225,20230,20300,20305
       20320,20321,20330,20350,20352,20355,20400-20406
       20410,20420,20440,20450,20452,20470,20472,20474
       20475,20500,20520,20522,20524,20526,20528,20540
       20542,20546,20548,20560,20600,20604,20620,20622
       20630,20632,20634,20670,20680,20690,20700
       20702-20706,20730,20740,20745,20750,20752,20754
       20756,20770,20790-20794,20798-20800,20802-20806
       20810,20815,20820,20830,20832,20840-20842
       20844-20848,20850,20855,20860,20862-20864
       20866-20868,20880,20882,20884,20886,20900,20902
       20904-20906,20910-20912,20914,20916,20920,20924
       20926,20928,20930,20932,20934,20936,20938,20940
       20942-20944,20946,20948,20950,20952-20954,20956
       20958,20960,21100,21110,21112,21114,21116,21120
       21130,21140,21150,21155,21160,21170,21195,21199
       21200,21202,21210,21212,21214,21216,21220,21230
       21232,21234,21260,21270,21272,21274,21275,21280
       21300,21321,21340,21360,21380,21382,21390,21392
       21400,21402-21404,21420,21430,21432,21440,21445
       21460-21462,21464,21472,21474,21480,21482,21484
       21486,21490,21500,21502,21520,21522,21530,21532
       21535,21600,21610,21620,21622,21630,21632,21634
       21636,21638,21650,21652,21654,21656,21670,21680
       21682,21685,21700,21710,21712,21714,21716,21730
       21732,21740,21756,21760,21770,21772,21780,21785
       21790,21800,21810,21820,21830,21832,21834,21840
       21842,21850,21860,21865,21870,21872,21878-21887
       21900,21906,21908,21910,21912,21914-21916,21918
       21922,21925-21927,21930,21935,21936,21939
       21941-21943,21945,21949,21952,21955,21959,21962
       21965,21969,21970,21973,21976,21980,21981,21990
       21992,21997,22001,22002,22007,22008,22012,22014
       22015,22018,22020,22025,22031,22036,22040,22045
       22050,22051,22055,22060,22065,22070,22075,22900
       22905,23010,23021-23023,23031-23033,23041-23043
       23051-23053,23061-23063,23071-23073,23081-23083
       23091,23101,23111-23119,23121,23170,23180,23190
       23200,23210,23220,23230,23240,23250,23260,23270
       23280,23290,23300,23310,23320,23330,23340,23350
       23360,23370,23380,23390,23400,23410,23420,23430
       23440,23450,23460,23470,23480,23490,23500,23510
       23520,23530,23540,23550,23560,23570,23580,23590
       23600,23610,23620,23630,23640,23650,23660,23670
       23680,23690,23700,23710,23720,23730,23740,23750
       23760,23770,23780,23790,23800,23810,23820,23830
       23840,23850,23860,23870,23880,23890,23900,23910
       23920,23930,23940,23950,23960,23970,23980,23990
       24100-24136,25000,25005,25010,25015,25020,25025
       25030,25050,25200,25205
    abdomen, lower	20800,20802-20806,20810
       20815,20820,20830,20832,20840-20842,20844-20848
       20850,20855,20860,20862-20864,20866-20868,20880
       20882,20884
    abdomen, upper	20700,20702-20706,20730
       20740,20745,20750,20752,20754,20756,20770
       20790-20794,20798,20799
    anaesthesia in connection with burns	21878-21887
    anaesthesia in connection with dental services	22900,22905
    anaesthesia in connection with radiological diagnostic 
       or therapeutic procedures	21900,21906,21908
       21910,21912,21914-21916,21918,21922,21925-21927
       21930,21935,21936,21939,21941-21943,21945,21949
       21952,21955,21959,21962,21965,21969,21970,21973
       21976,21980
    anaesthesia modifiers	25000,25005,25010
       25015,25020,25025,25030
    anaesthesia time	23010,23021-23023,23031-23033
       23041-23043,23051-23053,23061-23063,23071-23073
       23081-23083,23091,23101,23111-23119,23121,23170
       23180,23190,23200,23210,23220,23230,23240,23250
       23260,23270,23280,23290,23300,23310,23320,23330
       23340,23350,23360,23370,23380,23390,23400,23410
       23420,23430,23440,23450,23460,23470,23480,23490
       23500,23510,23520,23530,23540,23550,23560,23570
       23580,23590,23600,23610,23620,23630,23640,23650
       23660,23670,23680,23690,23700,23710,23720,23730
       23740,23750,23760,23770,23780,23790,23800,23810
       23820,23830,23840,23850,23860,23870,23880,23890
       23900,23910,23920,23930,23940,23950,23960,23970
       23980,23990,24100-24136
    arm, upper (and elbow)	21700,21710,21712
       21714,21716,21730,21732,21740,21756,21760,21770
       21772,21780,21785,21790
    assistance at anaesthesia	25200,25205
    assistance time	23010,23021-23023,23031-23033
       23041-23043,23051-23053,23061-23063,23071-23073
       23081-23083,23091,23101,23111-23119,23121,23170
       23180,23190,23200,23210,23220,23230,23240,23250
       23260,23270,23280,23290,23300,23310,23320,23330
       23340,23350,23360,23370,23380,23390,23400,23410
       23420,23430,23440,23450,23460,23470,23480,23490
       23500,23510,23520,23530,23540,23550,23560,23570
       23580,23590,23600,23610,23620,23630,23640,23650
       23660,23670,23680,23690,23700,23710,23720,23730
       23740,23750,23760,23770,23780,23790,23800,23810
       23820,23830,23840,23850,23860,23870,23880,23890
       23900,23910,23920,23930,23940,23950,23960,23970
       23980,23990,24100-24136
    assistance, modifiers	25000,25005,25010
       25015,25020,25025,25030
    forearm, wrist & hand	21800,21810,21820
       21830,21832,21834,21840,21842,21850,21860,21865
       21870,21872
    head	20100,20102,20104
       20120,20124,20140,20142-20148,20160,20162,20164
       20170,20172,20174,20176,20190,20192,20210,20212
       20214,20216,20220,20222,20225
    intrathoracic	20500,20520,20522
       20524,20526,20528,20540,20542,20546,20548,20560
    knee & popliteal area	21300,21321,21340
       21360,21380,21382,21390,21392,21400,21402-21404
       21420,21430,21432,21440
    leg, lower (below knee)	21460-21462,21464,21472
       21474,21480,21482,21484,21486,21490,21500,21502
       21520,21522,21530,21532
    leg,upper (except knee)	21195,21199,21200
       21202,21210,21212,21214,21216,21220,21230,21232
       21234,21260,21270,21272,21274,21275,21280
    neck	20300,20305,20320
       20321,20330,20350,20352
    pelvis (except hip)	21100,21110,21112
       21114,21116,21120,21130,21140,21150,21155,21160
       21170
    perfusion, modifiers	25000,25005,25010
       25015,25020,25050
    perfusion, time	23010,23021-23023,23031-23033
       23041-23043,23051-23053,23061-23063,23071-23073
       23081-23083,23091,23101,23111-23119,23121,23170
       23180,23190,23200,23210,23220,23230,23240,23250
       23260,23270,23280,23290,23300,23310,23320,23330
       23340,23350,23360,23370,23380,23390,23400,23410
       23420,23430,23440,23450,23460,23470,23480,23490
       23500,23510,23520,23530,23540,23550,23560,23570
       23580,23590,23600,23610,23620,23630,23640,23650
       23660,23670,23680,23690,23700,23710,23720,23730
       23740,23750,23760,23770,23780,23790,23800,23810
       23820,23830,23840,23850,23860,23870,23880,23890
       23900,23910,23920,23930,23940,23950,23960,23970
       23980,23990,24100-24136
    perfusion, whole body, cardiac bypass	22060
    perineum	20900,20902,20904-20906
       20910-20912,20914,20916,20920,20924,20926,20928
       20930,20932,20934,20936,20938,20940,20942-20944
       20946,20948,20950,20952-20954,20956,20958,20960
    shoulder & axilla	21600,21610,21620
       21622,21630,21632,21634,21636,21638,21650,21652
       21654,21656,21670,21680,21682
    spine & spinal cord	20600,20604,20620
       20622,20630,20632,20634,20670,20680,20690
    thorax	20400-20406,20410,20420
       20440,20450,20452,20470,20472,20474
Anal canal, laser therapy (restriction)	35539,35542,35545
    fissure, operation for, including excision	32150
    fistula, excision/repair	32156,32159,32162
       32165
    fistula, readjustment of Seton	32166
    graciloplasty	32203
    graciloplasty, insertion of stimulator & electrode	32209
    incontinence, Parks' procedure	32126
    skin tags or polyps, excision of	32142,32145
    sphincter, direct repair of	32129
    sphincterotomy, independent, Hirschsprung's	43999
    stricture, anoplasty for	32123
    warts, removal under GA or nerve block	32177,32180
Anastomosis, aorta, congenital heart disease	38706,38709
    arterial/venous, independent	32766
    arterial/venous, with other operation	32769
    arteriovenous, upper or lower limb	34503,34509
    facio-hypoglossal/accessory nerve	39503
    ileo-rectal, with total colectomy	32012
    intrathoracic, congenital heart disease	38727,38730
    microvascular, in plastic surgery	45502
    oesophageal atresia, neonatal	43855
    saphenous vein, for femoral vein bypass	34809
    vena cava, for congenital heart disease	38721,38724
Aneurysm, cerebrovascular, clipping/reinforcement	39800
    intracranial proximal artery clipping	39806
    intracranial, ligation cervical vessels	39812
    left ventricular, plication of	38506
    left ventricular, resection	38507,38508
    major artery, replacement/repair	33050,33055,33070
       33075,33080,33100,33103,33109,33112,33115,33116
       33118,33119,33121,33124,33127,33130,33133,33136
       33139,33142,33145,33148,33151,33154,33157,33160
       33163,33166,33169,33172,33175,33178,33181
Angiofibroma, face/neck, removal by laser excision	30190
    nasopharyngeal, removal	41767
angiography, selected coronary	38215,38218,38220
       38222,38225,38228,38231,38234,38237,38240,38241
       38243,38246
Angioma, cauterisation/injection into	45027
    excision of	45030,45033,45035
       45036
Angioplasty, peripheral laser	35315
    transluminal balloon	35300,35303
Angioscopy	35324,35327
Ankle, achilles tendon, operation for lengthening	49727
    achilles tendon, repair of	49718,49721,49724
    and foot, tibialis tendon transfer	50339,50342
    arthrodesis of	49712
    arthroscopic surgery of	49703
    arthroscopy of, diagnostic	49700
    arthrotomy of	49706
    dislocation, treatment of	47063,47066
    fracture, treatment of	47594,47597,47600
       47603
    gastrocnemius aponeurosis, operation for lengthening	49728
    ligamentous stabilisation of	49709
    major tendon repair	49718
    revision arthroplasty	49716,49717
    synovectomy of	50312
    tibialis tendon transfer	50339,50342
    total joint replacement	49715
Annuloplasty, heart valve	38475,38477,38478
Anophthalmic orbit, insertion cartilage/implant	42518
    orbit, placement of motility integrating peg	42518
    orbit, removal of implant from socket	42518
    socket, treatment as secondary procedure	42521
Anoplasty for anal stricture	32123
Anorectal carcinoma, excision of	32105
    application of formalin	32212
    examination, under GA	32171
    malformation, neonatal, laparotomy and colostomy	43822
    malformation, paediatric, operations	43960,43963,43966
Anorectoplasty of anorectal malformation	43963,43966
Antenatal cardiotocography (restriction)	16514
    care, independent of confinement	16500
    service provided by a midwife, nurse or ATSI health 
       practitioner	16400
Antepartum haemorrhage, treatment of	16509
Anterior chamber, irrigation of blood from	42743
    resection of rectum	32024,32025
    section of corpus callosum for epilepsy	40700
    synechiae, division of	42761
    vaginal repair	35570-35573,35577,35578
Antireflux operations	30527,30529,30530
    operation by fundoplasty	31464,31466
Antrectomy and/or vagotomy	30497,30503
Antrobuccal fistula operation	41722
Antroscopy of temporomandibular joint	45855,45857
Antrostomy, radical	41710,41713
Antrum, drainage of, through tooth socket	41719
    intranasal, operation on	41716
    maxillary, lavage of	41704
    maxillary, proof puncture, lavage	41698,41701
    removal of foreign body from	41716
Anus, dilatation of (Lord's procedure)	32153
Aorta, anastomosis, congenital heart disease	38706,38709
    thoracic, management of rupture/dissection	38572
    thoracic, repair/replacement procedures	38550,38553,38556
       38559,38562,38565,38568,38571
Aortic bypass	32708,32710,32711
    endarterectomy	33509
    interruption, repair of	38712
    valve leaflet/s, decalcification of	38483
Aorto-duodenal fistula, repair of	34160,34163,34166
Aorto-femoral endarterectomy	33515
Aorto-iliac endarterectomy	33512
Aortopexy for tracheomalacia	43909
Appendiceal abscess, laparotomy for drainage	30394
Appendicectomy	30571,30572,30574
Appendix, ruptured, laparotomy for drainage	30394
Arachnoidal cyst, craniotomy for	39718
Arch Bars, to maxilla or mandible, removal of	45823
Areola, reconstruction of	45545,45546
Arm, amputation or disarticulation of	44328
Arnold Chiari malformation, decompression of	40106
Arrhythmia ablation	38287,38290,38293
    surgery	38390,38393,38512
       38515,38518
Arterial anastomosis, not otherwise covered	32766,32769
    atherectomy, peripheral	35312
    cannulation for infusion chemotherapy, open	34524
    catheterisation, peripheral	35317,35319-35321
    line for blood pressure monitoring	13876
    puncture and blood collection, diagnostic	13839
Arteries, major, access as part of re-operation	35202
Arteriography, operative	35200
Arteriography, preparation for	38215
Arteriography, preparation for	38218
Arteriovenous access device, insertion of	34512
    access device, prosthetic, correction of	34518
    access device, thrombectomy of	34515
    anastomosis of upper or lower limb	34503,34509
    fistula extremity, surgically created, closure	34130
    fistula, dissection and ligation/repair	34112,34115,34118
       34121,34124,34127
    fistula, ligation of cervical vessel/s	39812
    fistula, stenosis of, correction of	34518
    malformation, excision of	45039,45042,45045
    malformation, intracranial artery clipping of	39806
    malformation, intracranial, excision of	39803
    malformation, laminectomy, radical excision of	40318
    shunt, declotting of	13106
    shunt, external, insertion/removal	34500,34506
Artery, anastomosis of, microvascular	45502
    bypass grafting, occlusive arterial disease	32700,32703,32708
       32710-32712,32715,32718,32721,32724,32730,32733
       32736,32739,32742,32745,32748,32751,32754,32757
       32760,32763
    coeliac, decompression of	34142
    coronary, bypass operations	38497,38498,38500
       38501,38503,38504
    embolectomy of	33800,33803,33806
    endarterectomy of	33500,33506,33509
       33512,33515,33518,33521,33524,33527,33530,33533
       33536,33539,33542
    ethmoidal, transorbital ligation of	41725
    great, ligation/exploration, other	34103
    harvesting for coronary bypass	38496
    ligation/exploration not otherwise covered	34106
    major, of neck, ligation/exploration, other	34100
    major, repair of wound of	33815,33818,33821
       33824,33827,33830,33833,33836,33839
    maxillary, transantral ligation of	41707
    neck, reoperation for bleeding/thrombosis	33842
    patch grafting to	33545,33548
    popliteal, exploration for popliteal entrapment	34145
    temporal, biopsy of	34109
    thrombectomy of	33803,33806
Arthrectomy, hip	49309,49312
    rotational,coronary artery	38309,38312,38315
       38318
Arthrocentesis. with irrigation of temporomandibular 
       joint	45865
Arthrodesis, ankle	49712
    elbow	49106
    finger/hand	46300,46303
    foot	49815,49845
    hip	49306
    joint, other	50109
    knee	49509,49512,49545
    sacro-iliac joint	49300
    shoulder	48939,48942
    subtalar joint	50118
    wrist	49200,49203
Arthroplasty, ankle	49715
    carpal bone	46324,46325
    finger/hand	46306,46307,46309
       46312,46315,46318,46321
    foot	49839,49842
    hip	49309,49312,49315
       49318,49319,49321,49324,49327,49330,49333,49346
    joint, other	50127
    knee	49518,49519,49521
       49524,49527,49530,49533,49534
    shoulder	48915,48918,48921
       48924
    temporomandibular joint	45758
    wrist	49209
Arthroscopy, ankle	49700,49703
    elbow	49118,49121
    hip	49360,49363,49366
    joint, other	50100,50102
    knee	49557-49564,49566
    shoulder	48945,48948,48951
       48954,48957,48960
    wrist	49218,49221,49224
       49227
Arthrotomy, ankle	49706
    elbow	49100
    finger/hand	46327,46330
    hip	49303
    joint, other	50103
    knee	49500
    shoulder	48912
    wrist	49212
Artificial erection device, insertion of	37426,37429
    erection device, revision or removal of	37432
    insemination services	13203,13209,13221
    lens, insertion of	42701
    lens, removal of	42704
    lens, removal, replacement different lens	42707
    lens, repositioning of, open operation	42704
    urinary sphincter, insertion	37381,37384,37387
    urinary sphincter, revision/removal	37390
Arytenoidectomy with microlaryngoscopy	41867
Aspiration biopsy, bone marrow	30087
    biopsy, deep organ, imaging guided	30094
    of bladder, needle	37041
    of haematoma	30216
    of thoracic cavity	38800,38803
    one or more jaw cysts	45799
Assistance at operations	51300,51303,51306
       51309,51312,51315,51318
Assisted reproductive technologies	13200,13203,13206
       13209,13212,13215,13218,13221
Atherectomy, peripheral arterial	35312
Atresia, choanal, repair/correction	45645,45646
    external auditory canal, reconstruction	45662
Atrial chamber/s, operations for arrhythmia	38512,38515
    septal defect closure, surgical	38742
    septal defect closure, transcatheter approach	38272
    septectomy	38739
Attendance, acupuncture	
    antenatal	16500
    intensive care unit (specialist)	13870,13873
Atticotomy	41533,41536
Auditory canal, external	41524
    - reconstruction, congenital atresia	45662
    - removal of foreign body, incision	41503
    canal external, blind sac closure	41564
    canal stenosis, correction of, with meatoplasty	41521
    meatus, external, removal of exostoses in	41518
    meatus, internal, exploration	41599
Augmentation mammaplasty	45524,45527,45528
Aural polyp, removal of	41506
Autoconjunctival transplant	42641
Avulsion, penis, repair of	37411
Axilla, lymph glands, excision of	30332
    lymph nodes, excision of	30335,30336
Axillary hyperhidrosis, excision for	30180,30183
    to femoral bypass grafting	32715
    vessel, ligation/exploration, other	34103
Axillofemoral graft, infected, excision of	34172

B

Baker's cyst, excision of	30114
Balloon catheter, right heart, insertion of	13818
    intubation, gastro-oesophageal	13506
    valvuloplasty or septostomy	38270
Bartholin's abscess, incision of	35520
    cyst or gland, marsupialisation of	35516,35517
    cyst, excision of	35512,35513
Barton's fracture of radius, treatment of	47369,47372,47375
Basal cell carcinoma, removal of	31255-31258,31260-31263,31265-31268
       31270-31273,31275-31278,31280-31283,31285-31288
       31290-31293,31295
    in oral & maxillofacial, complicated, removal	45811,45813
    in oral & maxillofacial, uncomplicated, removal of	45801,45803,45805
       45807,45809
Bat ear or similar deformity, correction of	45659
Bicornuate uterus, plastic reconstruction for	35680
Bile duct, common, radical resection	30461,30463,30464
    duct, common, repair of	30472
    duct, endoscopic stenting of	30491
Biliary atresia, paediatric, portoenterostomy for	43978
    bypass	30460,30466,30467
    dilatation, endoscopic	30494
    dilatation, percutaneous	30495
    drainage tube exchange, imaging guided	30451
    manometry	30493
    stenting, percutaneous	30492
    stricture, repair of	30469
Biopsy, aggressive bone/deep tissue tumour	50200,50201
    biopsy, using ABBI	31539,31545
    bone marrow	30081,30084,30087
    breast	31530,31533,31548
    cervix, cone	35617,35618
    cervix, punch	35608
    conjunctiva	42676
    drill, lymph gland, deep tissue/organ	30078
    endometrial, for suspected malignancy	35620
    laparoscopic	30391
    liver	30409,30411
    lung, percutaneous needle	38812
    lymph gland, muscle, other deep tissue/organ	30074,30075
    lymph node of neck	31420
    myocardial, by cardiac catherterisation	38275
    percutaneous aspiration, deep organ	30094
    pleura	30090
    prostate	37212,37215,37218
    punch, of synovial membrane	30087
    rectum, full thickness	32096
    renal (closed)	36561
    scalene node	30096
    sentinel lymph node, for breast cancer	30299,30300,30302
       30303
    skin or mucous membrane	30071
    vertebra, needle	30093
Bladder, aspiration of, by needle	37041
    biopsy of, with cystoscopy	36836
    catheterisation of	36800
    cystostomy or cystotomy	37008
    diverticulum of, excision or obliteration	37020
    ectopic, 'turning-in' operation	37842
    enlargement of, using intestine	37047
    excision of	37000,37014
    exstrophy closure	37050
    exstrophy of, repair of	37842
    neck reconstruction, prostatectomy	37210,37211
    neck resection, endoscopic	36854
    repair of rupture	37004
    stress incontinence, sling procedure	37042
    stress incontinence, Stamey or similar	37043
    stress incontinence, suprapubic procedure	37044
    transection, with re-anastomosis to trigone	37053
    tumour/s, diathermy/resection	36840,36845
    tumour/s, laser destruction with cystoscopy	36840
Blood, administration of	13703,13706
    arterial, collection for pathology	13839,13842
    collection of, for transfusion	13709
    collection of, in infants, for pathology	13312
    peripheral, invitro processing, cryopreservation	13760
    pressure monitoring, indwelling catheter (ICU only)	13876
    retrograde admin for cardioplegia	38588
    sampling, fetal	16606
    transfusion	13703,13706
    transfusion, fetal	16609,16612,16615
    transfusion, paediatric/neonatal	13306,13309
Bone, cysts, injection into or aspiration of	47900
    bone conduction hearing system	41603,41604
    flap, infected, craniectomy for	39906
    graft to femur	48200,48203
    graft to humerus	48212,48215
    graft to other bones	48239
    graft to phalanx or metacarpal	46402,46405
    graft to radius and ulna	48221
    graft to radius or ulna	48218,48224,48227
    graft to scaphoid	48230,48233,48236
    graft to spine	48642,48645,48648
       48651
    graft to tibia	48206,48209
    graft, harvesting of	47726,47729,47732
    graft, with internal fixation	48242
    growth stimulator	45821
    lesion/s, removal, diaphyseal aclasia	50426
    marrow, administration of	13706
    marrow, aspiration biopsy of	30087
    marrow, harvesting of for transplantation	13700
    marrow, in vitro processing/cryopreservation	13760
    tumour, benign, resection of	50230
    tumour, innocent, excision of	30241
    tumour, malignant, operations for	50200,50201,50203
       50206,50209,50212,50215,50218,50221,50224,50227
       50230,50233,50236,50239
Botulinum toxin, injection for	18350-18352,18354,18356
       18358,18360,18362,18364,18366,18368,18370-18373
    blepharospasm	18370-18373
    cervical dystonia (spasmodic torticollis)	18352
    dynamic equinovalgous	18358
    dynamic equinovarous	18356
    dynamic equinus foot deformity	18354
    foot deformities due to spasticity	18354,18356,18358
    hemifacial spasm	18350,18351
Boutonniere deformity, reconstruction of	46444,46447
Bowel, colectomy, total	32009,32012,32015
       32018,32021
    hemicolectomy	32000,32003,32006
    ileostomy closure/reservoir	32060,32063,32066
       32069
    large, resection of	32000,32003
    large, subtotal colectomy	32004,32005
    perineal proctectomy	32047
    rectosigmoidectomy (Hartmann's op)	32030
    rectum and anus, resection	32039,32042,32045
       32046
    rectum, resection of	32024-32026,32028
    resection for enterocolitis stricture, neonatal	43834
    resection for jejunal atresia, neonatal	43810
    restoration following Hartmann's op	32029,32033
    ruptured, repair	30375
    small, intubation	30487,30488
    small, resection of	30565,30566
    small, strictureplasty	30564
Brachial plexus, exploration of	39333
    vessel, ligation/exploration, other	34106
Brachycephaly, cranial vault reconstruction for	45785
Brachytherapy planning	15536
    For prostate cancer	15338,15513,15539
       37220
Brain stem evoked response audiometry	
    stem tumour, craniotomy for removal	39709
Branchial cyst, removal of	30286
    fistula, removal of	30289
Breast, biopsy, fine needle, imaging guided	31533
    abnormality detected by mammography	31506
    benign lesion	31500,31503
    biopsy of solid tumour, vacuum-assisted, image guided	31530
    central ducts, excision for benign condition	31557
    core biopsy of solid tumour or tissue	31548
    exploration/drainage, operating theatre	31551
    lesion, pre-op localisation, for ABBI	31542
    lesion, pre-op localisation, imaging guided	31536
    malignant tumour	31509,31512
    mammaplasty	45524,45527,45528
    microdochotomy	31554
    nipple, accessory, excision of	31566
    prosthesis operations	45548,45551-45554
    pstosis, correction of (unilateral)	45556,45557
    ptosis, correction of (bilateral)	45558
    reconstruction	45530,45533,45536
       45539,45542
    silicone prosthesis, removal of	45555
    tissue, accessory, excision of	31560
    tubuerous, tubular or constricted, correction of	45559
    tumour site, re-excision	31515
Broad ligament cyst/tumour, excision/removal	35712,35713,35716
       35717
Brodie's abscess, operation for	43515
Bronchial tree, intrathoracic operation on, other	38456
Bronchoscopy, as an independent procedure	41889
    with biopsy or other procedure	41892
    with dilatation of tracheal stricture	41904
    with transbronchial lung biopsy	41898
Bronchus, dilatation of stricture and stent insertion	41905
    operations on	41889,41892,41895
    removal of foreign body in	41895
Broviac catheter, insertion of, for chemotherapy	34527,34528
    catheter, removal of	34530
Bubonocele operation	30612,30614
Bunion, excision of	47933
Burch colposuspension	37044
Burns, dressing of (not involving grafting)	30003,30006,30009
       30010,30013,30014
    excision of under GA (not involving grafting)	30017,30020
    free grafting	45406,45409,45412
       45415,45418,45439,45442,45445,45448,45451
       45460-45462,45464-45466,45468,45469,45471,45472
       45474,45475,45477,45478,45480,45481,45483-45494
    scars, excision of	45519
Burr-hole craniotomy, intracranial haemorrhage	39600
    placement of intracranial electrodes	40709
    single, preparatory to ventricular puncture	39012
Bursa, incision of	
    large, excision of	30110,30111
    semimembranosus, excision of	30114
    small, excision of	30106,30107
Burst abdomen, repair of	30403
Bypass, extracranial to intracranial	39818
    graft, infected, of extremities, excision of	34175
    graft, infected, of neck, excision of	34157
    graft, infected, of trunk, excision of	34169
    grafting for aneurysm	33050,33055
    grafting, arterial, for occlusive arterial disease	32700,32703,32708
       32710-32712,32715,32718,32721,32724,32730,32733
       32736,32739,32742,32745,32748,32751,32754,32757
       32760,32763
    grafting, cross leg, saphenous to iliac or femoral vein	34806

C

Caecostomy,	30375
    closure of	30562
Caesarean section	16520,16522
Calcaneal spur, of foot, excision of	49818
Calcanean bursa, excision of	30110,30111
Calcaneum fracture, treatment of	47606,47609,47612
       47615,47618
Calculus, biliary, extraction of	30454,30455,30457
       30458
    biliary/renal tract, extraction of	30450
    bladder, removal of	36863
    kidney, removal of	36540,36543
    renal, extraction of	36627,36630,36633
       36636,36639,36642,36645,36648
    staghorn, nephrolithotomy and/or pyelolithotomy	36543
    sublingual/salivary gland duct, removal of	30265,30266
    ureter, removal of	36549
    ureteric, endoscopic removal/manipulation	36857
Caldwell-Luc operation	41710
Calf, decompression fasciotomy of	47975,47978,47981
Cancer of skin/mucous membrane, removal	30196,30197,30202
       30203,30205
Cannulae, membrane oxygenation	38627
    bypass	38627
    ventricular assist	38627
Cannulation, arterial, for infusion chemotherapy	34524
    central vein	13318,13815
    central vein, subcutaneous tunnel	34527
    coronary sinus, for admin of blood or crystalloid	38588
    for cardiopulmonary bypass	38600,38603
    for retrograde cerebral perfusion	38577
    intra-abdominal vessel, for chemotherapy	34521
    peripheral arterial	35317,35319-35321
    peripheral venous	35317,35319,35320
    pulmonary artery	13818
    umbilical artery	13303
    umbilical/scalp vein in neonate	13300
Canthoplasty	42590
Capsule, posterior, needling of	42737
Capsulectomy	42719,42731
    of finger joints	46336
Capsulotomy, laser	42788,42789
    other than laser	42734
Carbon dioxide laser resurfacing, face or neck	45025,45026
Carbuncle, incision and drainage, with GA	30223
Cardiac by-pass, whole body perfusion	22060
    catheterisation	38200,38203,38206
       38209,38212,38213,38215,38218,38220,38222
    catheterisation - for myocardial biopsy	38275
    deep hypothermic circulatory arrest	22075
    electrophysiological studies	38209,38212,38213
    operation (intrathoracic), other	38456
    pacemaker, insertion/replacement	38353
    resynchronisation therapy	38365,38368,38371
       38654
    rhythm, restoration, electrical stimulation	13400
    surgery, for congenital heart disease	38700,38703,38706
       38709,38712,38715,38718,38721,38724,38727,38730
       38733,38736,38739,38742,38745,38748,38751,38754
       38757,38760,38763,38766
    surgery, re-operation via median sternotomy	38640
    tumour, excision of	38670,38673,38677
       38680
Cardiopexy, antireflux operation	30530
Cardioplegia, retrograde administration of	22070
Cardiopulmonary bypass, cannulation for	38600,38603
    support procedures	13815,13818,13830
       13839,13842,13847,13848,13851,13854,13857
Cardiotocography, antenatal (restriction)	16514
Cardioversion	13400
Carotid artery, aneurysm, graft replacement	33100
    artery, internal, transection/resection	32703
    body tumour, resection of	34148,34151,34154
    cavernous fistula, obliteration of	39815
    percutaneous transluminal angioplasty with stenting	35307
    percutaneous transluminal angioplasty with stenting	35307
Carpal bone, replacement arthroplasty	46324,46325
    ligament, transverse, division of	39331
    resection arthroplasty	46325
    scaphoid, fracture, treatment of	47354,47357
    tunnel release	39331
Carpometacarpal joint, arthrodesis of	46303
    joint, dislocation, treatment of	47030,47033
    joint, synovectomy of	46342
Carpus dislocation, treatment of	47030,47033
    fracture, treatment of	47348,47351
    operation on, acute osteomyelitis	43503,46462
    operation on, chronic osteomyelitis	43512,46462
    osteectomy/osteotomy of	48406,48409
Caruncle, urethral, cauterisation of	35523
    urethral, excision of	35526,35527
Cataract, juvenile, removal of	42716
    surgery	42702
Catheter, peritoneal insertion and fixation	13109
    epidural, insertion of	39140
    placement of catheters and injection of opaque material	38243
    tenckhoff peritoneal dialysis, removal of	13110
Catheterisation, bladder, independent procedure	36800
    blood pressure monitoring	13876
    cardiac	38200,38203,38206
       38209,38212,38213,38215,38218,38220,38222
    central vein	13318,13319,13815
    central vein, subcutaneous tunnel	34527,34528
    central vein, tunnelled cuffed	34538
    eustachian tube	41755
    frontal sinus	41740
    intracranial, for pressure monitoring	13830
    peripheral arterial	35317,35319-35321
    peripheral venous	35317,35319,35320
    peritoneal, for dialysis	13109,13110
    pulmonary artery	13818
    right heart balloon	13818
    umbilical artery	13303
    umbilical or scalp vein in a neonate	13300
    ureteric, with cystoscopy	36824
cauterisation of, for ectropion or entropion	42581
    coalition, excision of	50333
    cyst, extirpation of	42575
Cauterisation, angioma (restriction applies)	45027
    cervix	35608
    perforation of tympanum	41641
    septum/turbinates/pharynx	41674
    tarsus, for ectropian/entropian	42581
    urethra or urethral caruncle	35523
Cautery, conjunctiva, including treatment of pannus	42677
    nasal, for arrest of haemorrhage	41677
Cavernous sinus, tumour or vascular lesion, excision	39660
Cavopulmonary shunt, creation of	38733,38736
Cellulitis, incision with drainage, under GA	30223
Central cannulation for cardiopulmonary bypass	38600
    vein catheterisation	13318,13319,13815
    vein catheterisation, via subcutaneous tunnel	34527,34528
Cerebello-pontine angle tumour	41575,41576,41578
       41579
    - retromastoid removal of	41575,41576,41578
       41579
    - translabyrinthine removal	41575,41576,41578
       41579
    - transmastoid removal	41575,41576,41578
       41579
Cerebral palsy, hips or knees, application of cast 
       under GA	50390
    perfusion, retrograde, cannulation for	38577
    single event multilevel surgery	50450,50451,50455
       50456,50460,50461,50465,50466,50470,50471,50475
       50476
    tumour, craniotomy for removal	39712
    ventricle, puncture of	39006
Cerebrospinal fluid drain, lumbar, insertion of	40018
    fluid reservoir, insertion of	39018
Cervical decompression of spinal cord	40331-40335
    discectomy (anterior), without fusion	40333
    oesophagectomy	30294
    oesophagostomy, closure or plastic repair of	30293
    re-exploration for hyperparathyroidism	30317
    rib, removal of	34139
    sympathectomy	35003,35006
Cervix, amputation or repair of	35617,35618
    cauterisation of, other than by chemical means	35608
    colposcopic examination of	35614
    colposcopy with biopsy and diathermy	35646
    cone biopsy of	35617,35618
    diathermy of	35608,35646
    electrocoagulation diathermy	35644,35645
    ionisation of	35608
    large loop excision	35647,35648
    laser therapy (restriction applies)	35539,35542,35545
    punch biopsy	35608
    purse string ligation	16511
    removal of polyp from	35611
    removal of purse string ligature	16512
    repair of extensive laceration/s	16571
    repair of, not otherwise covered	35617,35618
    residual stump, removal of, abdominal approach	35612
    residual stump, removal of, vaginal approach	35613
Chalazion, extirpation of	42575
Chemical peel, full face	45019,45020
Chemotherapy	13915,13918,13921
       13924,13927,13930,13933,13936
    device for drug delivery, loading of	13939,13942,13945
    device, insertion, central vein catheterisation	34527,34528
    device, removal of	34530
    infusion, cannulation for	34521,34524
Chest, or limb, decompression escharotomy	45054
Chloasma, full face chemical peel	45019,45020
Choanal atresia, repair/correction	45645,45646
Cholangiogram, percutaneous transhepatic	30440
Cholangiography, operative	30439
Cholangiopancreatography	30484
Cholecystectomy	30443,30445,30446
       30448,30449
Cholecystoduodenostomy	30460,31472
Cholecystoenterostomy	30460,31472
Cholecystostomy	30375
Choledochal cyst, resection of	43972,43975
Choledochoduodenostomy	30460,30461
Choledochoenterostomy	30460,30461
Choledochogastrostomy	30461
Choledochojejunostomy	30460,30461
Choledochoscopy	30442,30452
Choledochotomy	30454,30455,30457
Chondro-cutaneous or chondro-mucosal graft	45656
Chondroplasty of knee	49503,49506
Chordee, correction of	37417
Chorionic villus sampling	16603
Chymopapain (Discase), intradiscal injection of	40336
Cicatricial flexion/extension contracture,  joint, 
       correction	50112
Ciliary body and/or iris, excision of tumour	42767
Circulatory support device, management of	13851,13854
    support procedures	38362,38600,38603
       38609,38612,38613,38615,38618,38621,38624
Circumcision	30653,30656,30659
       30660
    arrest of post-operative haemorrhage	30663
Cisternal puncture	39003
    shunt diversion, insertion of	40003
    shunt, revision or removal of	40009
Clavicle, dislocation, treatment of	47003,47006
    fracture, treatment of	47462,47465
    operation for acute osteomyelitis	43503
    operation for chronic osteomyelitis	43512
    osteectomy/osteotomy	48406,48409
Claw toe, correction of	49848
Cleft lip, operations for	45677,45680,45683
       45686,45689,45692,45695,45698,45701,45704
    palate, correction of	45707,45710,45713
Clitoris, amputation of, medically indicated	35530
Clitoroplasty, reduction, ambiguous genitalia	37845,37848
Clival tumour, removal of	39653,39654,39656
       39658
Cloaca, persistent, correction of	43969
Cloacal exstrophy, neonatal, operation for	43882
Club hand, radial, centralisation/radialisation	50399
Coccyx, excision of	30672
Cochlear implant, insertion with mastoidectomy	41617
Cochleotomy, or repair of round window	41614
Coeliac artery, decompression of	34142
Colectomy, subtotal, of large intestine	32004,32005
    total, for Hirschsprung's, paediatric	43996
    total, with excision rectum/anastomosis	32051,32054,32057
    total, with excision rectum/ileostomy	32015,32018,32021
    total, with ileo-rectal anastomosis	32012
    total, with ileostomy	32009
Colles' fracture of radius, treatment of	47369,47372,47375
    treatment of paediatric	50508,50512
Colonic atresia, neonatal, laparotomy for	43816
    lavage, total, intra-operative	32186
    reservoir, construction of	32029
Colonoscopy, fibreoptic	32084,32087,32090
       32093
Colorectal strictures, endoscopic dilatation of	32094
Colostomy, closure of	30562
    colostomy	30375
    entero-	30515
    refashioning of	30563
    with laparotomy, neonatal anorectal malformation	43822
Colotomy	30375
Colpoperineorrhaphy	35571,35573
Colpopexy, sacral	35597
    sacrospinous	35568
Colposcopy, using Hinselmann-type instrument	35614
    with other procedures	35644-35647
Colpotomy	35572
Composite graft to nose, ear or eyelid	45656
Condylectomy	45611,48406,48424
    of mandible	45611
Condylectomy/condylotomy	45863
Cone biopsy of cervix	35617,35618
Confinement	16515,16518-16520,16522
       16525
Congenital absence of vagina, reconstruction for	35565
    atresia, auditory canal reconstruction	45662
    heart disease, operations for	38700,38703,38706
       38709,38712,38715,38718,38721,38724,38727,38730
       38733,38736,38739,38742,38745,38748,38751,38754
       38757,38760,38763,38766
Conjunctiva, cautery of	42677
    biopsy of	42676
    cryotherapy to	42680
Conjunctival cysts, removal of	42683
    graft over cornea	42638
    lacerations not involving sclera	30032
    peritomy	42632
Conjunctivorhinostomy	42629
Contour reconstruction, insertion of foreign implant	45051
    restoration of face, autologous bone/cartilage graft	45647
Contraceptive device, intra-uterine, introduction of	35503
    device, intra-uterine, removal under GA	35506
Contracted socket, reconstruction	42527
Contracture, cicatricial flexion/extension of joint, 
       correction	50112
    Dupuytren's, subcutaneous fasciotomy for	46366
    flexor/extensor, digits of hand, correction of	46492
Cordotomy, laminectomy for	39124
    percutaneous	39121
Cornea, conjunctival graft over	42638
    epithelial debridement for corneal ulcer/erosion	42650
    epithelial debridement for keratoplasty	42651
    removal of imbedded foreign body	42644
    removal of superficial foreign body	30061
    transplantation of	42653,42656,42659
Corneal, laser coagulation of  blood vessels	42797
    additional incisions for astigmatism	42673
    incisions for astigmatism	42672
    keratoplasty, epithelial debridement for	42651
    perforations, sealing of	42635
    scars, excision of	42647
    suture, running, manipulation of	42667
    sutures, removal of	42668
    ulcer, epithelial debridement of cornea for	42650
Coronary artery bypass operations	38497,38498,38500
       38501,38503,38504
    angiography, selective	38215,38218,38220
       38222,38225,38228,38231,38234,38237,38240,38241
       38243,38246
    artery bypass vein graft, dissection	38637
    endarterectomy, open operation	38505
Coronary pressure wire	38241
Corpus callosum, anterior section of, for epilepsy	40700
Corticectomy, for epilepsy	40703
Corticolysis of lens material	42791,42792
Costo-transverse joint, injection into	39013
Counterpulsation, intra-aortic balloon, management	13847,13848
Cranial nerve, intracranial decompression of	39112
    shunt diversion, insertion of	40003
    shunt, revision or removal of	40009
    vault reconstruction	45785
Craniectomy and removal of haematoma	39603
    for osteomyelitis/removal infected bone	39906
Craniocervical junction lesion, transoral approach for	40315
Craniopharyngioma, craniotomy for removal of	39712
Cranioplasty and repair of fractured skull	39615
    reconstructive	40600
Craniostenosis, operations for	40115,40118
Craniotomy and tumour removal	39709,39712
    burr-hole for intracranial haemorrhage	39600
    for arachnoidal cyst	39718
    for hydromyelia (with laminectomy)	40342
    for reopening post-op for haemorrhage/swelling	39721
Cricopharyngeal myotomy	41776
Cricothyrostomy	41884
Cruciate ligaments, reconstruction/repair	49536,49539,49542
Cryotherapy for detached retina	42773
    for trichiasis	42587
    hepatic, destruction of liver tumours	30419
    of peripheral nerves	39323
    of skin lesions	30189,30192,30195
    to haemorrhoids with rubber band ligation	32135
    to nose, for haemorrhage	41680
    to retina, independent procedure	42818
Crystalloid, retrograde admin for cardioplegia	38588
Curettage, for evacuation of gravid uterus	35643
    uterus (D and C)	35639,35640
Cutaneous neoplastic lesions, treatment of	30195
    nerve, nerve graft to	39318
    nerve, repair of	39300,39303
    ureterostomy, closure of	36621
    vesical fistula, operation for	37023
    vesicostomy, establishment of	37026
Cyclodestructive procedures treatment of glaucoma	42770
Cyst, arachnoidal, craniotomy for	39718
    Baker's, excision of	30114
    Bartholin's, cautery destruction of	35516,35517
    Bartholin's, excision of	35512,35513
    Bartholin's, marsupialisation of	35516,35517
    bone, injection into or aspiration of	47900
    brain, operations for	39703
    branchial, removal of	30286
    broad ligament, excision of	35712,35713,35716
       35717
    bronchgenic, thoracotomy and excision	43912
    choledochal, resection of	43972,43975
    enterogenous, thoracotomy and excision	43912
    epididymal, removal of	37601
    fimbrial, excision of	35712,35713,35716
       35717
    hydatid, liver, treatment of	30434,30436-30438
    hydatid, lungs, enucleation of	38424
    intracranial, needling and drainage of	39703
    kidney, removal from	36558
    liver, laparoscopic marsupialisation	30416,30417
    mucous, of mouth, removal	30282,30283
    not otherwise covered, removal of (OMS)	45801,45803,45805
       45807,45809
    other, removal of	31200,31205,31210
       31215,31220,31225,31230,31235,31240
    ovarian, aspiration of	35518
    ovarian, excision of, with laparotomy	35712,35713,35716
       35717
    pancreatic, anastomosis	30586,30587
    parovarian, excision of, with laparotomy	35712,35713,35716
       35717
    pharyngeal, removal of	41813
    pilonidal, excision of	30675,30676
    renal, excision of	36558
    skin/subcutaneous/mucous membrane, removal of	31200,31205,31210
       31215,31220,31225,31230,31235,31240
    tarsal, extirpation of	42575
    thyroglossal, removal of	30313,30314
    vaginal, excision of	35557
    vallecular, removal of	41813
Cystadenomatoid malformation, neonatal, thoracotomy	43861
Cystocoele, repair of	35570
Cystoscopy, with	36836
    -  controlled hydrodilatation of bladder	36827
    -  diathermy or resection of bladder tumour/s	36845
    -  endoscopic incision/resection	36825,36854
    -  injection into bladder wall	36851
    -  insertion of ureteric stent, or brush biopsy	36821
    -  insertion of urethral prosthesis	36811
    -  laser destruction of bladder tumours	36840
    -  lavage of blood clots from bladder	36842
    -  removal of foreign body	36833
    -  resection of ureterocele	36848
    -  ureteric catheterisation	36818,36824
    -  ureteric meatotomy	36830
    -  urethroscopy with/without urethral dilatation	36812
    -  without litholapaxy	36863
    -  without urethroscopy	36815
Cystostomy, suprapubic	37008
Cystotomy, suprapubic	37008,37011
Cytotoxic agent, instillation into body cavity	13948

D

D and C	35639,35640
Dacryocystectomy	42596
Dacryocystorhinostomy	42623,42626
Debridement of contaminated wound	30023
    of tissue, ischaemic limb	35100,35103
Debulking operation, gynaecological malignancy	35720
Decompression fasciotomy, calf/forearm	47975,47978,47981
    fasciotomy, hand	47981
    of Arnold-Chiari malformation	40106
    of facial nerve, mastoid portion	41569
    of intracranial tumour	39706
    operation for priapism	37393
    subtemporal	40015
Deep organ, percutaneous aspiration biopsy	30094
    tissue or organ, biopsy of	30074,30075,30078
Defibrillator generator, insertion/replacement	38393
    insertion of patches for	38390
Delorme procedure	32111
Dermabrasion	45021,45024
Dermo-fat or fascia graft	45018
Dermoid, excision of	
    nasal, excision of	41729
    oral and maxillofacial region	45801,45803,45805
       45807
    orbital, excision of	42574
    periorbital, excision of	42573
Detached retina, diathermy/cryotherapy	42773
    retina, removal of silicone band	42812
    retina, resection/buckling/revision	42776
device for delivery of therapeutic agents	14221,14224,14227
       14230,14233,14236,14239,14242
    drug delivery system	39125,39126,39128
       39133
    drug delivery system for spasticity management	14227,14230,14233
       14236,14239,14242
    pump or reservoir, loading of	14218
    reservoir associated with adjustable gastric band	14215
Dialysis, peritoneal	13112
    supervision in home	13104
    supervision in hospital	13100,13103
Diaphragm, plication of for eventration	43915
Diaphragmatic hernia, neonatal, repair of	43837,43840
    hernia, repair of	30600,30601
Diaphyseal aclasia, removal of lesion/s from bone	50426
Diastematomyelia, tethered cord, release of	40112
Diathermy of bladder tumours	36840,36845
    cervix	35608,35646
    detached retina	42773
    electrocoagulation, of cervix	35644,35645
    palmar or plantar wart	30186
    perforation of tympanum	41641
    pharynx	41674
    rectal polyps with sigmoidoscopy	32078
    salivary gland duct	30262
    septum	41674
    starburst vessels, head or neck	30213,30214
    telangiectases, head or neck	30213,30214
    turbinates	41674
    urethra	37318
Digit, amputation of	46464,46465,46468
       46471,46474,46477,46480
    distal, excision of ganglion/mucous cyst	46495
    extra, amputation of	46464
    flexor/extensor contracture, correction of	46492
    or ray, transposition/transfer, vascular pedicle	46507
    synovectomy of tendon/s	46348,46351,46354
       46357,46360
    transposition/transfer, vascular pedicle	46507
Digital nail, toe, removal of	47904,47906
    nerve, nerve graft to	39318
    nerve, repair of	39300,39303
Direct flap repair	45209,45212,45215
       45218,45221,45224
Disc, intervertebral, laminectomy for removal	40300
    intervertebral, microsurgical discectomy of	40301
    lesion, recurrent, laminectomy for	40303
    lumbar intervertebral, total artificial replacement	48691-48693
Discectomy, cervical (anterior), without fusion	40333
    microsurgical, of intervertebral disc/s	40301
    percutaneous lumbar	48636
discontinuation of surgical procedure on medical groups	30001
Disimpaction of faeces under GA	32153
Dissection, lymph nodes of neck	31423,31426,31429
       31432,31435,31438
Diverticulum, bladder, excision/obliteration	37020
    Meckel's, removal of	30375
    urethral, excision of	37372
Dohlman's operation	41773
Donald-Fothergill operation	35577
Donor haemapheresis	13755
Double balloon enteroscopy	30680,30682,30684
       30686
Double balloon enteroscopy	30680,30682,30684
       30686
Double vagina, excision of septum	35566
Drez lesion, operation for	39124
Drill biopsy of lymph gland/deep tissue/organ	30078
Drug delivery device, loading of	13939,13942,13945
    drug delivery system for spasticity management	14227,14230,14233
       14236,14239,14242
Duct, salivary gland, diathermy/dilatation	30262
    salivary gland, major, transposition of	41910
    salivary gland, marsupialisation	30265,30266
    salivary gland, meatotomy	30265,30266
    salivary gland, removal of calculus	30265,30266
Ducts submandibular, removal of	30255
Duodenal atresia, duodeno-duodenostomy/jejunostomy	43807
    intubation	30487,30488
    stenosis, duodeno-duodenostomy/jejunostomy	43807
    ulcer, perforated, suture	30375
Duodenoduodenostomy for duodenal atresia/stenosis	43807
Duodenojejunostomy for duodenal atresia/stenosis	43807
Duodenoscopy	30473,30476,30478
Dupuytren's contracture, operations for	46366,46369,46372
       46375,46378,46381,46384,46387,46390,46393
Dysthyroid eye disease, decompression of orbit	42545

E

E.C.T.	14224
Ear, composite graft to	45656
    drum perforation, excision of rim	41644
    external, complex total reconstruction of	45660,45661
    full thickness laceration, repair of	30052
    full thickness wedge excision of	45665
    lop, bat or similar deformity, correction of	45659
    middle, clearance of	41635,41638
    middle, exploration of	41629
    middle, insertion of tube for drainage of	41632
    middle, operation for abscess or inflammation of	41626
    removal of foreign body from	41500,41503
    toilet, using operating microscope	41647
Eclampsia, treatment of	16509
Ectopic bladder, 'turning-in' operation	37842
    pregnancy, removal of	35676-35678
    pregnancy, ultrasound guided needling and injection	35674
Ectropion, correction of	45626
    tarsal cauterisation for	42581
Elbow, arthrodesis of	49106
    arthroscopic surgery of	49121
    arthroscopy of, diagnostic	49118
    arthrotomy of	49100
    dislocation, treatment of	47018,47021
    flexorplasty/tendon transfer to restore function	50405
    ligamentous stabilisation of	49103
    radial head, replacement of	49112
    revision arthroplasty	49116,49117
    total replacement of	49115
    total synovectomy of	49109
Electrical stimulation, maximal perineal	
    stimulation, restoration cardiac rhythm	13400
Electroconvulsive therapy	14224
Electrode(s), epidural, insertion by laminectomy	39139
    epidural, percutaneous insertion of	39130
    epidural, percutaneous, management of	39131
    graciloplasty, insertion of	32206
    intracranial placement	40709,40712
    myocardial, permanent, insertion, thoracotomy	38470
    pacemaker, permanent, insertion sub xyphoid	38473
    transvenous, insertion of	38256,38356
Electrolysis epilation, for trichiasis	42587
Electrophysiological studies, cardiac	38209,38212,38213
Embolectomy	33803,33806
Embolus, removal from artery of neck	33800
Emphysema, lobar, neonatal, thoracotomy & lung 
       resection	43861
Empyema, intercostal drainage of	38806,38809
    radical operation for	38415
Enbloc resection of tumour	50212,50215,50218
       50221,50224,50227
Encephalocoele, excision and closure of	40109
Endarterectomy	33500,33506,33509
       33512,33515,33518,33521,33524,33527,33530,33533
       33536,33539,33542
    coronary, open operation	38505
    to prepare bypass site for anastomosis	33554
Endobronchial tumour, endoscopic laser resection	41901
endobronchial ultrasound, lung tumours	30710
Endocarditis, operative management of	38493
Endocrine tumour, exploration of	30578,30580,30581
Endolymphatic sac, transmastoid decompression	41590
Endometrial biopsy for suspected malignancy	35620
Endometriosis, laparoscopic ablation	35638
    Laparoscopic resection of	35641
Endometrium, ablation of, endoscopic	35622
    ablation of, by radiofrequency electrosurgery	35616
    biopsy of for suspected malignancy	35620
    biopsy of with hysteroscopy	35630
    biopsy of, with IUD insertion for idiopathic 
       menorrhagia	35502
    endoscopic examination and ablation by microwave or 
       thermal balloon	35616
Endoscopic biliary dilatation	30494
    cholangio-pancreatography	30484
    dilatation of colorectal strictures	32094
    examination of intestinal conduit/reservoir	36860
    examination of small bowel	30569,32095
    gastrostomy, percutaneous	30481,30482
    incision/resection, external sphincter/bladder neck	36854
    laser ablation of prostate	37207,37208
    laser resection of endobronchial tumours	41901
    laser therapy of gastrointestinal tract	30479
    manipulation/extraction of ureteric calculus	36857
    prostatectomy	37203,37206
    resection of pharyngeal pouch	41773
    sphincterotomy	30485
    stenting of bile duct	30491
    transanal endoscopic microsurgery	32103,32104,32106
    ultrasound	30688,30690,30692
       30694
Endoscopic ultrasound fine needle aspiration	30696
Endoscopy with balloon dilatation gastric stricture	30475
Enterocoele, repair of	35571
Enterocolitis, acute neonatal necrotising, laparotomy	43828,43831
    necrotising stricture, bowel resection	43834
Enterocolostomy	30515
Enterocutaneous fistula, radical repair of	30382
Enteroenterostomy	30515
Enterostomy, closure of	30562
    enterostomy	30375
Enterotomy, intra-operative, for endoscopy	30568
    enterotomy	30375
Entropion, correction of	45626
    repair of	42866
Enucleation of eye	42506,42509
    hydatid cysts of lung	38424
Epicondylitis, open operation for	47903
Epididymal cyst, excision of	37601
Epididymectomy	37613
Epidural blood patch	18233
    catheter, insertion of	39140
    electrode, insertion	39130,39139
    electrode, management, adjustment etc.	39131
    implant, removal of	39136
    stimulator, revision of	39133
Epigastric hernia, repair of	30616,30617,30620
       30621
Epilation electrolysis, for trichiasis	42587
Epilepsy, operations for	40700,40703,40706
       40709,40712
Epiphyseal arrest	48500,48503,48506
       48509
    plate, prevention of closure	48512
Epiphysiodesis, femur/fibula/tibia	48500,48503,48506
    staple arrest of hemi-epiphysis	48509
Epiphysiolysis, to prevent closure of plate	48512
Epispadias, repair of	37836,37839,37842
Epistaxis, treatment of	41656,41677,41680
Epithelial debridement for corneal ulcer/erosion	42650
    debridement/eliminating band keratyoplasty	42651
ESWL	36546
Ethmoidal artery, transorbital ligation of	41725
    sinuses, operation on	41737,41749
Ethmoidectomy, fronto-nasal	41731
    fronto-radical	41734
    transantral, with radical antrostomy	41713
Etonogestral, subcutaneous implant, removal of	30062
Eustachian tube, catheterisation of	41755
    obliteration of	41564
Evacuation of retained products of conception	16564
Eventration, plication of diaphragm for	43915
Evisceration of globe of eye	42512,42515
excision of, with melanoma	31340
Exenteration of orbit of eye	42536
Exomphalos, neonatal, operations for	43870,43873
Exostoses in external auditory meatus, removal	41518
Exostosis, excision of	47933,47936
    mandibular or palatal	45825
Exstrophy, cloacal, neonatal, operation for	43882
    of bladder, closure	37050
    of bladder, repair of	37842
Extensor tendon of hand or wrist, repair of	46420,46423
    tendon of hand, tenolysis of	46450
    tendon, synovectomy of	46339
External auditory canal, reconstruction	41524,45662
    auditory meatus, removal of exostoses	41518
    cephalic version	16501
    ear, complex total reconstruction of	45660,45661
    fixation, orthopaedic, removal	47948,47951
    stent, application	34824,34827,34830
       34833
External cephalic version	16501
Extra digit, amputation of	46464
Extracardiac conduit, insertion/replacement	38757,38760
Extracorporeal shock wave lithotripsy	36546
Extracranial to intracranial bypass	39818,39821
Extradural tumour or abscess, laminectomy for	40309
Eye, capsulotomy, laser	42788,42789
    coagulation, laser, of corneal/scleral blood vessels	42797
    conjunctiva, cautery of	42677
    conjunctival graft	42638
    corticolysis, laser, of lens material	42791,42792
    dermoid, excision of	42573,42574
    division of suture, laser	42794
    enucleation of	42506,42509,42510
    fibrinolysis	42791,42792
    foreign body in cornea or sclera, removal of	42644
    foreign body in, removal of	42563,42569
    foreign body in, superficial, removal of	30061
    globe of, evisceration of	42512
    iridotomy, laser	42785,42786
    iris tumour, laser photocoagulation	42806
    laser photocoagulation	42806
    orbit, insert/remove implant	42518
    paracentesis	42734
    phototherapeutic keratectomy, laser	42810
    pinguecula, surgical excision	42689
    radioactive plaques, construction,insertion & removal	42801,42802
    tantalum marker, insertion and removal	42805
    trabeculoplasty, laser	42782
    vitreolysis, laser, of lens material	42791
Eyeball, repair of perforating wound	42551,42554,42557
Eyebrow, elevation of	42872
Eyelashes, ingrowing, operation for	45626
Eyelid closure in facial nerve paralysis, implant 
       insertion	42869
    composite graft to	45656
    ectropion or entropion, correction of	45626
    full thickness laceration, repair of	30052
    full thickness wedge excision of	45665
    grafting for symblepharon	45629
    ptosis, correction of	45623
    reconstruction of, whole thickness	45614,45671,45674
    reduction of	45617,45620
    removal of cyst from	42575
    tarsorrhaphy	42584
    upper recession of	42863

F

Face, injections of poly-L-Lactic acid	14201
Face, repair of complex fractures	45753,45754
    chemical peel	45019,45020
Facet joint denervation by percutaneous neurotomy	39118
Facial, nerve, decompression of	41569
    nerve palsy, excision of tissue for	45581
    nerve paralysis, plastic operation for	45575,45578
    scar, revision of (restriction applies)	45506,45512
Facio-hypoglossal/accessory nerve, anastomosis of	39503
Faecal incontinence, sacral nerve stimulation for	32213-32218
Fallopian tubes, catheterisation, with hysteroscopy	35633
    tubes, hydrotubation of	35703,35709
    tubes, implantation of, into uterus	35694,35697
    tubes, microsurgical anastomosis	35700
    tubes, Rubin test for patency	35706
    tubes, sterilisation	35687,35688
    tubes, sterilisation with Caesarean section	35691
Falloposcopy, unilateral/bilateral	35710
Fascia, deep, repair of, for herniated muscle	30238
    graft	45018
Fasciectomy, for Dupuytren's Contracture	46369,46372,46375
       46378,46381,46384,46387,46390,46393
Fasciotomy, forearm or calf	47975,47978,47981
    interosseous muscle space of hand	47981
    muscle	30226
    plantar, radical	49854
    subcutaneous, Dupuytren's contracture	46366
Femoral hernia, repair of	30609,30612,30614
    vein puncture in infants, blood collection	13312
    vessel, ligation/exploration, other	34103
Femoro-femoral crossover bypass grafting	32718
    graft, infected, excision of	34172
Femur, bone graft to	48200,48203
    congenital deficiency, treatment of	50411,50414
    drill decompression of head/neck or both	47982
    epiphyseodesis	48500,48506
    fracture, treatment of	50576
    fracture, treatment of	47516,47519,47522
       47525,47528,47531,47534,47537,49336
    operation on, for osteomyelitis	43506,43515
    osteectomy/osteotomy	48424,48427
Fetal blood sampling	16606
    fluid filled cavity, drainage of	16624
    intraperitoneal blood transfusion	16612,16615
    intravascular blood transfusion	16609
Feto-amniotic shunt, insertion of	16627
Fibreoptic bronchoscopy	41898
    colonoscopy	32084,32087,32090
       32093
Fibrinolysis	42791,42792
Fibula, congenital deficiency, transfer fibula to tibia	50423
    epiphyseodesis	48503,48506
    fracture, treatment of	47576
    fracture, treatment of paediatric	50588
    operation on, for osteomyelitis	43503,43512
    osteectomy/osteotomy	48406,48409
Filtering and allied operations for glaucoma	42746
Fimbrial cyst, removal of	35712,35713,35716
       35717
Finger, amputation of	46465,46468,46471
       46474,46477,46480,46483
    digital nail, removal of	46513,46516
    dislocation, treatment of	47036,47039
    flexor tendon sheath, open operation	46522
    fracture, treatment of	47300,47303,47306
       47309,47312,47315,47318,47321,47324,47327,47330
       47333
    ingrowing nail, resection of	46528,46531
    mallet, fixation/repair	46438,46441
    percutaneous tenotomy of	46456
    trigger, correction of	46363
Fissure in ano, operation for	32150
Fistula, alimentary, repair of	35596
    anal, excision/repair	32159,32162,32165
       32166
    antrobuccol, operation for	41722
    aorto-duodenal, repair of	34160,34163,34166
    arteriovenous, dissection, ligation	34112,34115,34118
    arteriovenous, dissection, repair	34121,34124,34127
       34130
    arteriovenous, ligation cervical vessel/s	39812
    branchial, removal of	30289
    carotid-cavernous, obliteration of	39815
    cutaneous, salivary gland, repair of	30269
    enterocutaneous, radical resection	30382
    genito-urinary, repair	35596
    in ano, subcutaneous, excision of	32156
    oro-antral, plastic closure of	41722
    parotid gland, repair of	30269
    sacrococcygeal, excision of	30675,30676
    thyroglossal, radical removal of	30314
    tracheo-oesophageal, division and repair	43900
    urethral, closure of	37833
    urethro-rectal	37336
    urethro-vaginal	37333
    vesical, cutaneous, operation for	37023
    vesico-intestinal, closure of	37038
    vesico-vaginal, closure of	37029
    wound, review under GA, independent	32168
Fixation, external, removal of	47948,47951
    internal, of spine	48678,48681,48684
       48687,48690
Flap	
    abbe	45701,45704
    direct, indirect or local, revision of	45239,45240
    free tissue transfer, revision of	45496-45499
    indirect	45227,45230,45233
       45236
    myocutaneous, delay of	45015
    myocutaneous, for breast reconstruction	45530
    neurovascular island	45563,46504
    pharyngeal, for velo-pharyngeal incompetence	45716
    repair - H-flap or double advancement	45207
    repair, direct	45209,45212,45215
       45218,45221,45224
    repair, local, single stage	45200,45203,45206
    repair, muscle, single stage	45000,45003,45006
       45009,45012
    revision of, by incision and suture	45239
    revision of, by liposuction	45240
Flexor tendon, hand, repair of	46426,46429,46432
       46435
    tendon pulley, reconstruction	46411
    tendon sheath, finger or thumb, open operation	46522
    tendon, hand, tenolysis of	46453
    tendon, hand/wrist, synovectomy of	46339
    tendon, wrist, repair of	46426,46429
    tendon/s, digit, synovectomy of	46348,46351,46354
       46357,46360
Flexorplasty to restore elbow function	50405
Fluid Filled Cavity,  drainage of	16624
Foot, amputation or disarticulation of	44359,44361,44364
    and ankle, tibialis tendon transfer	50339,50342
    arthrodesis of	49815,49845
    calcaneal spur, excision of	49818
    claw or hammer toe, correction of	49848,49851
    hallux valgus or hallux rigidus, correction of	49821,49824,49827
       49830,49833,49836-49839,49842
    metatarso-phalangeal joint, replacement of	49857
    metatarso-phalangeal joint, synovectomy of	49860,49863
    neurectomy for plantar digital neuritis	49866
    paronychia of, pulp space infection, incision	47912
    radical plantar fasciotomy or fasciectomy of	49854
    tendon of, repair of	49800,49803
    tendon or ligament transplantation of	49812
    tenotomy of	49806,49809
    tibialis tendon transfer	50339,50342
For anaesthesia	20100,20102,20104
       20120,20124,20140,20142-20148,20160,20162,20164
       20170,20172,20174,20176,20190,20192,20210,20212
       20214,20216,20220,20222,20225,20230,20300,20305
       20320,20321,20330,20350,20352,20355,20400-20406
       20410,20420,20440,20450,20452,20470,20472,20474
       20475,20500,20520,20522,20524,20526,20528,20540
       20542,20546,20548,20560,20600,20604,20620,20622
       20630,20632,20634,20670,20680,20690,20700
       20702-20706,20730,20740,20745,20750,20752,20754
       20756,20770,20790-20794,20798-20800,20802-20806
       20810,20815,20820,20830,20832,20840-20842
       20844-20848,20850,20855,20860,20862-20864
       20866-20868,20880,20882,20884,20886,20900,20902
       20904-20906,20910-20912,20914,20916,20920,20924
       20926,20928,20930,20932,20934,20936,20938,20940
       20942-20944,20946,20948,20950,20952-20954,20956
       20958,20960,21100,21110,21112,21114,21116,21120
       21130,21140,21150,21155,21160,21170,21195,21199
       21200,21202,21210,21212,21214,21216,21220,21230
       21232,21234,21260,21270,21272,21274,21275,21280
       21300,21321,21340,21360,21380,21382,21390,21392
       21400,21402-21404,21420,21430,21432,21440,21445
       21460-21462,21464,21472,21474,21480,21482,21484
       21486,21490,21500,21502,21520,21522,21530,21532
       21535,21600,21610,21620,21622,21630,21632,21634
       21636,21638,21650,21652,21654,21656,21670,21680
       21682,21685,21700,21710,21712,21714,21716,21730
       21732,21740,21756,21760,21770,21772,21780,21785
       21790,21800,21810,21820,21830,21832,21834,21840
       21842,21850,21860,21865,21870,21872,21878-21887
       21900,21906,21908,21910,21912,21914-21916,21918
       21922,21925-21927,21930,21935,21936,21939
       21941-21943,21945,21949,21952,21955,21959,21962
       21965,21969,21970,21973,21976,21980,21981,21990
       21992,21997,22001,22002,22007,22008,22012,22014
       22015,22018,22020,22025,22031,22036,22040,22045
       22050,22051,22055,22060,22065,22070,22075,22900
       22905,23010,23021-23023,23031-23033,23041-23043
       23051-23053,23061-23063,23071-23073,23081-23083
       23091,23101,23111-23119,23121,23170,23180,23190
       23200,23210,23220,23230,23240,23250,23260,23270
       23280,23290,23300,23310,23320,23330,23340,23350
       23360,23370,23380,23390,23400,23410,23420,23430
       23440,23450,23460,23470,23480,23490,23500,23510
       23520,23530,23540,23550,23560,23570,23580,23590
       23600,23610,23620,23630,23640,23650,23660,23670
       23680,23690,23700,23710,23720,23730,23740,23750
       23760,23770,23780,23790,23800,23810,23820,23830
       23840,23850,23860,23870,23880,23890,23900,23910
       23920,23930,23940,23950,23960,23970,23980,23990
       24100-24136,25000,25005,25010,25015,25020,25025
       25030,25050,25200,25205
Foramen Magnum, tumour or vascular lesion, excision	39662
Forearm, amputation or disarticulation of	44328
    decompression fasciotomy of	47975,47978,47981
    fracture, treatment of	47378,47381,47384-47387
       47390,47393
    fracture, treatment of paediatric	50500,50504,50508
       50512,50516,50520,50524,50528,50532,50536,50540
       50544,50548
    radial aplasia/dysplasia, centralisation/radialisation	50399
Foreign body, antrum, removal of	41716
    bladder, cystoscopic removal of	36833
    bronchus, removal of	41895
    cornea or sclera, imbedded, removal of	42644
    cornea or sclera, superficial, removal of	30061
    ear, removal of	41500,41503
    implant, contour reconstruction, insertion	45051
    intra-ocular, removal of	42563,42569
    maxillary sinus, removal of	41716
    muscle/deep tissue, removal of	30067,30068
    nose, removal of	41659
    oesophagus, removal of	41825
    subcutaneous, removal of	30064
    superficial, removal of	30061
    tendon, removal of	30067,30068
    trachea, removal of	41886
    urethra, removal of	37318
Free grafts	45400,45403,45406
       45409,45412,45415,45418,45439,45442,45445,45448
       45451,45460-45462,45464-45466,45468,45469,45471
       45472,45474,45475,45477,45478,45480,45481
       45483-45494
    split skin, to burns	45460-45462,45464-45466,45468
       45469,45471,45472,45474,45475,45477,45478,45480
       45481,45483-45493
    transfer of tissue	45562-45565
    transfer of tissue, anastomosis artery/vein	45502
Frenulum, mandibular or maxillary, repair	30281
Frontal sinus, catheterisation of	41740
    sinus, intranasal operation on	41737
    sinus, radical obliteration of	41746
    sinus, trephine of	41743
Fronto-ethmoidectomy, radical	41734
Fronto-nasal ethmoidectomy	41731
Fronto-orbital advancement	45782,45785
Full thickness grafts, free	45451
    thickness wedge excision of lip, eyelid or ear	45665
Fundoplasty/plication, antireflux operation	30527,30529,30530
    antireflux operation by	31464,31466
Funnel chest, elevation of	38457,38458
Furuncle, incision with drainage of	30219,30223
Fusion, spinal, cervical/thoracic/lumbar	48660,48663,48666
       48669,48672,48675
    spinal, posterior interbody	48654,48657
    vertebral body, diseases of	48640

G

Gallbladder, drainage of	30375
    excision of	30443,30445,30446
       30448,30449
Galvanocautery of skin lesions	30192
Gamete intra-fallopian transfer	13200,13203,13206
       13209,13212,13215,13218,13221
Ganglion, excision of	30106,30107
    hand, excision of	46494,46495,46498
    wrist joint, excision of	46500-46503
Gangliotomy, radiofrequency trigeminal	39109
Gangrenous tissue, debridement of	35100,35103
Gartner duct cyst, removal of	35557
Gastrectomy, partial	30518
    sub-total, radical, for carcinoma	30523
    total	30521,30524,30526
Gastric by-pass for obesity	30512
    band, in association with implanted resevoir	14215,31441
    hypothermia	13500,13503
    lavage in the treatment of ingested poison	14200
    reconstruction with oesophagectomy	30535
    reduction for obesity	30511
    stricture, endoscopy with balloon dilatation	30475
    tumour, removal of	30520
    ulcer, perforated, suture	30375
Gastro-camera investigation	30473
Gastro-oesophageal balloon intubation	13506
    reflux, operations for	43951,43954,43957
Gastroduodenal stricture, balloon dilatation	30475
Gastroduodenostomy	30515
    reconstruction of	30517
Gastroenterostomy	30515
    reconstruction of	30517
Gastrointestinal blood loss estimation	
    tract, dilatation of stricture of upper	41819,41820
Gastroschisis, operations for	43864,43867
Gastroscopy	30473,30476,30478
    insertion of nasogastric/nasoenteral tube	31456,31458
Gastrostomy button, non-endoscopic 
       insertion/replacement	30483
    gastrosomy	30375
    percutaneous endoscopic	30481,30482
    percutaneous tube, jejunal extension	31460
Genioplasty	45761
Gilliam's operation	35683,35684
Gland, adrenal, excision of	36500
    Bartholin's, marsupialisation of	35516,35517
    lacrimal, excision of palpebral lobe	42593
    lymph, biopsy of	30074,30075
    lymph, drill biopsy of	30078
    lymph, pelvic, excision of	35551
    lymph, pelvic, excision of, with hysterectomy	35664
    parotid, superficial lobectomy/tumour removal	30253
    parotid, total extirpation of	30247,30250
    salivary, duct, dilatation or diathermy of	30262
    salivary, duct, marsupialisation	30265,30266
    salivary, duct, meatotomy	30265,30266
    salivary, duct, removal of calculus	30265,30266
    salivary, operations on	30262,30265,30266
       30269
    sublingual, extirpation of	30259
    submandibular, extirpation of	30256
Glaucoma, filtering and allied operations for	42746,42749
    iridectomy and sclerectomy for	42746
    iridectomy or iridotomy	42764
    Molteno valve, insertion of	42752
    Molteno valve, removal of	42755
Glenoid fossa, reconstruction of	45788
Glioma, craniotomy for removal of	39709
Globe of eye, evisceration of	42512,42515
Glomus tumour, transmastoid removal of	41623
    tumour, transtympanic, removal of	41620
Glossectomy, with partial pharyngectomy	41785
Gonadal dysgenesis, vaginoplasty for	37851
Goniotomy	42758
Graciloplasty procedures	32200,32203,32206
       32209,32210
Grafenberg's (or Graf) ring, introduction of	35503
    ring, removal under GA	35506
Graft, axillo-femoral, infected, excision of	34172
    bypass, for occlusive arterial disease	32700,32703,32708
       32710-32712,32715,32718,32721,32724,32730,32733
       32736,32739,32742,32745,32748,32751,32754,32757
       32760,32763
    composite (chondro-cutaneous/mucosal)	45656
    conjunctival over cornea	42638
    corneal	42653,42656,42659
    dermis, dermo-fat or fascia	45018
    femoro-femoral, infected, excision of	34172
    free fascia for facial nerve paralysis	45575,45578
    free, split skin	45400,45403,45406
       45409,45412,45415,45418,45439,45442,45445,45448
       45451,45460-45462,45464-45466,45468,45469,45471
       45472,45474,45475,45477,45478,45480,45481
       45483-45494
    inlay, using a mould	45445
    micro-arterial or micro-venous	45503
    nerve	39315,39318
    skin, to orbit	42524
Grafting, bypass, occlusive arterial disease	
    for symblepharon	45629
    patch, to artery or vein	33545,33548
Granuloma, cautery of	42677
    removal from eye, surgical excision	42689
    umbilical, excision under GA	43948
Gravid uterus, evacuation of contents by curettage	35643
Great vessel, intrathoracic operation on, other	38456
    vessel, ligation or exploration, other	34103
Greater trochanter, transplant of ileopsoas tendon	50121
Groin, lymph, excision of	30329,30330
Grommet, free, in canal, removal of	
    in situ in drum, removal of	41500
    insertion of	41632
Gunderson flap operation	42638
Gynaecological examination under GA	35500
Gynatresia, vaginal reconstruction for	35565

H

Haemangioma, cauterisation of (restriction)	45027
    excision of	45030,45033,45035
       45036
    of neck, deep-seated, excision of	45036
Haemapheresis	13750,13755
Haematoma, aspiration of	30216
    breast, exploration and drainage	31551
    incision and drainage, without GA	30219
    large, incision and drainage, with GA	30223
    pelvic, drainage of	30387
Haemochromatosis	13757
Haemodialysis, in hospital	13100,13103
    central vein, tunnelled cuffed catheter	34538
    removal of tunnelled cuffed catheter	34539
Haemofiltration, continuous (ICU)	13885,13888
    in hospital	13100,13103
Haemoperfusion, in hospital	13100,13103
Haemorrhage, antepartum, treatment of	16509
    arrest of	
        - following circumcision, with GA	30663
        - following tonsillectomy, with GA	41796,41797
    extremity, reoperation for control of	33848
    intracranial, burr-hole craniotomy for	39600
    nasal, arrest of	41656,41677
    nasal, cryotherapy for treatment of	41680
    post-op, control under GA, independent	30058
    post-operative, following gynaecological surgery	35759
    post-operative, laparotomy for	30385
    postpartum, treatment of	16567
    subdural, tap for	39009
Haemorrhoidectomy	32138,32139
Haemorrhoids, injection into	
    removal of	32138,32139
    rubber band ligation of	32135
    sclerotherapy for	32132
Hair transplants, congenital/traumatic alopecia	45560
Hallux rigidus/valgus, correction of	49821,49824,49827
       49830,49833,49836-49839,49842
Halo, application	47711,47714
    femoral traction, application of	47720,47723
    thoracic traction, application of	47717
Hammer toe, correction of	49848
Hand, amputation or disarticulation of	44325,44328
    arthrotomy	46327,46330
    bone grafting for pseudarthrosis	46405
    congenital abnormalities, amputation of phalanges	50396
    congenital abnormalities, splitting of phalanges	50396
    decompression fasciotomy	47981
    digits, flexor/extensor contracture, correction	46492
    duplication of digits, amputation of phalanges	50396
    duplication of digits, splitting of phalanges	50396
    extensor tendon of, repair of	46420,46423
    extensor tendon of, tenolysis of	46450
    flexor tendon of, repair of	46423,46426,46429
       46432,46435
    flexor tendon of, tenolysis of	46453
    ganglion, excision of	46494
    middle palmar/thenar/hypothenar spaces, drainage	46519
    osteectomy/osteotomy	46396,46399
    paronychia/pulp space infection, incision for	46525
    tendon sheath, operation for tendovaginitis	46363
    tendon transfer for restoration of function	46417
Hartmann's operation	32030
Heart arrhythmia, ablation of	38287,38290,38293
    arrhythmia, surgery for	38287,38290,38293
       38390,38393,38512,38515,38518
    catheterisation of	38200,38203,38206
    electrical stimulation of	13400
    intrathoracic operation on, not otherwise covered	38456
    mitral annulus, reconstruction after decalcification	38485
    subvalvular structures, reconstruction, re-implantation	38490
    surgery for congenital heart disease	38700,38703,38706
       38709,38712,38715,38718,38721,38724,38727,38730
       38733,38736,38739,38742,38745,38748,38751,38754
       38757,38760,38763,38766
    surgery, open, not otherwise covered	38653
    valve replacement	38488,38489
    valve, repair	38480,38481
Heller's operation	30532,30533
Hemiarthroplasty, hand	46309,46312,46315
       46318,46321
    knee	49517
Hemicircumcision, for hypospadias	37354
Hemicolectomy	32000,32003,32006
Hemiepiphysis, staple arrest of	48509
Hemifacial microsomia, construction condyle and ramus	45791
Hemilaryngectomy, vertical, with tracheostomy	41837
Hemispherectomy, for intractible epilepsy	40706
Hemithyroidectomy	30306
Hemivulvectomy	35536
Hepatic duct, common, resection for carcinoma	30463,30464
    artery catheterisation for SIRT	35406,35408
    duct, common, repair of	30472
    ducts, Roux-en-Y bypass	30466,30467
    metastases, selective internal radiation therapy for	35404,35406,35408
Hepatocellular carcinoma	
    destruction by radiofrequency ablation	50950,50952
Hernia, antireflux operations for	30527,30529,30530
    diaphragmatic, neonatal, repair of	43837,43840
    diaphragmatic, repair of	30600,30601
    femoral or inguinal, repair of	30609,30612,30614
    inguinal, repair, age less than 3 months	44108,44111,44114
    spigelian, repair of	30403,30405
    strangulated, incarcerated or obstructed, repair of	30615
    umbilical, epigastric, or linea alba, repair of	30616,30617,30620
       30621
    ventral or incisional, repair of	30403,30405
    ventral, following closure exomphalos, repair of	43939
Herniated muscle, fascia, deep, repair of	30238
Hiatus hernia, antireflux operations for	30527,30529,30530
    hernia, repair of	30601
    para-oesophageal, repair of	31468
Hickman catheter, insertion of, for chemotherapy	34527,34528
    catheter, removal of	34530
High dose rate brachytherapy	37227
Hindquarter, amputation or disarticulation of	44373
Hinselmann colposcope, examination uterine cervix	35614
Hip, amputation or disarticulation at	44370
    arthrectomy	49309,49312
    arthrodesis	49306
    arthroplasty	49309,49312,49315
       49318,49319,49321,49324,49327,49330,49333,49336
       49339,49342,49345,49346
    arthroplasty, revision	49346
    arthroscopy	49360,49363,49366
    arthrotomy	49303
    congenital dislocation, open reduction	50351
    contracture of, medial/anterior release	50375,50378,50381
       50384
    dislocation, acetabulum fracture, treatment	47495,47498
    dislocation, congenital, treatment of	50349,50352
    dislocation, congenital, treatment of including 
       paediatric	50650,50654,50658
    dislocation, treatment of	47048,47051
    iliopsoas tendon transfer to greater trochanter	50387
    prosthesis, operation on	49315
    replacement procedures	49318,49319,49321
       49324,49327,49330,49333,49336,49339,49342,49345
    spica, application of	47540,50564
    spica, application, congenital dislocation	50353,50564
    transfer of abdominal musculature to greater trochanter	50387
    transfer of adductors to ischium	50387
    treatment of including paediatric	50650,50654,50658
Hirschsprung's disease, colostomy/enterostomy for	30375
    disease, neonatal, laparotomy for	43819
    disease, paediatric, operations for	43990,43993,43996
       43999
Home, dialysis	13104
Hormone implantation, by cannula	14206
    implantation, direct, incision and suture	14203
Humerus, bone graft to	48212,48215
    fracture, treatment of	50552,50556,50560
       50564,50568,50572
    fracture, treatment of	47411,47414,47417
       47420,47423,47426,47429,47432,47435,47438,47441
       47444,47447,47450,47451,47453,47456,47459
    operation for osteomyelitis	43506,43515
    osteectomy/osteotomy	48412,48415
Hummelsheim type muscle transplant, squint	42848
Hydatid cyst, liver, total excision of	30437,30438
    cyst, liver, removal of contents of	30434,30436
    cyst, lungs, enucleation of	38424
Hydradenitis, excision for	31245
Hydrocele, infantile, repair of	30612,30614
    removal of	30631
    tapping of	30628
Hydrocephalus, operations for	40000,40003,40006
       40009
Hydrocortisone, injections into keloid with GA	30210
Hydrodilatation of bladder with cystoscopy	36827
Hydromyelia, operations for	40339,40342
Hydrotubation of Fallopian tubes	35703,35709
Hymenectomy	35509
Hyperbaric oxygen therapy	13020,13025,13030
Hyperemesis gravidarum, treatment of	16505
Hyperextension deformity of toe, release, lengthening	50345
Hyperhidrosis, axillary, excision for	30180,30183
Hyperparathyroidism, operations for	30315,30317,30318
       30320
Hyperplasia, papillary, of palate, removal of	45831,45833,45835
Hypertelorism, correction, intra/sub-cranial	45767,45770
Hypertension, portal, treatment of	30602,30603,30605
       30606
Hypertrophied tissue, removal of	45801,45803,45805
       45807
Hypospadias, examination under GA	37815
    granuloplasty, meatal advancement	37818
    meatotomy and hemi-circumcision	37354
    penis erection test with examination	37815
    repair of	37821,37824,37827
       37830,37833
    urethral fistula repair	37833
Hypothenar spaces of hand, drainage of	46519
Hypothermia, gastric	13500,13503
    deep hypothermic circulatory arrest	22075
    total body	22065
Hysterectomy	35653,35657,35658
       35661,35664,35667,35670,35673
    laparoscopically assisted	35750,35753,35754
       35756
    with ovarian transposition, malignancy	35729
Hysteroscopic resection of myoma or uterine septum	35623,35634
    resection of uterine septem	35634
Hysteroscopy	35626,35627,35630
       35633-35636
Hysterotomy	35649

I

Ileal atresia, neonatal, laparotomy for	43816
Ileo-femoral by-pass grafting	32712,32718
    endarterectomy	33521
Ileorectal anastomosis	32012
Ileostomy	32009,32012,32015
       32018,32021
    closure of, with rectal resection	32060,32063,32066
    closure of, without resection of bowel	30562
    refashioning of	30563
    reservoir, continent type, creation of	32069
    with proctocolectomy	32015
    with total colectomy	32009
Iliac endarterectomy	33518
    vein, thrombectomy	33810,33811
    vessel, ligation or exploration not otherwise covered	34103
Iliopsoas tendon transfer to greater trochanter	50387
Implanon, removal of	30062
Implant, cochlear, insertion of	41617
    epidural, for pain management, removal of	39136
    foreign, insertion for contour reconstruction	45051
    insertion or removal from eye socket	42518
Implantable Cardioverter Defibrillator	38371,38384,38387
    implantable bone conduction hearing system	41603,41604
Implantation, fallopian tubes into uterus	35694,35697
    hormone or living tissue	14203,14206
Impotence, injection for investigation/treatment	37415
Incidental appendicectomy	30574
Incisional hernia, repair of	30403
Incomplete confinement	16518
Incontinence, anal, Parks' intersphincteric procedure	32126
    bladder stress, suprapubic operation	37044
    male urinary, injection for treatment of	37339
    stress, sling operation for	35599
Indirect flap	45227,45230,45233
       45236,45239
Induction, management, second trimester labour	16525
Indwelling oesophageal tube, gastrostomy for fixation	30375
Infantile hydrocele, repair of	30612,30614
Infection, acute intercurrent, complicating pregnancy	16508
Inferior vena cava, thrombectomy	33810,33811
    vena caval filter, insertion of	35330
Inflammation of middle ear, operation for	41626
Infliximab	14245
Infliximab	14245
Infusion chemotherapy	13915,13918,13921
       13924,13927,13930,13933,13936
    chemotherapy, cannulation for	34521,34524
    device, automated, spinal, insertion of	39125-39128
    intra-arterial, sympatholytic agent	14209
Ingrowing eyelashes, operation for	45626
    nail of finger or thumb, resection of	46528,46531
    nail of toe, resection of	47915,47916
Inguinal abscess, incision of	30223
    hernia, repair of	30609,30612,30614
    hernia, repair, age less than 3 months	44108,44111,44114
Injection, alcohol, etc, around nerve or in muscle	
    alcohol, cortisone, phenol into trigeminal nerve	39100
    alcohol, retrobulbar	42824
    hormones, for habitual miscarriage	16504
    into angioma (restriction applies)	45027
    into prostate	37218
    into spinal joints or nerves	39013
    sclerosant fluid into pilonidal sinus	30679
Injections, multiple, for skin lesions	30207
Inlay graft, using a mould	45445
Innocent bone tumour, excision of	30241
Innominate artery, endarterectomy of	33506
insertion of, for drainage of middle ear	41632
Insufflation  Fallopian tubes, for patency (Rubin test)	35706
Intensive care management/procedures	13815,13818,13830
       13839,13842,13847,13848,13851,13854,13857,13870
       13873,13876,13881,13882,13885,13888
Intercostal drain, insertion of	38806,38809
Internal auditory meatus, exploration of	41599
    drainage of empyema, without rib resection	38806,38809
Interosseous muscle space of hand, fasciotomy of	47981
Interphalangeal joint, arthrodesis of	46300
    joint, arthrotomy of	46327,46330
    joint, dislocation, treatment of	47036,47039
    joint, hemiarthroplasty	46309,46312,46315
       46318,46321
    joint, interposition arthroplasty of	46306
    joint, joint capsule release of	46381
    joint, ligamentous repair	46333
    joint, synovectomy/capsulectomy/debridement	46336
    joint, total replacement arthroplasty of	46309,46312,46315
       46318,46321
    joint, volar plate arthroplasty	46307
Interscapulothoracic amputation or disarticulation	44334
Interventional endovascular procedures	35300,35303,35306
       35307,35309,35312,35315,35317,35319-35321,35324
       35327,35330
Intervertebral disc/s, laminectomy for removal of	40300
    disc, lumbar, total artificial replacement	48691-48693
    disc/s, microsurgical discectomy of	40301
Intestinal conduit or reservoir, endoscopic examination	36860
    duct, patent vitello, excision of	43945
    malrotation, neonatal, laparotomy for	43801,43804
    obstruction, surgical relief of	30387
    plication, Noble type, with enterolysis	30375
    remnant, abdominal wall vitello, excision of	43942
    resection, large	32000,32003
    resection, small	30565,30566
    sling procedure prior to radiotherapy	32183
    urinary conduit, revision	36609
    urinary reservoir, continent, formation	36606
Intra-abdominal artery/vein, cannulation, chemotherapy	34521
    malignancy, radical or debulking operation	30392
Intra-anal abscess, drainage of	32174,32175
Intra-aortic balloon, counterpulsation, management	13847,13848
    balloon pump, insertion of	38362,38609
    balloon pump, removal of	38612,38613
Intra-arterial cannulisation for blood collection	13842
    infusion chemotherapy	13927,13930,13933
       13936
    infusion, of sympatholytic agent	14209
Intra-atrial baffle, insertion of	38745
Intra-epithelial neoplasia, laser therapy for	35539,35542,35545
Intra-ocular excision of dermoid of eye	42574
    foreign body, removal of	42563,42569
    procedures, resuturing of wound after	42857
Intra-operative ultrasound, biliary tract	30439
    staging of intra-abdominal tumours	30441
Intra-oral tumour, radical excision of	30275
Intra-orbital abscess, drainage of	42572
Intracerebral tumour, craniotomy and removal of	39709
Intracranial abscess, excision of	39903
    aneurysm, clipping or reinforcement of sac	39800
    aneurysm, endovascular coiling	35412
    aneurysm, ligation of cervical vessel/s	39812
    arteriovenous malformation, excision of	39803
    cyst, drainage of via burr-hole	39703
    electrode placement	40709,40712
    haemorrhage, burr-hole craniotomy for	39600,39603
    infection, drainage of via burr-hole	39900
    neurectomy, for trigeminal neuralgia	39106
    pressure monitoring device, insertion of	39015
    pressure monitoring, catheter/subarachnoid bolt	13830
    stereotactic procedures	40800,40803
    tumour, biopsy and/or decompression	39706
    tumour, burr-hole biopsy for	39703,39706
    tumour, craniotomy and removal of	39709,39712
Intradiscal injection of chymopapain	40336
Intradural lesion, laminectomy for, not otherwise 
       covered	40312
Intrahepatic bypass	30466,30467
Intramedullary tumour, laminectomy and radical excision	40318
Intranasal operation on antrum/removal offoreign body	41716
    operation on frontal sinus or ethmoid sinuses	41737
    operation on sphenoidal sinus	41752
Intrascleral ball or cartilage, insertion of	42515
Intrathecal infusion device, revision of	39133
    steroid injection	18232
Intrathoracic operation on heart, lungs, etc, other	38456
    vessels, anastomosis/repair	38727,38730
Intrauterine contraceptive device, introduction of	35503
    contraceptive device, removal of under GA	35506
    device, introduction of, for idiopathic menorrhagia	35502
    growth retardation, attendance for	16508
Intravascular injections	
    pressure monitoring	13876
Intravenous infusion chemotherapy	13915,13918,13921
       13924
    perfusion of a sympatholytic agent	14209
    regional anaesthesia of limb	18213
Intraventricular baffle, insertion of	38754
Intubation, small bowel	30487,30488
Intussusception, reduction of	30375
    management fluid/gas reduction for	14212
    paediatric, operations for	43933,43936
Invitro fertilisation	13200,13203,13206
       13209,13212,13215,13218,13221
    processing of bone marrow	13760
Ionisation, cervix	35608
Iridectomy	42764
    and sclerectomy, for glaucoma (Lagrange's op)	42746
    following intraocular procedures	42857
Iridencleisis	42746
Iridocyclectomy	42767
Iridotomy	42764
    laser	42785,42786
Iris and ciliary body, excision of tumour of	42767
    excision of tumour of	42764
    tumour, laser photocoagulation of	42806
Ischaemic limb, debridement of deep tissue	35100
    limb, debridement of superficial tissue	35103
    ventricular septal rupture, repair of	38509
Ischio-rectal abscess, drainage of	32174,32175
    abscess, incision with drainage	30223

J

Jacket, plaster, application of, to spine	47708
Jaw, dislocation, treatment of	47000
    aspiration biopsy of cyst/s	45799
    operation on, for acute osteomyelitis	43503
    operation on, for chronic osteomyelitis	43512,45815
    reconstruction operation	45596,45597,45599
       45602,45605,45608,45611
Jejunal atresia, bowel resection and anastomosis	43810
    extension, percutaneous gastrostomy tube	31460
Jejunostomy, operative feeding	31462
Joint, application of external fixator, not for 
       fracture	50130
    arthrodesis of	50109
    arthroplasty of, not otherwise covered	50127
    arthroscopy of	50100
    arthrotomy of	50103
    cicatricial flexion contracture of, correction	50112
    deformity, correction of	50300
    dislocation, treatment of	47024,47027,47030
       47033,47036,47039,47042,47045
    finger/hand, debridement of	46336
    greater trochanter, transplantation of	50121
    manipulation of	50115
    sacro-iliac, arthrodesis	49300
    sacro-iliac, disruption of	47513
    stabilisation, repair capsule/ligament	50106
    subtalar, arthrodesis of	50118
    synovectomy of, not otherwise covered	50104
Juvenile cataract, removal of	42716

K

Keloid, excision of	
    extensive, multiple injections of hydrocortisone	30210
Keratectomy, partial, for corneal scars	42647
    phototherapeutic	42810
Keratocanthoma, removal of	31255-31258,31260-31263,31265-31268
       31270-31273,31275-31278,31280-31283,31285-31288
       31290-31293,31295
Keratoplasty	42653,42656,42659
Keratosis, obturans, surgical removal	41509
Kidney, dialysis, in hospital	13100,13103
    donor, continuous perfusion of	22055
    exploration of	36537
    ruptured, exposure and exploration of	36576
    solitary, pyeloplasty by open exposure	36567
    transplant	36503,36506,36509
Kirschner wire, insertion of	47921
Knee, amputation at or below	44367
    arthrodesis of	49512,49545
    arthroplasty of	49518,49519,49521
       49524,49527,49530,49533,49534
    arthroscopy of	49557-49564,49566
    arthrotomy of	49500
    collateral or cruciate ligament repair	49503,49506
    congenital deformity, post-op manipulation, plaster	50348
    contracture of, posterior release	50363,50366,50369
       50372
    cruciate ligament reconstruction	49536,49539,49542
    dislocation, treatment of	47054
    fracture, treatment of	47588,47591
    hamstring tendon transfer	50357,50360
    hemiarthroplasty of	49517
    ligament or tendon transfer	49503,49506
    meniscectomy of	49503,49506
    mobilisation, for post-traumatic stiffness	49569
    orthopaedic treatment of	49503,49506
    patello-femoral stabilisation	49503,49506,49564
    patello-femoral stabilisation, revision of	49548
    prosthesis, removal of	49515
    reconstruction/repair	49536,49539
    rectus femoris tendon transfer	50357
    replacement procedures	49518,49519,49521
       49524,49527,49530,49533,49534
    revision of orthopaedic procedures	49551,49554
    synovectomy of	49509
Kyphosis, treatment of	48606,48613
    treatment of including paediatric	50600,50604,50608
       50612,50616,50620,50624,50628,50632

L

Labioplasty, where medically indicated	35533
Labour, second trimester, management of	16525
Labyrinth, destruction of	41572
Labyrinthotomy	41572
Laceration, ear/eyelid/nose/lip, full thickness, repair	30052
    repair and suturing of	30026,30029,30032
       30035,30038,30041,30042,30045,30048,30049
Lacrimal canalicular system, establishment patency	42599,42602
    canaliculus, immediate repair of	42605
    drainage by insertion of glass tube	42608
    gland, excision of palpebral lobe	42593
    passages, obstruction, probing for	42610,42611,42614
       42615
    sac, excision of	42596
Lagrange's operation (iridectomy and sclerectomy)	42746
Laminectomy  and insertion of epidural implant	39139
    followed by posterior fusion	40324,40327
    for cordotomy or myelotomy	39124
    for extradural tumour or abscess	40309
    for hydromelia	40342
    for intradural lesion	40312
    for recurrent disc lesion and/or spinal stenosis	40303
    for removal of intervertebral disc/s	40300
    for spinal stenosis	40303,40306
    with bone graft and posterior fusion	48654,48657
    with excision of arteriovenous malformation	40318
    with excision of intra-medullary tumour	40318
Laparascopic division of adhesions	31450,31452,35637
    splenectomy	31470
Laparoscopy and hysteroscopy under GA	35636
    complicated operative	35638,35641
    diagnostic	30390
    division of adhesions	30393,35637
    involving procedures via laparoscope	35637,35638
    laparoscopically assisted hysterectomy	35750,35753,35754
       35756
    on abdominal viscera	30375
    sterilisation via	35687,35688
    with biopsy	30391
    with drainage of pus	31454
    with transection/resection Fallopian tubes	35687,35688
Laparostomy	30397,30399
Laparotomy and division of adhesions	30376,30378,30379
    exploratory	30373
    for control of post-operative haemorrhage	30385,33845
    for drainage	30394
    for grading of lymphoma	30384
    for gross intra-peritoneal sepsis	30396
    for intussusception, paediatric	43933,43936
    for neonatal conditions	43801,43804,43807
       43810,43813,43816,43819,43822,43825,43828,43831
    for staging of gynaecological malignancy	35726
    for thrombosis	33845
    for trauma, involving 3 or more organs	30388
    involving gynaecology (exc. hysterectomy)	35712,35713,35716
       35717
    on abdominal viscera	30375,30387
    with division of extensive adhesions	30379
    with insertion of portacath	30400
Large intestine, resection of	32000,32003
    intestine, subtotal colectomy	32004,32005
Laryngeal web, division of	41868
Laryngectomy	41834
    supraglottic	41840
Laryngofissure, external operation on	41876
Laryngopharyngectomy	41843
    -  or primary restoration of alimentary continuity 
       after	41843
    -  with tracheostomy and plastic reconstruction	30294
Laryngoplasty	41876,41879
Laryngoscopy	41846,41849,41852
    fibreoptic, with examination of larynx	41764
Larynx, direct examination of	41846
    direct examination of, with biopsy	41849
    direct examination of, with removal of tumour	41852
    external operation on	41876
    fibreoptic examination of	41764
    fractured, operation for	41873
Laser: ablation of prostate, endoscopic	37207,37208
    angioplasty, peripheral	35315
    capsulotomy	42788,42789
    coagulation corneal/scleral vessels	42797
    destruction of bladder tumour with cystoscopy	36840,36845
    destruction of stone with urethroscopy	37318
    diathermy/visual laser for lesion of prostate	37224
    division of suture, eye	42794
    excision, tumours of face/neck	30190
    incision of palate	41787
    iridotomy	42785,42786
    photocoagulation of iris tumour	42806
    photocoagulation of neoplastic skin lesions	30195
    photocoagulation of vascular lesions	14100,14106,14109
       14112,14115,14118,14124
    photoiridosyneresis	42808
    photomydriasis	42807
    removal of cancer of skin/mucous membrane	30196
    removal of palmar/plantar warts	30187
    resurfacing, carbon dioxide, face or neck	45025,45026
    therapy for intraepithelial neoplasia	35539,35542,35545
    therapy for malignancy of gastrointestinal tract	30479
    trabeculoplasty	42782,42783
    treatment, eye	42782,42783,42785
       42786,42788,42789,42791,42792,42794,42797,42801
       42802,42805,42806
    vitreolysis/corticolysis	42791,42792
Lateral pharyngeal bands, removal of	41804
    pharyngotomy	41779
    rhinotomy with removal of tumour	41728
Lavage and proof puncture of maxillary antrum	41698,41701
    colonic, total, intra-operative	32186
    gastric, in the treatment of ingested poison	14200
    maxillary antrum	41704
Le Fort osteotomies	45753,45754
    operation for genital prolapse	35578
Leg, amputation	44367,44370
    hamstring tendon transfer	50357,50360
    rectus femoris tendon transfer	50357
Lens, artificial, insertion of	42701,42703
    artificial, removal and replacement	42707,42710
    artificial, removal or repositioning	42704
    extraction	42698
    extraction and insertion of artificial lens	42702
    intraocular, repositioning of	42713
Lensectomy	42731
Lesion, craniocervical junction, transoral approach for	40315
    intradural, laminectomy for, not otherwise covered	40312
Lesions, skin, multiple injections for	30207
Leveen shunt, insertion of	30408
Lid, ophthalmic, suturing of	42584
    scleral graft to	42860
Ligament, finger joint, repair of	46333
    of foot, repair of	49812
    or tendon transfer	47966
    ruptured medial palpebral, repair of	42854
    transplantation	47966
Ligation, great vessel	34103
    purse string, cervix	16511
    rubber band, of haemorrhoids or rectal prolapse	32135
    transantral, of maxillary artery	41707
Ligature of cervix, purse string, removal of	16512
Limb, fasciotomy of	30226
    ischaemic, debridement of tissue	35100,35103
    lengthening procedures	50303,50306
    lower, congenital deficiency, treatment of	50411,50414,50417
    or chest, decompression escharotomy	45054
    perfusion of	22055,34533
Limbic tumour, removal or excision of	42692,42695
Linea alba hernia, repair of, under 10 years	30616,30617
    alba hernia, repair of, over 10 years	30620,30621
Lingual tonsil, removal of	41804
Lip, cleft, operations for	45677,45680,45683
       45686,45689,45692,45695,45698,45701,45704
    full thickness laceration, repair	30052
    full thickness wedge excision	45665
    reconstruction	45671,45674
Lipectomy, radical abdominoplasty	30177
    subumbilical excision	30174
    wedge excision	30165,30168,30171
Lipomeningocoele, tethered cord, release of	40112
Liposuction, for post-traumatic pseudolipoma	45584,45585
    abdominal contouring post diabetic injections	31346
    for reduction of a buffalo hump	45586
    free tissue transfer, complete revision of	45497
    free tissue transfer, first stage revision of	45498
    free tissue transfer, second stage revision	45499
Lippe's loop, introduction of	35503
    loop, removal of under GA	35506
Lisfranc's amputation	44364
Litholapaxy, with or without cystoscopy	36863
Lithotripsy, extracorporeal shock wave (ESWL)	36546
Little's Area, cautery of	41674
Liver abscess, open abdominal drainage of	30431,30433
    biopsy	30409,30411,30412
    cyst/s, laparoscopic marsupialisation	30416,30417
    hydatid cyst, removal of contents of	30434,30436
    hydatid cyst, total excision of	30437,30438
    lobectomy of, for trauma	30428,30430
    lobectomy of, other than for trauma	30418,30421
    repair of laceration/s, for trauma	30422,30425
    ruptured, repair	30375
    segmental resection of	30414,30415,30427
    tumours destruction by radiofrequency ablation	50950,50952
    tumours, destruction of by cryotherapy	30419
Living tissue, implantation of	14203,14206
Lobar emphysema, neonatal, thoracotomy & lung resection	43861
Lobectomy, liver, for trauma	30428,30430
    liver, other than for trauma	30418,30421
    lung	38438,38441
    partial, for epilepsy	40703
    superficial, of parotid gland	30253
Local anaesthetic, injection of	
    flap repair	45200,45203,45206
    flap revision	45239,45240
Lop ear or similar deformity, correction of	45659
Lord's procedure, massive dilatation of anus	32153
Lumbar cerebrospinal fluid drain, insertion of	40018
    decompression of spinal cord	40351
    discectomy, percutaneous	48636
    puncture	39000
    shunt diversion, insertion of	40006
    shunt, revision or removal of	40009
    sympathectomy	35000,35009
Lunate bone, osteectomy or osteotomy of	48406
Lung compliance, estimation of	
    hydatid cysts, enucleation of	38424
    intrathoracic operation, not otherwise covered	38456
    needle biopsy of	38812
    resection, congenital cystadenomatoid malformation	43861
    resection, congenital lobar emphysema	43861
    wedge resection of	38440
Lymph glands, axilla, excision of	30332,30335,30336
    glands, biopsy of	30074,30075,30078
    glands, groin, excision of	30329,30330
    glands, pelvic, radical excision of	35551
    node biopsies, retroperitoneal	35723
    node dissection, retroperitoneal	37607,37610
    node of neck, biopsy of	31420
    nodes of axilla, excision of	30335,30336
    nodes of neck, dissection of	31423,31426,31429
       31432,31435,31438
    sentinel node biopsy for breast cancer	30299,30300,30302
       30303
Lymphadenectomy, atypical mycobacterial infection	44130
    granulomatous disease	44130
    pelvic	35551,36502
Lymphangiectasis, limbs, major excision	45048
Lymphangioma, excision of	45030,45033,45035
       45036
Lymphoedema, major excision of	45048
Lymphoid patches, removal of	45801,45803,45805
       45807,45809

M

Macrocheilia, operation for	45675
Macrodactyly, surgical reduction of enlarged elements	46510
Macroglossia, operation for	45675
Macrostomia, operation for	45676
Malignant lesion, removal of	31300,31305,31310
       31315,31320,31325,31330,31335
Malignant upper aerodigestive tract tumour	31400,31403,31406
Mallet finger, closed pin fixation of	46438
    finger, open repair of text test	46441
    finger, with intra-articular fracture, open reduction	46442
Mammaplasty, augmentation	45524,45527,45528
    reduction	45520,45522
Mammary prosthesis, removal of	45548,45551,45552
    prosthesis, replacement of	45552-45554
Manchester operation for genital prolapse	35577
Mandible, condylectomy	45611
    dislocations, treatment of	47000
    hemi-mandibular reconstruction with bone graft	45608
    operation on, for acute osteomyelitis	43503
    operation on, for chronic osteomyelitis	43512,45815
    or maxilla, fractures, treatment of	47753,47756,47762
       47765,47768,47771,47774,47777,47780,47783,47786
       47789
    osteectomy or osteotomy of	45720,45723,45726
       45729,45731,45732,45735,45738,45741,45744,45747
       45752
    resection of	45599,45602,45605
    segmental resection of, for tumours	45605
Mandibular, frenulum, repair of, under GA	30281
    or palatal exostosis, excision of	45825
Manipulation of fibrous tissue surrounding breast 
       prosthesis	
    of joints	50115
    of spine	48600,48603
    of ureteric calculus, endoscopic	36857
Manometry, biliary	30493
Marshall-Marchetti operation for urethropexy	35599,37044
Marsupialisation of Bartholin's cyst or gland	35516,35517
    salivary gland	30265,30266
Mastectomy, total	31518,31521
    subcutaneous	31524,31527
Mastitis, granulomatous, exploration and drainage	31551
Mastoid cavity, obliteration of	41548,41564
    portion, decompression of facial nerve	41569
Mastoidectomy, cortical	41545
    intact wall technique, with myringoplasty	41551,41554
    radical or modified radical	41557,41560,41563
       41564
    revision of, with myringoplasty	41566
    with insertion of cochlear implant	41617
    with transmastoid removal of glomus tumour	41623
Maxilla, operation on, for acute osteomyelitis	43503
    operation on, for chronic osteomyelitis	43512,45815
    or mandible, fractures, treatment of	47753,47756,47762
       47765,47768,47771,47774,47777,47780,47783,47786
       47789
    osteectomy or osteotomy	45720,45723,45726
       45729,45731,45732,45735,45738,45741,45744,45747
       45752
    resection of, segmental, for tumour/cyst	45605
    resection of, sub-total	45602
    resection of, total	45596,45597
Maxillary antrum, lavage of	41704
    antrum, proof puncture and lavage of	41698,41701
    artery, transantral ligation of	41707
    frenulum, repair of	30281
    sinus lift procedure	45849
    sinus, drainage of, through tooth socket	41719
    sinus, operations on	41710,41713,41716
       41719,41722
    tuberosity, reduction of	45829
Meatoplasty, with correction of auditory canal stenosis	41521
    with removal of cartilage and/or bone	41512,41515
Meatotomy and hemi-circumcision, hypospadias	37354
    ureteric, with cystoscopy	30265,30266,36830
    urethral	37321
Meatus, external auditory, removal of exostoses in	41518
    external auditory, removal of keratosis obturans	41509
    internal auditory, exploration of	41599
    pinhole urinary, dilatation of	37300
Meckel's diverticulum, removal of	30375
Meconium ileus, laparotomy for	43813,43816
Medial palpebral ligament, ruptured, repair of	42854
Median bar, endoscopic resection of	36854
    sternotomy for post-operative bleeding	38656
Mediastinum, cervical exploration of	38448
    exploration of, for hyperparathyroidism	30318,30320
    intrathoracic operation on, not otherwise covered	38456
Meibomian cyst, extirpation of	42575
Melanoma, removal of	31300,31305,31310
       31315,31320,31325,31330,31335
    excision of, oral & maxillofacial  region	45801,45803,45805
       45807,45809
Melasma, full face chemical peel	45019,45020
Meloplasty, for correction of facial asymmetry	45587,45588
Membranes, retained, evacuation of	16564
Meningeal haemorrhage, operations for	39600,39603
Meningocele, excision and closure of	40100
Meniscectomy, knee	49503,49506
    temporo-mandibular	45755
Mesenteric artery, inferior, operation on	32736
    vessels, by-pass grafting to	32730,32733
Meso caval shunt for portal hypertension	30603
Metacarpal bones, amputation of	44325
    bones, bone grafting, pseudarthrosis	46402,46405
    bones, fracture, treatment of	47336,47339,47342
       47345
    bones, operation for osteomyelitis	46462
    bones, osteotomy/osteectomy	46396,46399
Metacarpophalangeal joint, arthrodesis	46300
    joint, arthroplasty	46306,46307,46309
       46312,46315,46318,46321
    joint, arthrotomy	46327,46330
    joint, dislocation, treatment of	47042,47045
    joint, hemiarthroplasty	46309,46312,46315
       46318,46321
    joint, ligamentous repair of	46333
    joint, volar plate arthroplasty	46307
Metacarpus, operation on, for chronic osteomyelitis	43512
Metastatic carcinoma, craniotomy for removal of	39709
Metatarsal bones, osteotomy or osteectomy of	48400,48403
    fracture, treatment of	47633,47636,47639
       47642,47645,47648,47651,47654,47657
Metatarso-phalangeal joint, synovectomy of	49860,49863
    joint, total replacement of	49857
Metatarsus, amputation or disarticulation of	44358
    operation on, for acute osteomyelitis	43500
Micro-arterial graft	45503
Microdochotomy of breast, benign or malignant condition	31554
Microlaryngoscopy	41855
    - with arytenoidectomy	41867
    - with division of laryngeal web	41868
    - with removal of juvenile papillomata	41858
    - with removal of papillomata by laser surgery	41861
    - with removal of tumour	41864
Microsomia, construction of condyle and ramus	45791
Microvascular anastomosis using microsurgical 
       techniques	45502
    for supercharging of pedicled flaps	45561
    repair using microsurgical techniques	45500,45501,45504
Microvenous graft	45503
Middle ear, clearance of	41635,41638
    ear, exploration of	41629
    ear, insertion of tube for drainage of	41632
    ear, operation for abscess or inflammation of	41626
    palmar spaces of hand, drainage of	46519
Midtarsal amputation of foot	44364
Miles' operation	32039
Minitracheostomy insertion	41884
Minnesota tube, insertion of	13506
Miscarriage, habitual, treatment of	16504
    incomplete, curettage for	35639,35640
    threatened, ligation of cervix	16511
    threatened, treatment of	16505
Mitral annulus, reconstruction after decalcification	38485
    valve, open valvotomy of	38487
Mitrofanoff continent valve, formation of	37045
Moh's procedure	31000-31002
Mole, desiccation by diathermy	
    retained, evacuation of	16564
Molluscum contagiosum, removal in operating theatre	30189
Morbid obesity, operations for	30511,30512,30514
Mucous membrane, biopsy of	30071
    membrane, cancer, treatment	30196,30197,30202
       30203,30205
    membrane, graft	42641
    membrane, repair of recent wound	30026,30029,30032
       30035,30038,30041,30042,30045,30048,30049
Multiple delivery, administration of anaesthetic	
    Multiple, injections for varicose veins	32500,32501
    pregnancy, interventional techniques	16633,16636
Muscle, activity sampling (electromyography)	
    biopsy of	30074,30075
    distal, devascularisation of	32200
    excision of	30226,30229
    excision of, with melanoma	31340
    extra-ocular, ruptured, repair of	42854
    flap repair	45000,45009,45012
    flap, delay of	45015
    removal of foreign body from	30067,30068
    ruptured, repair of	30232,30235
    transfer for facial nerve paralysis	45578
    transplant (Hummelsheim type), for squint	42848
Myelomeningocele, excision and closure of	40103
Myelotomy, laminectomy for	39124
Mylohyloid ridge, reduction of	45827
Myocardial electrode, permanent, insertion, thoracotomy	38470
    biopsy, by cardiac catherterisation	38275
Myocutaneous flap, delay of	45015
    flap repair	45003,45006
Myoma, hysteroscopic resection	35623
Myomectomy, hypertrophic obstructive cardiomyopathy	38650
    uterine, abdominal	35649
    uterine, laparoscopic	35638
Myotomy, cricopharyngeal	41770,41776
    hypertrophic obstructive cardiomyopathy	38650
    ocular muscles	42833,42839,42851
    oesophagogastric (Heller's operation)	30532,30533
Myringoplasty	41527,41530
    - and mastoidectomy	41551,41560
    - and ossicular chain reconstruction	41542
    - and revision of mastoidectomy	41566
    - with mastoidectomy and ossicular chain recon	41554,41563
Myringotomy	41626

N

Naevus, excision of	
    excision of, in oral & maxillofacial region	45801,45803,45805
       45807,45809
Nail bed, exploration and repair of deformity	46489
    bed, reconstruction of laceration	46486
    digital, of finger or thumb, removal of	46513,46516
    digital, of toe, removal of	47904,47906
    ingrowing, of finger or thumb, resection	46528,46531
    ingrowing, of toe, excision/resection	47915,47916,47918
    ingrown, of toe, operation under GA, paediatric	44136
    plate injury/deformity, radical excision	46534
    plate or rod, removal of	47930
Nasal adhesions, division of	41683
    bones, fracture, treatment of	47735,47738,47741
    cavity and/or post nasal space, examination of	41653
    cavity, packing for arrest of haemorrhage	41677
    haemorrhage, arrest of	41656,41677
    haemorrhage, cryotherapy in the treatment of	41680
    polyp or polypi, removal of	41662,41665,41668
    septum button, insertion of	41907
    septum, reconstruction of	41672
    septum, septoplasty or submucous resection	41671
    space, post, direct examination of	41761
    turbinates, cryotherapy	41695
Nasendoscopy	41764
Naso-lacrimal tube, replacement of	42610,42611,42614
       42615
Nasopharyngeal angiofibroma, transpalatal removal	41767
Nasopharynx, fibreoptic examination of	41764
Neck, deep-seated haemangioma, excision of	45036
    excision of infected by-pass graft	34157
    scar, revision of (restriction applies)	45506,45512
Necrosectomy, pancreatic	30577
Necrotic material, debridement of	35100,35103
Needle biopsy, aspiration	
    biopsy of prostate	37218
    biopsy of vertebra	30093
Needling of cataract	42734
    needling of encysted bleb	42744
Neonatal alimentary obstruction, laparotomy for	43825
    surgery	43801,43804,43807
       43810,43813,43816,43819,43822
neonatal, repair of	30387
Neoplasia, intraepithelial, laser therapy	35539,35542,35545
Neoplastic lesions, cutaneous, treatment of	30195
Nephrectomy	36516,36519,36522
       36525-36529
    radical, for nephroblastoma, paediatric	43984
Nephro-ureterectomy, complete, with bladder repair	36531
    for tumour	36532
    for tumour, complicated	36533
Nephroblastoma, operations for	43981,43984
Nephrolithotomy	36540,36543
Nephroscopy	36627,36630,36633
       36636,36639,36642,36645,36648
Nephrostomy	36552
    drainage tube, exchange of, imaging guided	36649
    percutaneous, using interventional imaging	36624
Nerve block, regional or field	18213,18216,18219
       18222,18225-18228,18230,18232-18234,18236,18238
       18240,18242,18244,18246,18248,18250,18252,18254
       18256,18258,18260,18262,18264,18266,18268,18270
       18272,18274,18276,18278,18280,18282,18284,18286
       18288,18290,18292,18294,18296,18298
    cranial, intracranial decompression	39112
    cutaneous, nerve graft to	39318
    cutaneous, repair of	39300,39303
    exploration of	39330
    facio-hypoglossal or facio-accessory, anastomosis of	39503
    graft to nerve trunk	39315
    intracranial, for trigeminal neuralgia	39106
    peripheral, removal of tumour from	39324,39327
    sacral, stimulation for faecal incontinence	32213-32218
    section, retrolabyrinthine, vestibular/cochlear	41596
    section, translabyrinthine, vestibular	41593
    stimulation for pain	39130,39131,39133-39139
    transposition of	39321
    trigeminal, primary branch, injection with alcohol etc	39100
    trunk, internal (interfasicular), neurolysis of	39312
    trunk, microsurgical repair	39306,39309
    trunk, nerve graft to	39315
    vestibular, section of, via posterior fossa	39500
Neurectomy, foot, for plantar digital neuritis	49866
    intracranial, for trigeminal neuralgia	39106
    peripheral nerve	39324,39327
    transantral vidian, with antrostomy	41713
Neuroblastoma, operations for	43981,43984,43987
Neuroendocrine tumour, retroperitoneal, removal of	30321,30323
Neuroendoscopy	40903
Neurolysis, by open operation	39330
    of nerve trunk	39312
Neuroma, acoustic, removal of	41575,41576,41578
       41579
Neurostimulator receiver, spinal, subcutaneous 
       placement	39134
Neurotomy, of peripheral nerves	39327
    percutaneous, for facet joint denervation	39118
    percutaneous, of spinal nerves	39115
Neurovascular island flap, for pulp innervation	46504
    island flap, with vascular pedicle	45563
Nipple, accessory, excision of	31566
    inverted, surgical eversion of	31563
    reconstruction of	45545,45546
Noble type intestinal plication with enterolysis	30375
Node, lymph, biopsy of	30074,30075
    scalene, biopsy	30096
Nodes, lymph, pelvic, excision of	35551
Non-gravid uterus, suction curettage of	35639,35640
Nose, cauterisation or packing, for haemorrhage	41677
    composite graft to	45656
    cryotherapy to, for haemorrhage	41680
    dermoid of, congenital, excision of	41729
    foreign body in, removal of, other than simple	41659
    fracture, treatment of	47735,47738,47741
    full thickness repair of laceration (restriction)	30052
    operations, other	41659,41662,41665
       41668,41671,41672,41674,41677,41680,41683,41686
       41689,41692,41695
    plastic operations	45632,45635,45638
       45639,45641,45644-45647,45650,45652,45653

O

Obesity, morbid, surgical reversal of gastric procedure	30514
Ocular muscle, torn, repair of	42854
    transillumuination	42821
Odontoid screw fixation	40316
Oesophageal atresia, neonatal, operations for	43843,43846,43849
       43852,43855,43858
    atresia/corrosive stricture, replacement for	43903
    perforation, repair of, by thoracotomy	30560
    prosthesis, insertion of	30490
    stricture, endoscopic dilatation of	41819,41820
    transection for portal hypertension	30606
    tube, indwelling, gastrostomy for fixation	30375
Oesophagectomy	30535,30536,30538
       30539,30541,30542,30544,30545,30547,30548,30550
       30551,30553,30554,30556,30557
    cervical	30294
Oesophagogastric myotomy	30532,30533
Oesophagoscopy	30473,30475,30476
       30478
    with dilatation of stricture	41819,41820
    with rigid oesophagoscope	41816,41822,41825
Oesophagostomy, cervical	30293,30294
    cervical, neonatal oesophageal atresia	43858
    closure or plastic repair of	30293
Oesophagus, resection of stricture, paediatric	43906
    balloon dilatation of	41832
    dilatation of	41819,41820,41822
       41825,41828,41831
    intrathoracic operation on, not otherwise covered	38456
    local excision for tumour	30559
    removal of foreign body in	41825
Olecranon, excision of bursa of	30110,30111
    fracture, treatment of	47396,47399,47402
    fracture, treatment of paediatric	50540
Omentectomy, infra-colic	35726
    with debulking operation	35720
Oophorectomy, laparoscopic	35638
    with laparotomy, not with hysterectomy	35712,35713,35716
       35717
    with vaginal hysterectomy	35673
Open heart surgery, not otherwise covered	38653
Operative arteriography or venography	35200
    cholangiography or pancreatography	30439
    feeding jejunostomy	31462
    laparoscopy, complicated	35641
Ophthalmological examination under GA	42503
Optic fundi, examination of	
    nerve meninges, incision of	42548
Orbit, anophthalmic, insertion of cartilage or implant	42518
    anophthalmic, placement of motility integrating peg	42518
    eye, decompression of	42545
    eye, exenteration of	42536
    eye, exploration of	42530,42533
    eye, removal tumour/foreign body	42539,42542,42543
    eye, skin graft to	42524
Orbital cavity, bone or cartilage graft to	45593
    cavity, reconstruction of	45590
    dermoid, congenital, excision of	42574
    dystopia, correction of	45776,45779
    implant, enucleation of eye	42506,42509
    implant, evisceration of eye and insertion of	42515
Orbitotomy	42530,42533
Orchidectomy	30638,30641
Orchidopexy for undescended testis	37803,37806,37809
Oro-antral fistula, plastic closure of	41722
    pin or wire, insertion of	47921
Oro-nasal fistula, plastic closure of	45714
Orthopaedic pin or wire, insertion of	47921
    ring fixator, adjustment of	50309
Osseo-integration procedures	45794,45797,45847
    for implantable bone conduction hearing system	41603,41604
Ossicular chain reconstruction	41539,41542
Osteectomy of accessory bone	48400
    carpus	48406,48409
    clavicle	48406,48409
    femur	48424,48427
    fibula	48406,48409
    humerus	48412,48415
    mandible or maxilla	45720,45723,45726
       45729,45731,45732,45735,45738,45741,45744,45747
       45752
    metatarsal	48400,48403
    pelvic bone	48424
    pelvis	48427
    phalanx	48400,48403
    radius	48406
    rib	48406
    scapula (other than acromion)	48406
    sesamoid bone	48400
    tarsus	48406
    tibia	48418,48421
    ulna	48406
Osteomyelitis, acute or chronic, operations for	43500,43503,43506
       43509,43512,43515,43518,43521,43524
    carpus, operation for	46462
    metacarpal, operation for	46462
    operations for, in oral and maxillofacial region	45815,45817
    phalanx, operation for	46459,46462
    skull, craniectomy for	39906
Osteoplasty of knee	49503,49506
Osteotomy of accessory bone	48400
    carpus	48406,48409
    clavicle	48406,48409
    femur	48424,48427
    fibula	48406,48409
    foot	49833,49836-49838
    humerus	48412,48415
    mandible or maxilla	45720,45723,45726
       45729,45731,45732,45735,45738,45741,45744,45747
       45752
    metatarsal	48400,48403
    midfacial	45753,45754
    pelvic bone	48424
    pelvis	48427
    phalanx	48400,48403
    radius	48406,48409
    rib	48406,48409
    scapula (other than acromion)	48406,48409
    sesamoid bone	48400
    tarsus	48406,48409
    tibia	48418,48421
    ulna	48406,48409
Otitis media, acute, operation for	41626
Oval window surgery	41615
Ovarian biopsy by laparoscopy	35637
    cyst aspiration	35518
    cyst, excision of, with hysterectomy	35673
    cyst, excision of, with laparotomy	35712,35713,35716
       35717
    cyst, puncture of, via laparoscope	35637
    cystectomy, laparoscopic	35638
    transposition with hysterectomy for malignancy	35729
    tumour, radical or debulking operation for	35720
ovaries, operation for	30387
    rectum, abdominal rectopexy	32117
    rectum, perineal repair of	32120
    rectum, rubber band ligation of	32135
    rectum, sclerotherapy for	32132
    urethra	35570,35573
    urethra, excision of	37369
    vaginal, repair of	35568-35573,35577,35578
       35595-35597
Ovaries, prolapse, operation for	30387
Oxycephaly, cranial vault reconstruction for	45785
Oxygen consumption, estimation of	
    therapy, hyperbaric	13020,13025,13030

P

Pacemaker electrode, permanent, insertion, sub-xyphoid	38473
    gracilis neosphincter	32210
    permanent, insertion or replacement	38353
Pacemaking electrode, temporary transvenous, insertion	38256
Pain management, implanted drug delivery system	39125-39128,39130,39131
       39133
    spinal and peripheral nerve stimulation	39130,39131,39133-39139
Palatal exostosis, excision of	45825
Palate, cleft, repair of	45707,45710,45713
    papillary hyperplasia removal of	45831,45833,45835
Palmar warts, removal of	30185-30187
Palpebral ligament, medial, ruptured, repair of	42854
    lobe of lacrimal gland, excision of	42593
Pancreas, drainage of	30375
    excision of	30583
Pancreatectomy	30583,30593,30594
Pancreatic abscess, laparotomy and external drainage of	30575
    cyst, anastomosis to Roux loop of jejunum	30587
    cyst, anastomosis to stomach or duodenum	30586
    juice, collection of	30488
    necrosectomy	30577
Pancreatico-duodenectomy (Whipple's operation)	30584
Pancreatico-jejunostomy	30589,30590
Pancreato-cholangiography, endoscopic	30484
Pancreatography, operative	30439
Panendoscopy	30473,30476,30478
Panhysterectomy	35664
Pannus, treatment of, with cautery of conjunctiva	42677
Papilloma, bladder, transurethral resection	36840,36845
    larynx, removal of	41852
    removal in oral & maxillofacial region	45801,45803,45805
       45807,45809
Papillomata, juvenile, removal with microlaryngoscopy	41858
    removal of by laser surgery	41861
Para-oesophageal, hiatus hernia, repair of	31468
Paracentesis abdominis	30406
    anterior or posterior chamber or both	42740
    in relation to eye	42734
    of tympanum	41626
    thoracic cavity	38803
Paralysis, facial nerve, plastic operations for	45575,45578
Parapharyngeal tumour, excision of	31409,31412
Paraphimosis, reduction of under GA	30666
Parathyroid operation for hyperparathyroidism	30315
Parental nutrition	
    central vein, tunnelled cuffed catheter	34538
    removal of tunnelled cuffed catheter	34539
Paretic states, eyebrows, elevation of	42872
Parks' intersphincteric operation	32126
Paronychia of foot, incision for	47912
    of hand, incision for	46525
Parotid duct, diathermy or dilatation	30262
    duct, meatotomy or marsupialisation	30265,30266
    duct, removal of calculus	30265,30266
    duct, repair of,	30246
    fistula, repair of	30269
    gland, superficial lobectomy/removal of tumour	30253
    gland, total extirpation of	30247,30250
    tumour, excision of	30251
Parovarian cyst, removal of	35712,35713,35716
       35717
Patch angioplasty for vein stenosis	34815
    grafting to artery or vein	33545,33548
Patella, bursa, excision of	30110,30111
    congenital dislocation, reconstruction of quadriceps	50420
    dislocation, treatment of	47057,47060
    fracture, treatment of	47579,47582,47585
Patellar bursa, excision of	30110,30111
Patellectomy	49503,49506
Patello-femoral stabilisation	49503,49506,49564
    stabilisation, revision of	49548
Patent diseased coronary bypass vein graft, dissection	38637
    ductus arteriosus, division/ligation	38700,38703
    urachus, excision of	37800
Pectus carinatum, repair or radical correction	38457
    excavatum, repair or radical correction	38457,38458
Pedicle, tubed, or indirect flap	45230
    -  formation of	45227
    -  preparation of site and attachment to site	45233
    -  spreading of pedicle	45236
Pelvi-ureteric junction, plastic procedures to	36564
    cystoscopy of	36825
Pelvic abscess, drainage via rectum or vagina	30223
    abscess, laparotomy for drainage of	30394
    bone, operation on, for osteomyelitis	43509,43518
    bone, osteectomy or osteotomy of	48424,48427
    floor repair, laparoscopic or abdominal	35595
    haematoma, drainage of	30387
    lymph glands, excision of	35551,35664,35670
    ring, fracture, treatment of	47474,47477,47480
       47483,47486,47489
Pelvic lymphadenectomy	36502
Pelvis, bone graft/shelf procedure, acetabular 
       dysplasia	50393
    fracture, treatment of	47474,47477,47480
       47483,47486,47489,47492,47495,47498,47501,47504
       47507,47510
    osteotomy or osteectomy of	48424,48427
Penile warts, cystoscopy for treatment of	36815
Penis, amputation of	37402,37405
    artificial erection device, insertion	37426,37429
    artificial erection device, revision or removal of	37432
    circumcision of	30653,30656,30659
       30660
    correction of chordee	37417,37418
    frenuloplasty	37435
    injection for impotence	37415
    lengthening by translocation of corpora	37423
    paraphimosis, reduction of under GA	30666
    partial amputation of	37402
    repair of avulsion	37411
    repair of laceration of cavernous tissue, or fracture	37408
    surgery for penile drainage causing impotence	37420
Peptic ulcer, bleeding, control of	30505,30506,30508
       30509
    ulcer, perforated, suture of	30375
Per anal release, rectal stricture	32114
Percutaneous aspiration biopsy of deep organ	30094
    biliary dilatation	30495
    biliary drainage	30440,30451,30495
    biliary stenting	30492
    cordotomy	39121
    drainage of deep abscess, imaging guided	30224
    endoscopic gastrostomy	30481,30482
    epidural electrode, insertion	39130
    epidural electrodes, management of	39131
    epidural implant, removal	39136
    gastrostomy tube, jejunal extension	31460
    liver biopsy	30409
    lumbar discectomy	48636
    needle biopsy of lung	38812
    neurotomy for facet joint denervation	39118
    neurotomy of peripheral nerves	39323
    neurotomy of spinal nerves	39115
    retrieval of foreign body	35360-35363
    retrieval of inferior vena caval filter	35331
    transhepatic cholangiogram, imaging guided	30440
    ureteric stent exchange	36608
Perforated duodenal ulcer, suture of	30375
    gastric ulcer, suture of	30375
    peptic ulcer, suture of	30375
Perforating wound of eyeball, repair of	42551,42554,42557
Perfusion of donor kidney, continuous	22055
    of limb or organ	22055
    retrograde, cerebral (if performed)	22075
    retrograde, intravenous, sympatholytic agent	14209
    whole body	22060
Perianal abscess, drainage of	32174,32175
    abscess, incision with drainage	30223
    excision of rectal tumour	32103,32104,32106
    thrombosis, incision of	32147
Pericardectomy	38447,38449
Pericardium, drainage of, sub-xyphoid	38452
    drainage of, transthoracic	38450
Perineal anoplasty, ano-rectal malformation	43960
    biopsy of prostate	37212
    graciloplasty	32203,32209
    graciloplasty, insert. stimulator & electrode	32209
    prostatectomy	37200
    recto-sigmoidectomy for rectal prolapse	32112
    repair of rectocele	32131
    repair, rectal prolapse	32120
Perineorrhaphy	35571
Perinephric abscess, drainage of	36537
    area, exploration of	36537
Periorbital correction of Treacher Collins Syndrome	45773
    dermoid, congenital, excision of	42573
Peripheral arterial atherectomy	35312
    arterial catheterisation	35321
    cannulation for cardiopulmonary bypass	38603
    laser angioplasty	35315
    nerve, neurectomy/neurotomy/tumour	39324,39327
    peripheral nerve stimulation for pain	39131,39133-39137
    venous catheterisation	35317,35319,35320
Peritomy, conjunctival	42632
Peritoneal adhesions, division, with laparotomy	30376,30378,30379
    biopsies, multiple, with infracolic omentectomy	35726
    catheter, insertion and fixation of	13109
    catheter, removal of	13110
    dialysis	13112
Peritoneo venous (Leveen) shunt, insertion of	30408
Peritonitis, laparotomy for	30394
Peritonsillar abscess, incision of	41807
Periurethral injection for urinary incontinence	37339
Perthes, hips or knees, application of cast under GA	50390
Petro-clival and clival tumour, removal of	39653,39654,39656
Peyronie's plaque, operation for	37417
Phalanges, amputation/splitting, congenital 
       abnormalities	50396
Phalanx, bone grafting of, for pseudarthrosis	46402,46405
    distal, for osteomyelitis	46459
    finger or thumb, fractures, treatment of	47300,47303,47306
       47309,47312,47315,47318,47321,47324,47327,47330
       47333
    middle or proximal, for osteomyelitis	46462
    operation for acute osteomyelitis	43500
    operation for chronic osteomyelitis	43512
    osteectomy or osteotomy of	46399,48400,48403
    toe, fracture, treatment of	47663,47666,47672
       47678
Pharyngeal adhesions, division of	41758
    bands or lingual tonsils, removal of	41804
    cysts, removal of	41813
    flap for velo-pharyngeal incompetence	45716
    pouch, endoscopic resection (Dohlman's op)	41773
    pouch, removal of	41770
Pharyngectomy, partial	41782,41785
Pharyngoplasty	45716
Pharyngotomy (lateral)	41779
Pharynx, cauterisation or diathermy	41674
    removal of foreign body from	30061
Photocoagulation, laser, vascular lesions	14100,14106,14109
       14112,14115,14118,14124
    of xenon arc	42782,42783
Photoiridosyneresis, laser	42808
Photomydriasis, laser	42807
Phototherapeutic, keratectomy	42810
Pigeon chest, correction of	38457
Pilonidal cyst or sinus, excision of	30675,30676
    sinus, injection of sclerosant fluid	30679
Pin, orthopaedic, insertion of	47921
    wire or screw, buried, removal of	47924,47927
Pinealoma, craniotomy for removal of	39712
Pinguecula, removal of	42689
Pinhole urinary meatus, dilatation of	37300
Pirogoff's amputation of foot	44361
Pitanguy abdominoplasty	30177
Pituitary tumour, removal of	39715
Placement of catheters	38220,38222,38243
Placenta, retained, evacuation of	16564
Placentography, preparation for	36800
Plantar fasciotomy, radical	49854
    warts, removal of	30186,30187
Plaster jacket, application of, to spine	47708
Plastic procedures to pelvi-ureteric junction	36564
    reconstruction for bicornuate uterus	35680
    reconstruction of lacrimal canaliculus	42602
    repair, direct flap	45209,45212,45215
       45218,45221,45224
    repair, of cervical oesophagostomy	30293
    repair, single stage, local flap	45200,45203,45206
    repair, to enlarge vaginal orifice	35569
Plate, rod or nail, removal of	47930
Pleura, percutaneous biopsy of	30090
Pleural effusion	38803
Pleurectomy with thoracotomy	38424
pleurodesis	38424
pleurodesis	38436
Plexus, brachial, exploration of	39333
Plication, intestinal, with enterolysis, Noble type	30375
Pneumonectomy	38438,38441
Poison, ingested, gastric-lavage in the treatment of	14200
Polycythemia	13757
Polyhydramnios, attendance, not routine antenatal	16502
Polyp, anal, excision of	32142,32145
    aural, removal of	41506,41509
    cervix, removal of	35611
    larynx, removal of	41852
    nasal, removal of	41662,41665,41668
    rectal, removal with sigmoidoscopy	32078,32081
    uterus, removal of	35639,35640
Polypectomy, with hysteroscopy	35633
Popliteal artery, exploration of, for popliteal 
       entrapment	34145
    vessel, ligation or exploration, other	34103
Porta hepatitis, radical resection for carcinoma	30461
Portacath, laparatomy with insertion of	30400
Portal hypertension, operations for	30602,30603,30605
       30606
Porto caval shunt for portal hypertension	30602
Portoenterostomy for biliary atresia	43978
Posterior chamber, removal of silicone oil	42815
    juxtasceral Depot injection	42741
    sclerotomy	42734
    spinal fusion	40321,40324,40327
    vaginal compartment repair	35571,35573
Postero-lateral bone graft to spine	48648,48651
Postnasal space, examination under GA	41653
    space, direct examination with/without biopsy	41761
Postnatal care	16564,16567,16570
       16571,16573
Postoperative haemorrhage	30058
    - control under GA, independent	30058
    - laparotomy for control of	30385
    - tonsils/adenoids, arrest, under GA	41796,41797
    following gynaecological surgery, under GA	35759
Postpartum haemorrhage, treatment of	16567
Pre-auricular sinus, excision of	30104
Preeclampsia, treatment of	16509
Pregnancy, attendance for complication by	16508
    - diabetes or anaemia	16502
    - intrauterine growth retardation	16508
    - threatened premature labour	16502,16508
    multiple, attendance other than routine antenatal	16502
Premalignant skin lesions, treatment of	30192
Premature labour, attendances not routine antenatal	16502,16508
Prepuce, breakdown of adhesions of	
    operations on	30653,30656,30659
       30660,30663,30666
Presacral and sacrococcygeal tumour, excision of	32036
    sympathectomy	35012
Pressure monitoring, intracranial	13830
    monitoring, intravascular	13876
Priapism, decompression of	37393
    shunt operation for	37396
Primary repair of cutaneous nerve	39300
    repair of extensor tendon of hand or wrist	46420
    repair of flexor tendon of hand or wrist	46426,46432
    repair of nerve trunk	39306
    restoration of alimentary continuity	41843
Proctectomy, perineal	32047
Proctocolectomy with ileostomy	32015,32018,32021
Products of conception, retained, evacuation of	16564
Progesterone implant	14203,14206
Proof puncture of maxillary antrum	41698,41701
Prostate, biopsy of	37212,37215,37218
       37219
    diathermy or visual laser destruction of	37224
    endoscopic laser ablation	37207,37208
    high energy transurethral microwave thermotherapy	37230,37233
    total excision of	37209-37211
    transurethral microwave thermotherapy	37230,37233
Prostate, impantation of gold fiducial markers	37217
Prostatectomy, endoscopic	37203,37206
    open	37200
    radical	37210,37211
Prostatic abscess, endoscopic drainage of	37221
    abscess, open drainage of	37212
    coil, insertion of	37223
Prosthesis, breast, manipulation fibrous tissue 
       surrounding	
    breast, removal and/or replacement	45548,45551-45555
    knee, removal of	49515
    oesophageal, insertion of	30490
    shoulder, removal of	48927
Pseudarthrosis, bone grafting of metatarsal for	46402,46405
    bone grafting of phalanx for	46402,46405
Pterygium, removal of	42686
Ptosis of eyelid, correction of	45623-45625
    breast, correction of (unilateral)	45556,45557
Pulmonary artery, banding of	38715,38718
    artery catheterisation	13818
    decortication with thoracotomy	38421
Pulp space infection of foot, incision for	47912
    space infection of hand, incision for	46525
Pulse generator, subcutaneous placement	39134
Pump or resevoir, loading of	14218
    implanted, associated with adjustable gastric band	31441
Punch biopsy of synovial membrane	30087
Punctum, occlusion of	42620-42622
    snip operation	42617
Purse string ligation, cervix	16511
    string ligature of cervix, removal	16512
Puva therapy	14050,14053
Pyelography  retrograde, preparation for	36824
Pyelolithotomy	36540,36543
Pyeloplasty, by open exposure	36564,36567,36570
Pyeloscopy, retrograde	36652,36654,36656
Pyelostomy, open	36552
Pyloromyotomy for pyloric stenosis	43930
Pyloroplasty	30375
    reconstruction of	30517
Pylorus, dilation of, with vagotomy	30502
Pyonephrosis, drainage of	36537

Q

Quadriceps, patella, reconstruction, congenital 
       dislocation	50420
Quadricepsplasty, for knee mobilisation	49569
Quinsy, incision of	41807

R

Radial vessel, ligation or exploration, other	34106
Radiation dosimetry	15518,15521,15524
       15527,15530,15533,15536
    field setting	15500,15503,15506
       15509,15512,15513,15515
    oncology treatment	15211,15214,15215
       15218,15221,15224,15227,15230,15233,15236,15239
       15242,15245,15248,15251,15254,15257,15260,15263
       15266,15269,15272
    proctitis, anorectal application of formalin	32212
Radiofrequency ablation	
    destruction/non-resectable liver cancer	50950,50952
    endometrial	35616
Radioisotope, therapeutic dose, administration of	16003,16006,16009
       16012
Radiosurgery, stereotactic	15600
Radiotherapy, deep or orthovoltage	15100,15103,15106
       15109,15112,15115
    planning	15500,15503,15506
       15509,15512,15513,15515,15518,15521,15524,15527
       15530,15533,15536
    radioactive sources, sealed	15303,15304,15307
       15308,15311,15312,15315,15316,15319,15320,15323
       15324,15327,15328,15331,15332,15335,15336,15338
       15339,15342,15345,15348,15351,15354,15357
    radioactive sources, unsealed	16003,16006,16009
       16012,16015,16018
    superficial	15000,15003,15006
       15009,15012
Radioulnar joint, dislocation, treatment of	47024,47027
    joint, distal, reconstruction/stabilisation	46345
    joint, distal, synovectomy	46342
Radius, bone graft to	48218,48221,48224
       48227
    fracture, treatment of	47360,47363,47366
       47369,47372,47375,47378,47381,47384-47387,47390
       47393,47396,47399,47402,47405,47408
    fracture, treatment of paediatric	50500,50504,50508
       50512,50516,50520,50524,50528,50532,50536,50540
       50544,50548
    operation on, for acute osteomyelitis	43503
    operation on, for chronic osteomyelitis	43512
    osteectomy or osteotomy of	48406,48409
Ranula, removal of	30282,30283
Rectal biopsy, full thickness	32096
    fistula, closure of	37038,37336
    polyp, removal of with sigmoidoscopy	32078,32081
    prolapse, abdominal rectopexy of	32117
    prolapse, Delorme procedure for	32111
    prolapse, paediatric, injection under GA	44105
    prolapse, perineal recto-sigmoidectomy for	32112
    prolapse, perineal repair of	32120
    prolapse, rubber band ligation of	32135
    prolapse, sclerotherapy for	32132
    stricture, dilatation of	32115
    stricture, per anal release of	32114
    tumour, excision of	32099,32102-32104,32106
       32108
Rectocele, perineal repair of	32131
    vaginal compartment repair of	35571
Rectopexy, abdominal, of rectal prolapse	32117
Rectosigmoidectomy (Hartmann's operation)	32030
    perineal, for rectal prolapse	32112
Rectovaginal fistula, repair of	35596
Rectum and anus, abdomino-perineal resection of	32039,32042,32045
       32046
    anterior resection of	32024-32026,32028
    examination under GA, paediatric	44102
    perineal resection of	32047
    suction biopsy of	30071
Recurrent hernia, repair of	30403
Reduction mammaplasty (unilateral)	45520
    with surgical repositioning of nipple	45520
    without surgical repositioning of nipple	45522
Reduction ureteroplasty	36618
Reflux, gastro-oesophageal, correction	43951,43954,43957
    vesico-ureteric, correction	36588
Renal artery, aberrant, operation for	36537
    biopsy (closed)	36561
    cyst, excision of	36558
    dialysis in hospital	13100,13103
    pelvis, brush biopsy of, with cystoscopy	36821
    transplant	36503,36506,36509
repair of abdominal aortic aneurysm	33116,33119
Resevoir, implanted associated with gastric band	14215,31441
    or pump, loading of	14218
Resuturing of wound following intraocular procedures	42857
Retina, cryotherapy of	42818
    detached, diathermy or cryotherapy for	42773
    detached, removal of encircling silicone band	42812
    detached, resection or buckling operation for	42776
    detached, revision operation for	42779
    light coagulation for	42782,42783
    photocoagulation of	42809
    pre-detachment of, cryotherapy for	42818
Retrobulbar abscess, operation for	42572
    injection of alcohol	42824
Retrolabyrinthine vestibular nerve section	41596
Retroperitoneal abscess, drainage of	30402
    lymph node biopsies	35723
    lymph node dissection	37607,37610
    neuroendocrine tumour, removal of	30321,30323
Retropharyngeal abscess, incision with drainage	30223
Retropubic prostatectomy	37200
Retroversion, operation for	35683,35684
Rhinophyma, carbon dioxide laser ablation/excision	45652
    shaving of	45653
Rhinoplasty procedures	45632,45635,45638
       45639,45641,45644
    secondary revision of	45650
Rhinotomy, lateral, with removal of tumour	41728
Rhizolysis, spinal	40330
Rib, cervical, removal of	34139
    first, resection of portion	34136
    fracture, treatment of	47471
    operation for acute osteomyelitis	43503
    operation for chronic osteomyelitis	43512
    osteectomy or osteotomy of	48406,48409
    resection, with radical operation for empyema	38415
Ring fixator, adjustment of	50309
Rod, plate or nail, removal of	47930
rods, re-exploration for adjustment /removal	48615
Rosen incision, myringoplasty	41527
Rotational atherectomy, of the coronary artery	38309,38312,38315
       38318
Rotator cuff of shoulder, repair of	48906,48909
Round window repair or cochleotomy	41614
Roux-en-Y biliary bypass	30460,30466,30467
Rovsing's operation	36537
Rubin test for patency of Fallopian tubes	35706
Ruptured medial palpebral ligament, repair of	42854
    membranes, threatened premature labour	16508
    muscle, repair of	30232,30235
    thoracic aorta, operative management of	38572
    urethra, repair of	37306,37309
    viscus, simple repair of	30375

S

Sacral nerve lead(s)	36663
Sacral sinus, excision of	30675,30676
    colpopexy	35597
    nerve stimulation for faecal incontinence	32213-32218
    sympathectomy	35012
Sacro-iliac joint, arthrodesis of	49300
    joint disruption, treatment of	47513
Sacrococcygeal and presacral tumour, excision of	32036
    teratoma, neonatal, excision of	43876,43879
sacrospinous colpopexy	35568
Salivary gland, major, transposition of duct	41910
    gland, operations on	30262,30265,30266
       30269
Salpingectomy, laparoscopic	35638
    with laparotomy, not with hysterectomy	35712,35713,35716
       35717
    with vaginal hysterectomy	35673
Salpingo-oophorectomy not with hysterectomy	35712,35713,35716
       35717
Salpingolysis	35694,35697
Salpingostomy	35694,35697
    laparoscopic	35638
Saphenous vein anastomosis	34809
Scalene node biopsy	30096
Scalenotomy	34133
Scalp vein catheterisation in a neonate	13300
Scaphoid, bone graft to	48230,48233,48236
Scapula, fracture, treatment of	47468
    (other than acromion), osteectomy/osteotomy	48406,48409
    operation for chronic osteomyelitis	43512
Scar, abrasive therapy to	45021,45024
    face or neck, revision of (restriction applies)	45506,45512
    in oral and maxillofacial region	45801,45803,45805
       45807
    other than face or neck, revision of (restriction)	45515,45518
    other, removal of	31200,31205,31210
       31215,31220,31225,31230,31235,31240
Scars, corneal, removal of, by partial keratectomy	42647
Sclera, removal of imbedded foreign body	42644
    removal of superficial foreign body	30061
    transplantation of	42662,42665
Scleral blood vessels, laser coagulations of	42797
    graft to lid	42860
Sclerectomy and iridectomy for glaucoma	42746
Sclerosant fluid, injection of into pilonidal sinus	30679
    injection of starburst vessels, head/neck	30213,30214
    injection of telangiectases, head/neck	30213,30214
Scoliosis, treatment of	48606,48612,48613
       48615,48618,48621,48624,48627,48630,48632
    anterior correction of (Dwyer procedure)	48621,48624
    application of halo	47714
    bone graft to	50644
    congenital, vertebral resection and fusion for	48632,50640
    re-exploration for	48615,50616
    requiring anterior decompression of spinal cord	48630,50636
    revision of failed surgery	48618,50620
    spinal fusion for	48606,48612,48613
    spinal fusion for, with segmental instrumentation	48612,48613,48627
    spinal fusion with use of Harrington rod	48681
    treatment of including paediatric	50600,50604,50608
       50612,50616,50620,50624,50628,50632,50636,50640
       50644
Screw, pin or wire, buried, removal of	47924,47927
Scrotal contents, exploration of	37604
Scrotum, excision of abscess of	30223
    partial excision of	37438
Second trimester labour, management of	16525
Secondary, repair of extensor tendon of hand or wrist	46423
    repair of flexor tendon of hand or wrist	46429
Segmentectomy	38438
Selective coronary angiography	38215,38218,38220
       38222,38225,38228,38231,38234,38237,38240,38241
       38243,38246
    internal radiation therapy	35404,35406,35408
Semen, collection of	13290,13292
Semimembranosus bursa, excision of	30114
Seminal vesicle/ampulla of vas, total excision of	37209
Sengstaken-Blakemore tube, insertion of	13506
Sentinel lymph node biopsy for breast cancer	30299,30300,30302
       30303
Septal defect, atrial, closure of	38742
    defect, ventricular, closure of	38751
    perforation, closure of	41671
Septectomy, cardiac	38739,38748
Septoplasty of nasal septum	41671
Septostomy, or balloon valvuloplasty	38270
Septum button, nasal, insertion of	41907
    nasal, cauterisation/diathermy	41674
    nasal, reconstruction of	41672
    nasal, septoplasty or submucous resection	41671
    vaginal, excision of, for correction of double vagina	35566
Sequestrectomy	43512,43515,43518
       43521,43524
Seroma, breast, exploration, drainage, operating 
       theatre	31551
Sesamoid bone, osteotomy or osteectomy of	48400
Seton, readjustment of, in anal fistula	32166
Shirodkar suture	16511
Shoulder, amputation or disarticulation at	44331
    arthrectomy or arthrodesis	48939,48942
    arthroscopic surgery	48948,48951,48954
       48957,48960
    arthroscopy	48945
    arthrotomy	48912
    dislocation, treatment of	47009,47012,47015
    hemi-arthroplasty of	48915
    open reduction for congenital dislocation	50408
    orthopaedic treatment of	48900,48903
    prosthesis, removal of	48927
    removal of calcium deposit from cuff	48900
    rotator cuff, repair of	48906,48909
    spica, application of	47540
    Stabilisation procedure for recurrent anterior or 
       posterior dislocation	48930
    stabilisation, for multidirection instability	48933
    synovectomy of	48936
    total replacement of	48918,48921,48924
Shunt, aorto-pulmonary or cavo-pulmonary	38733,38736
    arteriovenous, external, insertion/removal	34500,34506
    cranial or cisternal, insertion of	40003
    cranial or cisternal, revision or removal of	40009
    lumbar, insertion of	40006
    lumbar, revision or removal of	40009
Sigmoidoscopic examination	32072,32075
    - with diathermy or resection of polyp/s	32078,32081
Sigmoidoscopy, fibreoptic, flexible	32084,32087
Silicone band, encircling, removal from detached retina	42812
    breast prosthesis, removal of	45555
Sinoscopy	41764
Sinus, diathermy of	
    ethmoidal, external operation on	41749
    excision of	30099,30102,30103
    frontal, catheterisation of	41740
    frontal, radical obliteration of	41746
    frontal, trephine of	41743
    injection of sclerosant fluid under anaesthesia	30679
    intranasal operation on	41737
    maxillary, drainage of, through tooth socket	41719
    pilonidal, excision of	30675,30676
    pre-auricular, excision of	30104
    sphenoidal, intranasal operation on	41752
    urogenital, vaginal reconstruction for	35565
SIR-Spheres administration	35404,35406,35408
Skin, biopsy of	30071
    cancer, treatment of	30196,30197,30202
       30203,30205
    full face chemical peel	45019,45020
    graft to orbit	42524
    lesions, multiple injections for	30207
    lesions, treatment of	30192,30195
    malignant lesion, removal of	31300,31305,31310
       31315,31320,31325,31330,31335
    repair of recent wound of	30026,30029,30032
       30035,30038,30041,30042,30045,30048,30049
    subcutaneous tissue, extensive excision	31245
    tags, anal, excision of	32142,32145
Skull base surgery for tumour removal	39640,39642,39646
       39650,39653,39654,39656,39658,39660,39662
    base tumour, removal, infra-temporal	41581
    calipers, insertion of	47705
    fracture, attendance for treatment of	47703
    fractured, operations for	39606,39609,39612
       39615
    osteomyelitis, acute, operation for	43503
    osteomyelitis, chronic, operation for	43521
    osteomyelitis, craniectomy for	39906
    treatment of fracture, not requiring operation	47703
    tumour, excision of	39700
Sling operation for stress incontinence	35599
    procedure, intestinal, prior to radiotherapy	32183
Slough, debridement of	35100,35103
Small bone, exostosis, excision of	47933
    bowel intubation	30487,30488
    bowel strictureplasty	30564
    bowel, endoscopic examination of	32095
    intestine, resection of	30565,30566
Smith's fracture of radius, treatment of	47369,47372,47375
Smith-Petersen nail, removal of	47924,47927
Socket, eye, contracted, reconstruction of	42527
Spasticity management	
    implanted drug delivery system	14227,14230,14233
       14236,14239,14242
Spermatic cord, exploration of, inguinal approach	30644
Spermatocele, excision of	37601
Sphenoidal sinus, intranasal operation on	41752
Sphincter, anal, direct repair of	32129
    anal, stretching of	32153
    bladder, endoscopic incision/resection	36854
    of Oddi, transduodenal operation on	30458
    urethral, reconstruction	37375
    urinary, artificial, insertion	37381,37384,37387
    urinary, artificial, revision or removal	37390
Sphincterotomy, anal, independent procedure	43999
    endoscopic	30485,36854
Spinal and pudendal nerve motor latency, measurement	
    catheter, insertion of for infusion device	39125,39128
    cord, cervical decompression	40331-40335
    fusion to cervical, thoracic or lumbar regions	48660,48663,48666
       48669,48672,48675
    fusion, application of halo for scoliosis	47714
    fusion, posterior	40321,40324,40327
    fusion, posterior interbody, with laminectomy	48654,48657
    nerves, injection into	39013
    nerves, percutaneous neurotomy	39115
    neurostimulator receiver, subcutaneous placement	39134
    rhizolysis	40330
    shunt for hydrocephalus	40006
    spinal stimulation, for pain	39131,39133-39139
    stenosis, laminectomy for	40303,40306
    thoracic decompression	40345,40348
    thoraco-lumbar/high lumbar decompression	40351
    using segmental instrumentation	48613
Spine, application of plaster jacket to	47708
    application of a localiser cast to	50600
    bone graft to	48642,48645,48648
       48651
    fracture, treatment of	47681,47684,47687
       47690,47693,47696,47699,47702
    internal fixation of	48678,48681,48684
       48687,48690
    manipulation of	48600,48603
    operation on, for acute osteomyelitis	43509
    operation on, for chronic osteomyelitis	43518
Spleen, ruptured, repair of	30375
Splenectomy	30597,30599
    laparoscopic	31470
Spleno renal shunt, selective, for portal hypertension	30605
Splenorrhaphy	30596
Split skin free grafts, granulating areas	45400,45403
    skin free grafts to one defect	45439,45442,45445
       45448
Squamous cell carcinoma, removal of	31255-31258,31260-31263,31265-31268
       31270-31273,31275-31278,31280-31283,31285-31288
       31290-31293,31295
Squint, muscle transplant (Hummelsheim type)	42848
    operation for	42833,42836,42839
       42842
    readjustment of adjustable sutures	42845
    recurrent, operation for	42851
Staging laparotomy for gynaecological malignancy	35726
Stapedectomy	41608
Stapes mobilisation	41611
Staple arrest of hemi-epiphysis	48509
Starburst vessels, head/neck, diathermy or injection	30213,30214
Stenosing tendovaginitis, hand/wrist, open operation	46363
Stenosis, arteriovenous fistula/access device, 
       correction of	34518
    auditory canal, correction of	41521
    spinal, laminectomy for	40303,40306
    tracheal, dilatation of, with bronchoscopy	41904
    venous, operations for	34812,34815
Stent, external, application restore valve competency	34824,34827,34830
       34833
    insertion, transluminal	35306,35307,35309
    insertion, transluminal, rotational atherectomy	38312,38318
    ureteric, passage through nephrostomy tube	36604
Stereotactic procedures	40800,40801,40803
Sterilisation (female)	35687,35688
    in conjunction with Caesarean section	35691
Sternal wire/s, removal of	38460
Sternocleidomastoid muscle, bipolar release, 
       torticollis	50402
Sternotomy for removal of thymus or mediastinal tumour	38446
    involving division of adhesions	38643,38647
    median, for post-operative bleeding	38656
    wound, debridement of	38462,38464
Sternum and mediastinum, reoperation for infection	38468,38469
    biopsy of	30081,30084,30087
    fracture, treatment of	47466,47467
    operation for acute osteomyelitis	43503
    operation for chronic osteomyelitis	43512
    reoperation for dehiscence or infection	38466
Stomach lavage	
    lavage in the treatment of ingested poison	14200
Stone/s, biliary/renal tract, extraction of	
    removal of, by urethroscopy	36540,36543
Strabismus, operation for	42833,42836,42839
Stress incontinence, abdomino-vaginal operation	35602,35605
    Marshall-Marchetti, urethropexy	35599,37044
    sling operation	35599,37042
    Stamey or similar type needle colposuspension	37043
    suprapubic procedure for	37044
Stricture, anal, anoplasty for	32123
    oesophagus, dilatation of	41819
    rectal, dilatation of	32115
    rectum, plastic operation to	30387
    tracheal, dilatation of, with bronchoscopy	41904
    urethral, dilatation of	37303
Strictureplasty, small bowel	30564
Strontium 89, administration of	16015
Stump, amputation, reamputation of	44376
    cervix-residual, removal of, abdominal approach	35612
    cervix-residual, removal of, vaginal approach	35613
Styloid process of temporal bone, removal of	30244
Sub-valvular structures, heart, reconstruction, re-
       implant	38490
Subclavian artery, endarterectomy	33506
    to femoral bypass grafting	32715
    vessel, ligation/exploration, other	34103
Subcutaneous fasciotomy, Dupuytren's contracture	46366
    fistula in ano, excision of	32156
    foreign body, removal not otherwise covered	30064
    tenotomy	47960
    tissue, repair of recent wound of	30026,30029,30032
       30035,30038,30041,30042,30045,30048,30049
Subdural haemorrhage, tap for	39009
Sublingual gland, duct, removal of calculus	30265,30266
    gland, extirpation of	30259
    gland, meatotomy or marsupialisation	30265,30266
Submandibular abscess, incision of	30223
    ducts, relocation of	30255
    gland, extirpation of	30256
Submaxillary gland, repair of cutaneous fistula	30269
Submucous resection of nasal septum	41671
    resection of turbinates	41692
Subperiosteal abscess	43500,43503,43506
       43509,43512,43515,43518,43521,43524
Subphrenic abscess, laparotomy for drainage of	30394
Subtalar arthrodesis	50118
Subtemporal decompression	40015
Subungual haematoma, incision of	30219
Suction biopsy of rectum	30071
    curettage of uterus	35639,35640,35643
Supraglottic laryngectomy with tracheostomy	41840
Suprapubic cystostomy or cystotomy	37008
    prostatectomy	37200
    stab cystotomy	37011
Surgical reduction of enlarged elements, macrodactyly	46510
Suspension of uterus	35683,35684
Suture, laser division of, eye, following 
       trabeculoplasty	42794
    shirodkar	16511
    traumatic wounds	30026,30029,30032
       30035,30038,30041,30042,30045,30048,30049
Sutures, adjustable, readjustment of, for squint	42845
    dressing and removal of, requiring GA	30055
Swann-Ganz catheterisation	13818
Sweat, collection of specimen of, by iontophoresis	
    gland bearing area, excision of	30180,30183
Sycosis barbae/nuchae, excision of	31245
Symblepharon, grafting for	45629
Syme's amputation of foot	44361
Sympathectomy, chemical	
    surgical	35000,35003,35006
       35009,35012
Symphysis pubis, fracture, treatment of	47474,47477,47480
       47483,47486,47489
Synacthen stimulation testing	30097
Synechiae, division of	42761
Synovectomy, of ankle	50312
    of elbow	49109
    of finger joints	46336
    of hand tendons	46336,46342
    of joint, not otherwise covered	50104
    of metatarso-phalangeal joint	49860,49863
    of shoulder	48936
    of tendons of digit	46348,46351,46354
       46357,46360
    total, of knee	49509
    total, of wrist	49224
Synovial cavity, aspiration of	
    membrane, punch biopsy of	30087

T

Talipes equinovarus, cast/manipulation/splint	49878
    equinovarus, procedures for	50315,50318,50321
       50324,50327,50330
Talus fracture, treatment of	47606,47609,47612
       47615,47618
    vertical, congenital, reconstruction	50336
Tantalum markers, surgical insertion of	42805
Tarsometatarsal joint, fracture, treatment of	47621,47624
    joint, Lisfranc's amputation of	44364
Tarsorrhaphy	42584
Tarsus, dislocation, treatment of	47063,47066
    fracture, treatment of	47627,47630
    operation on, for acute osteomyelitis	43503
    operation on, for chronic osteomyelitis	43512
    osteectomy or osteotomy of	48406,48409
Tear duct, probing of	42610,42611,42614
       42615
    third degree, repair of	16573
Teflon injection, into vocal cord	41870
    injection, peri-urethral	37339
Telangiectases, head/neck, diathermy or injection of	30213,30214
Temporal artery, biopsy of	34109
    bone, reconstruction of	45788
    bone, removal of styloid process of	30244
    bone, resection for removal of tumour	41584,41587
Temporomandibular joint, arthroplasty	45758
    arthrodesis	45877
    arthroscopy of	45855,45857
    arthrotomy	45859
    joint, external fixation, application of	45879
    joint, irrigation of	45865
    joint, manipulation of	45851
    joint, open surgical exploration of	45861,45863,45865
       45867,45869,45871,45873
    meniscectomy	45755
    stabilisation of	45875
    synovectomy of	45867
Tendon	49718,49721,49724
       49727
    - Achilles, repair of	49718,49721,49724
       49727
    - artificial prosthesis, insertion of for grafting	46414
    - foot, adductor hallucis, transfer of	49827,49830
    - foot, repair of	49800,49803,49806
       49809,49812
    - foreign body in, removal	30067,30068
    - hand/digit, synovectomy of	46336,46339,46342
       46345,46348,46351,46354,46357,46360
    - hand/wrist, repair of	46420,46423,46426
       46429,46432,46435
    - lengthening of	47957,47960,47963
    - major, of ankle, repair of	49718,49721,49724
       49727
    - or ligament transfer	47966
    - prosthesis, artificial, insertion for grafting	46414
    - reconstruction of, by tendon graft	46408
    - repair of	47954,49718
    - sheath, open operation for tenovaginitis	46363,47972
    - tenotomy	47960,47963
    - transfer of, to restore elbow function	50405
    - transfer of, to restore hand function	46417
    - transplantation of	47966
Tenolysis, hand	46450,46453
Tenoplasty	47963
Tenosynovectomy	47969
Tenosynovitis, open operation, tendon sheath hand/wrist	46363
Tenotomy	47960,47963,49806
       49809
    percutaneous, of finger	46456
Tenovaginitis, open operation for	46363,47972
Teratoma, mediastinal, thoracotomy and excision	43912
    sacrococcygeal, neonatal, excision of	43876,43879
Testicular implant	45051
Testis, exploration of	37604
    impalpable, exploration of groin	37812
    undescended, orchidopexy for	37803,37806,37809
Testopexy	37803
Tethered cord, release of	40112
Thenar spaces of hand, drainage of	46519
Therapeutic haemapheresis	13750
Therapeutic venesection	13757
Thigh, amputation through	44367
    hamstring tendon transfer	50357,50360
    rectus femoris tendon transfer	50357
Third degree tear, repair of	16573
    ventriculostomy	40012
Thompson arthroplasty of hip	49315
Thoracic aneurysm, replacement by graft	33103
    aorta, operative management of rupture/dissection	38572
    aorta, repair or replacement procedures	38550,38553,38556
       38559,38562,38565,38568,38571
    cavity, aspiration of	38800,38803
    decompression of spinal cord	40345,40348
    outlet compression, removal operation	34139
    sympathectomy	35003,35006
Thoraco-lumbar decompression of spinal cord	40351
Thoracoplasty	38427,38430
Thoracoscopy	38436
Thoracotomy	38418,38421,38424
    and excision of cyst/teratoma	43912
    for congenital cystadenomatoid malformation	43861
    for congenital lobar emphysema	43861
    for oesophageal atresia, neonatal	43852
    for removal of thymus or mediastinal tumour	38446
    involving division of adhesions	38643,38647
    or median sternotomy for post-operative bleeding	38656
Threatened abortion, treatment of	16505
    miscarriage, purse string ligation of cervix	16511
    miscarriage, treatment of	16505
    premature labour, treatment of	16502,16508
Three snip operation	42617
Thrombectomy of arteriovenous access device	34515
    of artery or vein	33803,33806,33812
Thrombosis, peri-anal, incision of	32147
    reoperation on extremity for	33848
Thrombus, removal of	33803,33806,33812
Thumb, digital nail, removal of	46513,46516
    flexor tendon sheath, open operation	46522
    fractures, treatment of	47300,47303,47306
       47309,47312,47315,47318,47321,47324,47327,47330
       47333
    ingrowing nail, resection	46528,46531
Thymectomy	38456
Thymoma, malignant, removal from mediastinum	38456
Thymus, removal of by thoracotomy or sternotomy	38446
Thyroglossal cyst and/or fistula, removal of	30313,30314
Thyroidectomy	30296,30297,30299
       30300,30302,30303,30306,30308-30310
Tibia, bone graft to	48206,48209
    congenital deficiency, treatment of	50417,50423
    congenital pseudarthritis, resection, fixation	50354
    epiphyseodesis	48503,48506
    fracture, treatment of	47543,47546,47549
       47552,47555,47558,47561,47564-47567,47570,47573
    fracture, treatment of paediatric	50580,50584,50588
    operation on, for acute osteomyelitis	43503
    operation on, for chronic osteomyelitis	43512
    osteectomy or osteotomy of	48418,48421
Tibial vessel, ligation/exploration not otherwise 
       covered	34106
Tic douloureux, injection for	39100
Tissue, expansion  for breast reconstruction	45539,45542
    expander, insertion of	45566
    expander, removal of	45568
    expansion, intra-operative	45572
    free transfer of	45563-45565
    living, implantation of	14203,14206
    subcutaneous, repair of recent wound of	30026,30029,30032
       30035,30038,30041,30042,30045,30048,30049
Toe, amputation or disarticulation of	44338,44342,44346
       44350,44354,44358
    dislocation, treatment of	47069,47072
    fractures, treatment by reduction	47663,47666,47672
       47678
    hammer or claw, correction of	49848,49851
    hyperextension deformity, release, lengthening	50345
    phalanx of, operation for acute osteomyelitis	43500
Toenail, ingrowing, excision or resection for	47915,47916,47918
    ingrown, operation with GA, paediatric	44136
    removal of	47904,47906
Tongue, partial or complete excision of	30272,41779,41782
       41785
    tie, repair of	30278,30281
Tonsils, lingual, removal of	41804
    or tonsils and adenoids	41796,41797
        -  removal of, twelve years or over	41792,41793
        -  removal of, under twelve years	41788,41789
Topectomy, for epilepsy	40703
Torkildsen's operation	40000
Torticollis, bipolar release sternocleidomastoid muscle	50402
    operation for	44133
Trabeculectomy for glaucoma	42746,42783
Trabeculoplasty, laser, of eye	42782
Trachea, dilatation of stricture and stent insertion	41905
    removal of foreign body from	41886
Tracheal excision, repair, with cardiopulmonary bypass	38455
    excision, repair, without cardiopulmonary bypass	38453
    stricture, dilatation of with bronchoscopy	41904
Trachelorrhaphy	35617,35618
Tracheo-oesophageal fistula, division and repair	43900
    formation of, including enoscopic procedures	41885
Tracheomalacia, aortopexy for	43909
Tracheoplasty or laryngoplasty with tracheostomy	41879
Tracheostomy	
    by open exposure of the trachea	41881
    closure of	30102,30103
    percutaneous technique, sequential dilation, partial 
       splitting method	41880
    using Minitrach or similar device	41884
    with laryngoplasty or tracheoplasty	41879
    with supraglottic laryngectomy	41840
    with vertical hemi-laryngectomy	41837
Transanal	
    transanal endoscopic microsurgery	32103,32104,32106
Transantral ethmoidectomy with radical antrostomy	41713
    ligation of maxillary artery	41707
    vidian neurectomy	41713
Transfusion	13703,13706
    collection of blood for	13709
    paediatric/neonatal	13306,13309
Transillumination, ocular	42821
Translabyrinthine vestibular nerve section	41593
Transluminal balloon angioplasty	35300,35303
    rotational atherectomy with stent insertion	38312,38318
    rotational atherectomy without stent insertion	38309,38315
    stent insertion	35306,35309
Transmastoid decompression of endolymphatic sac	41590
    removal of glomus tumour	41623
Transmetacarpal amputation of hand	44325
Transmetatarsal amputation of foot	44364
Transorbital ligation of ethmoidal arteries	41725
Transplantation, cornea	42653,42656,42659
    ureter	36585,36588,36591
       36594,36597,36600,36603
Transposition of digit	46507
    of nerve	39321
Transpupilliary thermotherapy	42811
Transthoracic drainage of pericardium	38450
Transtympanic removal of glomus tumour	41620
Transurethral injection for urinary incontinence	37339
Transvenous electrode/s, permanent, insertion of	38350,38356
    pacemaking electrode, temporary, insertion of	38256
Treacher Collins Syndrome, peri-orbital correction of	45773
Trephine of frontal sinus	41743
Trichiasis, treatment of	42587
Trichoepitheliomas, face/neck, removal by laser 
       excision	30190
Trigeminal gangliotomy, radiofrequency/balloon/glycerol	39109
    nerve, injection with alcohol, cortisone etc	39100
    neuralgia, intracranial neurectomy	39106
Trigger finger, correction of	46363
Tubed pedicle or indirect flap	45230
    -  formation of	45227
    -  preparation of site and attachment to site	45233
    -  spreading of pedicle	45236
Tuboplasty	35694,35697
tubuerous, tubular or constricted breast, treatment by	45559
Tumour, adrenal gland, excision of	30324
    benign, of soft tissue, removal	31350
    bladder, diathermy/resection with cystoscopy	36840,36845
    bladder, laser destruction with cystoscopy	36840
    bone, benign, requiring allograft, resection of	50230
    bone, innocent, excision of	30241
    bone, malignant, operations for	50200,50201,50203
       50206,50209,50212,50215,50218,50221,50224,50227
       50230,50233,50236,50239
    broad ligament, removal of	35712,35713,35716
       35717
    cardiac, excision of	38670,38673,38677
       38680
    carotid body, resection of	34148,34151,34154
    cerebello-pontine angle, removal of	41575,41576,41578
       41579
    deep, peripheral nerve, removal of	39327
    endocrine, exploration of	30578,30580,30581
    extradural, laminectomy for	40309
    face/neck, laser excision	30190
    gastric, removal of	30520
    glomus, removal of	41620,41623
    gynaecological, radical or debulking operation	35720
    intra-oral, radical excision of	30275
    intra-temporal fossa, removal of	41578
    intracerebral, craniotomy and removal of	39709
    intracranial, biopsy/decompression, osteoplastic flap	39706
    intracranial, burr-hole biopsy or drainage	39703
    intracranial, craniotomy and removal of	39709,39712
    intramedullary, laminectomy for	40318
    involving ciliary body an/or iris, excision of	42767
    iris, excision of	42764
    larynx, removal of	41852
    limbic, removal of	42692
    lipoma, liposuction or surgical removal of	31345
    malignant of soft tissue, removal of	31355
    malignant upper aerodigestive tract	31400,31403,31406
    malignant, bone, operations for	50200,50201,50203
       50206,50209,50212,50215,50218,50221,50224,50227
       50230,50233,50236,50239
    malignant, skin, removal of	31300,31305,31310
       31315,31320,31325,31330,31335
    mandible, segmental resection for	45605
    mediastinal, removal by thoracotomy or sternotomy	38446
    microlaryngoscopy with removal of	41864
    neuroendocrine, removal of	30321,30323
    other, removal of (restriction applies)	31200,31205,31210
       31215,31220,31225,31230,31235,31240
    ovarian, radical or debulking operation for	35720
    parapharyngeal, excision of, cervical approach	31409,31412
    parathyroid, removal of	30306
    parotid gland, removal of	30253
    parotid, excision of	30251
    peripheral nerve, removal from	39324,39327
    pituitary, hypophysectomy or removal of	39715
    rectal, excision of	32099,32102,32108
    removal of, by laminectomy	40309,40318
    removal of, by lateral rhinotomy	41728
    removal of, by neurectomy, neurotomy	39327
    removal of, by temporal bone resection	41584,41587
    removal of, by urethrectomy	37330
    removal of, in oral and maxillofacial region	45801,45803,45805
       45807,45809,45811,45813
    sacrococcygeal and presacral, excision of	32036
    skin, malignant, removal of	31300,31305,31310
       31315,31320,31325,31330,31335
    skin, micrographic serial excision	31000-31002
    skull base, removal of	39640,39642,39646
       39650,39653,39654,39656,39658,39660,39662
    skull, excision of	39700
    spinal, laminectomy for	40318
    thyroid, removal of	30310
    vagina, simple, removal of	35557
    vocal cord, removal from	41852
Tunnelled cuffed catheter	
    central vein, for haemodialysis or parenteral nutrition	34538
    removal	34539
Turbinates, cauterisation or diathermy of	41674
    dislocation, treatment of	41686
    submucous resection of	41692
Turbinectomy	41689
Turricephaly, cranial vault reconstruction for	45785
Tympani, paracentesis of	41626
Tympanic membrane, micro-inspection of	41650
    membrane, micro-inspection with ear toilet	41647
Tympanum, perforation, cauterisation or diathermy	41641

U

Ulcer, corneal, epithelial debridement for	42650
    duodenal, perforated, suture of	30375
    gastric, perforated, suture of	30375
    other, removal of	31200,31205,31210
       31215,31220,31225,31230,31235,31240
    peptic, bleeding, control of	30505,30506,30508
       30509
    peptic, perforated, suture of	30375
Ulna, bone graft to	48218,48221,48224
       48227
    fracture, treatment of	47360,47363,47366
       47369,47372,47375,47378,47381,47384-47387,47390
       47393,47396,47399,47402,47405,47408
    fracture, treatment of paediatric	50500,50504,50508
       50512,50516,50520,50524,50528,50532,50536,50540
    operation on, for acute osteomyelitis	43503
    operation on, for chronic osteomyelitis	43512
    osteectomy or osteotomy of	48406,48409
Ulnar vessel, ligation/exploration not otherwise 
       covered	34106
Ultrasound, intraoperative, biliary tract	30439
    staging of intra-abdominal tumours	30441
Umbilical artery catheterisation	13303
    granuloma, excision under GA	43948
    hernia, repair of	30616,30617,30620
       30621
    vein catheterisation in a neonate	13300
Undescended testis, orchidopexy for	37803,37806,37809
Unstable lie, attendances other than routine antenatal	16502
Urachus, patent, excision of	37800
Ureter, brush biopsy of, with cystoscopy	36821
    divided, repair of	36573
    exploration of	36612
    retrocaval, correction of, by open exposure	36564,36567
    transplantation of	36597
        - into bladder	36588,36591
        - into intestine	36594
        - into isolated intestinal segment	36600,36603
        - into skin	36585
Ureterectomy	36579
Ureteric calculus, endoscopic extraction/manipulation	36857
    catheterisation with cystoscopy	36818,36824
    dilatation	36821
    meatotomy	36830
    reflux, correction of	36588
    stent, insertion of	36605,36607,36821
    stent, removal/replacement of	36825
    stent, through nephrostomy tube	36604
Ureterolithotomy	36549
    complicated by previous surgery	37444
Ureterolysis	36615
Ureteroplasty	36618
Ureteroscopy	36803,36806,36809
Ureterostomy, cutaneous, closure of	36621
    revision of	36609
Urethra, cauterisation of	35523
    diathermy of	37318
    diverticulum, excision of	37372
    endoscopic examination with cystoscopy	36812
    laser therapy, intraepithelial neoplasia	35539,35542,35545
    prolapsed, excision of	37369
    ruptured, repair of	37306,37309
Urethral abscess, drainage of	30223
    caruncle, cauterisation of	35523
    caruncle, excision of	35526,35527
    dilatation with cystoscopy	36812
    diverticulum, excision of	37372
    fistula, closure of	37333,37336,37833
    prosthesis, with cystoscopy	36811
    reconstruction, hypospadias/epispadias	37815,37827,37830
    sounds, passage of, as an independent procedure	37300
    sphincter, reconstruction of	37375
    stricture, dilatation of	37303
    stricture, optical urethrotomy for	37327
    stricture, plastic repair of	37342,37343,37345
       37348,37351
    tumour, removal of by urethrectomy	37330
    valves, destruction of	37854
    warts, cystoscopy for the treatment of	36815
Urethral sling, division or removal of	37340,37341
Urethrectomy	37330
Urethrocoele, repair of	35570
    repair of	35570,35573
Urethropexy (Marshall-Marchetti operation)	35599,37044
Urethroplasty	37342,37343,37345
       37348,37351
Urethroscopy, as an independent procedure	37315
    with biopsy/diathermy/foreign body/stone	37318
    with cystoscopy	36812
    with cystoscopy and injection for incontinence	37339
    with laser destruction of stone	37318
Urethrostomy	37324
Urethrotomy, external or internal	37324
    optical, for urethral stricture	37327
Urinary conduit or reservoir, endoscopic examination	36860
    conduit, revision of	36609
    reservoir, formation of	36606
    sphincter, artificial	37381,37384
        - insertion of pressure regulating balloon, pump	37387
        - revision or removal of	37390
Urogenital sinus, vaginal reconstruction for	35565
Uterine adenomyoma, excision of	35649
    adhesiolysis, with hysteroscopy	35633
    adhesions, laparoscopic division	35638
    adnexae, removal, with abdominal hysterectomy	35653
    artery embolisation	35410
    myomectomy	35649
    septum, hysteroscopic resection	35623
    tubes, insufflation of, for patency (Rubin test)	35706
Utero-sacral ligaments, laparoscopic division	35638
Uterus, acute inversion, vaginal correction	16570
    bicornuate, plastic reconstruction for	35680
    curettage of	35639,35640
    debulking prior to vaginal hysterectomy	35658
    gravid, evacuation of contents	35643
    implantation of Fallopian tubes into	35694,35697
    suspension or fixation of	35683,35684
UVB therapy	14050,14053
Uvula, excision of	41810
Uvulectomy and partial palatectomy	41787
Uvulopalatopharyngoplasty	41786
Uvulotomy	41810

V

Vagina, artificial formation of	35565
    dilatation of, as an independent procedure	35554
    laser therapy, intraepithelial neoplasia	35539,35542,35545
    partial or complete removal of	35560
    removal of simple tumour of	35557
Vaginal correction of acute inversion of uterus	16570
    compartment repair, anterior	35570
    compartment repair, anterior/posterior	35573
    compartment repair, posterior	35571
    fistula, repair or closure of	35596,37029,37333
    hysterectomy	35657,35673
    orifice, plastic repair to enlarge	35569
    reconstruction, congenital absence/gynatresia	35565
    septum, excision for correction of double vagina	35566
    upper prolapse, sacrospinous colpopexy for	35568
    upper vault prolapse, pelvic floor repair	35595
    upper vault prolapse, sacral colpopexy	35597
    warts, removal under GA or nerve block	35507,35508
Vaginectomy, radical, for malignancy	35561,35562,35564
Vaginoplasty for congenital adrenal hyperplasia	37851
Vagotomy	30496,30497,30499
       30500,30502,30503
Vallecular cysts, removal of	41813
Valve annuloplasty, heart	38475,38477,38478
    leaflet/s, aortic, decalcification of	38483
    mitral, open valvotomy of	38487
    repair, heart	38480,38481
    replacement, heart	38488,38489
Valvotomy for pulmonary stenosis	38456
    open, of mitral valve	38487
Valvuloplasty, balloon or septostomy	38270
Varicocele, surgical correction of	30634,30635
Varicose veins, injection of sclerosing fluid	
    veins, multiple injections	32500,32501
    veins, operations for	32500,32501,32504
       32507,32508,32511,32514,32517
Vas deferens, operations on	37616,37619,37622
       37623
Vasectomy	37622,37623
Vasoepididymostomy (unilateral)	37616,37619
Vasotomy	37622,37623
Vasovasotomy	37616,37619
Vein, anastomosis, microsurgical	45502
    bypass for venous stenosis or occlusion	34812
    cannulation of, in a neonate	13300
    central, catheterisation	13318,13319,13815
    central, catheterisation, subcutaneous tunnel	34527,34528
    femoral bypass, saphenous vein anastomosis	34809
    graft for priapism	37396
    great, ligation or exploration not otherwise covered	34103
    harvesting, leg/arm, for bypass, not same limb	32760
    harvesting, leg/arm, for patch graft, not same incision	33551
    intra-abdominal, cannulation, infusion chemotherapy	34521
    ligation or exploration not otherwise covered	34106
    major, repair of wound of	33815,33818,33821
       33824,33827,33830,33833,33836,33839
    patch grafting to	33545,33548
    saphenous, cross leg by-pass graft	34806
    scalp, catheterisation of	13300
    stenosis, patch angioplasty for	34815
    thrombectomy of	33810-33812
    transplant to restore valvular function	34821
    umbilical, catheterisation of	13300
    varicose, multiple injections	32500,32501
    varicose, operations for	32500
Veins, major, access as part of re-operation	35202
Velopharyngeal incompetence, flap or pharyngoplasty	45716
Vena cava, inferior, operations on	34800,34803
    caval filter, insertion of	35330
Venesection	
    therapeutic	13757
Venography, operative	35200
Venous anastomosis, not otherwise covered	32766,32769
    catheterisation, peripheral	35317,35319,35320
    stenosis or occlusion, vein bypass for	34812
    valve, plication or repair to restore competency	34818
Ventilation, mechanical, intensive care	13857,13881,13882
Ventral hernia following closure exomphalos, repair of	43939
    hernia, repair of	30403
Ventricular aneurysm, plication of	38506
    aneurysm, resection	38507,38508
    assist device, insertion of	38615,38618
    assist device, removal of, independent	38621,38624
    augmentation	38766
    chamber, operation for arrhythmia	38518
    myomectomy	38763
    puncture	39006
    reservoir or external drain, insertion of	39015
    septal defect, closure of	38751
    septal rupture, ischaemic, repair of	38509
    septectomy	38748
Ventriculo-cisternostomy	40000
Ventriculostomy, third	40012
Vermilionectomy	45668,45669
Version, external cephalic	16501
Vertebra, needle biopsy of	30093
Vertebral bodies, fracture, treatment of	47681,47684,47687
       47690,47693,47696,47699,47702
    bodies, total or sub-total, excision of	48639
    diseases of, excision & spinal fusion for	48640
    resection and fusion for congenital scoliosis	48632
Vesical fistula, cutaneous, operation for	37023
Vesico-intestinal fistula, closure of	37038
Vesicostomy, cutaneous, establishment of	37026
Vesicovaginal fistula, closure of	37029
Vestibular nerve section, retrolabyrinthine	41596
    nerve section, translabyrinthine	41593
    nerve section, via posterior fossa	39500
Vestibuloplasty, unilaterla or bilateral	45837
Vidian neurectomy, transantral, with antrostomy	41713
Villus, chorionic, sampling	16603
Viscera, abdominal, operation involving laparotomy	30387
    pelvic, operation involving laparotomy	30387
Viscus, ruptured, simple repair of	30375
Vitello intestinal duct, patent, excision of	43945
    intestinal remnant, abdominal wall, excision of	43942
Vitrectomy	42719,42725
Vitreolysis of lens material	42791,42792
Vocal cord, biopsy of	41849
    cord, removal of nodule or tumour	41852
    cord, teflon injection into	41870
Volvulus, reduction of	30375
Vulva, biopsy of, with colposcopy	35615
    laser therapy for intraepithelial neoplasia	35539,35542,35545
    wide local excision of suspected malignancy	35536
Vulval warts, removal under GA or nerve block	35507,35508
Vulvectomy, hemi	35536
    radical for malignancy	35548
Vulvoplasty, where medically indicated	35533

W

Warts, anal, removal under GA or nerve block	32177,32180
    palmar or plantar, removal of	30186,30187
    penile or urethral, cystoscopy for treatment of	36815
    removal in operating theatre	30189
    vulval/vaginal, removal, GA or nerve block	35507,35508
Wedge excision for axillary hyperhidrosis	30180
    excision of lip, eyelid or ear, full thickness	45665
Wertheim's operation	35664
Whipple's operation (pancreatico-duodenectomy)	30584
Wire, orthopaedic, insertion of	47921
    pin or screw, buried, removal of	47924,47927
Wolfe graft	45451
Wound, debridement under GA or major block	30023
    dressing of, requiring GA	30055
    resuturing following intraocular procedures	42857
    traumatic, suture of	30026,30029,30032
       30035,30038,30041,30042,30045,30048,30049
Wrist, arthrodesis of	49200,49203
    arthroplasty of	49209
    arthroscopic surgery	49221,49224,49227
    arthroscopy of	49218
    arthrotomy of	49212
    fracture, treatment of	47369,47372,47375
    osteoplasty	49224
    proximal carpectomy	49206
    reconstruction of	49215
    revision arthroplasty	49210,49211
    tendon sheath, open operation	46363
    tendon, repair of	46420,46423,46426
       46429,46432,46435
Wry neck, operation for	44133

X

Xenon arc photo-coagulation	42782,42783

Z

Z-plasty, in association with Dupuytren's Contracture	46384
Zygo-apophyseal joint, injection into	39013
Zygoma, osteotomy or osteectomy of	45720,45723,45726
       45729,45731,45732,45735,45738,45741,45744,45747
       45752
Zygomatic arch, reconstruction of	45788
    bone, fracture, treatment of	45981,47762,47765
       47768,47771